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      Should Live Patient Licensing Examinations in Dentistry Be Discontinued? Two Viewpoints: Viewpoint 1: Alternative Assessment Models Are Not Yet Viable Replacements for Live Patients in Clinical Licensure Exams and Viewpoint 2: Ethical and Patient Care Concerns About Live Patient Exams Require Full Acceptance of Justifiable Alternatives.

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          Abstract

          This Point/Counterpoint article addresses a long-standing but still-unresolved debate on the advantages and disadvantages of using live patients in dental licensure exams. Two contrasting viewpoints are presented. Viewpoint 1 supports the traditional use of live patients, arguing that other assessment models have not yet been demonstrated to be viable alternatives to the actual treatment of patients in the clinical licensure process. This viewpoint also contends that the use of live patients and inherent variances in live patient treatment represent the realities of daily private practice. Viewpoint 2 argues that the use of live patients in licensure exams needs to be discontinued considering those exams' ethical dilemmas of exposing patients to potential harm, as well as their lack of reliability and validity and limited scope. According to this viewpoint, the current presence of viable alternatives means that the risk of harm inherent in live patient exams can finally be eliminated and those exams replaced with other means to confirm that candidates are qualified for licensure to practice.

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          Author and article information

          Journal
          J Dent Educ
          Journal of dental education
          American Dental Education Association
          1930-7837
          0022-0337
          Mar 2018
          : 82
          : 3
          Affiliations
          [1 ] Dr. Chu is Associate Dean for Research and Professor of Biomedical and Applied Sciences, School of Dentistry, Indiana University; Dr. Makhoul is Assistant Professor, Faculty of Dentistry, McGill University; Dr. Silva is Chair, Section of Pediatric Dentistry, School of Dentistry, University of California, Los Angeles; Dr. Gonzales is Associate Dean for Curriculum and Strategic Communications Professor, College of Dental Medicine, Medical University of South Carolina; Dr. Letra is Associate Professor, Department of Diagnostic and Biomedical Sciences, University of Texas School of Dentistry at Houston; and Dr. Mays is Associate Dean of Academic Affairs, School of Dentistry, University of Minnesota.
          [2 ] Dr. Chu is Associate Dean for Research and Professor of Biomedical and Applied Sciences, School of Dentistry, Indiana University; Dr. Makhoul is Assistant Professor, Faculty of Dentistry, McGill University; Dr. Silva is Chair, Section of Pediatric Dentistry, School of Dentistry, University of California, Los Angeles; Dr. Gonzales is Associate Dean for Curriculum and Strategic Communications Professor, College of Dental Medicine, Medical University of South Carolina; Dr. Letra is Associate Professor, Department of Diagnostic and Biomedical Sciences, University of Texas School of Dentistry at Houston; and Dr. Mays is Associate Dean of Academic Affairs, School of Dentistry, University of Minnesota. kmays@umn.edu.
          Article
          82/3/246
          10.21815/JDE.018.023
          29496802

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