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NBDE-I exam Format | NBDE-I Course Contents | NBDE-I Course Outline | NBDE-I exam Syllabus | NBDE-I exam Objectives


About This Guide
Dental Licensure and the National Board Dental Examinations
Purpose of the NBDE
Recognition of NBDE Certification
The Integrated National Board Dental Examination
Ethical Conduct and the Licensure Process for Dentists
EXAMINATION CONTENT AND PREPARATION MATERIALS
Examination Specifications
Scope of the Examination
Sample Item Formats
Testlet
Examination Preparation
Confidentiality of Examination Materials
RESULTS INFORMATION
Scoring of Examination
Results Reporting
Results Reports
Results Audits
ELIGIBILITY REQUIREMENTS
EXAMINATION INFORMATION
Test Centers
Fees
Examination Schedule
Obtain a DENTPIN® and Apply for Examination
Privacy and Security
Application Details
Reschedule or Cancel a Testing Appointment
Testing Accommodations
Unacceptable Forms of Documentation
EXAMINATION REGULATIONS AND RULES OF CONDUCT
Rules of Conduct
Test Center Procedures
Examination Regulations and Prohibited Conduct
Examination Misconduct
Irregularities and Appeals
Arbitration Requirement

Licensure of dentists in the United States is the responsibility of the individual state, district, or jurisdiction. Agencies in state government that administer dental licensure under laws adopted by state legislatures typically are called state boards of dentistry. A list of state boards can be found at www.dentalboards.org. Specific dental licensure requirements vary among jurisdictions, but all jurisdictions have three basic requirements: an educational requirement, a written examination requirement, and a clinical examination requirement. All jurisdictions accept graduation from a dental school accredited by the Commission on Dental Accreditation (CODA) as fulfilling the educational requirement. Most jurisdictions also accept graduation from a Canadian dental school accredited by the Commission on Dental Accreditation of Canada (CDAC). The National Board Dental Examinations (NBDE) Program is intended to fulfill the written examination requirement. Acceptance of NBDE results is completely at the discretion of the individual state. A state may place any limit on acceptance of NBDE results that it deems appropriate.
The Joint Commission on National Dental Examinations (JCNDE) is responsible for the development and administration of the NBDE and the National Board Dental Hygiene Examination (NBDHE). The Department of Testing Services is a shared resource of the American Dental Association (ADA) that implements the National Board Examinations.

While this guide covers NBDE Part I, it is important for candidates to note that there is another examination on the horizon that will one day replace NBDE Parts I and II. This examination—the Integrated National Board Dental Examination (INBDE)—integrates the biomedical, clinical, and behavioral sciences in its evaluation of candidate dental cognitive skills. Similar to the NBDE, the IN

EXAMINATION SPECIFICATIONS
The NBDE Part I is a comprehensive examination consisting of 400 items. For each discipline, approximately 80% of the items are stand-alone, while approximately 20% are interdisciplinary testlet-based. A testlet consists of a patient scenario, patient history, and a set of discipline based items relevant to the scenario. NBDE Part I items are drawn from the following disciplines:
• Anatomic Sciences
• Biochemistry-Physiology
• Microbiology-Pathology
• Dental Anatomy and Occlusion
One item from each of the disciplines listed above is designated for the testlets under the syllabu “Professional Ethics/Patient Management.” These items require a basic understanding of professional ethical principles in patient management.
Examination items are developed by test construction teams composed of subject-matter experts in accordance with examination specifications approved by the JCNDE.
The Universal/National System for tooth notation that has been adopted by the American Dental Association is used on all National Board Examinations. This system is a sequential tooth numbering system, designating the permanent dentition (numbers 1-32), and the primary dentition (letters A-T).

