Commission On Dental Accreditation Site Visitor Nomination Form (Do not attach curriculum vitae. Print or Type Only)
|
|
- Lindsey Conley
- 5 years ago
- Views:
Transcription
1 Commission On Dental Accreditation Site Visitor Nomination Form (Do not attach curriculum vitae. Print or Type Only) Name: Accredited Program Affiliation: Business Address: Preferred Phone#: Fax #: Home Address: Preferred Phone #: Fax #: Address: Discipline In Which Appointment Is Being Sought (check one): If you are a specialist applying for an appointment in predoctoral, please indicate predoctoral only. Predoctoral Allied Advanced Chair Dental Assisting* Dental Public Health Pediatric Clinical Endodontics Dental Hygiene Sciences Periodontics Curriculum Dental Lab Tech.* Oral & Maxillofacial Pathology Prosthodontics Finance Dentist Consultant Oral & Maxillofacial Radiology Advanced Educ General Dent* Basic Science Oral & Maxillofacial Surgery * Nat. Licensure Oral & Maxillofacial Surgery Fellowship Craniofacial and Special Care (check all that apply): Orthodontics Fellowship Cosmetic Facial Surgery Orthodontics & Dentofacial Orthopedics Oral/Head and Neck Oncologic Surgery * Pediatric Craniomaxillofacial Surgery (Cleft and Craniofacial * Surgery) Microvascular Reconstructive * Surgery Endoscopic Maxillofacial Surgery *All Postdoctoral General disciplines (AEGD, GPR, Dent Anes, Oral Med, and ), Dental Assisting and Dental Laboratory Technology nominees-please review and complete the applicable section at the end of this form. Membership: ADA#: State: Certified Dental Technician #: Certified Dental Assistant #: Educational Background (Begin with College Level) Name of School, City& State Year of Grad. Certificate or Degree Area of Study
2 Teaching Appointments/Hospital Appointments (Begin with Current) Rank Name of Institution, City& State (e.g., Assistant Professor, etc.) Discipline/Specialty From To FT/PT?** Please indicate the number of days/week Hospital Appointments (Begin with Current) Name of Hospital, City & State From To Current Teaching Responsibilities At Primary Institution Course Title Discipline and Level of Students Total Contact Hours Per Year Didactic Preclinic Clinic CE Courses Taught In Last 3 Years Course Title Discipline Taught Month and Year Practice Experience Location (City and State) Type of Practice From To Board Certification Certifying Organization Specialty Date certified
3 Membership, Offices Or Appointments Held In Local, State Or National Dental Or Allied Dental Organizations, Including Appointments To State Boards Of Name of Organization Title From To Published Works (For the most recent five years, list articles in which you were the principal author that appeared in refereed journals or text books, by author(s), title, publication, and date) Author(s) Title Publication Date Committee Assignments and Conjoint Course Involvement: Statement (Write a short paragraph on why you are seeking appointment as a Site Visitor)
4 Licensure Action Attestation: I hereby attest that (check one): NO licensure action (e.g. revocation, suspension, or censure) has been taken against me within the past twelve (12) months. Licensure action (e.g. revocation, suspension, or censure) HAS BEEN taken against me within the past twelve (12) months. Please describe: Not Applicable (I do not hold licensure in a dental or dental-related discipline) Submission Date: Signature: Please Return to: Commission on Dental Accreditation 211 E. Chicago Ave Chicago, IL 60611
5 All Postdoctoral General (GPR, AEGD, Dent Anes, Oral Med, ) Nominees Only: 1. Please indicate which of the following type of program(s) you have completed. Also, indicate the name of the program and the date(s) enrolled. Discipline Name of Program Date(s) of enrollment 2. Please indicate whether you have significant experience in the administration of any of the type of program(s) listed below. If so, please indicate the name of the program and a description of your experience. Discipline Name of Program Description of Experience 3. Have you been a faculty member of any of the types of program listed below when it went through an accreditation site visit? Yes No If yes, what program(s) and when was that site visit(s)? Discipline Name of Program Date of site visit
6 4. Have you gained other experiences that you believe qualify you to serve as a site visitor for the discipline noted below? If yes, please describe. Discipline Description of other experiences Dental Assisting Nominees: Individuals must meet the following criteria to be appointed as site visitors for the area of dental assisting: 1. Certification by the Dental Assisting National Board as a dental assistant. 2. Full-time or part-time appointment with an accredited dental assisting program and an equivalent of three years full-time dental assisting education experience. 3. A baccalaureate degree or higher degree 4. Demonstrated knowledge of accreditation 5. Current background in educational methodology. Dental Laboratory Technology Nominees: Individuals must meet the following criteria to be appointed as site visitors for the area of dental laboratory technology: 1. Background in all five specialty areas 2. Background in educational methodology 3. Knowledge of the accreditation process and Accreditation Standards for Dental Laboratory Technology Education Programs 4. Certified Dental Technician (CDT) credential through National Board of Certification (NBC) 5. Full or part-time appointment with accredited dental laboratory technology education program or previous experience as a Commission on Dental Accreditation consultant
