PSI licensure:certification 3210 E Tropicana Las Vegas, NV 89121 (800) 733-9267 www.psiexams.com COMMONWEALTH of VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS BOARD OF DENTISTRY EXAMINATION INFORMATION BULLETIN Dentist Jurisprudence Examination Dental Hygienist Jurisprudence Examination Radiology Safety Examination Introduction... 1 Examination Registration... 1 Examination Study Materials... 1 Description of Examinations and Examination Content Outlines... 1 Sample Questions... 2 Registration and Scheduling Procedures... 3 Test Center Locations... 4 Reporting to the Test Center... 5 Taking the Test by Computer... 5 Score Reporting... 6 Exam Registration Instructions... 7 Please refer to www.psiexams.com for the latest updates to this bulletin. Copyright 2006 by PSI licensure:certification Last Revised 2/2/2007
INTRODUCTION EXAMINATION REGISTRATION This Bulletin provides you with information about the application and examination process for the following three examinations: Dentist Jurisprudence Dental Hygienist Jurisprudence Radiology Safety To be licensed or certified, you must pass the relevant examination. The Virginia Board of Dentistry has contracted with PSI licensure:certification (PSI) to conduct this examination program. PSI provides these examinations th rough a network of computer and paper-and-pencil test centers in Virginia. PSI works closely with the Board to ensure that the tests are appropriate. All questions and requests for information about the examinations should be directed to: PSI licensure:certification 3210 E Tropicana Las Vegas, NV 89121 (800) 733-9267 FAX (702) 932-2666 www.psiexams.com Questions about applications for licensure should be directed to the: Virginia Department of Health Professions Board of Dentistry 6603 West Broad St., 5th Fl. Richmond, VA 23230-1712 (804) 662-9906 www.dhp.state.va.us/levelone/den.htm To make the process go as smoothly as possible, be certain that you: 1. Prepare for the examination by using the examination outline in this bulletin and the suggested study materials that cover the outline topics. 2. Be sure that the examination registration form is complete and accurate, and that you include the correct fee. 3. Be sure to take proper identification with you to your scheduled test appointment. EXAMINATION STUDY MATERIALS Dentist and Dental Hygienist Jurisprudence Commonwealth of Virginia Board of Dentistry Statutes and Regulations. Contact the Board office for the most current copy. Radiology Safety Frommer, H. H. (1996). Radiology for Dental Auxiliaries (6th ed.). St. Louis: Mosby-Year Book, Inc. Johnson, O. N., McNally, M. A., & Essay, C. E. (1999). Essentials of Dental Radiography (6th ed.). Stamford, CT: Appleton & Lange. Radiology Information for Dental Assistants Pursuant to 18 VAC 60-20-195 of the Virginia Board of Dentistry Regulations. No person not otherwise licensed by the Virginia Board of Dentistry shall place or expose dental x-ray film unless they have (i) satisfactorily completed a course or examination recognized by the Commission on Dental Accreditation of the American Dental Association, or (ii) been certified by the American Registry of Radiologic Technologists, (iii) satisfactorily completed a course and passed an examination in compliance with guidelines provided by the Board, or (iv) passed the Board's examination in radiation safety and hygiene followed by on-the-job training. Any individual not able to successfully complete the Board's examination after two attempts may be certified only by completing (i), (ii), or (iii) of this provision. Any certificate issued purs uant to satisfying the requirement of this section shall be posted in plain view of the patient. 1. If one of (i) through (iii) is fulfilled, then post the certificate you received in plain view in the work location. 2. If you fail the exam twice, you must either comply with No.1 above or pass a radiology course at a school approved by the Board of Dentistry. (Call the Board of Dentistry at (804) 662-9906 for a list of approved schools.) DESCRIPTION OF EXAMINATIONS AND EXAMINATION CONTENT OUTLINE The Examination Summary Table below shows the number of questions and the time allowed for each examination. Examination Number of Questions Time Allowed Dentist Jurisprudence 30 1 hour Dental Hygienist Jurisprudence 25 1 hour Radiology Safety 40 1 hour The Examination Content Outlines have been approved by the Virginia Board of Dentistry. Use the outline as the basis of your study. The outlines list the topics that are on the test and the number of items for each topic. Do not schedule your examination until you are familiar with all the topics in the outline. www.psiexams.com 1
