Criteria for evaluating candidates for the American Board of Prosthodontics

Criteria for evaluating candidates for the American Board of Prosthodontics

Criteria for evaluating candidates American Board of Prosthodontics R. B. Lytle, D.D.S.* Georgetown University, School of Dent&try, for the Washin...

460KB Sizes 0 Downloads 48 Views

Criteria for evaluating candidates American Board of Prosthodontics R. B. Lytle, D.D.S.* Georgetown University,

School

of Dent&try,

for the

Washington,

D. C.

T

he American Board of Prosthodontics was organized in 1947 by the Academy of Denture Prosthetics at the request of the American Dental Association for the following purposes: (1) to advance the science and art of prosthodontics by encouraging its study and improving its practice, (2) to determine the eligibility of candidates within the regulations for qualification for examination, (3) to conduct examinations to determine the competence of applicants for certification as diplomates, (4) to grant and issue certificates as diplomates to successful candidates, and (5) to maintain a roster of diplomates for the general information of the public, the dental and medical professions, the dental schools, and the hospitals. Since the Board was organized, 327 prosthodontists have been certified by examination. At present, there are 354 diplomates including 19 life members. The present Board is composed of seven members from different localities in the United States.

CERTIFICATION FOR THE SPECIALTY OF PROSTHODONTICS By the authority of the American Dental Association and the Council on Dental Education, a certificate is issued to each diplomate by the American Board of Prosthodontics which attests to his knowledge, ability, and proficiency in the field of fixed and removable prosthodontics. Any dentist who meets the qualifications for examination may become a candidate for certification by making formal application to the American Board of Prosthodontics. A diplomaie of the American Board of Prosthodontics is not required to limit his practice, but he is expected to devote himself primarily and principally to the specialty. Read

before

*Secretary, of Prosthodontics.

the

Workshop

American

Board

on Advanced

Prosthodontic

of Prosthodontics,

and

Education, Professor

and

Chicago, Chairman,

Ill. Department

417

QUAtlFlCATlONS

OF CANDIDATES

FOR EXAMINATION

A candidate for examination by the American Board of Prosthodontics must (1) be a citizen of the United States of America, (2) be a graduate of a dental school accredited or otherwise recognized by the Council on Dental Education of thr American Dental Association, (3) hold a license to practice dentistry issued by a legally constituted examining board or by another legally constituted authority in the United States, (4) hold membership in the American Dental Association or the National Dental Association, (5) have satisfactory moral and ethical standing in the dental profession. (6) have a record of a minimum of five years in the practice of dentistry. two years of which may have been spent in internship, in residency training, or in graduate or postgraduate training (periods of teaching in accredited dental schools or military or public health service may, upon evaluation by the Board, be accepted as a substitute for the practice of dentistry), (7) show evidence of satisfactory study and training a.fter graduation, such as (a) two years of graduate study in an accredited dental school; (b) two years of postgraduate study in an accredited dental school or ic\ two or more years of approved internship or residency. AFFILIATE

CERTIFICATION

In accordance with official action taken by the American Dental Association House of Delegates, Canadian dentists are eligible for certification by the American Board of Prosthodontics under the same rules governing candidates from the United States, except that Canadian dentists must present to the Board evidence of parallel qualifications in Canada in all those categories designated for citizens of the United States. INCLUSION

OF MAXILLOFACIAL

PROSTHETICS

By authorization of the Council on Dental Education of the American Dental Association, the scope of the American Board of Prosthodontics has been extended to examine candidates whose background and practice are principally in the field of maxillofacial prosthetics. Oral and written examinations by the Board will cover all phases of prosthodontics. The patient presentation must include an intraoral prosthesis. The candidate may choose either fixed ljartial or complete prosthodontics for the clinical examination. Candidates who are not applying under the maxillofacial waiver will not be expected to show clinical competence in maxillofacial prosthetics. In order to apply, a candidate should have the equivalent of two academic years of graduate or postgraduate preparation or two calendar years of residency training in the field. At least five years of practice, including formal training, is a minimum requirement. Under a waiver approved by the Council, the Board may accept applications until June 30, 1970, frorn those who have not had formal training but have had ten years of clinical experience in maxillofacial prosthetics. APPLICATION

FOR EXAMINATION

Requests for information or application forms are directed to the Secretary of the Board. The candidate must include an application f’cc with th(b completed application form.

