American Dental Licensure
Examination in
Dentistry
Administered by North East Regional Board
of Dental Examiners (NERB)
Manual
• Includes all information needed for the
test, including registration, content,
evaluation criteria and score reporting
• http://www.nerb.org/b/documents/DENTAL_M
ANUAL_2010_TRADITIONAL%20_with%20in
dex_.pdf.
Your Exam
• Patient/Manikin Examinations
– At Boston University, December 4-5, 2010
• Exams rotate between three MA dental
schools: BU, Tufts & Harvard
Registration
• You must apply through the state to take the clinical exam. Secure a
letter from your CHC to apply to the Board of Registration in
Dentistry (http://www.massdental.org/practice.aspx?id=210).
• Once approval is granted, you must register for the NERB exam at:
http://www.nerb.org/apply/
• You must complete a “profile” to log in and register
• DEADLINE: Monday, November 1, 2010
• Complete applications, fees and requests for deferral of feeds must
be received on or before these dates in order to be processed by the
NERB.
Required Documents for
Registration
• Certification of Dean or designee of Dental
Program/School
• Professional Liability Insurance
• Social Security Number
• Signature
• Change of Name or Address
• Identification Card
Required Identification
• Bring with you to clinical exams:
– An ID card with your NERB ID number and
your exam schedule will be mailed to you 2
weeks prior to the exam date
– One ID with candidate signature
– One ID with candidate signature and recent
photo
• Examples: Driver’s License, Credit Card, Passport,
Military ID, and Employee ID
The Clinical Exams
Patient Recruitment
•
Be organized; read the booklet with the instructions (more than twice!)
•
Choose patients that you know well and trust
•
If you are fond of a particular instrument, bring it!
•
Choose the smallest qualifying lesions, too many modifications will be
stressful and will reflect poor case selection
•
If possible, have someone you know pick up your patients and have them in
the clinic at least 30 before the floor is open for patients
•
Be honest with your patients: make sure to explain the time commitment
you need from them. Tell them also that there may be a possibility you
cannot do the treatment if it does not get approved
•
Have a “Plan B!” and at least one “backup” set of patients.
Orientation & Admission
• Attendance is mandatory to take exam
• Takes place the afternoon before the exam
at BU
• Addresses specific instructions &
distributes necessary materials
What do I bring to Orientation?
• Photo Identification Card
• Two (2) other forms of ID
– Two (2) must have candidate’s signature
– One (1) must have recent photograph
The Day of the Exam
Simulated Patient Treatment
Exams
• Endodontic
• Fixed Prosthodontic
The Day of the Exam:
Endodontic & Prosthodontic
• Candidates can set up starting at 7am
• Begins at 8:30am on designated day
• Bring
– photo ID
– 2 forms of ID
– White envelope
• You can then receive the typodont box
Prior to the Exam
• Between 7:30 to 8:30 A.M. the Clinic Floor
Examiner (CFE) must:
– verify that the tooth for the endodontic
instrumentation and obturation has been
measured and secured in the typodont
– the manikin head is properly assembled, and
any defective equipment or materials
identified and corrected or replaced
Treatment Schedule
• 8:30am: Treatment begins
• Endodontics: 8:30am – 11:30am
• Prosthodontics: 11:30am – 3:30pm
• All treatment stops at 3:30pm, no matter what time you
start.
• You must be in the collection line no later than 3:45pm
line with:
– the typodont
– the properly completed evaluation forms
– the Progress form
Additional Notes
• Teeth may not be removed or
disassembled from the typodont or
manikin head without permission from a
CFE
Patient Simulation Exam
Check Out
What to submit:
1. Four completed progress forms
• The Fixed Prosthodontic and Endodontic Clinical
Examination Progress forms are submitted with the typodont
to the Manikin Clinic Floor Examiner
2. Photo Identification card for candidate and chairside
assistant.
3. Medical History
4. Color-coded cubicle cards (2)
5. Unused Restorative and Periodontal Evaluation
forms
6. The candidate will receive a receipt (Dental
Candidate Check-out form) for all materials
submitted at final check out
Patient Treatment Clinical Exams
• Restorative
• Periodontal
The Day of the Exam:
Periodontal
• Begin at 8am or 2pm (assigned by group)
• No restorative procedures may be
performed during the Periodontal Clinical
Examination time even if the exam is
completed early
The Day of the Exam: Restorative
• 4 sections to be completed over 6 hours
• Begins at either 8am or 11am (assigned
by group)
• Each section requires a separate
evaluation in the Evaluation Station
Time Management
• Examination time includes:
– Patients’ time at the Evaluation Station for
assignment & evaluation
• Minimum time: 30 minutes
• Includes Requests for Modifications
Patient Exam
Check Out
What to submit:
1. Pre-operative and post-operative radiographs (if
requested during the examination) of teeth restored
during the examination
• the complete mouth series of radiographs only by request of
examiner
2. Photo Identification card for candidate and chairside
assistant.
3. Treatment Consent Form(s).
4. Medical History
5. Color-coded cubicle cards (2)
6. Unused Restorative and Periodontal Evaluation
forms
7. The candidate will receive a receipt (Dental
Candidate Check-out form) for all materials
submitted at final check out
Additional Considerations
Assistants
•
Who may NOT be assistants:
–
–
–
–
Dentists and dental hygienists (licensed or unlicensed)
Third or Fourth year dental students
Final year hygiene students
Dental technicians
•
If a chairside assistant is employed, the assistant must be cleared by
a NERB representative at the Coordinator Desk on the day of the
examination and prior to the start of the examination.
•
The candidate must have :
1. Completed Candidate Agreement for the Use of Chairside Assistant
2. Completed Authorized Chairside Assistant ID Card
3. Two forms of ID
•
•
One with photo graph
Two separate 2x2 photos
– Attach one to Candidate Agreement
– Attach other to Assistant ID Card
Interpreters
• Who may NOT be interpreters:
– faculty members,
– dentists and dental hygienists (licensed or
unlicensed),
– third or fourth year dental students,
– final year dental hygiene students
– Individuals serving as chairside assistants
Interpreters Contd.
• The candidate must bring two separate 2”x 2”
photos of the interpreter
– one to be attached to the top of the Interpreter
Disclosure Statement
– One attached to the bottom of that form which serves
as the interpreter’s ID
• During the clinical examinations, the interpreter
must wear a photo identifying badge provided by
the NERB at all times when on the clinic floor.
• Candidates are responsible for the registration
of the interpreter
Tips from Recent Test-Takers
• Read through the manual thoroughly
• The clinical exam is a test of your
organizational abilities; prepare, prepare,
prepare!
• Choose patients that you know and trust. They
will come without financial incentive.
• Have a colleague look over your patient
selection
• Spend time getting to know the clinic set-up in
the school at which you’ll be taking the exam
Links to Videos
• Dr. McManama discusses specific clinical
activities on the NERB:
– Photos of clinical procedures provided, with
commentary on quality and discussion of tips
for the NERB
http://apreso.bu.edu/acmcontent/f6ff9165bedc-4e84-877295e07dd50ffe/DrMcManamaNerbs_Unspecifi
ed_2010-01-22_12-03-PM.htm.
GOOD LUCK!