 Medical NBDE-I : Dental Board test
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Format | NBDE-I Course Contents | NBDE-I Course Outline | NBDE-I test
Syllabus | NBDE-I test
Objectives
About This Guide
Dental Licensure and the National Board Dental Examinations
Purpose of the NBDE
Recognition of NBDE Certification
The Integrated National Board Dental Examination
Ethical Conduct and the Licensure Process for Dentists
EXAMINATION CONTENT AND PREPARATION MATERIALS
Examination Specifications
Scope of the Examination
Sample Item Formats
Testlet
Examination Preparation
Confidentiality of Examination Materials
RESULTS INFORMATION
Scoring of Examination
Results Reporting
Results Reports
Results Audits
ELIGIBILITY REQUIREMENTS
EXAMINATION INFORMATION
Test Centers
Fees
Examination Schedule
Obtain a DENTPIN® and Apply for Examination
Privacy and Security
Application Details
Reschedule or Cancel a Testing Appointment
Testing Accommodations
Unacceptable Forms of Documentation
EXAMINATION REGULATIONS AND RULES OF CONDUCT
Rules of Conduct
Test Center Procedures
Examination Regulations and Prohibited Conduct
Examination Misconduct
Irregularities and Appeals
Arbitration Requirement
Licensure of dentists in the United States is the responsibility of the individual state, district, or jurisdiction.
Agencies in state government that administer dental licensure under laws adopted by state legislatures typically
are called state boards of dentistry. A list of state boards can be found at www.dentalboards.org.
Specific dental licensure requirements vary among jurisdictions, but all jurisdictions have three basic requirements:
an educational requirement, a written examination requirement, and a clinical examination requirement. All
jurisdictions accept graduation from a dental school accredited by the Commission on Dental Accreditation
(CODA) as fulfilling the educational requirement. Most jurisdictions also accept graduation from a Canadian
dental school accredited by the Commission on Dental Accreditation of Canada (CDAC).
The National Board Dental Examinations (NBDE) Program is intended to fulfill the written examination requirement.
Acceptance of NBDE results is completely at the discretion of the individual state. A state may place any limit on
acceptance of NBDE results that it deems appropriate.
The Joint Commission on National Dental Examinations (JCNDE) is responsible for the development and
administration of the NBDE and the National Board Dental Hygiene Examination (NBDHE). The Department of
Testing Services is a shared resource of the American Dental Association (ADA) that implements the National
Board Examinations.
While this guide covers NBDE Part I, it is important for candidates to note that there is another examination
on the horizon that will one day replace NBDE Parts I and II. This examination—the Integrated National Board
Dental Examination (INBDE)—integrates the biomedical, clinical, and behavioral sciences in its evaluation of
candidate dental cognitive skills. Similar to the NBDE, the IN
EXAMINATION SPECIFICATIONS
The NBDE Part I is a comprehensive examination consisting of 400 items. For each discipline, approximately
80% of the items are stand-alone, while approximately 20% are interdisciplinary testlet-based. A testlet consists
of a patient scenario, patient history, and a set of discipline based items relevant to the scenario. NBDE Part I
items are drawn from the following disciplines:
• Anatomic Sciences
• Biochemistry-Physiology
• Microbiology-Pathology
• Dental Anatomy and Occlusion
One item from each of the disciplines listed above is designated for the testlets under the course “Professional
Ethics/Patient Management.” These items require a basic understanding of professional ethical principles in
patient management.
Examination items are developed by test construction teams composed of subject-matter experts in accordance
with examination specifications approved by the JCNDE.
The Universal/National System for tooth notation that has been adopted by the American Dental Association is
used on all National Board Examinations. This system is a sequential tooth numbering system, designating the
permanent dentition (numbers 1-32), and the primary dentition (letters A-T).
EXAMINATION CONTENT AND PREPARATION MATERIALS
Biochemistry-Physiology (100 Items)
• Biological Compounds
• Metabolism
• Molecular and Cellular Biology
• Connective Tissues
• Membranes
• Nervous System
• Muscle
• Circulation
• Respiration
• Renal
• Oral Physiology
• Digestion
• Endocrines
• Professional Ethics/Patient Management
Anatomic Sciences (100 Items)
• Gross Anatomy*
• Histology
• Oral Histology
• Developmental Biology
• Professional Ethics/Patient Management
*The following syllabus will be considered under each category of gross anatomy. Bone; muscles; fascia, nerves (peripheral and autonomic); arteries, veins, and lymphatics; spaces and cavities; joints and ligaments; and endocrines and exocrines.
