Posts in Dentistry
Buried Alive: Student Loans
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student-loan-debt-dentist1 One sunny spring evening, I had the pleasure of attending a Colorado New Dentist Committee study club meeting focused on ‘success as a New Dentist in the first 5 years.’ We had the honor of listening to guest speaker Mark Bonnett of North Star Resource Group give a lecture on what it takes to start a practice or be a successful associate employee. What I found most interesting (due to its relevance to me as a current dental student) was his later focus on loan repayment, and managing finances once the big paychecks first start coming in.

 

As soon-to-be dentists, the idea of ‘what the heck am I going to do after graduation?’ is a thought that weighs heavily on our minds. Sure, some of us will head to residencies (aka school forever), but for the rest of us, finding jobs right out of the gate is imperative as our student loans suddenly turn from Monopoly money into the real deal. After listening to Mark speak, one theme of his lecture became very clear: cash is king!

 

Since the day I signed my life away to the federal lenders, I had one thing in mind… “I’m going to pay these suckers off as quickly as possible.” What I came to realize in the first 5 five minutes of Mark’s lecture, is that this might not be the best thing to do. There are several alternatives all focusing around the idea that while we’ve amassed a large sum of debt, we should take our time in paying it off. Say you did choose to pay off your loans quickly by applying entire paychecks at a time to them. … What if you have an emergency? Or lose your job? Sure, you’ve got no debt… , but you’ve also got no money. The following are some suggestions for different ways to maximize your cash and minimize your loan payments:

 

Income Based Loan Repayment/Pay As You Earn Repayment

This is essentially setting your payments to correspond with your income:

Earn a lot --> pay a lot

Unemployed --> pay little (or even nothing.)

These programs are designed to base payments on income and family size, and payments are the same no matter how much you owe. Essentially, these programs are great for the dentist not making a lot of money because you’ll have more cash flow, rather than applying entire paychecks to student debts. A drawback of these programs is that while you’re not paying too much income into loans, you’re still collecting interest on every dollar that remains. That being said, if after 20 or 25 years (depending on the program) you haven’t paid off your loans, they are forgiven and your debts are eliminated!   Too good to be true? Probably. The catch is that the amount forgiven is taxable, meaning that if $50,000 of your debt is erased, you will be expected to pay taxes on that in a lump sum amount. Should this be the route you choose to pay back your loans, make sure you’re saving setting some of your cash aside to pay this.

 

Public Service Loan Forgiveness

These programs are tied to income-based repayment programs but follow a different set of rules. In order to qualify you must work full-time for 120 months in a non for profit capacity- potentially in a setting that doesn’t pay well. Some residency programs can even count toward your time commitment, as long as they’re not-for-profit university or hospital programs. Basically most 501(c)3 (not for profit), state, federal (yes military counts) or academic opportunities could count. A benefit of the public service IBR is that the amount of debt forgiven is not taxed!

 

Consolidation

By consolidating your loans, you extend your payback window to 30 years, lowering your monthly payments. Consolidation also allows you to blend your interest rates, should you have some higher and some lower. A benefit of loan consolidation is that by lowering your monthly payments, you’ll have more cash flow. A couple drawback are that, once again, you’ll be collecting interest on those loans over the 30 years to it takes to pay them back.   Also you could potentially be increasing your interest rate when the low rates are combined with higher rates for the weighted average. Keep in mind you can always pay the loans off early. Even if the loan repayment period is 30 years, there is nothing stopping you paying off the debt in 10 years or even sooner, once you get on your feet and have more stable cash flow.

(Some popular loan consolidation companies include SoFi and CommonBond, check these out if you're interested!)