EXAMINATION CONTENT AND PREPARATION MATERIALS
Biochemistry-Physiology (100 Items)
• Biological Compounds
• Metabolism
• Molecular and Cellular Biology
• Connective Tissues
• Membranes
• Nervous System
• Muscle
• Circulation
• Respiration
• Renal
• Oral Physiology
• Digestion
• Endocrines
• Professional Ethics/Patient Management
Anatomic Sciences (100 Items)
• Gross Anatomy*
• Histology
• Oral Histology
• Developmental Biology
• Professional Ethics/Patient Management
*The following subjects will be considered under each category of gross anatomy. Bone; muscles; fascia, nerves (peripheral and autonomic); arteries, veins, and lymphatics; spaces and cavities; joints and ligaments; and endocrines and exocrines.
Microbiology-Pathology (100 Items)
• General Microbiology
• Reactions of Tissue to Injury
• Immunology and Immunopathology (at least 3 on oral immunology)
• Microbiology, Immunology, and Pathology of Specific Infectious Diseases (at least 8 on oral diseases)
• Systemic Pathology
• Growth Disturbances
• Professional Ethics/Patient Management
Dental Anatomy And Occlusion (100 items)
• Tooth Morphology
• Pulp Cavity Morphology
• Calcification and Eruption
• Principles of Occlusion and Function
• Clinical Considerations—Tooth Morphology and Anomalies
• Professional Ethics/Patient Management

The JCNDE recommends that candidates use textbooks and lecture notes as primary sources for study. Although some previous questions from the NBDEs are periodically released, the JCNDE believes they are best used to familiarize candidates with item formats. The JCNDE does not certain that the information in released NBDE materials is accurate, current, or relevant. Released materials may no longer be consistent with the current examination specifications, content emphasis, item formatting guidelines, and examination structure. Due to the dynamic nature of dental practice and the biomedical sciences, these materials may be outdated. Candidates are cautioned not to limit preparation for the examination to the review of released items. To purchase copies of released items, contact the American Student Dental Association (ASDA) at 800.621.8099 (x 2795), 312.440.2795, or www.asdanet.org. Official released items contain the ADA copyright insignia at the bottom of the document pages.
The JCNDE does not endorse or recommend any specific texts or other teaching aids (e.g., review courses) that are identified as NBDE preparation materials.

The NBDE Part I is a pass/fail exam; results are reported only as “pass” for candidates who achieve passing scores. For remediation purposes, candidates who fail the examination receive numerical scores for each of the major disciplines covered on the examination. With respect to candidates who tested prior to 2012, numerical scores for prior attempts are still reported.
The status of “pass” is reported for candidates who achieve a scale score of 75 or higher. The status of “fail” is reported for candidates who achieve a scale score below 75.

RESULTS REPORTS
National Board Examination results are typically made available approximately three to four weeks after the examination. Results can be viewed online by logging into the My Account Summary page. By signing the application, a candidate enrolled in an accredited dental school (or who has graduated within the last five years) gives express permission to provide results to the dean of the dental school and his or her designee(s). Results are provided to others if permission is granted in the form of a results report request from the candidate. If misconduct has occurred in a past administration, your results report may contain information concerning the incident (see Examination Irregularities and Misconduct). After receiving your results report, you may request that additional reports be sent to other entities. You should confirm the accuracy of your results report request.



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Medical I Study Guide

look at IDs three COVID-19 Phenotypes, could assist e book Care | NBDE-I boot camp and Latest Topics

Researchers have discovered three distinctive COVID-19 phenotypes of patients who present to the emergency branch, counsel that might at last e book remedy, they are saying.

Elizabeth Lusczek, PhD, an assistant professor within the department of surgery, and pulmonologist Nicholas Ingraham, MD, each with the tuition of Minnesota clinical school in Minneapolis, and colleagues described the three phenotypes in an article published online March 31 in the open-entry journal PLOS ONE.

Most Are "Phenotype II"

Researchers analyzed digital fitness records from 14 hospitals in the midwestern united states and from 60 fundamental care clinics in Minnesota. facts have been accessible for 7538 patients with PCR-verified COVID-19 between March 7 and August 25, 2020.

Of the 7538, about 14% (1022) of these patients required clinic admission and had been included within the study. affected person records blanketed comorbidities, medications, lab outcomes, sanatorium visits, clinic admission guidance, and patient demographics.

Most sufferers (613 sufferers, or 60%) included in the study presented to emergency rooms with "phenotype II."  

patients who presented with phenotype II had a much less general background of hepatic disorder than phenotypes I or III. They customarily had extra moderate disease and about 10% mortality.

essentially one quarter (236 sufferers, or 23%) fell into "phenotype I," or the "opposed phenotype," which was linked with the poorest outcomes. These patients had essentially the most hematologic, renal, and cardiac comorbidities (all P < .001). They were additionally more likely to be non-White (38.eight% vs 45.6% vs 60.7%, respectively, P = .002) and more prone to be non-English audio system (forty seven.9% vs 39.2% vs 23.7%, respectively, P < .001).