Dentist and Dental Hygienist Jurisprudence A. Statutes Governing Practice of Dentistry Chapter 27 of Title 54.1 (Dentist-3 items, Dental Hygienist-3 items) B. Virginia Board of Dentistry Regulations: 18 VAC 60-20-10 et seq. (Dentist-19 items, Dental Hygienist-20 items) General Provisions Licensure Renewal and Fees Entry and Licensure Requirements General Anesthesia and Conscious Sedation Unprofessional Conduct Direction and Delegation of Duties C. Additional Sta tutes and Regulations (Dentist-3 items, Dental Hygienist-2 items) General Provisions Relating to Regulatory Boards Chapter 54.1-100 Professions and Occupations Regulated by Boards with the Department of Health Professions Chapter 24 54.1-2400 Practitioner Self-Referral Act Chapter 24 54.1-2410 Medical Records: Ownership/Provision of Copies, Chapter 32.1.127.1:03 Guidelines for Teaching the Comprehensive Control of Pain and Anxiety in Dentistry (Dentist only) Public Participation Guidelines: 18 VAC 60-10-10 et seq. D. Selected Drug Laws for Practitioners (Dentist only) (Dentist 5 items) Radiology Safety A. Characteristics/Theory of Radiation (3 items) B. Anatomy/Biological Effects (3 items) C. Equipment (3 items) D. Film (6 items) E. X-Ray Techniques (8 items) F. Processing/Developing/Mounting (8 items) G. Interpreting (3 items) H. Safety (6 items) SAMPLE QUESTIONS The following questions are examples of the types of questions you will be asked on the examinations. The examples do not represent the full range of content or difficulty levels found in the actual examinations. They are intended to familiarize you with the types of questions you can expect to find on the examinations. The answer keys are found below. Dentist and Dental Hygienist Jurisprudence 1. How many hours of continuing education MUST a dental hygienist complete annually? a. 6 b. 8 c. 12 d. 15 2. It would be a violation of Virginia law for a dentist to delegate which of the following tasks to a licensed dental hygienist working under the dentist's supervision? a. Applying dental sealants. b. Completing and authorizing work orders for dentures or bridges. c. Scaling and root planting using rotary instruments. d. Monitoring of nitrous oxide inhalation analgesia. Radiology Safety 3. One technique for preventing overdeveloped film is to a. check developing time with accurate timing device. b. move safelight proper distance from working surface. c. check safelight filter for cracks. d. add replenishment to developer solution. 4. The lingual foramen can be seen in the a. mandibular premolar periapical radiograph. b. mandibular central incisor periapical radiograph. c. maxillary premolar periapical radiograph. d. maxillary central incisor periapical radiograph. Answer Key 1. D 2. B 3. A 4. B www.psiexams.com 2
REGISTRATION AND SCHEDULING PROCEDURES The registration form is found at the end of this bulletin. Be sure the registration form is complete, accurate, and signed and that you include all attachments and the correct fees. Your registration is valid for ONE examination only. You must first register for an examination and then schedule an appointment. SUMMARY OF FEES Fees apply to all examinations. ATTENTION: REGISTRATION FEES ARE NOT REFUNDABLE OR TRANSFERABLE. Standard Registration $55 Phone or FAX Registration $60 Walk-in Registration $70 Standard Mail Registration 1. Complete the Examination Registration Form. BE SURE TO READ ALL DIRECTIONS CAREFULLY BEFORE COMPLETING THE REGISTRATION FORM. IMPROPERLY COMPLETED FORMS WILL BE RETURNED TO YOU UNPROCESSED. Return the completed original form to PSI. Payment of fees can be made by money order, company check, or cashier's check. Cashier's checks, company checks, and money orders should be made payable to PSI. Print your Social Security Number on your check or money order to ensure that your fees are properly assigned. CASH, PERSONAL CHECKS, MASTERCARD, OR VISA ARE NOT ACCEPTED. 2. Upon receipt of your completed form and fees, a Registration Confirmation Notice will be mailed to you. If your application or fees are not correct, we will return them to you immediately with instructions on correct application procedures. 3. Please allow two weeks to process your registration. If you do not receive your Confirmation Notice within two weeks, call (800) 733-9267 to verify your status. Telephone Registration For Telephone Registration you will need a valid VISA or MasterCard and there is an additional $5.00 fee for using this service. 1. Complete the Examination Registration Form, including your credit card number and expiration date, so that you will be prepared with all of the information needed to register by telephone. 2. Call 1-800-733-9267 between 9:00 a.m. and 8:00 p.m. (Eastern Time). A PSI registrar will take the information on your Registration Form and schedule your appointment. FAX Registration For Fax Registration you will need a valid VISA or MasterCard and there is an additional $5.00 fee for using this service. 