 

After reviewing some of these loan repayment options, I hope you realize that there is no right or wrong way of paying back your loans. Every individual’s situation situation is different, and the pros and cons of each option should be reviewed before choosing which is right for you. The idea of lengthening your payment window stems from the idea that cash is king, meaning that having money set aside opens many doors for different options. When banks are deciding whether or not to loan you money for a house or a practice, they look deeply into your Debt : Income Ratio (This is the amount of monthly payments you are committed to make like credit cards, car payments, mortgages, etc., verses the amount of income you make on a monthly basis). By keeping your minimum payment lower, you have more flexibility to take on debts like a home or a practice.  With this in mind, taking the time to pay back your loans while stashing away some funds will help you immensely when you’re trying to make a large purchase or investment.

 

After wrapping up discussion of loan repayment options and the idea of holding on to some of your debt in order to save money, Mark closed the lecture by answering a couple of FAQ’s questions proposed by the audience.

 

Q: Which loans should I pay off first?

A: Not considering consolidation? Put your money where the interest rates are higher, and pay those off first.

 

Is it smart to make large purchases even though I have a mountain of loans?

A: Historically speaking, it is not necessarily a bad time to be in debt. What does this mean? Interest rates are relatively low and will only go up from here. If you’re going to make a large purchase, such as a new car, it is smarter to finance it now that interest rates are low, rather than waiting until you have less debt and biting the bullet on higher interest rates.

 

Which comes first, the practice or the house?

A: It depends on how much debt you have, and what your debt:income ratio is. Banks are used to seeing dentists graduate with a massive accumulation of debt, take out a loan for a practice, then become successful and be able to pay the loans back. Purchasing a practice is more about the cash flow of the practice than your personal debt load. Banks look at Practice Loans differently than home loans because the practice produces income to pay the debt. Homes are just an expense, and thus the banks look at these types of loans only by looking at the strength of the borrower. If you have a bunch of practice debt, a mountain of Student Loan debt and minimal income because you started your practice in the last year or so, it will be more difficult to purchase a home.

 

More Information:

For more information on student loans and repayment options, check out the following resources:

http://studentloanhelp.org

https://studentaid.ed.gov/sa/

https://www.alltuition.com

If you've still got some questions, or would like to talk to Mark Bonnett himself, feel free to email him at Mark.Bonnett@northstarfinancial.com

National Lobby Day: Legislation, Lobbying, and (believe it or not) Leisure

11154826_464035007084792_1755724213913420098_o I have never been the type of person to be on student government or run for positions that required any sort of political understanding. Needless to say my knowledge about what we would be doing at National Lobby Day in Washington D.C. was at a minimum. I was chosen to go and figured that I would take more of a backseat approach, learning what it was like to be involved with ASDA at the national level while watching the experts do the lobbying, but I would do much more than that.

Monday was our first day in D.C., and it was spent entirely at the hotel. We had lectures, meetings, and breakout sessions that were all meant to be informative and help us in our lobbying efforts the next day. The two specific bills that we would be lobbying for were the H.R. 539: Dental Health Act and the H.R. 649: Student Loan Refinancing Act. H.R. 539 would allow programs like the Mission of Mercy (MOM) and Give Kids a Smile access to readily available funds ($15 million) from the CDC that they were previously not able to apply for. H.R. 649 would allow students to refinance their loans in the future if the federal student loan interest rate were to dip below what they had previously borrowed it for.

The morning was a mix of presentations on the details of both of these bills, what to focus on when speaking to legislators, and some presentations by different sponsors. We broke for lunch, where I had the opportunity to sit and eat with students from the University of New York at Buffalo along with the president of the ADA, Dr. Feinberg. Our afternoon session consisted of more presentations, mock meetings with legislators, and concluded with speeches by two dentists (now state representatives) from Texas. With that we broke for the day and were on our own. We met briefly as a group to discuss our tactics when meeting with legislators the following day, and then we were off to dinner.