Commission On Dental Accreditation Site Visitor Nomination Form (Do not attach curriculum vitae. Type Only)
Commission On Dental Accreditation Site Visitor Nomination Form (Do not attach curriculum vitae. Type Only) Name: Accredited Program Affiliation: Business Address: Preferred Phone#: Fax #: Home Address:
More informationUsing the evaluation point scale on the attached form, members may submit an application for Fellow Status. SNMMI-TS APPLICATION FOR FELLOW STATUS 1
In order to recognize members of the Technologist Section who have demonstrated leadership and have made a significant contribution to the profession of Nuclear Medicine Technology at the national level,
More informationCommission on Dental Accreditation Electronic Submission of Responses to Site Visits/Progress Reports
Commission on Dental Accreditation Electronic Submission of Responses to Site Visits/Progress Reports The Commission on Dental Accreditation (CODA) requires that documents submitted to the Commission for
More informationFindings from Survey of Advanced Dental Education Program Directors
Findings from Survey of Advanced Dental Education Program Directors Eugene L. Anderson, Ph.D. Associate Executive Director & Director Center for Educational Policy and Research Selective Admissions Why
More informationCommission on Dental Accreditation
Commission on Dental Accreditation Electronic Submission of General Correspondence and Reports (Change in program director, program change, increase in enrollment, sites where educational activity occurs,
More informationCommission on Dental Accreditation. Guidelines for Preparation of Self-Study Guides for Electronic Submission
Commission on Dental Accreditation Guidelines for Preparation of Self-Study Guides for Electronic Submission The Commission on Dental Accreditation (CODA) requires that all Self-Study Guides and related
More informationAPPLICATION EIOH PRECEPTORSHIP PROGRAMS
Application Date Month Day Year University of Rochester University of Rochester Medical Center Eastman Institute for Oral Health 625 Elmwood Avenue Rochester, New York 14620-2989 USA (585) 275-8315 Paste
More informationRE-CREDENTIALING PROFILE
RE-CREDENTIALING PROFILE ATTESTATION: All information on this profile is required for continued membership. Failure to provide required information will impact your membership status with Delta Dental
More information5.I.1. GENERAL PRACTITIONER ANNOUNCEMENT OF CREDENTIALS IN NON-SPECIALTY INTEREST AREAS
Report of the Council on Ethics, Bylaws and Judicial Affairs on Advisory Opinion 5.I.1. GENERAL PRACTITIONER ANNOUNCEMENT OF CREDENTIALS IN NON-SPECIALTY INTEREST AREAS Ethical Advertising under ADA Code:
More informationAPPLICATION EIOH PRECEPTORSHIP PROGRAMS
Application Date Month Day Year University of Rochester University of Rochester Medical Center Eastman Institute for Oral Health 625 Elmwood Avenue Rochester, New York 14620-2989 USA (585) 275-8315 Paste
More informationTotal Number Programs Evaluated: 382 January 1, 2000 through October 31, 2017
Page 1 Oral and Maxillofacial Surgery -Residency INFORMATIONAL REPORT ON FREQUENCY OF CITINGS OF ACCREDITATION STANDARDS FOR ADVANCED SPECIALTY EDUCATION PROGRAMS IN ORAL AND MAXILLOFACIAL SURGERY Frequency
More informationPravara Institute of Medical Sciences (Deemed University) Loni br , (Maharashtra)
Pravara Institute of Medical Sciences (Deemed University) Loni br. 413 736, (Maharashtra) RULES AND REGULATIONS FOR THE MASTER OF DENTAL SURGERY (M.D.S.) COURSE 1. General :- These rules and regulations
More informationDepartment of Dentistry Rules and Regulations
I. INTRODUCTION Approved November 2009 Jersey Shore University Medical Center a Division of Meridian Hospitals Corporation Department of Dentistry Rules and Regulations The purpose of these Rules & Regulations
More informationOrthodontics. Degree Offered. General Information. Program Goals. Program Curriculum. Admission Requirements FACULTY CHAIR ASSOCIATE PROFESSORS
Orthodontics 1 Orthodontics Degree Offered Master of Science General Information The School of Dentistry and the Department of Orthodontics at West Virginia University offer a 34-month (three academic
More informationAPPLICATION FELLOWSHIP IN IMPLANT DENTISTRY PROGRAM
