1. LICENSE TO DRILL Anaheim, California March 4, 2011 Steven G. Morrow, DDS, MS

2. LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER Director of Patient Care Services And Clinical Quality Assurance

3. Portfolio Examination

5. PORTFOLIO DENTAL EXAMINATION Resulted from a collaboration between: Dental Board of California California Dental Association Six California Dental Schools Professional Psychometric Studies Resulted from good timing: Licensure by credential – 2003 Licensure through WREB – 2005 Licensure by PGY 1 – 2007 Two DDS in State Legislature

6. PORTFOLIO DENTAL EXAMINATION Resulted in Passage of AB1524 (Hayashi) Signed into law by Governor in Sept 2010 Effective January 1, 2011 Eliminated traditional Clinical Licensing Examination Established Licensure by Portfolio for graduates from California Dental Schools

7. PORTFOLIO DENTAL EXAMINATION What is a Portfolio Examination? The cumulative documentation, submitted to the Dental Board, of the applicants completion of the required minimum clinical experiences and the successful demonstration of the required clinical competencies for licensure.

8. PORTFOLIO DENTAL EXAMINATION What is a Portfolio Examination? The cumulative documentation, submitted to the Dental Board, of the applicants completion of the required minimum clinical experiences and the successful demonstration of the required clinical competencies for licensure.

9. PORTFOLIO DENTAL EXAMINATION Required Minimum Clinical Experiences Oral Diagnosis and Treatment Planning

10. PORTFOLIO DENTAL EXAMINATION 40 Oral Examinations and Treatment Plans

11. PORTFOLIO DENTAL EXAMINATION 40 Oral examinations and treatment plans must include evidence of: Assessment of a patients medical and dental history Development of problem work-up Development of alternative treatment plans, when appropriate Identification of a definitive treatment plan accepted by patient and clinical faculty that addresses all or part of the patients treatment needs

12. Required Minimum Clinical Experiences Oral Diagnosis and Treatment Planning (40) 25 Periodontal Tx Cases Adult prophy Scaling and root planing 5 or more quadrants Periodontal Surgery Assisting Periodontal Surgery (faculty/Grad St) Any periodontal procedure approved by the school PORTFOLIO DENTAL EXAMINATION

13. Required Minimum Clinical Experiences Oral Diagnosis and Treatment Planning (40) Periodontal Treatment (25) 60 Direct Restorations Permanent and Primary teeth

14. PORTFOLIO DENTAL EXAMINATION Required Minimum Clinical Experiences Oral Diagnosis and Treatment Planning (40) Periodontal Treatment (25) Direct Restorations (60) 14 Indirect Restorations Inlay/onlay, FC, Partial crown, FPD, Implant-crown

15. PORTFOLIO DENTAL EXAMINATION Required Minimum Clinical Experiences Oral Diagnosis and Treatment Planning (40) Periodontal Treatment (25) Direct Restorations (60) Indirect Restorations (14) 5 Endodontic treatments Each canal counts as a treatment

16. PORTFOLIO DENTAL EXAMINATION Required Minimum Clinical Experiences Oral Diagnosis and Treatment Planning (40) Periodontal Treatment (25) Direct Restorations (60) Indirect Restorations (14) Endodontic treatments (5) 5 Removable Prostheses

17. PORTFOLIO DENTAL EXAMINATION Required Minimum Clinical Experiences Oral Diagnosis and Treatment Planning (40) Periodontal Treatment (25) Direct Restorations (60) Indirect Restorations (14) Endodontic treatments (5) Removable Prostheses (5) Oral and Maxillofacial Surgery 25 Procedures (D7000 Procedure Codes)

18. PORTFOLIO DENTAL EXAMINATION Required Competency Examinations (final year of dental training) Each competency examination will be graded in accordance with the Boards grading criteria on forms prescribed by the Board. The competency examination will be signed by one of the schools faculty portfolio examiners for the prescribed competency.

19. PORTFOLIO DENTAL EXAMINATION Required Competency Examinations The dental school faculty portfolio examiners are faculty members who are chosen by the school, registered with the Dental Board, and trained and calibrated by the Board to conduct and grade the Board Competency Examinations.

20. PORTFOLIO DENTAL EXAMINATION Required Competency Examinations Oral Diagnosis and Treatment Planning Six supporting competencies

21. PORTFOLIO DENTAL EXAMINATION Required Competency Examinations Oral Diagnosis and Treatment Planning Six supporting competencies Direct Restorations Class II amalgam or composite resin Class III/IV composite resin Class V amalgam, composite resin, or glass ionomer

22. PORTFOLIO DENTAL EXAMINATION Required Competency Examinations Oral Diagnosis and Treatment Planning Six supporting competencies Direct Restorations Class II amalgam or composite resin Class III/IV composite resin Class V amalgam, composite resin, or glass ionomer Indirect Restorations (one of the following) Ceramic onlay Ceramic Crown Full/Partial gold restoration Metal-ceramic restoration

23. PORTFOLIO DENTAL EXAMINATION Required Competency Examinations Oral Diagnosis and Treatment Planning Direct Restorations Indirect Restorations Removable Prosthodontics 5 Supporting Competencies

24. PORTFOLIO DENTAL EXAMINATION Required Competency Examinations Oral Diagnosis and Treatment Planning Direct Restorations Indirect Restorations Removable Prosthodontics 5 Supporting Competencies Endodontics 7 Supporting Competencies

25. PORTFOLIO DENTAL EXAMINATION Required Competency Examinations Oral Diagnosis and Treatment Planning Direct Restorations Indirect Restorations Removable Prosthodontics 5 Supporting Competencies Endodontics 7 Supporting Competencies Periodontics 4 Supporting Competencies

26. PORTFOLIO LICENSURE EXAMINATION Required Competency Examinations Oral Diagnosis Direct Restorations Indirect Restorations Removable Prosthodontics Endodontics Periodontics Portfolio Final Review The Board shall be responsible for review of the submitted portfolio to determine that it is complete and the applicant has met the requirements for licensure.

27. PORTFOLIO LICENSURE EXAMINATION Advantages Psychometrically a clinical examination Integrated into clinical curriculum Conducted with patients of record in proper treatment sequence Longitudinal not Cross-Sectional (snap-shot) Opportunity to assess additional competencies License upon graduation w/o additional examination Reduced Stress and $$$$$

28. PORTFOLIO LICENSURE EXAMINATION Advantages Psychometrically a clinical examination Integrated into clinical curriculum Conducted with patients of record Longitudinal not Cross-Sectional Opportunity to assess additional competencies License upon graduation w/o additional examination Reduced Stress Reduced $$$$$ Disadvantages License for California only

29. PORTFOLIO LICENSURE EXAMINATION

30. LICENSE TO DRILL Anaheim, California March 4, 2011 Steven G. Morrow, DDS, MS