The next day was an early one, with the buses scheduled to leave at 7:15am and our first meeting at 8:30. We had a busy day planned with seven meetings in all, the last one coming at three in the afternoon. Our first meeting was with Cory Gardner’s office, a senator from Colorado. We spoke with his aid for a bit about the two bills that we were advocating for. He was very receptive to what we had to say and the meeting was more relaxed than I expected, which reminded me of most of my dental school interviews; nervous at first, but merely conversational once I had settled in. We were lucky enough to have Cory Gardner stop in for a few minutes and hear what we had to say, even telling us about his experiences with COMOM. The first meeting of the day went really well, and we were off to a good start in our lobbying efforts.

Since we felt that having all seven of us in each meeting was a bit of overkill, we decided to approach the rest of the meetings as smaller groups, mostly consisting of three or four people. Another reason for this approach was that we were constantly walking the whole day, from house to the senate, senate to the house: it was a workout to say the least. Splitting into groups allowed us more time between meetings to make sure we were not late. We had six meetings scheduled for the rest of the day: a senator from Colorado, two senators from New Mexico, and three representatives from Colorado. Of these six remaining meetings, five of them went really well while one seemed like a complete disaster. All in all it seemed to be a pretty successful day that ended around 3:30 and with us heading straight to the airport from the senate building, back on a plane to Denver a mere 52 hours after we had arrived.

If you’ve read this far and are thinking to yourself, “this sounds like too much work, I’d want to at least do some exploring of D.C.”, you probably aren’t friends with me on ‘Snapchat’. The Washington Monument, Lincoln Memorial, Vietnam Veteran’s Memorial, and the National Museum of American History: these were just a few of the sites we got to see in our limited time in Washington. If you do know me personally then you probably saw most of these as low quality pictures from around D.C., showing just how much fun I got to have along with how much I learned while at National Lobby Day. This is something I hope to convey to you if you haven’t been involved much with ASDA, and it doesn’t have to be at the national level, nor a huge commitment. I encourage you to get involved in local events because they are a great networking experience, informative, and fun! All I know is that I would not have done it any differently and I’m so thankful to have been able to go.

Recap: Colorado ASDA Leadership Workshop

Attachment-1 Being a great leader is something that each of us strives for.  We all have a little bit of leader in us somewhere... we've always been driven for success, and we all hope to be our own bosses someday.  We're all pretty responsible -- I mean, we had to be to get into dental school, right? -- but I think I'd be speaking for many of us if I said that the idea of being a great leader is pretty darn intimidating.

 

This weekend, Colorado ASDA had the honor of hosting Dr. David Rice, founder of IgniteDDS, at our first annual Leadership Workshop.  Dr. Rice has been an immensely popular speaker at past ASDA events, such as regional meetings and the Annual Session, and we were fortunate enough to have him speak to us here, on our very own campus!

 

IgniteDDS is an organization that works to get people really fired up about dentistry, whether they're patients, students, or dental professionals.  As this workshop was tailored toward dental students and pre-dents, Dr. Rice focused on teaching us to be successful, and how we can really jump-start our careers in dentistry.  Prior to the event, each of us took a DiSC behavioral assessment, the results of which we discussed during the workshop.  Essentially, the DiSC assessment categorizes people into one of four different personality types: Domint, Influential, Steady, and Conscientious.  The theory behind the DiSC is that each of us has one of these personalities, which majorly affects our relationships and interactions with other people.  Dr. Rice described each of these personalities and how they relate to professionalism in dentistry.  In order to be successful in your business, you must build a solid rapport with many different types of people.  In order to do so, you must first know how to work with a range of personalities, and get each type of person to trust and feel comfortable with you.  Staffing a variety of personality types is a great way to maximize the likelihood that your patients will feel at ease being treated in your dental office.  Dr. Rice mentioned many times that treating others as you wish to be treated may have worked in elementary school, but treating others as they wish to be treated is what will get you far in the professional world.  Each patient brings their unique personality into your practice, and with that comes a challenge. Being able to read your patients and work with them on a level in which they feel understood and appreciated will get you far in your practice.

 

If you are interested in learning more about IgniteDDS or Dr. David Rice, please check out their website, and "like" them on Facebook.  If you'd like to know the specifics of the DiSC personalities, and are interested in finding out where you lie on the spectrum, click here.

