64B5-2.0126: Conduct at Examination Site
64B5-2.013: Dental Examination Requirements and Grading.
PURPOSE AND EFFECT: To clarify and update language.
SUMMARY: These rules will clarify and update language.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: No Statements of Estimated Regulatory Cost were prepared. The Board determined that small businesses would not be affected by these rules.
Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.
SPECIFIC AUTHORITY: 456.004(5), 466.004(4), 456.017(1)(b), 466.004(4) FS.
LAW IMPLEMENTED: 456.079, 456.017(1)(b), (2), 466.006(4), 466.009 FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN FAW.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Sue Foster, Executive Director, Board of Dentistry, 4052 Bald Cypress Way, Bin #C08, Tallahassee, FL 32399-3258
THE FULL TEXT OF THE PROPOSED RULE IS:
64B5-2.0126 Conduct at Examination Site.
(1) The examination supervisor, assistant examination supervisor and proctors are the designated agents in maintaining a secure and proper examination and administration.
(2) through(3)(a) No change.
(b) Conduct which violates the standard of test administration, such as disrupting the examination site, inappropriately communicating with any other examinee during the administration of the examination; copying answers from another examinee or permitting one’s answers to be copied by another examinee during the administration of the examination; having in one’s possession during the administration of the licensing examination any appliances, tools, models, teeth, books, notes, written or printed materials or data of any kind, cell phones, PDAs, pagers, or other electronic devices other than the examination materials distributed or specifically listed as approved materials for the examination room in the examinee’s official Candidate Information Booklet which is made available on the Department’s examination webpage at http://www.doh.state.fl.us/mqa/Exam/main-cand.htm, or presented to the examinee in advance of the examination date by the Department. In cases where the examinee is found to be in possession of items other than those distributed at the exam site or specifically listed as approved materials for the examination room in the Candidate Information Booklet, the minimum sanction shall be to declare the scores on said examination invalid.
(c) No change.
(4) No change.
Specific Authority 456.004(5), 466.004(4) FS. Law Implemented 456.017(1)(d), 456.079 FS. History–New 2-7-96, Amended 5-21-96, Formerly 59Q-2.0126, Amended 5-1-02,_______.
64B5-2.013 Dental Examination Requirements and Grading.
(1)(a) through (d) No change.
(2) No change.
(a) The Written Examination for dental licensure shall consist of the laws and rules of the State of Florida regulating the practice of dentistry and dental hygiene. The written examination is administered via computer-based platform.
(b) No change.
(c) Applicants will be given no more than 90 minutes to complete the written examination.
(3) No change.
(a) No change.
(b) Every candidate who is scheduled to take the entire practical or clinical examination or who is scheduled to retake any part of the practical or clinical examination which involves the use of a live patient must secure liability insurance coverage in amounts determined by the board. This protection is for injuries or harm which may be sustained or may be claimed to have been sustained by a dental patient in the course of the examination. Each candidate must present proof of such coverage to the credentials committee before he or she will be allowed to perform any procedures on a live patient. Neither the board nor the department shall be held liable for any claim, suits, judgments, or damages, consequent or otherwise and including attorney’s fees and costs arising out of any actual or claimed injuries or harm alleged by dental patients during the course of the examination.
(c)1. through 2. No change.
3. Demonstration of Endodontic Skills on Specified Teeth (simulated tooth).
4. No change.
(d) No change.
1. Class II Amalgam and Class III Composite on Patient. This part of the Practical or Clinical Examination shall consist of a preparation procedure and a restoration procedure. The tooth selected for the Class II Amalgam restoration must be a permanent posterior tooth with at least one proximal primary carious lesion which shows no sign of previous excavation and radiographically extends at least to the DEJ at the contact point. The tooth selected for the Class III composite restoration must be a permanent anterior tooth with at least one proximal primary carious lesion which shows no signs of previous excavation and radiographically extends at least to the DEJ. The following areas will be assessed in determining a grade for each procedure:
a. through b. No change.
2. through 4. No change.
(e) The grading system used during the Practical or Clinical Examination is as follows:
The quality of a candidate’s work on the four parts of the Clinical or Practical Examination is graded in accordance with a detailed analytic scoring guide and specific scoring criteria for each component of each task. The examiners use four competency levels to rate clinical skills on the four parts of the Clinical or Practical Examination:
Mandatory 0 – Complete failure and critically deficient
Marginally Substandard – Below minimal acceptable dental treatment
Minimally Acceptable – Minimal acceptable dental treatment
Satisfactory – Optimal dental treatment
Three examiners independently evaluate all rated treatment criteria for each part of the Clinical or Practical Examination and the median competency level in each category (criteria) is determined. These median competency levels are translated into a numerical score. Candidates must earn at least 75% of the maximum possible raw score on each part to pass that part.
Critical errors (Mandatory 0) are given special consideration. Critical errors are errors of commission or omission that would be serious enough to endanger a patient’s oral or general health, or could lead to patient injury or may jeopardize the overall treatment of the patient. A corroborated critical error, such as perforation while preparing an access opening for an endodontic procedure will result in failure of the Endodontic part of the Clinical or Practical Examination even though other rated treatment criteria for the Endodontic part are acceptably completed. When in the judgment of two examiners the applicant’s performance on any grading criteria is deemed critically deficient, the applicant will be awarded a zero (0) on that part of the examination and the examination may be terminated by the assistant examination supervisor.
A candidate’s score on a part of the Clinical or Practical Examination may also be affected by certain conduct or errors that warrant a penalty deduction from the total score on that part. An example of a penalty deduction on a part is the loss of all points if two treatment selections for either the Amalgam or the Composite procedure are not acceptable or a second treatment selection is not presented if the first treatment selection is rejected.
(f) through (j) No change.
(4) No change.
(a) The Diagnostic Skills Examination shall be an objective type of examination, demonstrating ability to diagnose conditions within the human oral cavity and its adjacent tissues and structures from photographs, slides, radiographs, or models. The Diagnostic Skills Examination may include, but not be limited to the following: medical considerations, periodontics, and prosthetics including the viewing and evaluation of digitalized photographs of exhibits of complete, fixed, partial and removable partial prosthetics. Exhibits may include, but not be limited to, impressions, denture set-ups, study models, master casts, wax rims, partial denture frameworks, bite registrations, crowns, bridges, crown and bridge dies and preparations, and radiographs. The Diagnostic Skills Examination should assess the examinee’s abilities to recognize critical clinical conditions or situations encountered regularly in the general practice of dentistry and to formulate appropriate treatment options. The Diagnostic Skills Examination is administered via computer-based testing platform.
(b) through (c) No change.
Rulemaking Authority 456.017(1)(b), 466.004(4) FS. Law Implemented 456.017(1)(b), (2), 466.006(4), 466.009 FS. History– New 10-8-79, Amended 6-22-80, 12-3-81, 12-6-82, 5-24-83, 12-12-83, 5-2-84, 5-27-84, Formerly 21G-2.13, Amended 12-8-85, 12-31-86, 5-10-87, 10-19-87, 12-10-89, 12-24-91, 2-1-93, Formerly 21G-2.013, 61F5-2.013, Amended 1-9-95, 2-7-96, 7-16-97, Formerly 59Q-2.013, Amended 8-25-98, 3-25-99, 11-15-99, 8-3-05, 7-17-07, 8-1-08, 6-28-09,________.