Microbiology-Pathology (100 Items)
• General Microbiology
• Reactions of Tissue to Injury
• Immunology and Immunopathology (at least 3 on oral immunology)
• Microbiology, Immunology, and Pathology of Specific Infectious Diseases (at least 8 on oral diseases)
• Systemic Pathology
• Growth Disturbances
• Professional Ethics/Patient Management
Dental Anatomy And Occlusion (100 items)
• Tooth Morphology
• Pulp Cavity Morphology
• Calcification and Eruption
• Principles of Occlusion and Function
• Clinical Considerations—Tooth Morphology and Anomalies
• Professional Ethics/Patient Management
The JCNDE recommends that candidates use textbooks and lecture notes as primary sources for study. Although
some previous questions from the NBDEs are periodically released, the JCNDE believes they are best used to
familiarize candidates with item formats. The JCNDE does not guarantee that the information in released NBDE
materials is accurate, current, or relevant. Released materials may no longer be consistent with the current
examination specifications, content emphasis, item formatting guidelines, and examination structure. Due to the
dynamic nature of dental practice and the biomedical sciences, these materials may be outdated. Candidates
are cautioned not to limit preparation for the examination to the review of released items.
To purchase copies of released items, contact the American Student Dental Association (ASDA) at 800.621.8099
(x 2795), 312.440.2795, or www.asdanet.org. Official released items contain the ADA copyright insignia at the
bottom of the document pages.
The JCNDE does not endorse or recommend any specific texts or other teaching aids (e.g., review courses) that
are identified as NBDE preparation materials.
The NBDE Part I is a pass/fail exam; results are reported only as “pass” for candidates who achieve passing
scores. For remediation purposes, candidates who fail the examination receive numerical scores for each of the
major disciplines covered on the examination. With respect to candidates who tested prior to 2012, numerical
scores for prior attempts are still reported.
The status of “pass” is reported for candidates who achieve a scale score of 75 or higher. The status of “fail” is
reported for candidates who achieve a scale score below 75.
RESULTS REPORTS
National Board Examination results are typically made available approximately three to four weeks after the
examination. Results can be viewed online by logging into the My Account Summary page.
By signing the application, a candidate enrolled in an accredited dental school (or who has graduated within
the last five years) gives express permission to provide results to the dean of the dental school and his or her
designee(s). Results are provided to others if permission is granted in the form of a results report request from
the candidate. If misconduct has occurred in a past administration, your results report may contain information
concerning the incident (see Examination Irregularities and Misconduct).
After receiving your results report, you may request that additional reports be sent to other entities. You should
confirm the accuracy of your results report request.
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Medical Board information search
The company that licenses 152,000 California physicians is facing a crisis of public self assurance, with the voices of a few lawmakers joining those of angry patients who say it shields dangerous doctors a long way too often.
The lengthy-simmering tension has elevated to such an extent that all however a number of of the scientific Board of California's 15 individuals -- including lots of its health care professional participants -- say many of the board's seats, now filled by way of doctors, should still as an alternative be crammed through individuals of the public.
If the board composition is modified to a public member majority, California will develop into the primary such state medical board in the nation to achieve this, specialists said.
"It is ready have confidence and it is in regards to the integrity and the credibility of this board," Kristina Lawson, an legal professional and board president, observed all the way through a swiftly called board webcast on the afternoon of Tuesday, June 1. The assembly become in the beginning set to focus on proposed law that could add two seats in order that a majority of individuals are buyers in place of doctors. Lawson favors a public member majority, which some say might outcome in additional aggressive board moves.
