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Research ArticleArticles

Dental licensure reaches a crossroads: the rationale and method for reform

RE Lasky and JL Shub
Journal of Dental Education March 2003, 67 (3) 295-300;
RE Lasky
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JL Shub
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  • Copyright © 2003 American Dental Education Association

Abstract

Following calls to reform the dental licensure process, New York state has adopted an innovative approach that is responsive to the perceived shortcomings of the existing Part III examination. This solution eliminates the legally, psychometrically, and ethically compromised system, replacing it with a requirement that both ensures the public's protection and gives the new dentist additional experience in contemporary procedures in a supervised setting. The best preparation for the practice of dentistry is the practice of dentistry--something so profound and simple; yet it constitutes the core of New York's revolutionary reform. And the best way to measure that preparation for initial licensure is with the continual evaluation that occurs during the postdoctoral experience. New York is the first state to allow applicants for licensure to substitute the successful completion of a postdoctoral clinical program--a test in itself--for the traditional clinical licensure examination. The primary objective of this reform is to improve the quality of dentistry by elevating the standards for licensure. New York's expanded training protocol parallels that of medicine and reflects developments in the science and practice of the dental profession. The introduction of this new professional training model renders the clinical examination requirement obsolete. The fundamental principle of New York's new system is that a clinical examination is unnecessary to verify that a dentist is competent to enter practice following postdoctoral clinical training consisting of ongoing patient care, continuous oversight, mentoring, and evaluation.

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Journal of Dental Education: 67 (3)
Journal of Dental Education
Vol. 67, Issue 3
1 Mar 2003
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Dental licensure reaches a crossroads: the rationale and method for reform
RE Lasky, JL Shub
Journal of Dental Education Mar 2003, 67 (3) 295-300;

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Dental licensure reaches a crossroads: the rationale and method for reform
RE Lasky, JL Shub
Journal of Dental Education Mar 2003, 67 (3) 295-300;
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  • Should the U.S. Adopt a National Dental Clinical Licensure Examination? Two Viewpoints: Viewpoint 1: National Licensure Would Provide Multiple Advantages for Practitioners and the Profession and Viewpoint 2: Licensing Authority Should Remain Under State Dental Boards Jurisdiction
  • Should Live Patient Licensing Examinations in Dentistry Be Discontinued? Two Viewpoints: Viewpoint 1: Alternative Assessment Models Are Not Yet Viable Replacements for Live Patients in Clinical Licensure Exams and Viewpoint 2: Ethical and Patient Care Concerns About Live Patient Exams Require Full Acceptance of Justifiable Alternatives
  • The Buffalo Model: Shifting the Focus of Clinical Licensure Exams in Dentistry to Address Ethical Concerns Regarding Patient Care
  • Assuring Dental Hygiene Clinical Competence for Licensure: A National Survey of Dental Hygiene Program Directors
  • Attitudes and Perceptions of U.S. Dental Students and Faculty Regarding Dental Licensure
  • Perceptions and Practices of U.S. Dental Schools Regarding Curriculum Integrated Format and Traditional Format Licensure Exams
  • AEGD Programs: Why Now, Why More?
  • The Ethics of Live Patient Use in Dental Hygiene Clinical Licensure Examinations: A National Survey
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