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.
Changes 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
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.
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