 

Perspective from a Pre-dental Student
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The mentorship program at the National Leadership Conference. No matter how much outside research I read about ASDA’s National Leadership Conference (NLC), I still had my doubts. Will this conference help me as a pre-dental student? Will I walk away from it feeling more energized about dentistry? I read that there were personal development opportunities available (but then again, that’s what my Bridezilla sister told me about being her Maid of Honor!)

I didn’t exactly know what to expect at NLC, but I had a general idea. I expected the conference to be full of informative breakout sessions and like-minded people passionate about dentistry. However, I didn’t expect to meet people who were sincerely interested in my journey to dental school. I didn't expect to be on the edge of my seat during the presentations and to develop a drive to be more engaged in ASDA. NLC went beyond the scope of my expectations and truly provided many unique opportunities for pre-dental students.  Here are three unique opportunities NLC can offer for pre-dental students:

1) Connect you with a mentor. There are no dentists in my family and few dentists in my life, so it’s hard to find someone who understands the journey to dental school. That’s one reason why the NLC mentorship program can be so valuable. Pre-dental students had the opportunity to be paired with a dental student from schools you want to apply to. It was extremely reassuring to share my challenges and triumphs with someone with prior experience. My mentors allowed me to pick their brains about their schools, gave me great advice on applying, and connected me with other leaders. Yet, I quickly learned that I didn’t have to go through the mentorship program to connect with leaders at the conference. The ASDA leaders, alumni and dental students were all very encouraging and had unique insights into the breadth of dentistry. Connecting with dental students is a great opportunity for pre-dental students to access a supportive community and to be involved in a strong network.

2) Prepare you to become a well-rounded professional. I was truly impressed by the variety of topics and lessons among the four education tracks offered at NLC. In the Business and Financial Leadership track, I learned how to build my personal brand. This skill is not only important for business professionals, but also for pre-dental students. We should be able to communicate what makes us unique from other applicants. In addition, the pre-dental workshop was one of the best comprehensive resources I have ever seen. The workshop highlighted how to enhance your application and how to be innovative in order to stand out. The wide collection of topics and workshops provide a unique training opportunity for pre-dental students and prepare you to become an outstanding applicant and health professional.

3) Engage you in issues related to dentistry. Sometimes as pre-dental students, we can become overly consumed with the details of applying to dental school. With the stress of submitting the perfect application, it’s hard to look past dental school and easy to forget current issues that dentists face. Dr. Shenkin’s presentation on how dentistry's hot topics impact your future quickly energized me and kept me on the edge of my seat. As aspiring dentists, we need to be aware of the dental landscape we will eventually work in. The presentation shed light into the growing number highly indebted dental students but a decline in adult utilization of dental services. Another challenge dentists are confronting is the increase in adult Medicaid dental benefits but stagnant government funding.

The advocacy breakout sessions at NLC allowed me to go beyond dental school basics and dive into policy issues regarding our future profession. As pre-dental students, we can be engaged in organized dentistry now and being an ASDA member is a great way to start. I never truly understood the magnitude of my ASDA membership and the unique opportunities it offers for pre-dental students until attending the National Leadership Conference. Though I walked into the conference with worries and doubts, I left feeling confident in my future career and in myself. I encourage other pre-dental students to join ASDA and to take your involvement further by attending national events.

~Lynn Doan, Pre-Dental ASDA Member

Curriculum Vitae: Your Course of Life

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As some of you know, I’m one of the older guys here. I have a long history of applying for school positions and jobs. When I attended the ASDA NLC in Chicago, I thought it was important to brush up on my CV writing skills, especially since the CV format may be different than in my native country of Germany. Colleen Greene’s CV writing lecture taught me a few new things. Although there is no exact way to write one, Dr. Greene gave some useful tips and tricks to mastering the CV.