: Application Date Month Day Year University of Rochester University of Rochester Medical Center Eastman Institute for Oral Health 625 Elmwood Avenue Rochester, New York 14620-2989 USA (585) 275-8315 Paste
More informationMaster of Science degrees in five disciplines, Plan A only, with two options (see the Master s Requirements section for details)
Dentistry (DENT) 1 Dentistry (DENT) Administration Dean: William K. Lobb, D.D.S., M.S., M.P.H. Assoc. Dean for Research & Graduate Studies: Sheila Stover, D.D.S., M.S., M.P.H. Program Directors Dental
More informationTHE UNIVERSITY OF IOWA COLLEGE OF. At a Glance
THE UNIVERSITY OF IOWA COLLEGE OF At a Glance UNIVERSITY OF IOWA COLLEGE OF DENTISTRY Mission: To educate dentists for Iowa and beyond through excellence in patient care, education, and research. Vision:
More informationDear Prospective Degree Completion Dental Hygiene Student:
Dear Prospective Degree Completion Dental Hygiene Student: Thank you for your interest in the Dental Hygiene Program at Southern Illinois University Carbondale. SIUC s Dental Hygiene Program is nationally
More informationYasser Khabbaz, D.M.D, C.A.G.S, M.S.D Diplomate of the American Board of Periodontology Periodontist, Oral surgeon and Implantologist
Yasser Khabbaz, D.M.D, C.A.G.S, M.S.D Diplomate of the American Board of Periodontology Periodontist, Oral surgeon and Implantologist CURRICULUM VITAE Contact: Current position: Consultant Periodontist
More informationNewYork-Presbyterian Hospital Weill Cornell Medical Center Division of Dentistry, General Dentistry Program Goals and Objectives
Program Overview NewYork-Presbyterian Hospital Weill Cornell Medical Center Division of Dentistry, General Dentistry Program Goals and Objectives The program is one year in length with one position as
More informationCHAPTER 64B5-12 CONTINUING PROFESSIONAL EDUCATION
CHAPTER 64B5-12 CONTINUING PROFESSIONAL EDUCATION 64B5-12.013 64B5-12.0135 64B5-12.014 64B5-12.016 64B5-12.017 64B5-12.0175 64B5-12.018 64B5-12.0185 64B5-12.019 64B5-12.020 Continuing Education Requirements
More information02 Compendium of Dental Education (9) Y Dental Abstracts (6) Y Dental Clinics of North America (4) Y
Subject SN Title of Journals Indexed ISSN No General: 01 British Dental Journal (24) Y 0007-0610 02 Compendium of Dental Education (9) Y 1548-8578 03 Dental Abstracts (6) Y 0011-8486 04 Dental Clinics
More informationInstructions for Applicants. Successful completion of this examination is required as one of the conditions for licensure in the State of Vermont.
Board of Dental Examiners Page 1 - Rev. 12/1/2010 Instructions for Applicants Successful completion of this examination is required as one of the conditions for licensure in the State of Vermont. 1. Use
More informationReturn Application for the Scholarships to: HISPANIC DENTAL ASSOCIATION FOUNDATION
MISSION: TO BUILD HEALTHIER HISPANIC COMMUNITIES HISPANIC DENTAL ASSOCIATION FOUNDATION THE HISPANIC DENTAL ASSOCIATION FOUNDATION in its quest for continuous improvement in the development of oral health
More informationCommission on Dental Accreditation Unofficial Report of Major Actions February 1-2, 2018
Unofficial Major Actions Winter 2018 Page 1 Commission on Dental Accreditation Unofficial Report of Major Actions February 1-2, 2018 1. The Commission reviewed accreditation reports and took 411 accreditation
More informationConsultation on proposed changes to prescribed qualifications
11 July 2016 Dear practitioner Consultation on proposed changes to prescribed qualifications The Dental Council (the Council) has undertaken educational reviews of two dental specialist programmes during
More informationDENTAL SPECIALTIES AND ORAL MAXILLOFACIAL SURGERY Delineation of Clinical Privileges
DENTAL SPECIALTIES AND ORAL MAXILLOFACIAL SURGERY Delineation of Clinical Privileges Criteria for granting privileges: Dentists must have satisfactorily completed training and be licensed by the Tennessee
More informationTITLE 5 LEGISLATIVE RULE WEST VIRGINIA BOARD OF DENTISTRY SERIES 1 RULE FOR THE WEST VIRGINIA BOARD OF DENTISTRY
TITLE 5 LEGISLATIVE RULE WEST VIRGINIA BOARD OF DENTISTRY SERIES 1 RULE FOR THE WEST VIRGINIA BOARD OF DENTISTRY 5-1-1. General. 1.1. Scope. This rule regulates the W. Va. Board of Dentistry s proceedings
More informationIntroduction to Health Care & Careers. Chapter 20. Answers to Checkpoint and Review Questions
Introduction to Health Care & Careers Chapter 20 Answers to Checkpoint and Review Questions Checkpoints 1. Name and briefly describe the nine dental specialties. The nine dental specialties are orthodontics
More informationAPPENDIX 2. Appendix 2 MoU
APPENDIX 2 THIS APPENDIX CONTAINS BOTH THE TEXT OF THE CURRENT MEMORANDUM OF UNDERSTANDING BETWEEN JCSTD, THE GDC AND COPDEND ABOUT THEIR JOINT WORKING ARRANGEMENTS AND THE WORKING NOTES DRAFTED BY PROF
More informationThe AHRA Fellow designation recognizes the significant contributions of AHRA members to our professional association.
