BILL ANALYSIS Ó
AB 2331
Page 1
ASSEMBLY THIRD READING
AB
2331 (Dababneh)
As Amended May 27, 2016
Majority vote
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|Committee |Votes|Ayes |Noes |
| | | | |
| | | | |
| | | | |
|----------------+-----+----------------------+--------------------|
|Business & |16-0 |Salas, Brough, Baker, | |
|Professions | |Bloom, Campos, | |
| | |Chávez, Dahle, Dodd, | |
| | |Eggman, Gatto, Gomez, | |
| | |Holden, Jones, | |
| | |Mullin, Ting, Wood | |
| | | | |
|----------------+-----+----------------------+--------------------|
|Appropriations |20-0 |Gonzalez, Bigelow, | |
| | |Bloom, Bonilla, | |
| | |Bonta, Calderon, | |
| | |Chang, Daly, Eggman, | |
| | |Gallagher, Eduardo | |
| | |Garcia, Roger | |
| | |Hernández, Holden, | |
| | |Jones, Obernolte, | |
| | |Quirk, Santiago, | |
| | |Wagner, Weber, Wood | |
| | | | |
| | | | |
AB 2331
Page 2
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SUMMARY: Allows an applicant to satisfy the licensure
examination requirement for a dental license by receiving a
passing score on an examination developed by the American Board
of Dental Examiners, Inc. Patient Centered Curriculum Integrated
Dental Examination Format, subject to prior review and approval
of the examination by the Office of Professional Examination
Services, as provided. This bill would also authorize the
Director of Finance to accept funds for the purposes of
implementing the dental examination developed by the American
Board of Dental Examiners, Inc. Specifically, this bill:
1)Provides that a passing score on an examination developed by
the American Board of Dental Examiners, Inc., Patient Centered
Curriculum Integrated Dental Examination Format, fulfills part
of the examination requirements for the Dental Board of
California (DBC).
2)Specifies that the DBC shall determine the passing score for
the examination.
3)Indicates that the Department of Consumer Affair's Office of
Professional Examination Services shall review the American
Board of Dental Examiners, Inc. examination to ensure
compliance with the requirements of Section 139 and to certify
that the examination process meets those standards, prior to
implementation of the examination.
4)Specifies that if the department determines that the
examination process fails to meet those standards, or if the
American Board of Dental Examiners, Inc. fails to pay the
costs and expenses the DBC incurs, it shall not be
implemented. The review of the American Board of Dental
Examiners, Inc. examination shall be conducted during or after
DBC's occupational analysis.
AB 2331
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5)Requires the American Board of Dental Examiners, Inc. to pay
all reasonable costs and expenses the DBC incurs, as
specified.
6)Permits the Department of Finance to accept funds for the
purposes of reviewing and implementing the examination
developed by the American Board of Dental Examiners, Inc.
FISCAL EFFECT: According to Assembly Appropriations Committee,
one-time costs to the Dental Board and to the OPES of $200,000
to perform reviews and issue regulations (State Dentistry Fund,
reimbursed by private funds).
COMMENTS:
Purpose. This bill is sponsored by the American Board of Dental
Examiners, Inc. According to the author, "AB 2331 will
facilitate the recognition of the ADEX Patient Centered
Curriculum Integrated Dental Examination Format (PC-CIF) as an
option for initial licensure in California. This additional
exam option will allow out-of-state dental students seeking to
practice in California, including California residents choosing
to return to their home state, the opportunity to take the ADEX
PC-CIF test in other states where it is administered. This exam
format meets the American Dental Association and California
Dental Associations guidelines for the ethical use of patients
during a licensure exam."
Background. Examination Requirements. The DBC requires that
applicants for licensure as a dentist meet a number of
examination requirements including: 1) passing Parts I and II
of the written examinations of the National Board Dental
Examination of the Joint Commission on National Dental
Examinations, and 2) obtaining a passing score on either the
AB 2331
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Western Region Examining Board examination written or clinical
examination, or a portfolio examination. Applicants must also
complete a California law and ethics examination.
History of the DBC Portfolio Examination. In 2008, the DBC
commissioned Comira Psychometric Services to conduct a study of
competencies in dental education programs. The Board had
concerns about existing clinical examinations, especially in
terms of validity of the content tested and the reliability of
judgments made on examinee performance. Comira identified four
alternatives to initial licensure based on interviews,
observations, and documentation; those alternatives were: 1)
Curriculum Integrated Format (CIF), 2) Objective Standardized
Clinical Examination (OSCE), 3) traditional portfolio, and 4) a
hybrid portfolio examination. The hybrid portfolio examination
was an alternative based upon the synthesis of the traditional
portfolio and test cases (or competency cases) used in the
dental schools for competency evaluations.
In February 2009, Comira prepared a report for the DBC entitled,
Alternative Pathways for Initial Licensure for General Dentists,
Final Report, February 9, 2009, which provided findings and
evidence to support the feasibility of an additional examination
for the DBC to add as a pathway to initial licensure. The
report supported the conclusion that the hybrid portfolio
examination model satisfied the criteria identified by the DBC
and the psychometric consultants. Subsequently, Comira prepared
an additional report for the DBC entitled Portfolio Examination
to Qualify for California Dental Licensure, December 1, 2009
which defined the competencies to be tested in the portfolio
examination and provided background research for the
examination's implementation process.
Using the findings of these two reports, the DBC sponsored
legislation, AB 1524 (Hayashi), Chapter 446, Statutes of 2010.
AB 1524 eliminated the clinical and written examination
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administered by the DBC and replaced it with a portfolio
examination of an applicant's competence to enter the practice
of dentistry, to be conducted while the applicant is enrolled in
a DBC-approved dental school located in California.
The DBC implemented the Portfolio Examination process in 2014.
The Portfolio Exam is currently offered at four of the six
dental schools in California including: 1) University of
California, Los Angeles, 2) University of California, San
Francisco, 3) University of the Pacific, and 4) University of
Southern California
Portfolio Examination Application Process. The portfolio
examination is to be conducted while the applicant is still
enrolled in a DBC-approved dental school located in California.
The portfolio examination is required to utilize uniform
standards of clinical experiences and competencies approved by
the DBC. An applicant is required to pass a final assessment of
the submitted portfolio at the end of his or her dental school
program. Before the portfolio may be submitted to the DBC, the
applicant must pay the Board a $350 application fee and provide
a letter of good standing signed by the dean of the dental
school, or his or her delegate, stating that the applicant has
graduated or will graduate with no pending ethical issues.
The ADEX Examination. The ADEX examination has been recognized
in 43 states. The new PC-CIF, which the author compares to the
DBC s Portfolio Exam, is only recognized in New York. The
PC-CIF includes structured patient involvement, informed
consent, and patient follow-up.
The author purports that graduates from out-of-state dental
programs, including California residents, have to pass the
Western Regional Examining Board examination which requires
out-of-state students to travel to California to take the
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examination. The author believes that by adding the ADEX's
PC-CIF as an option, students will be able to take this
examination in the state they are located in
Occupational Analysis. An occupational analysis generally
employs survey methodology to gather job information. That
information may be used to help establish recruitment and
selection criteria for entry into the occupation, and identify
training standards for evaluating training efficacy and
efficiency. Prior to the DBC accepting the ADEX PC-CIF, an
occupational analysis must be completed. In addition, this
measure allows the DBC to accept funding from entities to cover
the costs associated with conducting the occupational analysis
of the ADEX examination to ensure it meets California's
standards.
Analysis Prepared by:
Le Ondra Clark Harvey Ph.D. / B. & P. / (916)
319-3301 FN:
0003347