Think about the situation: You apply for a residency, and you know your application will be one of hundreds of others - that your paperwork is in a huge pile of other applications. How will you be the ONE that stands out? Do you think your great GPA alone will get you there? It might, but what happens when your CV looks like a lame pizza flyer… one that you transfer directly out of your mailbox into the trash can without reading?

A good CV should have a structure with clear categories. Why not give the category names a different color? This will give your CV a nice touch, and it will look more interesting than other applications.

The CV begins with your name and address in the header. Include your email address, but be careful. Don’t use your “supertoothdoc” or “cutemolarmouse” Gmail address that you created as a student. You need a “professional” email! If you don’t already have one, create one.

Next, list your EDUCATION clearly. Include the name and location of each school, the dates attended, what you studied, and your grade point average. Leave some space between the information to make things more readable.

The second block should be about your RESEARCH/EXPERIENCE. Tailor this section to the program for which you are applying (residency, associateship, GPR, etc.). List your projects, presentations, and teaching experiences here. Did you receive any awards in your school life? This is the perfect place to write them down.

Do you have any LEADERSHIP or COMMUNITY SERVICE? This information should come next on your CV. Use concrete details about your leadership, specifically your responsibilities...this will make your achievements stand out. If you helped coordinate a service event, include the details.

If you have any existing PUBLICATIONS & PRESENTATIONS, put them in a separate section by journal, title, and year. If you’re submitting your CV electronically consider including links in your publication list, and only write down the important ones. A lengthy list looks like a scrapbook and will expand your CV unnecessarily.

Next, place PROFESSIONAL AFFILIATIONS, such as memberships of ASDA, ADA, etc.  To what extent were you involved with these organizations?

OPTIONAL SECTIONS can be placed now. These may include things like military service, conferences/meetings you have attended, and personal interests. Here is your chance to discuss your hobbies like home brewing, outdoor activities, or painting. Remember that you want your CV to be clean and concise. Introduce these activities in the CV, but expand on them in your interview.   Don’t forget other SKILLS like speaking, reading, or writing fluently in another language. Be honest, and never overstate your abilities. You never know when your interviewer speaks the same language fluently and may test your skills!

Finally, you may give a PERSONAL STATEMENT. I would personally skip this part in a CV and put it on a separate page, but some people like to include it in the CV. This should be a short statement that clearly states your career or school goals. Use action verbs and power words. Make this an interesting reflection of yourself. You want the reader to recognize that you stand out among the other candidates.

If you use some of these little hints in your next CV, you may be the ONE in the huge pile of applications! Most importantly, treat your CV with great care. You have accomplished many things in your life, so shine! Also, please proofread carefully for misspelled words and incorrect grammar.

You can find more information on www.ASDAnet.org/cv, or simply send me an email. I am more than happy to help you with additional resources on how to write an effective CV.

~Michael Nery Schulte, ISP 2015, Colorado ASDA ISP Representative

ASDA and Advocacy—Highlights From ASDA's National Leadership Conference
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Becky Lauren Natalie This past October, I attended the ASDA National Leadership Conference.  Having recently been elected the ASDA Alternate Delegate for my class, I was sincerely excited and curious about this conference.  I knew I would be surrounded by others who shared my same enthusiasm about ASDA and my commitment to enhancing our dental school experience and future profession. Given my legal background, I am particularly interested in ASDA’s and the ADA’s role in legislative and legal issues regarding dental school education and the dental profession.  While I thought I had a good grasp of the issues regarding the profession, at the conference, I learned so much more about the various nuances within the law that affect dentists. I was thoroughly impressed by the commitment of ASDA and ADA to advocate on our behalf. For this blog post, I wanted to highlight three areas regarding the law and dentistry that were large topics of discussion at the conference.

