After decades of advocacy, ASDA saw rapid momentum for licensure reform during the COVID-19 pandemic. Students successfully proved to state boards and testing agencies that a live human subject is not necessary to demonstrate competency.

Licensure and COVID-19 JCNDEChanges that were made

On a state-by-state basis, any combination of the changes below were accepted for the graduating classes of 2020 and 2021. Alternatives to the live patient exam included:

  • All five regional testing agencies (CITA, CDCA, CRDTS, WREB, SRTA) released manikin-based assessments
  • The ADA’s DLOSCE (Dental Licensure Objective Structured Clinical Examination) was released a year ahead of schedule
  • Graduating students could apply for a temporary or provisional license

Changes in 2020

Prior to 2020, only 10 states accepted non-patient based alternative exams.

By the end of 2020:

  • 48 states made some sort of change in licensing requirements
  • 34 states accepted manikin exams
  • 21 states granted a temporary or provisional license
  • 5 states accepted the DLOSCE

Next steps

In July 2020, ASDA appointed a task force comprised of students to lead the charge for permanent licensure reform. A 50-state strategy was developed to engage advocates at the grassroots level.

Click image to enlarge:

Licensure and COVID-19 Timeline-1500-x445