1. Complete the Examination Registration Form including your credit card number and expiration date. 2. FAX the completed form to PSI at 702-932-2666. Express FAX Registrations are accepted 24 hours a day. 3. Please allow 4 business days to process your registration. After 4 business days, you may call PSI to schedule the examination(s), (800) 733-9267. Walk-in Registration Walk -in registration is available only to candidates who have previously registered with PSI for the same examination. You are strongly encouraged to schedule an examination However, you may register and take the examination as a walk-in candidate on a space available, "firstcome", "first-served" basis. Social Security Number Confidentiality PSI will use your Social Security Number only as an identification number in maintaining your records and reporting your test scores to the Virginia Board of Dentistry. If you elect not to disclose your Social Security number to PSI, please enclose a separate letter explaining this with your examination registration form. However, you MUST provide your Social Security number or Department of Motor Vehicle number to the state. Special Testing Arrangements All examination centers are equipped to provide access in accordance with the Americans with Disabilities Act (ADA) of 1990, and every reasonable accommodation will be made in meeting a candidate's needs. Applicants with disabilities or those who would otherwise have difficulty taking the examination should contact PSI to make alternative arrangements. Requests for any special accommodations should be made in writing, describing the specific accommodations that will be needed, and requests must include supporting documentation from a licensed professional on official letterhead. All requests for special testing arrangements must be made when the candidate registers for the examination. Scheduling an Appointment After you have received the confirmation notice of PSI's acceptance of your registration packet, you are responsible for calling PSI to schedule an appointment to take the examination. PSI will make every effort to schedule the test center location and time that is most convenient for you. To schedule your examination, call PSI at 1-800-733-9267 (1-800-R-E-EXAMS), Monday through Friday, between 7:30 am and 8:00 pm and Saturday, between 11:00 am and 5:00 pm, Eastern Time. If space is available in the test center of your choice, you may schedule an examination one day prior to the examination date of your choice, up to 4:00pm PT (7:00pm ET). Please be prepared to offer alternative test appointment choices. www.psiexams.com 3
Note: only the candidate may schedule an appointment through a CSR, not a friend or relative. Canceling an Appointment You may cancel and reschedule an examination appointment without forfeiting your fee if your cancellation notice is received 2 days before the scheduled examination date. For example, for a Monday appointment, the cancellation notice would need to be received on the previous Saturday. You may call PSI at (800) 733-9267. Please note that you may also use the automated system, using a touch-tone phone, 24 hours a day in order to cancel and reschedule your appointment. Note: A voice mail message is not an acceptable form of cancellation. Please use the internet, automated telephone system, or call PSI and speak to a Customer Service Representative. Scheduling a Re-examination It is not possible to make a new examination appointment on the same day you have taken an examination; this is due to processing and reporting scores. A candidate who tests unsuccessfully on a Wednesday can call the next day, Thursday, and retest as soon as Friday, depending upon space availability. In order to retest, you must re-register follow the steps for registration and scheduling as outlined earlier. You may re-register over the Internet, telephone, fax or by mail. Once registered, you can schedule for your reexamination. Missed Appointment or Late Cancellation Your registration will be invalid, and you will not be able to take the test as scheduled, and you will forfeit your examination fee, if you: Do not cancel your appointment two days before the scheduled testing date; or Do not appear for your examination appointment; or Arrive so late that beginning your test would disrupt the center's schedule; or Do not present proper identification when you arrive for the examination. Emergency Test Center Closing In the event that severe weather or another emergency forces the closure of a test center on a scheduled testing date, your examination will be rescheduled. PSI personnel will attempt to contact you in this situation; however, you may check the status of your