Howard Krauss, MD, who has served on the board 8 years, spoke of: "If we had one other public member and one less doctor as opposed to one more doctor and one much less public member ... the consequences of the board would not be any different however we may earn less suspicion from the general public, and the optics ... can be of benefit."
during the basically 4-hour session, very nearly two dozen sufferers, parents, and buyer advocates complained loudly about what they perceived as overly-lenient board choices within the wake of a physician's avoidable damage. Their complaints were even angrier after they learned that just a few days earlier -- at 9 p.m. PT on Friday, may additionally 28 -- the author of the law backed out of calling for a public member majority board.
during the assembly, Ludmila Parada of San Jose told the story of how in 2013 a doctor misdiagnosed her husband with flu and a damaged ankle instead of sepsis. The board noted the care was substandard, Parada stated, nevertheless it "made certain that the medical professional didn't receive any disciplinary action. ... My husband misplaced his fingers and toes and this medical professional has a spotless checklist."
'We do not Go searching for Complaints'
The backdrop for this escalated California drama is a four-year "sundown evaluate," a technique during which the state Legislature and stakeholders examine the board's efficiency, culminating with a "sunset bill" that proposes adjustments, a few of which become state legislations.
When that "sunset invoice" become issued on may additionally 20, it called for including two more public member seats for a 17-member board and accordingly a public member majority. Its writer, state Senator Richard Roth (D), who chairs the legislative committee conducting the assessment, mentioned he believed a public member majority would "reap extra transparency and facts in regards to the board's enforcement technique, and how it makes choices," Roth instructed MedPage nowadays.
"Why does it seem to take a really long time for an enforcement case [against a physician] to bubble up and become a [public] accusation?" he asked. "When the board settles 84% of its instances, and fifty four% of these stipulated settlements fail to fulfill all of the disciplinary guidelines that the medical board has promulgated, there should be some explanation. One has not been offered, at the least provided to me certainly yet."
Roth acknowledged that he became moved through a number of accurate situations wherein physicians went for years, and in a single case decades, escaping any board discipline regardless of egregious episodes of affected person harm.
during an almost 6-hour sunset overview hearing on March 19 to focus on what may still go into the bill, a few lawmakers expressed outrage over reports that the board didn't act in opposition t the licenses of definite physicians whose unhealthy conduct or malpractice had been smartly documented.
in one case, the board in February filed an accusation in opposition t the former chief pediatrician for Santa Clara County some 20 years after allegations surfaced that he had sexually abused boys -- as young as 6 years historical -- in his home and some 10 years after social services and different executive officers grew to be privy to it.
Lawmakers peppered the board's executive director, William Prasifka, at size, demanding solutions about such enforcement lags.
"My question to the medical board, if you can reply, is why it took so lengthy," Roth spoke of, referencing the Santa Clara case.
Prasifka spoke back that the board is "a reactive body. We have to stay up for a criticism, and it wasn't except a lot later within the procedure that the counsel came to our consideration. ... We do not go searching for complaints."
State Assemblyman Evan Low (D) spoke of he was "particularly struck and disturbed with the aid of [Prasifka's] response ... I consider or not it's a failure for the board."
State Assemblyman Vince Fong (R) chimed in on the number of times the board puts physicians on probation, permitting medical doctors, such as one in his district, to continue to apply, leading to hurt to other patients.
In 2000, a doctor entered right into a stipulated agreement for violations in 1996 and 1997, and become positioned on three years of probation. After his license changed into restored, he was positioned on a five-12 months probation, he observed.
"The MBC's most contemporary accusation filed against the health care professional cites gross negligence, repeated negligence, and failure to retain satisfactory and correct facts regarding the wrongful deaths of a patient and her unborn son last yr," Fong referred to.
Roth's Reversal
What happened to Roth's sunset bill so late that Friday evening has infuriated consumers anew: he deleted these two new public member seats.
also long gone turned into a provision that increased the initial and biennial renewal license expenses for physicians from $383 to $1,150, in part to supply the board extra materials to investigate complaints -- beefing up its $sixty two million annual budget. Now the charge will upward thrust to $863 in its place.
Board President Lawson was befuddled. "Frankly, that issues me from an optics standpoint, to signal that [the fee increase and public board majority were] critical, and now abruptly is not," she pointed out.
Roth told MedPage these days that the "California scientific affiliation had an extra view of payment increases that became a much reduce determine, taking into consideration what the CMA perceived to be ongoing efficiencies" the board changed into accomplishing.
On both-seat deletion, he observed it made extra sense to him to embed an "Enforcement display screen," an independent appointee who would "monitor and evaluate the enforcement efforts" of the board "with specific attention on the managing and processing of complaints and timely utility of sanctions and discipline imposed on licensees and men and women with a view to offer protection to the public," in line with the bill.