Application for Fellow Status The AHRA Fellow designation recognizes the significant contributions of AHRA members to our professional association. Using the evaluation point scale and form on the following
More informationSUBJECTWISE RANGE OF DOCUMENTS
SUBJECTWISE RANGE OF DOCUMENTS SL.NO SUBJECT NO.OF TITLE NO.OF COPIES 01. Oral Medicine & Oral Radiology 84 203 02. Oral Surgery 76 178 03. Periodontics 72 147 04. Conservative Dentistry 67 172 & Endodontics
More informationGraduates of the Dental Hygiene program are eligible to write the National Board and take the Central Regional Dental Testing Service Inc. exam.
Dear Prospective Dental Hygiene Student: Thank you for your interest in the Dental Hygiene program at Minnesota State Community and Technical College Moorhead Campus. Before applying to the Dental Hygiene
More informationAdvanced Education in General Dentistry Residency. Highland Hospital. Residency Program (Currently 5 positions)
Advanced Education in General Dentistry Residency Highland Hospital Residency Program (Currently 5 positions) The objective of the 52-week Advanced Education in General Dentistry (AEGD) program is to provide
More informationGeneral Practice Residency Program Brochure. Erie County Medical Center Department of Dentistry General Practice Residency in Dentistry
General Practice Residency Program Brochure Erie County Medical Center Department of Dentistry General Practice Residency in Dentistry The primary goal of the General Dentistry Postgraduate Program is
More informationJOURNAL AT GLANCE-RURAL DENTAL COLLEGE 1 DENTOMAXILLOFACIAL RAIOLOGY V28-40 ( )-----> 2 ORAL DEISEASES V1-17 ( )----->
ORAL MEDICINE JOURNAL AT GLANCE-RURAL DENTAL COLLEGE 1 DENTOMAXILLOFACIAL RAIOLOGY V28-40 (1999-2 ORAL DEISEASES V1-17 (1995- Date: 15-03-2011 3 ORAL ONCOLOGY V34-42, 44-47 (1998-2006)----->, (2008-4 ORAL
More informationAPPLICATION FOR A-STEP PROVIDER
APPLICATION FOR A-STEP PROVIDER November 17, 2014 Page 1 A-STEP FORM I: GENERAL APPLICANT INFORMATION A. Please provide the name, address and additional information for the applicant A-STEP Provider. NEW
More informationMEMBERSHIP APPLICATION INSTRUCTIONS
American Dental Association California Dental Association Stanislaus Dental Society MEMBERSHIP APPLICATION INSTRUCTIONS 1. Answer every question completely. Explain items in detail on a separate sheet
More informationReport of the ADA-Recognized Dental Specialty Certifying Boards
1 Report of the ADA-Recognized Dental Specialty Certifying Boards April 2013 Approved by the Council on Dental Education and Licensure April 25, 2013 2 INTRODUCTION The Report of the ADA-Recognized Dental
More informationSTATE OF IDAHO BOARD OF DENTISTRY
STATE OF IDAHO BOARD OF DENTISTRY APPLICATION FOR ANESTHESIA PERMIT Dentists or dental specialists actively licensed in the state of Idaho cannot use conscious sedation or general anesthesia/deep sedation
More informationCURRICULUM FRANK SPEAR, D.D.S., M.S.D.
CURRICULUM FRANK SPEAR, D.D.S., M.S.D. One of dentistry s most respected clinicians and educators, Dr. Spear is the founder and director of Spear Education. His lectures, seminars and workshops have transformed
More informationInstructions for Applicants. Successful completion of this examination is required as one of the conditions for licensure in the State of Vermont.