The racial/cultural gap became one of the vital wonderful findings, Ingraham advised Medscape medical information, and has develop into the theme for a 2nd paper popping out inside a few weeks.

"That became definitely regarding," he noted. "We found that non-English speaking changed into greatly associated with hospitalization even in case you control for race."

Ingraham spoke of the finding brings up questions of whether non-English audio system, as an instance, have a poorer realizing of information from the facilities for disorder handle and Prevention.

Lusczek added that "we understand that people who event loads of discrimination are at higher chance for heart disorder and diabetes, and that may be enjoying out here."

those in phenotype I had been older than patients in phenotypes II and III (67.2 [52.9, 79.0] years vs 60.9 [45.9, 75.4] years and fifty eight.6 [34.8, 71.3] years, respectively, P < .001).

Lusczek informed Medscape medical news they additionally found markers of irritation had been a lot larger in the phenotype I group.

Phenotype III turned into Smallest, optimal results

The smallest community changed into "phenotype III," or the "favorable phenotype," and 173 sufferers (16.9%) fell into this community, which had the most appropriate medical results.

those in phenotype III, fantastically, had the highest price of respiratory comorbidities (P = .002) regardless of having the bottom complication and mortality rates. They had been extra likely to have had a historical past of smoking, alcohol abuse, and neutropenia.

Ingraham said as a pulmonologist he become intrigued by using that discovering. He noted most of his sufferers with persistent lung illnesses are on inhalers and this discovering might indicate inhalers are extra protecting.

"This helps point you within the course you might seem into next," he pointed out.

those in phenotype III also had a ten% stronger chance of sanatorium readmission in comparison with the different phenotypes.

these in phenotype III had been also more often feminine than patients with phenotype I or II (57.6% vs 41.6% and 53.four%, respectively, P = .002).

universal, phenotypes I and II were linked with 7.30-fold (ninety five% CI, three.eleven-17.17, P < .001) and a couple of.fifty seven-fold (95% CI, 1.10-6.00, P = .03) increases, respectively, in hazard of demise in comparison with phenotype III.

"We couldn’t have guessed the change can be 7-fold," Ingraham stated. "It in fact highlights the heterogeneity of how different COVID sufferers can be."

Alexander Charney, MD, PhD, codirector of the Mount Sinai scientific Intelligence core in ny metropolis, advised Medscape medical information this work is an example of the rich facts accessible via EHRs, considering the thousands and thousands handled for COVID-19 throughout the country.

"here's the first step before using the guidance to peer the way it may still trade care," he talked about. "It helps us take into account what’s happening right here."

The suggestions may additionally finally assist answer questions surrounding put up-acute sequelae of SARS-CoV-2 infection (PASC), or lengthy COVID, equivalent to even if it's an accumulation of signs from americans who have been in poor health before that they had COVID-19, Charney noted.

"What could be very valuable," he noted, "is that if the assistance may support predict at the time of admission who's going to get one kind of symptom versus one more."

With a robust algorithm and extra analysis on a way to deal with every phenotype, Charney talked about, a doctor might then get an alert, equivalent to, "there may be a ninety nine% chance the affected person will fall into phenotype I."

It might also aid with triage protocols, he talked about.

"back after they have been under siege within the spring of 2020, these types of algorithms didn’t exist. They could have been extraordinarily beneficial," Charney introduced.

cures Lag

treatment alternatives are sorely mandatory for COVID-19 patients.

to date, only one pharmacotherapeutic agent, dexamethasone, has been linked with reduced mortality in at-risk people, the authors word.

"[P]atients might advantage from phenotype-certain clinical care, which can also differ from dependent necessities of care," the authors write.

Ingraham stressed that this examine may still now not be used to change follow.

"however what it does is provide context clues on what they should still be looking into next with a little knowledgeable guessing," he spoke of.

The work is supported via the company for Healthcare research and fine (AHRQ) and patient-based outcomes analysis Institute (PCORI). The analyze authors and Charney file no relevant monetary relationships.

Marcia Frellick is a freelance journalist based mostly in Chicago. She has in the past written for the Chicago Tribune, Science information and Nurse.com and become an editor at the Chicago sun-instances, the Cincinnati Enquirer, and the St. Cloud (Minnesota) instances. observe her on Twitter at @mfrellick

For extra news, observe Medscape on fb, Twitter, Instagram, YouTube, and LinkedIn


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