LICENSE TO DRILL Anaheim, California March 4, 2011 Steven G. Morrow, DDS, MS.

““LICENSE TO DRILLLICENSE TO DRILL”

Anaheim, California March 4, 2011

Steven G. Morrow, DDS, MS

LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTERDirector of Patient Care Services

And Clinical Quality Assurance

Portfolio Examination

PORTFOLIO DENTAL EXAMINATIONPORTFOLIO DENTAL EXAMINATION

Resulted from a collaboration between:Dental Board of CaliforniaCalifornia Dental AssociationSix California Dental SchoolsProfessional Psychometric Studies

Resulted from good timing:Licensure by credential – 2003Licensure through WREB – 2005 Licensure by PGY 1 – 2007Two DDS in State Legislature


Resulted in Passage of AB1524 (Hayashi)Signed into law by Governor in Sept 2010Effective January 1, 2011Eliminated traditional Clinical Licensing

ExaminationEstablished Licensure by Portfolio for

graduates from California Dental Schools


What is a Portfolio Examination?

“The cumulative documentation, submitted to the Dental Board, of the applicant’s completion of the required minimum clinical experiences and the successful demonstration of the required clinical competencies for licensure.”


Required Minimum Clinical ExperiencesOral Diagnosis and Treatment Planning


40 Oral Examinations and Treatment Plans


40 Oral examinations and treatment plans must include evidence of:Assessment of a patient’s medical and dental historyDevelopment of problem work-upDevelopment of alternative treatment plans, when appropriateIdentification of a definitive treatment plan accepted by

patient and clinical faculty that addresses all or part of the patient’s treatment needs

Required Minimum Clinical Experiences Oral Diagnosis and Treatment Planning (40)

25 Periodontal Tx CasesAdult prophyScaling and root planing

5 or more quadrants

Periodontal SurgeryAssisting Periodontal Surgery (faculty/Grad St)Any periodontal procedure approved by the school



Required Minimum Clinical Experiences Oral Diagnosis and Treatment Planning (40) Periodontal Treatment (25)

60 Direct RestorationsPermanent and Primary teeth


Required Minimum Clinical Experiences Oral Diagnosis and Treatment Planning (40) Periodontal Treatment (25) Direct Restorations (60)

14 Indirect RestorationsInlay/onlay, FC, Partial crown, FPD, Implant-crown


Required Minimum Clinical Experiences Oral Diagnosis and Treatment Planning (40) Periodontal Treatment (25) Direct Restorations (60) Indirect Restorations (14)

5 Endodontic treatmentsEach canal counts as a

treatment


Required Minimum Clinical Experiences Oral Diagnosis and Treatment Planning (40) Periodontal Treatment (25) Direct Restorations (60) Indirect Restorations (14) Endodontic treatments (5)

5 Removable Prostheses


Required Minimum Clinical Experiences Oral Diagnosis and Treatment Planning (40) Periodontal Treatment (25) Direct Restorations (60) Indirect Restorations (14) Endodontic treatments (5) Removable Prostheses (5)

Oral and Maxillofacial Surgery25 Procedures (D7000 Procedure Codes)


Required Competency Examinations (final year of dental training)

“Each competency examination will be graded in accordance with the Board’s grading criteria on

forms prescribed by the Board. The competency examination will be signed by one of the school’s

faculty portfolio examiners for the prescribed competency.”


Required Competency Examinations

“The dental school faculty portfolio examiners are faculty members who are chosen by the

school, registered with the Dental Board, and trained and calibrated by the Board to conduct

and grade the Board Competency Examinations.”


Required Competency ExaminationsOral Diagnosis and Treatment Planning

Six supporting competencies




Direct Restorations Class II amalgam or composite resinClass III/IV composite resinClass V amalgam, composite resin, or glass

ionomer




Direct Restorations Class II amalgam or composite resinClass III/IV composite resinClass V amalgam, composite resin, or glass ionomer

Indirect Restorations (one of the following)Ceramic onlayCeramic CrownFull/Partial gold restorationMetal-ceramic restoration


Required Competency Examinations Oral Diagnosis and Treatment Planning Direct Restorations Indirect Restorations

Removable Prosthodontics5 Supporting Competencies




Endodontics7 Supporting Competencies




Endodontics7 Supporting Competencies

Periodontics4 Supporting Competencies

PORTFOLIO LICENSURE PORTFOLIO LICENSURE EXAMINATIONEXAMINATION

Required Competency Examinations Oral Diagnosis Direct Restorations Indirect Restorations Removable Prosthodontics Endodontics Periodontics

Portfolio Final Review “The Board shall be responsible for review of the submitted portfolio to determine that it is complete and the applicant has met the requirements for licensure.”


AdvantagesPsychometrically a clinical examination Integrated into clinical curriculumConducted with patients of record in proper treatment

sequenceLongitudinal not Cross-Sectional (snap-shot)Opportunity to assess additional competenciesLicense upon graduation w/o additional examinationReduced Stress and $$$$$


Advantages Psychometrically a clinical examination Integrated into clinical curriculum Conducted with patients of record Longitudinal not Cross-Sectional Opportunity to assess additional competencies License upon graduation w/o additional examination Reduced Stress Reduced $$$$$

DisadvantagesLicense for California only

““LICENSE TO DRILLLICENSE TO DRILL”

Anaheim, California March 4, 2011

Steven G. Morrow, DDS, MS

LICENSE TO DRILL Anaheim, California March 4, 2011 Steven G. Morrow, DDS, MS.

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Transcript of LICENSE TO DRILL Anaheim, California March 4, 2011 Steven G. Morrow, DDS, MS.