Board of Dental Examiners Page 1 - Rev. 05/2010 Instructions for Applicants Successful completion of this examination is required as one of the conditions for licensure in the State of Vermont. 1. Use
More informationReport of the ADA-Recognized Dental Specialty Certifying Boards
1 Report of the ADA-Recognized Dental Specialty Certifying Boards May 2014 Approved by the Council on Dental Education and Licensure May 8, 2014 2 INTRODUCTION The Report of the ADA-Recognized Dental Specialty
More informationDentist. Overview. A degree in dentistry offers a number of career options, including:
Dentist Overview Dentistry is the branch of the healing arts and sciences devoted to maintaining oral health. It is a dynamic health profession, offering opportunities to become a successful, highly respected
More informationAdvanced & Graduate Education Programs Application Cycle. Martha Pennock Schaub Advanced & Graduate Education Admissions Officer
Advanced & Graduate Education Programs 2019 Application Cycle Martha Pennock Schaub Advanced & Graduate Education Admissions Officer Who does what at UFCD? Admissions Office Receives PASS applications
More informationHow to be a Wiser Dental Consumer
How to be a Wiser Dental Consumer Jeffery W. Johnston DDS MS VP and Operating Chief Science Officer Delta Dental MI, OH, IN Adjunct Clinical Professor, The University of Michigan Diplomate, American Board
More informationSUMMARY REPORT 1. EXECUTIVE SUMMARY. Program provider. University of Sydney
AUSTRALIAN DENTAL COUNCIL REPORT OF AN EVALUATION OF UNIVERSITY OF SYDNEY DOCTOR OF CLINCAL DENTISTRY PROGRAMS IN: ORAL MEDICINE ORTHODONTICS PAEDIATRIC DENTISTRY PERIODONTICS PROSTHODONTICS SPECIAL CARE
More informationArticle XIV: MINIMUM CONTINUING EDUCATION FOR DENTISTS AND DENTAL HYGIENISTS
AMENDMENT MARKUP Article XIV: MINIMUM CONTINUING EDUCATION FOR DENTISTS AND DENTAL HYGIENISTS A. Purpose: The Rules in this chapter set forth the requirements and guidelines for minimum continuing education
More informationDentistry. Research and Thesis. Program Information. Final Examination. Additional Information. Major and Minor. Contact Information
The University of Alabama at Birmingham 1 Dentistry Degree Offered: Director, Dentistry: M.S. Dr. Amjad Javed Phone: (205) 996-5124 E-mail: Website: Program Information javeda@uab.edu www.dental.uab.edu
More informationAdvanced Education in Periodontics and Restorative Dentistry
Office of Continuing Dental Education Rutgers, The State University of New Jersey 110 Bergen Street, B701 Newark, NJ 07103 cde.sdm.rutgers.edu cde@sdm.rutgers.edu p.973-972-6561 f. 973-972-7741 Advanced
More informationDental technology is one of the core allied
Transforming Dental Technology Education: Skills, Knowledge, and Curricular Reform Anita M. Bobich, BA, CDT; Betty L. Mitchell, BS, CDT, TE Abstract: Dental technology is one of the core allied dental
More informationSAINT LOUIS UNIVERSITY. Applicants to the Graduate Program in Endodontics. Program Requirements
SAINT LOUIS UNIVERSITY TO: FROM: SUBJECT: Applicants to the Graduate Program in Endodontics Center for Advanced Dental Education Program Requirements 3320 Rutger Street Dreiling-Marshall Hall St. Louis,
More informationLCB File No. R PROPOSED REGULATION OF THE STATE BOARD OF DENTAL EXAMINERS
LCB File No. R231-03 PROPOSED REGULATION OF THE STATE BOARD OF DENTAL EXAMINERS PROPOSED CHANGES TO NAC 631.173 THROUGH NAC 631.177 NOTE: All changes to the regulations are noted as follows: [ ] around
More informationWelcome to the Dentistry Residency Program
Welcome to the Dentistry Residency Program TABLE OF CONTENTS Mission Statement... 2 Admission Criteria... 2 Key contacts... 2 Hours... 2 General Objectives... 3 Competencies Related to:... 3 General Practice
More informationThe turnover of dental school faculty creates a
