Licensure Boards2013-2014 Or…how the profession eats its young each spring…
Licensure Boards2013-2014 Testing Agencies (CRDTS, WREB) administer the test…STATES actually issue the license.
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
Information Available • WREB.ORG • CRDTS.ORG • Schedules, Policies • Manuals!
Licensure Boards • Unjust ? • Unfair ? • Maybe so…but… • Unless you pass them…you cannot practice what you have worked hard to learn!
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
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 !
WREB Overview • Operative Section • 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
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 AcadentalModuPro.
WREB Overview • Periodontal Section Diagnostic Section (Computer Based) • Treatment Section (your patient) • Prosthodontics Section • Computer Based • Treatment Planning • Computer based
WREB Changes for 2015! • Periodontal Section Diagnostic Section (Computer Based) • Treatment Section (your patient) • Prosthodontics Section • Computer Based • Treatment Planning • Computer based
WREB Changes for 2015! • 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)
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
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
CRDTS • Part III - Fixed Prosthodontics Exam (manikin) • #9 Ceramic crown preparation • #3 Cast gold crown preparation • #5 PFM crown preparation • “bridge factor” 3=5
CRDTS • Part IV – Periodontics Exam (patient) • Diagnosis • SRP
CRDTS • Part V – Restorative Exam (patient) • Class III composite • Class II amalgam OR • Class II composite
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!
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.
Patient Selection • Operative WREB • Class II • 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.
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 ?!
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
NOW MORE THAN EVER! • Check with the individual states regarding which exam they accept! • You are licensed by the state, not the testing agency
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
PROS 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 WREB
PROS 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 CRDTS
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!
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!
Questions ? • Read those books • If something is unclear…e-mail me and I will try to help • Hunt for Patients! • Plan…Plan…Plan
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