ASDA Policy

E-7 Dental Student Conduct

--All dental students are obligated to maintain high standards of moral and ethical behavior and to conduct themselves in a professional manner at all times. This applies to the classroom, clinic, laboratory, and other institutional facilities; externships, community service, or meetings of professional organizations. --Ethical and professional behavior by dental students is characterized by honesty, fairness, and integrity in all professional circumstances; respect for the rights, differences, and property of others; concern for the welfare of patients, competence in the delivery of care, and preservation of confidentiality in all situations where this is warranted. --All dental students are obligated to report unethical activity and violations of the honor code to the appropriate body at the school.

E-7

ASDA Student Code of Ethics Every dentist should strive to continuously improve his/her knowledge of ethics Students should conduct themselves in a manner reflecting integrity and fairness

C-5

Accreditation of Dental Programs Supports CODA evaluation for accreditation of all programs that train dental providers to perform irreversible procedures.

A-1

Additional Year of Dental Education Supports voluntary postgrad training and creation of additional opportunities Opposes mandatory one-year programs or an additional year on the present dental curriculum. Supports residency in lieu of clinical licensure exam for initial licensure

A-2

Admission Requirements and Standards Admission requirements and standards be upheld regardless of fluctuations in applicant pool.

I-6

Amalgam Restorations continued use of amalgam as a restorative material does not pose a health hazard to the non-allergic patient. The removal of clinically serviceable dental amalgam restorations solely to substitute a material that does not contain mercury is unwarranted, improper, unethical and intentional misrepresentation to the patient.

A-8

Assuring Dental Student Competence

M-1

Billed and Optional Dues Billing for Membership Dues voluntary membership organization, the availability of billed and optional dues billing for membership dues at each school is encouraged to facilitate the process of joining and to expose students to the value of participating in organized dentistry early in their careers.

B-5

CPR Training Supports successful completion of CPR training prior to patient treatment.

A-7

Collection of Clinic Patient Accounts Responsibility for collection of patient accounts rests on the school and not with the individual students. You shouldn't receive a grade, evaluation or credit for the clinical experiences based on payment status.

I-9

Confidentiality of Student Health Status school has an ethical obligation to protect the privacy and confidentiality of any student, staff, or faculty member found to be infected with HIV or HBV.

E-2

Conflict Resolution Responsive when a concern is raised by its membership. Student-led conflict management and resolution. First addressed by their class, the local student body governemnt, chapter delegate and trustee.

A-11

Conscious Sedation Training and Education Supports incorporation and continuance of clinical education and training in conscious sedation as part of the dental school curriculum. Encourages CODA to maintain the support of conscious sedation education in their accreditation standards.

A-12

Curriculum Media Choice Supports student's choice in purchasing DVD or traditional textbooks in conjunction with predetermined curriculum

L-3

Definition of Curriculum Integrated Format An initial clinical licensure process that requires candidates to successfully complete an independent clinical assessment prior to graduation from a dental education program accredited by the ADA Commission on Dental Accreditation.

M-2

Definition of Minority any group based on race, religion, ethnic background, gender, sexual orientation or socioeconomic status that is underrepresented at U.S. dental schools in comparison to the population at large.

B-10

Dental Assistant Utilization Encourages all schools to provide instruction on effective dental assistant utilization (ergonomics)

A-10

Dental Degree Designations Encourages admin of CODA to confer to the same degree for all schools.

Policy Set A

Dental Education Administration

Policy Set B

Dental Education Curriculum

Policy Set F

Dental Education Financing

Policy Set C

Dental Hygiene and Assisting

B-8

Dental Outreach Programs (international service traips, domestic service trips, volunteerism) are encouraged to adhere to ASDA Code of Ethics/ADA Directly supervised by dentists licensed to practice in US Perform only procedures for which the volunteer has received proper education

Policy Set D

Dental Research

E-10

Dental Resident/Fellow Work and Learning Environment Supports --limit of 80 hrs/week averaged over 4 weeks w/ flexibility to increase hours p to 10% if there is rationale --One full 34 hr day out of seven free of patient care duties averaged over four weeks - residents must not be on-call more often that every third night, averaged over four weeks --residents must have a 10 hr minimum rest period between duty periods --continuous on-duty time is limited to 24 hours, with additional time of no more than 6 hours allowed for patient transfers and educational activities

Policy Set E

Dental School Admin Policies and Student Government

A-6

Dental School Disclosure of Info to Prospective Students Provide prospective students with adequate levels of current and accurate data pertaining to the likelihood of successful and timely completion of the dental degree, both before and throughout the application process Such info should include: graduation rates, pass/fail rates, pt pool size, tuition data, and any other related info of concern

Policy Set G

Dental School Representation

A-13

Dental Student Participation in Give Kids a Smile Encourages schools that participate to allow the dental school curriculum to accommodate the students interested in participating in the event.

G-5

Dental Student Representation in State and Local Dental Societies Supports local chapters seeking a vote in their respective state dental associations and their respective local dental societies.

G-4

Dental Student Representation to ADA Councils Reaffirms its desire to maintain and strengthen its council positions to the ADA

I-8

Disclosure and Testing of HIV-Positive Status of Health Care Providers opposed to mandatory HIV testing of all health care providers.