Association Report Dental School Vacant Budgeted Faculty Positions, Academic Years 2008-09 to 2010-11 Gwen E. Garrison, Ph.D.; Dora Elías McAllister, Ph.D.; Eugene L. Anderson, Ph.D.; Richard W. Valachovic,
More informationCATALOG ADDENDUM. CHARTER COLLEGE - Pasco. CATALOG PAGE REFERENCE: 53 EFFECTIVE DATE: Certificate in Dental Assisting
CATALOG PAGE REFERENCE: 53 Certificate in Dental Assisting (Available at Bellingham, Pasco, and Vancouver Campuses) The Certificate in Dental Assisting program has been designed to prepare graduates to
More informationBOARD CERTIFICATION PROCESS (EXCERPTS FOR SENIOR TRACK III) Stage I: Application and eligibility for candidacy
BOARD CERTIFICATION PROCESS (EXCERPTS FOR SENIOR TRACK III) All candidates for board certification in CFP must meet general eligibility requirements set by ABPP. Once approved by ABPP, candidates can choose
More information2018 BOARD CERTIFICATION HANDBOOK
Page 1 Mission Objectives Organization 2018 BOARD CERTIFICATION HANDBOOK ABOMS 625 North Michigan Avenue Suite 1820 Chicago IL, 60611 Page 2 Examinations & Examination Applications Page 4 2017 Examination
More informationIntroduction. October 2018 Page 1
Requirements for Recognition of Dental Specialties and National Certifying Boards for Dental Specialists Adopted as Amended by the ADA House of Delegates, October 2018 Introduction A specialty is an area
More informationRULES OF TENNESSEE BOARD OF DENTISTRY CHAPTER RULES GOVERNING THE PRACTICE OF DENTISTRY TABLE OF CONTENTS
RULES OF TENNESSEE BOARD OF DENTISTRY CHAPTER 0460-02 RULES GOVERNING THE PRACTICE OF DENTISTRY TABLE OF CONTENTS 0460-02-.01 Licensure Process - By Exam and By Criteria 0460-02-.08 Licensure Renewal (Reciprocity)
More informationAssuring Education Programs Graduate Competent Students and Fulfill Program Goals
Assuring Education Programs Graduate Competent Students and Fulfill Program Goals ACME Webinar October 27, 2016 Ronald J Hunt, DDS, MS Professor and Associate Dean for Academic Affairs at the College of
More information2014 INDIANA DENTIST WORKFORCE
THE DENTIST WORKFORCE 1 HEALTH WORKFORCE STUDIES PROGRAM DATA REPORT 2014 INDIANA DENTIST WORKFORCE Produced by: Health Workforce Studies Program Indiana University School of Medicine, Department of Family
More informationApplication for registration in New Zealand for holders of New Zealand qualifications
Application for registration in New Zealand for holders of New Zealand qualifications May 2018 This application is to be used by holders of prescribed New Zealand qualifications who are seeking eligibility
More informationDetailed Assessment Report Dental Hygiene
Print this report Detailed Assessment Report 2008-2009 Dental Hygiene Mission/Purpose The purpose of the Dental Department of Fayetteville Technical Community College is to establish and maintain quality
More informationA P P L I C A T I O N FOR GENERAL PRACTICE DENTAL RESIDENCY
A P P L I C A T I O N FOR GENERAL PRACTICE DENTAL RESIDENCY Date of Application: Mail To: Dr. Edward Mitnitsky Director, GPR Program UCD School of Dental Medicine 13065 E. 17 th Avenue Mail Stop F850 Aurora,
More informationPROSTHODONTICS Residency Training Programme leading to the degree of Master of Dental Surgery (MDS) ...
Faculty of Dentistry Graduate Studies PROSTHODONTICS Residency Training Programme leading to the degree of Master of Dental Surgery (MDS).......... Faculty of Dentistry, 11 Lower Kent Ridge Road, Singapore
More informationIUSD Program Review and Assessment Report, Page 1
Indiana University School of Dentistry Report to the IUPUI Program Review and Assessment Committee Doctor of Dental Surgery Advanced and Specialty Programs 2013 IUSD Program Review and Assessment Report,
More informationThe American Society of Echocardiography. Professional Benefits - Your Performance Stands Out, So Should You!
