National Dental Board Examination: Changes you need to know Adam C Shisler ‘12, Texas-Houston  President  Commissioner Joint Commission on Dental Examinations

Objectives ASDA Member will be able to accurately express to chapter reasoning, timelines, and future changes of the NBDE.

Outline Mission of JCNDE Changes Occurring in 2012 Ramifications of Changes Possible Solutions / Actions in Progress Questions

Mission of the JCNDE "The JCNDE develops and conducts highly reliable, state of the art cognitive examinations that assist regulatory agencies in making valid decisions regarding licensure of oral health care professionals, develops and implements policy for the orderly, secure, and fair administration of its examinations, and is a leader and resource in assessment for the oral health care profession." 4http://

Changes Occurring in 2012 Candidates will receive PASS / FAIL for NBDE Part 1 and Part 2 1 Those candidates that test before will retain their scores. After 01/01/12, passing candidates will receive the status of Pass, “P”, while failing candidates will receive raw score information for each discipline with the status of Fail, “F”

Changes Occurring in 2012 Shorter Application Eligibility Period 1 Once application and fee has been submitted for examination, student will have 6 months to schedule a testing appointment.

Changes Occurring in 2012 Limit on Examination Eligibility 1 Students are limited to successful completion of an exam within 5 years of testing or 5 exam attempts, whichever comes first. This applies to exam attempts 01/01/2012 or later.

Changes Occurring in 2012 Communication Information about Exam Irregularities MAY Accompany Score Reports 1  If an irregularity is ruled by the JCNDE, it is the chair’s decision to include a summary of the irregularity in the student’s score report.

Changes Occurring in 2012 Complete Score History 1 Currently four most recent tests are listed Starting in 2012: Complete history of scores will be reported to state board or any other entity requesting scores.

Changes Occurring in 2012 Time Limits for Retesting as a Result of an Appeal 1 JCNDE allows appeal for a retest within 30 days Upon processing the application, the candidate will remain eligible to test for 90 days following the grant of an appeal.

New Item Types 1 Multiple Correct Answers, Extended Matching, and Ordering are coming to the NBDE These new item types will be scored objectively with a well defined scoring rubric. Responses must match scoring rubric exactly in order to get a score of “1” for the item. If there is no exact match, the score for the item is “0.” There is no partial credit.

Examples of New Item Types

Changes Occurring in 2012 As of 01/01/2012 New fees: Part 1 = $345 Part 2 = $390 Transcript / Score Report Fee = $30.

Average Scores 1

Average Failure Rates 1

Integrated National Board Dental Examination Parts 1 & 2 will disappear; to be replaced by single, comprehensive exam. Result of an ad hoc review of current examination methods Encourage integration of Part 1 & 2

INBDE Timeline Test Construction Committees Identify best structure for test construction committees Identify qualification for test constructors Recruit and train test constructors Examination Issues Format Review and amendment of examination administrative policies and procedures Scoring System Develop and validate scoring system Transition plan Plan for students/candidates who have taken NBDE Part I but not NBDE Part II at time the INBDE is implemented Plan for students/candidates who have taken NBDE Part I and/or NBDE Part II and have not passed at the time the INBDE is implemented

INBDE Timeline Pilot study Develop pilot examination Administer pilot examination Analyze data Implementation Review and address test publishing and test administration issues with the delivery vendor Format examination for vendor delivery Live Date Begin to advertise time frame for live date two years in advance Set live date for the INBDE (no sooner than 2015)

Progress in Advanced Dental Education Application Processes As a result of Pass/Fail Changes ADEA initiated the Future of Advanced Dental Education Admissions Project to offer guides and tools for navigating the admission environment. Goal of ADEA/FADEA 2 Identify the best ways to review, compare, and select candidates for advanced dental education programs.

Progress in Advanced Dental Education Application Processes In 2010, ADEA Conducted Survey of 714 Postdoctoral Program Directors (54% responded) 2 Result, top five traits successful candidates have that majority of program directors agree. Characteristics frame admissions and ETS PPI for 2012 cycle.

Progress in Advanced Dental Education Application Processes 2 Ten Most Important Qualities Indicated by ADEA FADEA Survey 1Team Player51.3% 2Assumes Responsibility50.0% 3Integrity48.2% 4Interpersonal / Communication Skills40.4% 5Reliability39.3% 6Critical Thinking Skills38.8% 7Clinical Skills37.5% 8Initiative33.6% 9Maturity33.1% 10Academic Talent25.8%

Progress in Advanced Dental Education Application Processes 2 Pediatric DentistryPeriodonticsOrthodontics Team Player63%Team Player48%Integrity74% Assumes Responsibility 58%Assumes Responsibility 44%Interpersonal / Communication Skills 48% Interpersonal / Communication Skills 46%Passion44%Maturity48% Reliability44%Integrity41%Critical Thinking Skills 46% Critical Thinking Skills 44%Critical Thinking Skills 41%Assumes Responsibiltity 42%

Progress in Advanced Dental Education Application Processes 2 GPR / AEGD Team Player65% Assumes Responsibility57% Reliability55% Clinical Skills47% Integrity43%

Progress in Advanced Dental Education Application Processes 2 EndodonticsProsthodontics Integrity59%Integrity58% Communication45%Clinical Skills58% Clinical Skills45%Team Player54% Maturity45%Critical Thinking Skills 50% Critical Thinking Skills 41%Passion46%

Progress in Advanced Dental Education Application Processes 2 Oral and Maxillofacial Surgery Academic Talent53% Integrity51% Assumes Responsibility47% Team Player42% NBDE Score Above 9042%

Progress in Advanced Dental Education Application Processes Three Steps to Acceptance: 1. Initial Review 2. Who to Interview 3. Final Selection

Progress in Advanced Dental Education Application Processes Three Steps to Acceptance: 1. Initial Review 2. Who to Interview 3. Final Selection

Progress in Advanced Dental Education Application Processes Three Steps to Acceptance: 1. Initial Review 2. Who to Interview 3. Final Selection

Specialty Exam (T/F) - As of 09/01/2011, no specialty exam is planned. - ADEA Summit of Advanced Dental Ed at ADEA Fall Meeting October 20-22, 2011

Specialty Exam (T/F) Program Directors Desire an Exam that: 1Critical Thinking Skills including Problem Solving60.3% 2Clinical Judgment57.4% 3Clinical Knowledge54.5% 4Ability to Think Logically and Use Higher Level Reasoning53.8% 5Ethical Reasoning49.1% 6Ability to Interpret Data48.6% 7Professionalism47.8% 8Communication Skills (Interprofessional)47.3% 9Ability to Express Onself and Write Logically46.8% 10Basic Science Knowledge41.0%

Questions Mission of JCNDE Changes Occurring in 2012 Ramifications of Changes Possible Solutions / Actions in Progress Questions

Resources and Additional Information 1. Update on National Board Dental Examinations. American Dental Education Association. March date.pdf date.pdf 2. Findings from Survey of Advanced Dental Education Program Directors. October findings-Oct-2010-Final-for-distribution%20Compatibility%20Mode.pdf findings-Oct-2010-Final-for-distribution%20Compatibility%20Mode.pdf 3. ADEA/FADEA Website: JCNDE Website: