ASDA understands alternatives that are preferable to the current process exist, however the Association believes an ideal licensure exam:

• Does not use human subjects in a live clinical testing scenario
• Is psychometrically valid and reliable in its assessment
• Is reflective of the scope of current dental practice
• Is universally accepted

The American Student Dental Association (ASDA) believes demonstration of both kinesthetic and clinical decision-making competence is necessary to obtain initial dental licensure. ASDA believes this should be demonstrated through the following:

• Manikin-based kinesthetic assessment,
• A non-patient based Objective Structured Clinical Examination (OSCE) and
• Submission of a portfolio of comprehensive patient care.