testing schedule by calling (800) 733-9267. Every effort will be made to reschedule your examination at a convenient time as soon as possible. TEST CENTER LOCATIONS The following are the testing centers where you may take the Virginia licensing examinations. FALLS CHURCH AREA 140 Little Falls Street, Suite 110 Falls Church, VA 22046 From I-495, take new exit 47 (old exit 10) (Leesburg Pike) and proceed east approximately 3.0 miles. (As you enter Falls Church, Leesburg Pike automatically becomes Broad Street.) Turn left at Little Falls Street (light). Building is on the right. Plenty of free surface street parking. FALLS CHURCH LEESBURG PIKE MCILVAINE BUILDING 6201 Leesburg Pike, Suite 404 Falls Church, VA 22044 From I-495, take new exit 47 (old exit 10) (Leesburg Pike) and proceed east past Little Falls. Leesburg becomes Broad St. Proceed on Broad St thru Falls Church. Broad St turns back into Leesburg Pike (Rte 7 East). Follow Rte 7-East signs through the Seven Corners Intersection. Building is on the corner of Leesburg Pike and Patrick Henry Drive. Turn right onto Patrick Henry Dr and right into the building parking lot, then left on the up ramp to the main parking lot. The main entrance is in back. TYSONS CORNER AREA 1651 Old Meadow Rd, Suite B01 Mclean, VA 22102 From the Beltway take the Mclean Exit (Route 123 North). Turn right on Old Meadow Road (the first traffic light). The site is the first building on the left. RICHMOND AREA Daniel Building 3805 Cutshaw Ave., Suite 310 Richmond, VA 23230 From I-64, exit Staples Mill Road and proceed East approximately 1 mile. Turn left on Broad Street and proceed approximately ¾ miles. Turn right on Kent Road. The Daniel Building is on the corner of Cutshaw Avenue. TIDEWATER AREA Military Circle 870 North Military Highway, Suite 111 Norfolk, VA 23502 From I-264, exit Military Highway and proceed north approximately ½ mile. Turn right onto Military Circle. Enter through the side entrance of the building. ROANOKE AREA Fralin and Waldron Office Park 2847 Penn Forest Blvd Building D, Suite 200 Roanoke, Virginia 24018 www.psiexams.com 4
From 81 take 220 Exit (Downtown Roanoke). From 220 take the Franklin Road Exit (not the Franklin Bus Exit). At the stop light make a right. Franklin Road will turn into Electric Road. Keep going straight until you come to Chaparral Dr and go left. You will see the Fralin & Waldron Bldg to your left. At the next stop light go left.. If you are traveling from 220 take the first exit, Franklin Road. Follow directions above. EASTERN SHORE AREA Beaglin Park Plaza 1323 Mt. Hermon Rd., Suite 2A Salisbury, MD 21801 The complex is south of Route 50 and west of the 13 By-pass. From Route 50, turn south on Beaglin Park Drive. Turn left at the first light, Mt Hermon Rd. Turn left into Beaglin Park Plaza. CHARLOTTESVILLE 2114 Angus Road, Suite #105-B Charlottesville, VA 22901 If going West on US-250, turn right onto US-29N/N Emmet St. Continue on Emmet Street and turn left on Angus Rd. If going East on US-250, turn left onto US-29N/N Emmet St. Continue on Emmet Street and turn left on Angus Rd. JOHNSON CITY 904 Sunset Drive, Ste 7A Johnson City, TN 37604 Security Procedures The following security procedures will apply during the examination: No notes or books will be allowed. Only nonprogrammable calculators that are silent, battery-operated, do not have paper tape printing capabilities, and do not have a keyboard containing the alphabet will be permitted. No smoking, eating, or drinking will be allowed in the test center. Copying or communicating test content is a violation of security regulations. Either one may result in the disqualification of examination results and may lead to legal action under copyright laws. TAKING THE TEST BY COMPUTER Taking the PSI examination by computer is simple. You do not need any computer experience or typing skill. You will use fewer keys than you use on a touch-tone telephone. All response keys are colored and have prominent characters. An illustration of the special keyboard is shown below. You may also use the mouse. Take I26 to exit 36. Go south on Highway 381 (North State of Franklin Rd) approx 2.2 miles. At the 3rd light turn left (this is Sunset Drive), go approx.7 tenths of a mile. There is a large Building on the left hand side of the road. This is 904 Sunset Drive. Suite 7A is in the row of office spaces behind this building. REPORTING TO THE TEST CENTER On the day of the examination, you should arrive at least 30 minutes before your appointment. This extra time is for sign-in and identification and familiarizing you with the test process. If you arrive late, you may not be admitted to the test center and you will forfeit your registration fee. Required Identification You must provide two (2) forms of identification. Both