Volume

Number

21

Candidates

4

for

the Board

419

In addition to the candidate’s name and office and residence addresses, the candidate must supply the following information: (1) age; (2) place and year of birth; (3) states in which a license to practice dentistry is held; (4) school where (a) predental work was taken and the number of years, (b) candidate received his dental degree (c) candidate obtained other degrees, and (d) candidate took his graduate work (transcripts from all schools are required) ; and (5) listing of postgraduate courses taken. The candidate must state the location of and periods spent in general practice and the number of years spent in the practice of prosthodontics as well as the per cent of working time devoted to prosthodontics in the last five years. The candidate must state whether he wishes his clinical examination to be focused on fixed or removable prosthodontics. If the candidate is or has been engaged in teaching, he lists the school or schools in which he taught giving the subject and the years spent. The Board requires information on any time spent in Federal service including rank attained and years of service and on dental societies in which membership is held and years of membership. It is to the candidate’s advantage to list all his published writings and all clinics conducted as well as research completed. Names and addresses of three dentists and of three individuals outside the dental profession, from whom letters of recommendation may be obtained, must be furnished. A recent photograph must accompany the application, and the application must be notarized. After the Secretary has received the completed application, he notifies the candidate that the form and application fee have been received, and he also gives the date when the Board will consider the application. The Board evaluates the candidate’s qualifications and instructs the Secretary to notify the candidate within fifteen days of the action that will be taken. If the application is favorably received, the candidate also will be notified as to the time and place of the examination. The examination covers the principles and procedures of fixed and removable prosthodontics and of related arts and sciences. It consists of written and oral examinations, a patient history report, and a clinical examination, and it is conducted in two phases. PHASE

I

Part 1. A written examination is given in Chicago, Ill., during January or February of the year following acceptance of the application by the Board. The written examination includes (1) questions related to prosthodontics and maxillofacial prosthetics, (2) questions in applied and dentally oriented basic sciences including head and neck anatomy, oral histolo,T, and neuromuscular physiology, and (3) questions concerning pathology including cancer detection, pharmacology, nutrition, radiology, and dental materials. Not all of the sciences may be represented in depth at each annual examination, but the bank of questions held by the Board covers all of the mentioned sciences. The bank of questions is primarily composed of questions which have been collected periodically from diplo-

420

Lytle

J. Pros. Dent. i\pril, 1969

mates of the Board, and a number of the questions are reviewed and statistically analyzed each year for validity and use in future examinations. Part 2A. The candidate must submit the complete dental history of a patient he treated who has at least two partial dentures involving both arches, one of which is fixed and the other removable and which incorporate a single or a double posterior extension. A candidate for examination in maxillofacial prosthetics submits a complete dental history of a patient with an intraoral prosthesis. The candidate is evaluated on his ability to develop a rationale of treatment, to restore a functional occlusion for the patient, and to present the material in an adequate manner which involves a journalistic presentation including pictures. Part 2B. An oral examination inquires into the depth of knowledge which the candidate possesses in varied treatments involving fixed and removable partial prosthodontics and/or maxillofacial prosthetics. He is questioned regarding familiarity with the advantages and disadvantages of the articulator used in Part 2A. He must exhibit knowledge of gnathology and of the several instruments which are applicable in the forming of an occlusion including wax carving techniques. He is questioned about designs of removable partial dentures with extracoronal attachments. He is also questioned about precision attachments and stress breaker techniques employing movable joints or flexible connectors between the direct retainers and the denture base. The candidate may be asked to demonstrate the use of a surveyor in partial denture design. The concepts and philosophies which the candidate holds for different techniques in difficult treatment situations are explored as a part of the examination.

PHASE II Pnrt I. ,4 clinical examination, which begins at 8 :OO A.M. on Monday and terminates at 12 : 00 noon on Friday, is held durin ,g a week and at a place designated by the Board. The candidate may choose to be examined in either fixed or removable prosthodontics in accordance with the qualifications presented in the application. The candidate appears for examination at the place and hour designated with all necessary material as outlined in the instructions sent to him by the Secretary of the Board. All candidates meet the members of the Board for additional information rrlativt: to the examination. The Board pro\:ides edentulous patients for the candidates to bc examined in relllovahle prosthodontics. Clandidates electing to be examined in fixed prosthodontics must furnish their own patients and may employ an assistant. The clinical examination rcquircs that the candidate perfor,m with proficiency ‘md excellence in the treatment of a patient. Candidates in the complete denture prosthesis category must bc able to diagnose, to outline treatment, and frequently to modify typical routine procedures to suitably treat at)-pica1 oral conditions. The candidate must ha.ve knowledge of microscopic and yross oral anatomy and of thca physiology of tissue response. He must be able to apply the skills of different procedures in making impressions and jaw relationship records and in the formulation of an occlusal scheme to meet the requirements of the individual under treatment. He should have an artistic sense of esthetics. He must bra able to use his experience and sound clinical judgment in the treatment of a patient not previously seen by

