“The Canadian Model” ALTERNATIVES TO A PATIENT

“The Canadian Model” ALTERNATIVES TO A PATIENT

National Dental Examining
Board of Canada
Overview
• Background Information
• NDEB Equivalency Process for
Graduates of non Accredited Programs
• Results
• Benefits and Challenges
10 Provincial Licensing Authorities
NDEB of Canada
1952 Act of Parliament
• Establishing qualifying conditions for a
national standard of competence for
general dental practitioners
• Issuing certificates to dentists who meet
the standard.
• Not for profit
NDEB of Canada
12 Board Members
- 1 appointed by each of 10 Provincial
Boards
- 2 approved by Commission on Dental
Accreditation
Eligibility for NDEB Certification
• Graduate from an Accredited Program
OR
• Complete NDEB Equivalency Process
Reciprocity Agreements
• Between the Commission on
Accreditation of Canada and equivalent
authority
• Bonafide, in depth, ongoing knowledge
of the systems in both countries
- therefore expensive
• Mutual recognition of each others
accredited programs
NDEB Certification Process
1997 to 2010
Graduates of
Accredited
Programs
Graduates
Non-accredited
Programs
ACFD Eligibility Exam
Qualifying
Program at
accredited
school
Written and OSCE
Certified and Portable
NDEB Certification Process
Graduates of
Accredited
Programs
Written and OSCE
Certified and Portable
NDEB Certification Process
Graduates of
Accredited
Programs
Graduates of
Non-accredited
Programs
NDEB
Equivalency
Process
Written and OSCE
Certified and Portable
NDEB Certification Process
Graduates of
Accredited
Programs
Graduates of
Non-accredited
Programs
Qualifying
Program at
Accredited school
NDEB
Equivalency
Process
Written and OSCE
Certified and Portable
NDEB Certification Process
Graduates of
Accredited
Programs
Graduates of
Non-accredited
Programs
Qualifying
Program at
Accredited school
NDEB
Equivalency
Process
Written and OSCE
Certified and Portable
Process for graduates of
Non Accredited Dental Programs
NDEB Equivalency Process
Graduates of
Non-accredited Programs
Application and Credential
Verification
Assessment of Fundamental
Knowledge
Assessment of Clinical Judgement
and
Assessment of Clinical Skills
Qualifying
Program at
Accredited school
Written and OSCE
Certified and Portable
Application and
Credential Verification
• Application must be done online
• Application fee $800 (non refundable)
paid online with a credit card
• Specific required documentation
verified by NDEB staff including an
independent verification of graduation
directly from dental program
Assessment of Fundamental
Knowledge
• 1 day - 300 multiple choice questions.
• Registration fee $700
• Administered in February and August at
multiple sites in Canada and one in UK and
Hong Kong.
• Qualifying/Degree Completion programs
AFK as admission test.
Assessment of Clinical Judgement
• 1 day -3 parts (2 case-based and 1
Radiology) with extended match questions
• Registration fee $1200
• Administered in June immediately before the
ACS and in December.
Question: 3 (select one or more correct answers.)
There is radiographic evidence of calculus on the
+.25 A. distal of tooth 1.8
-1 G. distal of tooth 1.5
-1 B. mesial of tooth 1.8
+.25 H. mesial of tooth 1.5
(0) C. distal of tooth 1.7
+.25I. distal of tooth 1.4
-1 D. mesial of tooth 1.7
+.25 E. distal of tooth 1.6
-1 F. mesial of tooth 1.6
-1 J. mesial of tooth 1.4
-1 K. distal of tooth 1.3
Assessment of Clinical Skills
• 2 days - 12 requirements performed in a
simulated clinical setting (manikins)
• Registration fee $5000
• Administered in June at 9 Canadian
Faculties of Dentistry.
Assessment of Clinical Skills
Kilgore (Nissan)
manikin
series 200 typodont
with layered teeth
Results
Number of applicants
•
•
•
•
•
2011
2012
2013
2014
Total
1386
1282
1224
1116
5008
104 Different Countries
•
•
•
•
•
•
•
•
INDIA
IRAN
PHILLIPINES
EGYPT
IRAQ
PAKISTAN
CHINA
COLOMBIA
1315
422
395
350
218
179
131
106
104 Different Countries
•
•
•
•
•
•
•
•
•
SYRIA
UAE
KOREA
BRAZIL
ROMANIA
UKRAINE
RUSSIA
UNITED KINGDOM
VENEZUELA
100
70
66
65
60
59
54
53
53
Results of AFK
# Participants
# Pass
Range
KR 20
2011
2012
2013
821
359
32-95
.97
1125
405
28-94
.96
1187
499
27-95
.96
Results of ACS
# Participants
# Pass
2011
2012
2013
266
57
359
129
484
124
Results of ACJ
# Participants
# Pass
2011
2012
289
144
373
243
2013
490
291
Overall results
Took all parts
Pass
Admitted QP/DC
2011
247
44
75
119
2012
??
127
76
203
2013
??
125
75
200
New Dentists in Canada 2009
Canadian DDS/DMD*
425 (69%)
US
116 (18%)
QP/DC Programs
75 (12%)
Total
616
New Dentists in Canada 2012
Canadian DDS/DMD*
445 (54%)
US, NZ and Australian*
170 (21%)
QP/DC Programs
76 (9%)
Equivalency Process
130 (16%)
Total
821
*best estimates
Benefits and Challenges
• Alternative assessment process
• Maintained successful degree
completion programs
• Time and expense ($7700)
• Examination error
• Sampling of competencies
• Potential difficulty getting/maintaining
a position