must bear your signature, and one must have your photograph or a complete physical description. If you cannot provide the required identification, you must call (800) 733-9267 one month prior to your scheduled appointment to arrange a way to meet this security requirement. Failure to provide all of the required identification at the time of the examination without notifying PSI is considered a missed appointment and you will not be able to take the examination at that time. NOTE: If you recently changed your name, or if your last name includes a generation indicator (e.g., Jr., III), be sure that your name is the same on your examination registration form and your two forms of identification. Identification Screen You will be directed to a semiprivate testing station to take the examination. When you are seated at the testing station, you will be prompted to confirm your name, identification number, and the examination for which you are registered. Tutorial Before you start your examination, an introductory tutorial to the computer and keyboard is provided on screen. The time you spend on this tutorial (up to 15 minutes) does NOT count as part of your examination time. Sample questions are included as part of the tutorial so that you may practice using www.psiexams.com 5
the keys, answering questions, and reviewing your answers. One question appears on the screen at a time. During the examination, minutes remaining will be displayed at the top of the screen and updated as you record your answers. Test A sample question display follows. During the examination, you would press 1, 2, 3, or 4 to select your answer or press MARK so that you can view it later. You would then press ENTER to record your answer and move on to the next question. You can change your answer as often as you like before pressing ENTER. If you wish to change your answer after you press ENTER, simply view the question you have marked, make the desired change, and press ENTER again. SCORE REPORTING In order to pass the examination, you must achieve the minimum score shown Examination Number Correct Dentist Jurisprudence 23 Dental Hygienist Jurisprudence 18 Radiology Safety 28 If you take the examination by computer, your score will be given to you immediately following completion of the examination. If you take the paper-and-pencil examination, your result will be mailed to you from PSI Headquarters. Examination results are confidential and will be reported only to you and the Virginia Department of Health Professions. The following summary describes the computer score reporting process On screen - Your score will appear immediately on the computer screen. This will happen automatically at the end of the time allowed for the examination; if you are using review features, you will be able to obtain your score immediately when you indicate that you have finished and would like to see your results. Pretest Items In addition to the number of test items specified in the "Examination Content Outlines", a small number (5 to 10) of "pretest" questions may be administered to candidates during the examinations. These questions will not be scored and the time taken to answer them will not count against testing time. The administration of such unscored, experimental questions is an essential step in developing future licensing examinations. Test Review PSI, in cooperation with the Department of Health Professions, will be consistently evaluating the tests being administered to ensure that the examinations accurately measure competency in the required knowledge areas. Comments may be entered on the computer keyboard during the examination. Your comments regarding the ques tions and the examinations are welcomed. Comments will be analyzed by PSI examination development staff. While PSI does not respond to individuals regarding these comments, all substantive comments are reviewed. If an error affecting examination scores is discovered as a result, which occurs very rarely, the examination scores of all affected candidates will be automatically adjusted. This is the only review of the examination available to candidates. If you pass, you will immediately receive a successful notification and performance summary on the screen. If you do not pass, you will immediately receive an unsuccessful notification on the screen along with a diagnostic report indicating your strengths and weaknesses by examination type. Registration forms for submittal to PSI to retake the examination will be available at the test center. On Paper - An official result report will be sent out by mail from PSI Headquarters approximately two weeks after the examination. Duplicate Score Reports You can write to PSI to request a duplicate of your score report for up to one year after your examination. The fee for a duplicate score report is $15. Fees are payable by Cashier's check and Money Order ONLY. www.psiexams.com 6