1)  Pending U.S. Supreme Court Case about Dental Boards and Anti-Trust

Recently, the United States heard oral arguments for North Carolina Board of Dental Examiners v. Federal Trade Commission.  This case hinges upon whether the NC Board of Dental Examiners has the authority to send warning letters to non-dentists who offer dental services, such as teeth whitening.  For this case, the FTC is concerned that the Board is engaging in antitrust behavior.  The pivotal issue in this case is whether the Board of Dental Examiners is considered “private", as anti-trust laws only apply to private entities. While the NC Board of Dental Examiners is considered a public entity, the FTC argues that it is comprised of dentists who primarily make their living as private dentists, and thus, they are also affected by the market that they are attempting to regulate. The ADA submitted an Amicus Curiae brief to the Supreme Court for this case.  An Amicus Curiae brief is essentially an opinion of a third party that is not directly involved in the case but has a substantial interest in the outcome.  The final decision should be issued sometime in 2015. You can view the ADA’s brief here.

2)  Student Loans

The accumulation of significant student loans is a large source of stress for dental students.  While the rising costs of tuition are often unavoidable, ASDA and the ADA are advocating for students and recent graduates from a tax standpoint.  Currently, most dentists’ incomes are too high to have a student loan interest deduction on their taxes.  The ADA is actively lobbying the federal legislature to completely eliminate this income cap.  This way, interest on federal student loans can be considered a tax deduction, which can potentially save dentists up to thousands of dollars each year. To take action on Student Loans through ASDA's Action Site, Engage, CLICK HERE.

3)  Dental Mid-Level Providers

Unlike Colorado, other states in the country are allowing “mid-level” providers to provide some basic, yet irreversible dental procedures in order to increase access to dental care.  ASDA and the ADA are very concerned about this, as it allows individuals with less than four years of dental training to perform procedures that can permanently affect a patient’s tooth.  Additionally, the addition of mid-level providers dilutes the dental profession in these states, which can have a substantial impact on the quality of dental services and the salaries for dentists. ASDA seeks to ensure that only dentists provide irreversible dental procedures to patients.

These three issues are just some highlights of the myriad of issues and work that ASDA and the ADA do on our behalf.  In addition to attending the legislative sessions, I attended marketing, financial, and other sessions which my colleagues have already highlighted. This conference confirmed to me that ASDA is really looking out for us. I certainly caught the “ASDA fever”!

Marketing at the National Leadership Conference

NLC Group Attending ASDA's National Leadership Conference for the second time, I knew what to expect - a great learning experience, a chance to make new friendships & connections, and most importantly, renewing my excitement about dentistry. In dental school, we're often thrown into books and typodont work, making it challenging to see the future as a dentist. The speakers at the conference presented many topics that allowed us to connect the dots between our studies and the seemingly far away future. One topic, presented by Dr. Mike Meru, was marketing a dental practice successfully on a budget. Learning the details of marketing kept me excited about how dentistry functions in a dynamic environment, yet taught me that additional effort is required in order to stand out.

 

According to Dr. Meru, in order to begin marketing you must create a brand - the symbol, title, or image that will embody your work.  He also claimed that you can start working on your brand TODAY!  The key is creating a logo that is recognizable and distinct, which can be both easy and inexpensive. If choosing this route, however, it is important to note that you get what you pay for – that the quality of a service is often correlated with the amount of money paid for it. In essence, shop around – and keep in mind that many companies such as 99 designs, crowdSPRING, DesignCrowd, and logomyway.com offer a superior product at a conservative price that can compete with the quality of expensive graphic designers.

 

Now, armed with a great brand and logo, you can move on and present your practice to the public. According to Dr. Meru, when starting a new practice it is worth investing in search engine optimization, so that your business appears on different searches, becoming visible to the masses. From there, begin advertising in local publications, at community gathering sites, and on social media to see how your business grows. However, be sure to keep in mind that social trends are constantly evolving (i.e. Facebook vs. Instagram), and use this to your advantage – these resources are typically free and a great way to spread awareness of your practice. Using hashtags, QR codes, and giving away merchandise are other ways of advertising on a budget.

