SAUDI BOARD RESIDENCY TRAINING PROGRAM Restorative Dentistry Promotion Examination 2018 Objectives: The general objective of the annual promotion assessment is to evaluate that the trainee has satisfactorily acquired the theoretical knowledge and clinical competences that he/she should have acquired during the relevant year(s). The annual promotion assessment consists of the following components: a. Written examination b. Continuous Assessment Eligibility for Written Examination: Valid registration with the SCFHS. Completion of at least nine months of training in the concerned year of residency/fellowship training. Written Examination Format: A written examination shall consist of one paper with not less than 100 MCQs with a single best answer (one correct answer out of four options). The examination shall contain type K2 questions (interpretation, analysis, reasoning and decision making) and type K1 questions (recall and comprehension). The examination shall include basic concepts and clinical topics relevant to the specialty and its relation to different dental specialties. Clinical presentation questions include history, clinical finding and patient approach. Diagnosis and investigation questions; includes the possible diagnosis and diagnostic methods. Management questions; including treatment and clinical management, either therapeutic or nontherapeutic, and complications of management. Materials and Instruments questions; including dental material properties, usage, and selection of dental instruments and equipment used. Health maintenance questions; includes health promotion, disease prevention, risk factors assessment, and prognosis, see examples below. Page 1
Passing Score for Promotion: An average of 60% score in the annual promotion assessment with a minimum of 50% in each component (written and continuous assessment) is required for passing. Score Report: All written examination score reports shall go through a post-hoc item analysis before being approved by both the Assistant of General Secretary for Postgraduate studies of SCFHS and Scientifics Examination Committee (SEC), and then reported to the scientific council for the specialty for promotion decisions for all trainees, within two weeks of the examination. SEC is encouraged to provide the scientific council for the specialty with results feedback represent the performance of all residents based on each section of the exam according to the test blueprint, and based on their training center if possible. General Rules: The written examination shall be held once a year within 4-6 weeks of completion of nine months of training in that particular year. There shall be no re-sit examination. There shall be no promotion written examination at the end of final year. Promotion written examination and continuous assessment results are valid for the specific year in which they were conducted. Page 2
Examination Conduct and Duration: The exam duration is 2 hours for 100 MCQs and will be delivered as a computer based test when available, otherwise paper and pencil. Blueprint Outlines No. R1 Section Proportion% 1 Operative 21 3 Esthetic 12 4 Endodontics 20 5 Prosthodontics 19 6 Occlusion 8 7 Implant 7 8 Medically compromised patients 3 No. R2 Section Proportion% 1 Operative 20 3 Esthetic 17 4 Endodontics 11 5 Oral and Facial Pain and Pain Control 4 6 Prosthodontics 16 7 Occlusion 8 8 Implant 7 9 Medically compromised patients 3 10 Periodontal-Restorative Interrelationship 4 Page 3
No. R3 Section Proportion% 1 Operative 16 3 Esthetic 12 4 Endodontics 17 5 Oral and Facial Pain and Pain Control 3 6 Prosthodontics 11 7 Occlusion 14 8 Implant 11 9 Medically compromised patients 3 10 Periodontal-Restorative Interrelationship 3 Note: Blueprint distributions of the examination may differ up to +/-3% in each category. Suggested References: 1. Contemporary Fixed Prosthodontics, Stephen F. Rosenstiel. 2. Fundamentals of Fixed Prosthodontics, Herbert T. Shillingburg. 3. Functional Occlusion from TMJ to Smile Design, Peter E. Dawson. 4. Philips Science of Dental Material, Kennth Anusavice. 5. Contemporary of Implant Dentistry, Carl Misch. 6. Pathways of the Pulp, Stephen Cohen. 7. Endodontic, John I ingle. 8. Art and Science of Operative Dentistry, Theodore M. Roberson. 9. Fundamentals of Operative Dentistry A Contemporary Approach, James B Summit. 10. Tooth Colored Restoratives, Principles and Techniques, Harry F. Albers. 11. Diagnosis and Treatment Planning in Dentistry, 3 rd Edition (2016). 12. Dental Management of the Medically Compromised Patient, J.W.Little. 13. Assigned Articles. Page 4
Note: This list is intended for use as a study aid only. SCFHS does not intend the list to imply endorsement of these specific references, nor are the exam questions necessarily taken solely from these sources. Example Questions EXAMPLE OF K1 QUESTIONS Question 1 Which of the following material have been successfully used for the management of root perforation? A. MTA B. Hydroxyapatite with GI over it C. A and B D. Calcium Hydroxide EXAMPLE OF K2 QUESTIONS Question 1 A 27 Saudi female arrived to the clinic complaining of sever continuous pain in the lower left side since last night. On, clinical examination, IOE #36 OD amalgam, #37 PFM crown. On thermal and percussion test there is severe respond in # 36 and a normal respond in # 37 (see report). Radiograph: #36 deep M caries, widening in PDL. #37 substandard RCT with normal perapical tissue. Which of the following is the most likely diagnosis? A. Reversible pulpitis, normal apical tissue#36 B. Pulp necrosis, asymptomatic apical periodontitis #36 C. Irreversible pulpitis, symptomatic apical periodontitis #36 D. Pulp necrosis, symptomatic apical periodontitis #36 Page 5