The American Society of Echocardiography As the largest global organization for cardiovascular ultrasound imaging, the American Society of Echocardiography (ASE) is the leader and advocate, setting practice
More informationNew York Certified Peer Specialist
New York Certified Peer Specialist PROVISIONAL Application New York Peer Specialist Certification Board 11 North Pearl Street, Suite 801 Albany New York 12207 Phone: 518.426.0945 Fax: 518.426.1046 www.nypeerspecialist.org
More informationRhode Island Board of Examiners in Dentistry Room Capitol Hill Providence, RI Instructions and License Application for:
CHECK LIST Application Fee (if applicable) Anesthesia Form Morbidity/Mortality Training/Education Tax Addendum OFFICE USE ONLY Receipt # ID # Issue Date Permit # Rhode Island Board of Examiners in Dentistry
More informationThe Department of Plastic Surgery
THE UNIVERSITY OF TENNESSEE Health Science Center Chattanooga Unit of the College of Medicine Plastic and Reconstructive Surgery 979 East Third Street, Suite C-920 Chattanooga, TN 37403 Tel: (423) 778-9047
More informationNotice of Rulemaking Hearing
Department of State Division of Publications 312 Rosa L. Parks, 8th Floor SnodgrassfTN Tower Nashville, TN 37243 Phone: 615.741.2650 Fax: 615.741.5133 Email: register.information@tn.gov For Department
More informationOperative Dentistry Comment Log. Log Date
Operative Dentistry Comment Log Log 10.20.2014 Date # Name/Organization Rec'd 1 Conaway, Frank DMD 7.17.14 2 Evers, Thomas DMD 8.6.14 3 Verzosa, Chris DDS 8.25.14 4 Reinhardt, John, DDS, MS, MPH 8.23.14
More informationGENERAL PRACTICE RESIDENCY (GPR) PROSPECTUS FOR RESIDENT CYCLE
1. BACKGROUND GENERAL PRACTICE RESIDENCY (GPR) PROSPECTUS FOR RESIDENT CYCLE 2017-2018 SPONSORED BY THE CENTER FOR DENTAL EDUCATION COLLEGE OF HEALTH PROFESSIONS UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
More informationCommission on Dental Accreditation. Accreditation Standards for Advanced Specialty Education Programs in Prosthodontics
Commission on Dental Accreditation Accreditation Standards for Advanced Specialty Education Programs in Prosthodontics Accreditation Standards for Advanced Specialty Education Programs in Prosthodontics
More informationDENTAL CLINICAL RESIDENCY PROGRAMME
DENTAL CLINICAL RESIDENCY PROGRAMME PROGRAMME DETAILS & RESIDENT APPLICATION FORM FACULTY OF DENTISTRY UiTM Sg Buloh, Jalan Hspital, 47000 Sungai Buloh, Selangor Malaysia Programme Details & Resident Application
More informationDear Valued Customer,
Dear Valued Customer, As part of our mission to return clean water to our environment, the Washington Suburban Sanitary Commission's (WSSC) Industrial Discharge Control Program is responsible for monitoring
More informationDentist Career Basics Dentist Careers In-Depth Dentist Salaries
Dentistry Dentists are an indispensable part of the medical field, ensuring patients receive proper and professional oral health care. With dental procedures being a crucial part of our entire lifespan,
More informationPrevious AGD/ADA # Member Since: 05/01/2005
211 E Chicago Avenue, Suite 900 Chicago, Illinois 60611-1999 (888) AGD-DENT-ext 5300 Fax: (312) 335-3432 Continuing Dental Education Transcript 301332 Previous AGD/ADA # Member Since: 05/01/2005 Puneet
More informationPlease remember these are minimum requirements and do not guarantee acceptance into the program.
Dear Prospective Dental Hygiene Student: Thank you for your interest in the Dental Hygiene Program at Carbondale. The Dental Hygiene Program is nationally recognized for both quality of faculty and graduates.
More informationSAMPLE. Dental Claim Form. X Patient/Guardian Signature. X Subscriber Signature. X Signed (Treating Dentist) 54. NPI 55.
HEADER INFORMATION 1. Type of Transaction (Mark all applicable boxes) Dental Claim Form fold fold Statement of Actual Services EPSDT / Title XIX 2. Predetermination/Preauthorization Number RECORD OF SERVICES
More informationRajiv Gandhi University of Health Sciences, Karnataka. 4th 'T' Block, Jayanagar, Bangalore
. Dr. M.K. Ramesh E- mail: registrar_evaluation@yahoo.co.in Registrar [Evaluation] Ph : 080 26961930 Fax : 26961931 Reg(E)/Exm/BDS/June-July-201 Date: 10/05/201 NOTIFICATION Sub: Conduct of BDS Examination
More informationFRANK R. RECKER, DDS, JD
American Association of Dental Boards October 18, 2017 A PERSPECTIVE ON DENTAL ADVERTISING AND DENTAL SPECIALTIES FRANK R. RECKER, DDS, JD FRANK R. RECKER, DDS, JD 1 SPEAKER CV LICENSED DENTIST OH/FL LIFE
More informationNational Commission on Recognition of Dental Specialties and Certifying Boards Report of the Recognized Dental Specialty Certifying Boards
National Commission on Recognition of Dental Specialties and Certifying Boards Report of the Recognized Dental Specialty Certifying Boards Approved March 2019 December 2017 Data INTRODUCTION The National
More informationCURRICULUM VITAE BIOGRAPHICAL. Business Phone: (412) Business Fax: (412) EDUCATION and TRAINING
Name: Lori E. Cherok, MS, RDN, LDN, CNSC CURRICULUM VITAE BIOGRAPHICAL Business Address: University of Pittsburgh 4042 Forbes Tower 15260 E-Mail Address: lcherok@pitt.edu Business Phone: (412) 383-6566
More informationFind The Right Dentist For Your Needs
Find The Right Dentist For Your Needs Dr. H. Ryan Kazemi Oral & Maxillofacial Surgery (301) 654-7070 www.facialart.com 4825 Bethesda Ave., #310 Bethesda, MD 20814 With so many advances in dentistry, specializations,
More informationAppendix A Survey on CDC s Guidelines for Infection Control in Dental HealthCare Settings 2003
SUPPLEMENTAL DATA Appendix A Survey on CDC s Guidelines for Infection Control in Dental HealthCare Settings 2003 Cleveland JL et al. JADA 2012;143(10):1127-1138 Supplemental Data 1 Cleveland JL et al.