"I decided that it would be more effective, greater constructive, and doubtless produce extra information for us ... with a selected constitution to supply a record for you to attain the facts we need," Roth mentioned.
there is nonetheless an opportunity the sundown bill will come to be calling for a public majority board, he pointed out. The Senate's edition will move to assembly committees with new amendments before being signed by the governor.
"every little thing continues to be on the table," he mentioned.
'A Bunch of americans assembly in a inn to Collude'
Some board individuals also expressed difficulty that if most of the board's seats proceed to be crammed through physicians, board members may well be held for my part chargeable for damages if a lawsuit against a call -- perhaps one which suspends a physician's scope of follow -- effects in awards for unfair restraint of trade.
They may lose their "state action anti-have faith immunity," as a result of a 2015 Supreme court determination coping with -- of all things -- teeth whitening services.
The North Carolina Board of Dental Examiners had referred to that only dentists could whiten teeth. The Federal alternate commission took subject with that determination because the board turned into dominated by working towards dentists, and since no larger govt physique supervised the North Carolina board's selections.
The high court agreed. It held that such decisions through an unmanaged board controlled by way of "lively market participants," these in the equal career they alter, turned into a violation of the Sherman Antitrust Act.
customer suggest Robert Fellmeth, some of the long-established "Nader's Raiders" and government director of the San Diego-based core for Public activity legislations, is a former white collar crime prosecutor and expert in anti-have confidence legislations. He known as the California board, and another regulatory company dominated by people in the professions they regulate, "a cartel ... that is no distinct than a bunch of people meeting in a hotel to collude."
Fellmeth, amongst others, believes the board is heavily influenced through the California clinical affiliation, which represents the pursuits of some 50,000 physicians and which changed into vehemently antagonistic to changing the board's composition.
requested for remark, CMA spokesman Anthony York observed in an electronic mail, "nearly all of healing arts boards have skilled majorities and we accept as true with the box of drugs is complicated satisfactory to warrant general practitioner majorities on the medical board. The thought of a public majority will not obtain the desires that advocates say they're out to obtain. We agree with different reforms to the med board's enforcement gadget tackle the issues greater without delay."
Roth believes the California regulatory boards are off the hook as a result of a 2015 opinion via then legal professional typical Kamala Harris discovered that California has satisfactory oversight of the clinical board to constitute as "supervision" for that reason extending their anti-trust immunity.
Self-law nonetheless rules
a considerable number of state advisory files issued due to the fact the Supreme court choice, youngsters, are all over the place the map.
The California state Legislature's history paper for the sundown review system observed this:
"despite the fact the boards are tied to the state via a number of structural and statutory oversights, it is presently unclear whether present legal guidelines and practices are satisfactory to make certain that the boards are state actors and, hence, immune from legal motion. altering MBC's composition to a public member majority may lower MBC's possibility of exposure to proceedings and might have the introduced value of creating a greater patient-centric application."
"individuals who are at once suffering from their personal rulemaking may also no longer be capable of detect their biases, purposefully or inadvertently putting their benefit over those of the general public," said a legislative analysis of Roth's invoice from may also 25.
Nationally, simplest a handful of 2,000 regulatory corporations that license every little thing from enjoyment parks to veterinarians have taken steps to shield in opposition t anti-have confidence lawsuit liability, noted Rebecca Haw Allensworth, who specializes in expert licensing infrastructure at Vanderbilt university. Her paper after the North Carolina resolution is titled "Foxes at the Henhouse: Occupational Licensing Boards Up close."
"each state has at least concept about it," she spoke of, "despite the fact that what they determined to do became nothing."
"we've in this country a very long-standing model of expert self-law," Allensworth spoke of. "And closing I checked, every single scientific board within the U.S. has a majority of health professional participants."
Some states, like Utah and Oklahoma, have decided to add monitors with authority to overview selections before they are finalized.
Allensworth emphasized that mainly in drugs, docs "want handle over their own profession. one of the vital defining features of the profession is that it be self reliant and it has the vigor to define itself, and that gives them manage over competitors. It offers them prestige that they're let alone and entrusted with the public have faith."
Cheryl Clark has been a medical & science journalist for more than three a long time.
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