VIRGINIA BOARD OF DENTISTRY EXAMINATION REGISTRATION FORM COMPLETING THE EXAMINATION REGISTRATION FORM 1. LEGAL NAME Print your legal name in the boxes provided, using one box per letter. If your name is longer than the boxes allow, print as many letters as possible. 2. SOCIAL SECURITY # Your Social Security Number is used for identification purposes only. Print only one number per box. 3. BIRTH DATE Please provide your date of birth (i.e. "06-01-50" for June 1, 1950.) 4. MAILING ADDRESS Print only one letter or number per box. Do not include punctuation marks; leave blank spaces to show spaces. All information will be sent to the address you provide here. 5. TELEPHONE Please provide both home and office phone numbers (including area codes.) 6. EMAIL Please provide your email address. 7. TEST Place an "X" in the box indicating the test for which you are registering. Then, indicate whether you are taking this exam for the first time by checking the appropriate box. 8. SPECIAL ARRANGEMENTS REQUEST Applicants with disabilities or those who would otherwise have difficulty taking the exam must specify the alternative arrangements requested. 9. FEE ENCLOSED Check the box indicating the registration fee that applies to you. Be sure that the amount matches the payment amount if you are paying by check or money-order. 10. RELEASE Check this box if you do not want PSI to share your information with third parties Please note that PSI will NOT release social security numbers to third parties.. 11. SCHOOL ATTENDED Identify the Dental or Dental Hygiene school that you last attended. (Radiology Safety applicants identify the school, program, or course last attended.) 12. REQUIRED SIGNATURE All applicants are required to read the affidavit, then sign and date the application as you would a check or legal document. The application is not complete and will not be accepted if it is submitted without your signature. www.psiexams.com 7
VIRGINIA BOARD OF DENTISTRY EXAMINATION REGISTRATION FORM 1. Legal Name: 2. Social Security: - - Last Name First Name (III, Jr.) 3. Birth Date: - - 4. Mailing Address: M M D D Y Y Number, Street City State Zip Code + 4 - Suite/Apt. No. 5. Telephone: Home: - - Work: - - 6. Email: @ 7. Test: (Check one) Dentist Jurisprudence Is this the first time you are taking the VA Board of Dentistry Exam with PSI? Dental Hygienist Jurisprudence Yes No Radiology Safety 8. Special Arrangement Request: Yes No I am enclosing a Special Arrangement Request letter and the required supporting documentation. 9. Fee Enclosed: $55 Standard Registration $60 Phone/Fax Registration $70 Walk-in Registration Registration fees must be paid by money order, certified check, cashier's check, or company check. CASH AND PERSONAL CHECKS ARE NOT ACCEPTED. PAYMENT BY CREDIT CARD IS AVAILABLE ONLY FOR EXPRESS FAX OR PHONE RE-REGISTRATION. REGISTRATION FEES ARE NOT REFUNDABLE AND ARE NOT TRANSFERABLE. Make money order, certified check, company check, or cashier's check payable to PSI licensure:certification. Please put your name and/or Social Security Number on your money order, certified check, company check, or cashier's check. EXPRESS PHONE/FAX & WALK-IN REGISTRATION is available only to those candidates who have previously registered with PSI for the same examination. MC or VISA payments are not accepted for WALK-IN Registrations. Credit card (MasterCard or VISA) payment accepted for phone, internet, or fax registrations only. (Check One): MC VISA Card No: Exp. Date: Card Verification No: For your security, PSI requires you to enter the card identification number located on your credit card. The card identification number is located on the back of the card and consists of the last three digits on the signature strip. Cardholder Name (Print): Signature: 10. Release: Check this box if you do not want PSI to share your information with third parties. Please note that PSI will NOT release social security numbers to third parties. 11. School Attended: 12. Required Signature: I hereby certify that all information in this form is correct and that I have read and understand the PSI Candidate Information Bulletin. Signature of Applicant Date To register by mail, complete and send with examination fee to: PSI licensure:certification Attn: Examination Registration VA DEN 3210 E Tropicana * Las Vegas, NV 89121 * www.psiexams.com To register by fax, complete and send with MC or VISA info to: (702) 932-2666 www.psiexams.com 8
PSI licensure:certification 3210 E Tropicana Las Vegas, NV 89121 To speed up your registration processing, please write on the outside of the envelope ATTENTION: Examination Registration VA DEN. 10 www.psiexams.com