 

All of this thinking about adverting got me in the mindset of private practice, and how close I actually am to becoming a dentist. Since returning from my trip, I’ve been able to put more energy into my lab work and focus on my books, as my interest in dentistry has been reignited. I know that in just two years I will be combining my work with my interaction in the community – and I can do all of this through the benefits of marketing.

 

~Natalie Lesinski, Class of 2017, Colorado ASDA 2nd Legislative Liaison  
An Intro to Licensure Reform
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licensure101  

If you want to practice dentistry, you need to have a license. And if you want to have a license, you should read this post.

 

You need to complete three requirements (educational, written, and clinical) to get a dental license. You can fulfill the educational component by graduating from a dental school accredited by CODA (the Commission on Dental Accreditation), and complete the written requirement by passing NBDE Parts I and II as administered by JCNDE (the Joint Commission on National Dental Examinations). The clinical component is where things get tricky.

 

There are five regional testing agencies that administer these clinical exams:

 

Council of Interstate Testing Agencies (CITA)

Central Regional Dental Testing Services (CRDTS)

North East Regional Board of Dental Examiners (NERB)

Southern Regional Testing Agency (SRTA)

Western Regional Examining Board (WREB)

 

Each of these agencies gives a separate, subtly different examination, and those exams are all accepted by different sets of states. In other words, no one exam is accepted by all 50 states. So you need to figure out where you want to practice. Once you’ve done that (no big deal), go to the ADA list of state dental boards and click on the relevant state dental board’s website. There you can figure out which clinical licensure exams are accepted by your dream state.

 

But is this the way it has to be?   ASDA doesn’t think so. The association’s formal position on licensure is outlined in ASDA’s L1 policy, which you can read at http://asdanet.org/licensure/.   (If you’d prefer a more audiovisual experience, check out this video of Colleen Greene, 2012-13 national ASDA president.)

 

Here’s the big highlight: ASDA doesn’t support the use of live patients in clinical licensure exams.   Instead, the second half of its L1 policy presents these alternatives:

 

  • “Initial licensure without an independent clinical licensing examination. Graduates of a U.S. CODA-accredited dental school should be eligible for initial licensure without taking any additional clinical examination.
  • A portfolio-type clinical examination based on cases compiled during the final year of dental school. Such an examination should require a standardized catalog of required clinical procedures and the portfolio should be evaluated by an examiner independent of the dental school. (Currently under development in California.)
  • A non-traditional patient based clinical licensure examination. Although ASDA does not support the use of live patients in traditional clinical licensing examinations, the association recognizes the potential for creation of an ethical, patient-based examination.
  • An Objective Structured Clinical Examination designed to evaluate a candidate’s diagnostic and treatment planning skills. (Currently accepted in Minnesota.)
  • Completion of a one-year postgraduate residency program. Completion of a U.S. CODA-accredited postgraduate program that has a minimum duration of one year should be sufficient to substitute for the clinical licensure examination requirement in any jurisdiction.” (Currently mandated in New York; accepted in Washington, Minnesota, California and Connecticut.)

 

This desire for alternatives springs from concerns about the ethics and accuracy of the current exams. To outline those facts, ASDA is drafting a licensure “white paper,” which is a document intended to help readers understand an issue, solve a problem, or make a decision. It’s also working to eliminate live-patient licensure examinations at the state level through work with state dental associations, state dental boards, state legislators, and national dental organizations.

 

The American Dental Education Association (ADEA) has also formed a task force to report back to its 2015 House of Delegates with recommendations about how to help dental schools transition from patient-based clinical examinations to an Objective Structured Clinical Examination (OSCE). We’re excited to hear those recommendations in March 2015.

 

In the meantime, the licensure reform process is moving forward, and the state-by-state requirements for licensure continue to evolve-- so make sure to check back with your state dental board's website as your exam date approaches!  Does all that make sense?  Don't worry if it doesn't!  It’s easy to get lost in the forest of jargon and acronyms surrounding licensure, so make sure to post your questions in the comments section below!

 

~Christian Piers, Class of 2016, Colorado ASDA President