Section 1032.3 - Portfolio Examination: Oral Diagnosis and Treatment Planning (Odtp)(a) The portfolio examination shall contain the following documentation of the minimum ODTP clinical experiences and documentation of ODTP portfolio competency examination: (1) Evidence of successful completion of the ODTP clinical experiences shall be certified by the director of the school's clinical education program on the "Portfolio Examination Certification of Clinical Experience Completion" Form 33A-23P (New 08/13), which is hereby incorporated by reference, and shall be maintained in the candidate's portfolio.(2) Documentation providing proof of satisfactory completion of a final assessment in the ODTP competency examination. For purpose of this section, satisfactory proof means the ODTP competency examination has been approved by the designated dental school faculty.(b) Competency Examination Requirements: The candidate shall have the approval of his or her clinical faculty prior to beginning the competency examination. The ODTP competency examination shall include: (1) Fifteen (15) scoring factors: (A) Medical Issues That Impact Dental Care;(B) Treatment Modifications Based on Medical Conditions;(C) Patient Concerns/Chief Complaint;(E) Significant Radiographic Findings;(G) Risk Level Assessment;(H) Need for Additional Diagnostic Tests/Referrals;(I) Findings From Mounted Diagnostic Casts;(J) Comprehensive Problem List;(K) Diagnosis and Interaction of Problems;(L) Overall Treatment Approach;(M) Phasing and Sequencing of Treatment;(N) Comprehensiveness of Treatment Plan; and(2) Initiation and completion of one (1) multidisciplinary portfolio competency examination.(3) The treatment plan shall involve at least three (3) of the following six disciplines: periodontics, endodontics, operative (direct and indirect restoration), fixed and removable prosthodontics, orthodontics, and oral surgery.(4) Patient's Medical History: The medical history shall include: an evaluation of past illnesses and conditions, hospitalizations and operations, allergies, family history, social history, current illnesses and medications, and their effect on dental condition.(5) Patient's Dental History: The dental history shall include: age of previous prostheses, existing restorations, prior history of orthodontic/periodontic treatment, and oral hygiene habits/adjuncts.(6) Documentation of a comprehensive examination of patient's current oral health condition and vital signs. The documentation shall include: (A) Interpretation of radiographic series;(B) Performance of caries risk assessment;(C) Determination of periodontal condition;(D) Performance of a head and neck examination, including oral cancer screening;(E) Screening for temporomandibular disorders;(F) Assessment of vital signs;(G) Performance of a clinical examination of dentition; and(H) Performance of an occlusal examination.(7) Documentation the candidate evaluated data to identify problems. The documentation shall include: (C) Stomatognathic problems; and(D) Psychosocial problems.(8) Documentation the candidate worked-up the problems and developed a tentative treatment plan. The documentation shall include: (A) Problem definition, e.g., severity/chronicity and classification;(B) Determination if additional diagnostic tests are needed;(C) Development of a differential diagnosis;(D) Recognition of need for referral(s);(E) Pathophysiology of the problem;(H) Determination interaction of problems;(I) Development of treatment options;(J) Determination of prognosis; and(K) Patient information regarding informed consent.(9) Documentation the candidate developed a final treatment plan. The documentation shall include: (A) Rationale for treatment;(B) Problems to be addressed, or any condition that puts the patient at risk in the long term; and(C) Determination of sequencing with the following framework:(i) Systemic: medical issues of concern, medications and their effects, effect of diseases on oral condition, precautions, treatment modifications;(ii) Urgent: Acute pain/infection management, urgent esthetic issues, further exploration/additional information, oral medicine consultation, pathology;(iii) Preparatory: Preventive interventions, orthodontic, periodontal (Phase I, II), endodontic treatment, caries control, other temporization;(iv) Restorative: operative, fixed, removable prostheses, occlusal splints, implants;(v) Elective: esthetic (veneers, etc.) any procedure that is not clinically necessary, replacement of sound restoration for esthetic purposes, bleaching; and(vi) Maintenance: periodontic recall, radiographic interval, periodic oral examination, caries risk management.(c) Acceptable Patient Criteria for ODTP Competency Examination. The patient used for the competency examination shall meet the following criteria:(1) Maximum of ASA II, as defined by the American Society of Anesthesiologists (ASA) Physical Status Classification System;(2) Missing or will be missing two or more teeth, not including third molars; and(3) At least moderate periodontitis with probing depths of 5 mm or more.(d) Competency Examination Scoring: The scoring system used for the ODTP competency examination is defined as follows: (1) A score of 0 is unacceptable; candidate exhibits a critical error.(2) A score of 1 is unacceptable; major deviations that are correctable(3) A score of 2 is acceptable; minimum competence(4) A score of 3 is adequate; less than optimal(5) A score of 4 is optimal A score rating of "2" shall be deemed the minimum competence level performance.
Cal. Code Regs. Tit. 16, § 1032.3
1. Renumbering and amendment of former section 1035.1 to new section 1032.4 filed 2-13-98; operative 3-15-98 (Register 98, No. 7).
2. Renumbering of former section 1032.3 to section 1032.1 and renumbering and amendment of former section 1032.4 to section 1032.3 filed 8-25-99; operative 9-24-99 (Register 99, No. 35).
3. Editorial correction of subsection (a) (Register 99, No. 42).
4. Amendment of subsection (a) filed 10-12-99; operative 11-11-99 (Register 99, No. 43).
5. Repealer and new section heading and section and amendment of NOTE filed 11-5-2014; operative 11-5-2014 pursuant to Government Code section 11343.4(b)(3) (Register 2014, No. 45). Note: Authority cited: Section 1614, Business and Professions Code. Reference: Sections 1630, 1632 and 1632.1, Business and Professions Code.
1. Renumbering and amendment of former section 1035.1 to new section 1032.4 filed 2-13-98; operative 3-15-98 (Register 98, No. 7).
2. Renumbering of former section 1032.3 to section 1032.1 and renumbering and amendment of former section 1032.4 to section 1032.3 filed 8-25-99; operative 9-24-99 (Register 99, No. 35).
3. Editorial correction of subsection (a) (Register 99, No. 42).
4. Amendment of subsection (a) filed 10-12-99; operative 11-11-99 (Register 99, No. 43).
5. Repealer and new section heading and section and amendment of Note filed 11-5-2014; operative 11/5/2014 pursuant to Government Code section 11343.4(b)(3) (Register 2014, No. 45).