Volume Number

21 4

Candidates

for

the Board

421

him. The following steps are checked by the examiners: (1) completed impressions, (2) centric relation record, (3) trial denture, (4) alternate dentures, (5) remounted dentures after processing, (6) occlusal adjustment on the articulator, and (7) completed dentures in the mouth. The impressions are examined as to border extension and thickness, possible pressure areas, and detail. The centric relation record is examined as to method and accuracy. The candidate may be asked to justify the method he used in treating his patient. The candidate must arrange two sets of trial dentures, one with CUSP teeth and the other with a cuspless tooth form. He processes the one he considers best suited for his patient. The trial dentures are examined as to esthetics, phonetics, interocclusal rest distance, and centric occlusion. The amount of occlusal change and the pin opening are noted after processing. The dentures are examined on the articulator after the final adjustments are made on the occlusion. If he chooses, a candidate is permitted to make new maxillomandibular records before the final occlusal adjustment on the articulator. The completed dentures are examined as to centric relation, interocclusal rest distance, esthetics, phonetics, occlusal plane, border extension and thickness, tissue surface, and contour of the polished surface. The candidate in the chnical fixed partial prosthodontics phase of the examination must display proficiency and excellence in his chosen treatment method for the patient previously selected by him. He must complete at least six fixed units in opposing arches including at least one pontic. He must make a proper diagnosis and provide a treatment plan, and he must be knowledgeable in the correct utilization and design of different retainers on abutment teeth and in pontic design as related to the maintenance of the remaining teeth and soft oral tissues. The following steps are checked by the examiners: (1) diagnostic casts and treatment plan, (2) preparations before and after bases, (3) individual and working impressions, (4) mounted casts, (5) pontics, (6) assembled, fixed partial denture, (7) fixed partial denture before cementation, (8) fixed partial denture after cementation, and ( 9) radiograms. The diagnostic casts are examined in regard to centric occlusion and centric relation, and the treatment plan is evaluated. The preparations are examined for removal of caries, extension of margins, interocclusal distance, outline and resistance forms, as well as removal of tooth substance. The individual and working impressions are examined for accuracy and detail. The mounted casts are examined along the same lines as the preparations after basing. The pontics are examined for type and form. The assembled fixed denture is examined on the articulator for centric and eccentric occlusions. The fixed partial denture is examined in the mouth before cementation for resistance and occlusion. The fixed partial denture is examined after cementation for occlusion, finish of the margins, pontic and retainer contour, interproximal contacts and esthetics. The radiograms are examined for subgingival fit of the castings. All candidates are evaluated for neatness of work on both patients and for laboratory procedures as well as the general management of the patient. Part 2. A comprehensive oral examination, beginning on Friday of the same week at 1 :oO P.M., is given on the broad field of prosthodontics and related arts

422

J. Pros. Dent. April, 1969

Lytle

and sciences. The oral examination is intended to inquire into the general philosophy of patient treatment and ethical standards held by the candidate. The candidate should have a reasonable knowledge of the history of prosthodontics and prosthodontic literature, and he should be aware of and have an interest in current developments and research in the specialty of prosthodontics. After the examination is completed, the candidates are dismissed, and the Board goes into executive session to evaluate the work of the candidates. Within thirty days after the action of the Board, the candidate receives written notice from the Secretary giving the results of his examination. A candidate is required to pass Phase I before being permitted to take Phase II, and he is required to take both phases of the examination in the same year unless permission for deferment is granted by the Board. A candidate is credited with any phase or part of a phase passed, and he is required to repeat only that phase or part failed. Should a candidate fail any part or all of the examination, he may apply for re-examination. In this case, an additional examination fee is required.

REVOCATION OF CERTIFICATE The American Board of Prosthodontics has the power, jurisdiction, and right to decide or determine whether evidence or information placed before it is sufficient to constitute grounds for suspension or revocation of any certification issued by the Board, and the decision of the Board is final.

CONCLUSION The Board is co‘gnizant of the need for certified prosthodontists and is devoted to the certification of all who qualify. Realizing the mental strain and personal sacrifice that candidates experience in preparing for and taking the examination, the Board attempts to aid the candidate with a friendly and fair atmosphere during the examination. The Board continues to make changes in the examination procedures when these changes lead to the advancement of the science and art of prosthodontics for the benefit of the public.

Reference 1. Beck, H. American

0.: Board

GEORGETOWN

3900

RESERVOIR WASHINGTON,

Knowledge

and Skills a Candidate

of Prosthodontics,

UNIVERSITY

N.W. D. C. 20007 RD.,

SCHOOL

J. PROS.

DENT.

OF DENTISTRY

Should Possess to Appear 20: 276-279, 1968.

Before

the