More informationLoma Linda University Medical Center Loma Linda, CA 92354
Name: Page 1 of 6 REQUEST CATEGORY MEMBERSHIP CATEGORY Provisional (Bylaws 4.3) Administrative (Bylaws 4.7) Affiliate (Bylaws(4.9) Active (Bylaws 4.2) Courtesy (Bylaws 4.4) Consulting (Bylaws 4.5) All
More informationPART A: PERSONAL INFORMATION:
DOÑA ANA COMMUNTIY COLLEGE DENTAL HYGIENE PROGRAM APPLICATION Demographic Information Please type or write legibly DATE OF APPLICATION: PART A: PERSONAL INFORMATION: 1. NAME Aggie ID# Last First Middle
More information(See also General Regulations and Regulations for Taught Postgraduate Curricula)
D.67/316-i REGULATIONS FOR THE DEGREE OF MASTER OF DENTAL SURGERY IN ORAL AND MAXILLOFACIAL SURGERY [MDS(OralMaxFacSur)] These regulations apply to candidates admitted in 2016-2017 and thereafter. (See
More informationINFORMATION APPLICATION
1 INFORMATION Page 2 Program Description 5 Residency Curriculum Plan APPLICATION Page 11 Application Guide 12 Application (cover page) 13 Personal Statement 14 GPR Applicant Critique Form 1 16 GPR Applicant
More informationOTRF Athletic Trainer Residency Program Description and Curriculum
OTRF Athletic Trainer Residency Program Description and Curriculum The Orthopaedic Surgery and Sports Medicine Teaching and Research Foundation (OTRF) residency program for athletic trainers is an educational
More informationConsultation on proposed prescribed qualifications for the General Dental, Oral and Maxillofacial Surgery and Dental Technology Scopes of Practice
16 October 2012 Dear Practitioner, Consultation on proposed prescribed qualifications for the General Dental, Oral and Maxillofacial Surgery and Dental Technology Scopes of Practice Pursuant to section
More informationRegions Hospital Delineation of Privileges Dentistry
Regions Hospital Delineation of Privileges Dentistry Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic
More informationDental Journals Catalogue
Dental Journals Catalogue For orders and enquiries please contact- Add- SE 569 Shastri Nagar, Ghaziabad - 201002 U.P.(India) Phone : 9810611282, 8587872681 E-mail: info@crsubscription.com, sales@crsubscription.com
More informationUNIVERSITY OF MIAMI Curriculum Vitae Standard Format. 2. Name: Jesus Alberto Gomez-(Perez)
UNIVERSITY OF MIAMI Curriculum Vitae Standard Format I. PERSONAL 2. Name: Jesus Alberto Gomez-(Perez) 6. Current Academic Rank: [i.e., Instructor, Assistant Prof, Associate Prof or Professor] Assistant
More informationCommunicating with Patients: A Survey of Dental Team Members
Communicating with Patients: A Survey of Dental Team Members Preliminary Results Institute of Medicine The Committee on an Oral Health Initiative June 28, 2010 Linda Neuhauser, DrPH, MPH Consultant and
More informationREGULATIONS FOR THE DEGREE OF MASTER OF DENTAL SURGERY (MDS)
185 REGULATIONS FOR THE DEGREE OF MASTER OF DENTAL SURGERY (MDS) (See also General Regulations) Any publication based on work approved for a higher degree should contain a reference to the effect that
More informationCONSCIOUS PATIENT MANAGEMENT WITH IV AND NITROUS SEDATION IN GENERAL DENTISTRY
The University Hospital and Acedemic Medical Center for the Department of Dentistry Announces CONSCIOUS PATIENT MANAGEMENT WITH IV AND NITROUS SEDATION IN GENERAL DENTISTRY July 11 17, 2010 December 5
More informationSUTTER MEDICAL CENTER, SACRAMENTO
Department of Surgery & Dental Section - Delineation of Privileges INITIAL: [ ] RENEWED: [ ] DATE: ADDITIONAL: [ ] Privileges are granted for Sutter General Hospital, Sutter Memorial Hospital, Sutter Center
More information