1. Or…how the profession eats its young each spring…
Licensure Boards
Or…how the profession eats its young each spring…

2. Licensure Boards
Testing Agencies (CRDTS, WREB) administer the test…STATES actually issue the license.

3. What’s Coming Up ? CRDTS DS, Feb 14th, 15th (Patient)
WREB DS, March 13th-16th
CRDTS DS, October 2014 (Manikin)
CRDTS ISP, October 2014
WREB ISP, August or November 2014

4. Information Available
WREB.ORG
CRDTS.ORG
Schedules, Policies
Manuals!

5. Licensure Boards Unjust ? Unfair ? Maybe so…but…
Unless you pass them…you cannot practice what you have worked hard to learn!

6. Licensure Boards
Do not waste your time and energy complaining about the board situation!
Direct all of your efforts toward taking these boards ONCE!
Then join the rest of us in complaining if you wish

7. Licensure Boards
This is not a school function…this is your responsibility
Look for patients constantly
Work together for a backup pool
READ THE BOOK !

8. WREB Overview Operative Section Any two of the above Class II amalgam
Class II composite
Indirect Cast Gold (inlay - 3/4 crown)
Class III composite
Any two of the above
Only one may be a slot prep
Caries on unrestored proximal
NO MO’s on lower first premolars

9. WREB Overview Endodontic Section Endodontic treatment (anterior tooth)
Endodontic treatment (posterior tooth)
Access and condensation on anterior tooth and one canal on a multi-canal posterior tooth
Extracted teeth mounted in Acadental ModuPro.

10. WREB Overview Periodontal Section Diagnostic Section (Computer Based)
Treatment Section (your patient)
Prosthodontics Section
Computer Based
Treatment Planning
Computer based

11. WREB Changes for 2015!
Periodontal Section Diagnostic Section (Computer Based)
Treatment Section (your patient)
Prosthodontics Section
Computer Based
Treatment Planning
Computer based

12. WREB Changes for 2015! NEW CTP Exam Content in TP, Perio, Pros
Treatment Section (your patient)
NEW CTP Exam
3 hours
Computer based
3 cases (Complex, moderate, pediatric)
Content in TP, Perio, Pros
Will happen earlier (fall 2014)

13. WREB Changes for 2014!
Each modification will be 0.5 penalty on prep grade
In PATP define perio as insurance code. i.e. 1-3 teeth, 4 or more in a quad
No anesthetic delivered until examiners on floor (7:30 AM)
NO EFDA’s on operative exam

14. CRDTS Part II - Endodontics Exam (manikin)
#14 artificial tooth access only
#8 artificial tooth - access, instrumentation, obturation
Endo folks will schedule reviews and practice session

15. CRDTS Part III - Fixed Prosthodontics Exam (manikin)
#9 Ceramic crown preparation
#3 Cast gold crown preparation
#5 PFM crown preparation
“bridge factor” 3=5

16. CRDTS
Part IV – Periodontics Exam (patient)
Diagnosis
SRP

17. CRDTS Part V – Restorative Exam (patient) Class III composite
Class II amalgam OR
Class II composite

18. Patient Selection Most critical step
No matter how good the lesion looks…it is only as good as the patient it is attached to!
Look in your own patient pools
Family and Friends
KARMA!

19. Patient Selection Operative CRDTS Class II Class III
Radiographic caries at least 1/2 of the way through enamel (Digital or F speed)
Proximal contact intact, virgin surface
Occlusal contact on tooth
May have occlusal restoration*
Lesion on other proximal may need to be included.

20. Patient Selection Operative WREB Class II
Radiographic caries must reach dentin!
Proximal contact intact, virgin surface
Occlusal contact on tooth
May have occlusal restoration*
Lesion on other proximal may need to be included.

21. Patient Selection/CRDTS*

22. Patient Selection/CRDTS*
When using digital images…
½ way to dentin qualifies
The board logic is that ½ way to dentin on digital films IS evidence of caries to the DEJ ?!

23. Patient Selection WREB

24. Things to do NOW! Become familiar with exam
Stay tuned for more info/exam changes
wreb.org
crdts.org
Read the manual (on web site)
Look for patients (for you and others!)
Consider Op comps as practice

25. NOW MORE THAN EVER!
Check with the individual states regarding which exam they accept!
You are licensed by the state, not the testing agency

26. Which board to take? First Consider the state you want to practice in
Then consider state of family, significant other.
Otherwise consider the pros and cons of the each board

27. WREB PROS CONS Proven exam ? 2015 One time event
More candidate friendly
Less of a time issue during exam
CONS
3 day pressure cooker
Exam in March
Fewer states accepting
Need real endo teeth*
Retake opportunities near or after graduation
Some uncertainty regarding states that accept exam
Grading rubric

28. CRDTS CONS PROS General board stress over longer time period
Stress split over three sessions
Multiple retake opportunities for each section
Over in February with retake possibilities prior to graduation
Many states in one exam
NO Written Exam!
CONS
General board stress over longer time period
More rigid schedule
More time pressure during patient day
Politics may change accepting states

29. General Concepts Procedures are not difficult!
Organization and Preparation is critical
Plan…Plan…Plan
Not the time to make statements
fashion, political, other
You do not want to be dinner time conversation for the examiners!

30. General Concepts Infection Control Eye Protection Neatness
Patient Positioning
Polite, accurate communication with examiners (remember they are not faculty!)
Better is the worst enemy of good…don’t dink!

33. Be Prepared

34. Questions ? Read those books
If something is unclear… me and I will try to help
Hunt for Patients!
Plan…Plan…Plan

35. What Now?
Everybody…Start Planning, reading the book, and hunting patients
Organize among your class for a back up pool
Check the web sites often…look for updated manuals