Use of Clinical Competency Examinations for Dental Hygiene Licensure

Dental hygiene licensure with a clinical competency examination (CCE) using a live patient has been required by state licensing boards since 1929. Clinical competency examinations were initially used when dental training was poorly developed, non-standardized, and largely based on the apprenticeship...

Celý popis

Uloženo v:
Podrobná bibliografie
Vydáno v:Journal of dental hygiene Ročník 99; číslo 5; s. 66 - 75
Hlavní autoři: Weinhagen, Jocelyn D, Newcomb, Tara L, Bradshaw, Brenda T
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States American Dental Hygienists' Association 01.10.2025
Témata:
Accreditation
Apprenticeship
Canada
Candidates
Clinical Competence - standards
Clinical medicine
Core competencies
Dental hygiene
Dental hygienists
Dental Hygienists - education
Dental Hygienists - legislation & jurisprudence
Dental Hygienists - standards
Dentistry
Educational Measurement - methods
Ethics
Evaluation
Human subjects
Humans
Hygiene
Licenses
Licensing, certification and accreditation
Licensure
Licensure, Dental
Nursing
Oral hygiene
Patients
Physical therapy
Skills
Students
United States
Validity
Canada
United States
United States > US
California
dental hygiene education
licensure
clinical competency examinations
patient care ethics
ISSN:1043-254X, 1553-0205, 1553-0205
On-line přístup:Získat plný text
Tagy: Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
Popis
Shrnutí:Dental hygiene licensure with a clinical competency examination (CCE) using a live patient has been required by state licensing boards since 1929. Clinical competency examinations were initially used when dental training was poorly developed, non-standardized, and largely based on the apprenticeship model. Currently, Canada and the state of California have removed the requirement of passing a CCE for dental hygiene licensure, provided certain requirements have been met. Dentistry is the last health care profession to mandate that graduates pass a CCE. The vast majority of dental licensing boards continue to require that third party testing agencies validate the clinical skills of candidates that were acquired through accredited dental and dental hygiene education programs. Originally, there were 53 individual CCEs within the United States. As the profession became more uniform, regional examinations have replaced individual state examinations. Clinical competency examinations have come under scrutiny over the past few decades largely due to ethical concerns regarding human subjects and perceived limitations in manikin-based testing. Concerns about high stakes, single-encounter live patient exams and manikin exams have also been raised regarding their validity and reliability of measuring competency and readiness for clinical practice. In spite of the lack of peer-reviewed scientific evidence supporting the use of CCEs as reliable and valid instruments, dental boards continue to require them for initial licensure. While CCEs were initially developed to protect the public by ensuring the clinical competency of licensed clinicians, there is no predictive validity to support this intent. Ethical concerns regarding live patient, procedure-based dental and dental hygiene CCEs have been covered extensively in the literature. This short report will examine the ongoing concerns and updates on the use of CCEs for dental hygiene licensure.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
ISSN:1043-254X
1553-0205
1553-0205