A-5

Disclosure of Graduation Requirements Responsible for informing their students of all graduation requirements upon enrollment Responsible for providing related guidelines including initial licensure info and explanations of these requirements

A-4

Distribution of Grades Dental schools should distribute grades in a manner that is fully confidential

B-6

Domestic Abuse and Neglect Recognize their legal and ethical responsibilities regarding the early detection and reporting of child, spousal or elder abuse cases, and that domestic abuse recognition courses be incorporated into curriculum

E-1

Due Process Endorses the concept of due process for dental students. Develop and publicize a clear definition of its procedures for the evaluation, advancement and graduation of students --Include student members --Informed of charges and be given adequate time to prepare --Opportunity to select an advisor of his or her choice --Burden of proof rests on the party bringing charge --Student given opportunity to present evidence and witnesses --All matters entered as evidence --Right to appeal the decision

H-2

Endorsement of ADA Policies on Direct Reimbursement ASDA supports the American Dental Association policies on direct reimbursement.

E-7 Justice

Ethnicity, religion, sex, sexual orientation, age, national origin, disability, or infectious disease status should not influence whether or not a patient is accepted by a student to receive care. Furthermore, all patients should be treated with the same level of compassion, kindness and respect. Students must not discriminate against patients in high-risk behavior groups. The student should not cheat, plagiarize, forge, or falsify official records, patient charts, or examinations. The student should not participate in activities involving theft and/or vandalism of school or student property. Sexual harassment between colleagues, between health care provider and patient, and between students and faculty or residents is unacceptable and must be reported. Students must report suspected abuse/neglect of patients to an appropriate instructor. Students should exercise respect when working with human cadavers. Controlled substances: Students have the responsibility of protecting the integrity of the profession by reporting any suspicions of unethical behavior. Students must never perform dental procedures while in an impaired condition, regardless of the source of the impairment.

D-3

Evidence Based Dentistry Supports the concept of EBD as defined by ADA

C-1

Expanded Functions of Dental Assistants and Dental Hygienists Endorses expanded functions for dental auxiliaries with proper training and competence and when such functions fall within the laws of their state Incumbent on the profession to assure that expanded functions for dental auxiliaries will not adversely affect the health and well-being of the public

B-4

Externships Encourages the development of hospital, community health and other externship experiences for dental students, and the award of credit for these experiences

B-7

Extramural Clinical Rotations in Underserved Areas Adopt extramural rotations in underserved areas as part of their tuition based curriculum.

E-8

Faculty-Student Interaction Schools are responsible for promoting an atmosphere of mutual professional respect among members of the administration, faculty, and student body. In such an environment, criticism is offered constructively, in a manner that preserves individual self-respect. Care is taken to ensure that any chairside evaluation of performance is completed in a way that supports the student-patient relationship and preserves the patient's confidence in the student.

H-4

Fee for Service Supports

F-2

Financial Aid Repayment Advocates that students repay their loans in a responsible and timely fashion. Collect outstanding and overdue loans in order to meet standards Provide sufficient financial aid counseling (debt consolidation and alternative loan repayment programs)

E-9

Freedom to Invite Vendors/Speakers Grant ASDA leaders the autonomy to select and invite dental supply companies and speakers to visit their school

C-2

Functions of Dental Providers Dentist is the only dental provider that should perform the following functions --exam, diagnose, treatment plan --prescribe work authorizations --perform surgical/irreversible dental procedures --prescribe drugs/medications

Policy Set H

Health Care Delivery

F-3

Health Education Assistance Programs Endorses continued federal support of these

Policy Set I

Health Status and Health Promotion/Infection Control

I-2

Hepatitis B Vaccine students at risk for contracting hepatitis B should receive the vaccine against it, and encourages their dental school chapters to provide and help subsidize hepatitis B screening and vaccine.

L-3 Stance

If such a process includes patient care as part of the assessment, it should be performed by candidates on patients of record whenever possible, within an appropriately sequenced treatment plan. In order to be integrated into the curriculum, the competencies assessed must be mutually accepted between the dental education program and the examining agency. All portions of this assessment must be available three or more times during dental school. This ensures that patient care is accomplished within an appropriate treatment plan and allows candidates to remediate and retake any portions of the assessment, which were not successfully completed. There must also be a defined mechanism within the dental education program curricula for remediation of students who fail any section of the assessment.

Policy Set J

Impaired Dental Students

E-3 School Closings Procedure

In addition, in the event of an impending dental school closure, a letter will be sent to that state's legislators at the request of the school's delegates, to explain the health and economic impact of a dental school's closure. Chapter delegates will be provided with the Guidelines for Student Action After a Dental School Announces Closure, along with other resources that may be available from the central office including information about the circumstances of prior school closings. an announcement with guidelines will be sent to all first delegates requesting their assistance in: --Finding temporary and permanent housing for transferring students --Providing mentors to assimilate transferring students to the new academic and clinical environment; and --Updating membership information so transferring students can receive their benefits and publications in a timely manner.

C-3

Independent Practice Strongly opposes independent dental hygiene practice and favors the team approach for providing comprehensive dental care

E-7 Patient Autonomy

Informed Consent and Refusal Students should conduct a thorough discussion with every patient. This must be repeated whenever there are substantive changes or additions to the treatment plan. Discussion should include: --Diagnoses --Treatment Plan --Prognosis --Risks/Benefits --Alternatives The discussion should be in understandable terms and enable a reasonable patient in the patient's position to make an informed decision regarding care, except in emergencies, when risks are unknown, commonly known or the patient waives the right of disclosure. Students should inform the patient of the consequences of not accepting treatment. The patient has a right to an informed refusal which should be honored by the student. Patient Confidentiality Should follow HIPAA Guidelines.

L-1

Initial Licensure Pathways Be a non-patient based examination emphasizing the recognition, diagnosis and treatment planning of disease, in conjunction with the treatment of simulated disease by use of a typodont. Be administered in the final year of dental school. Provide opportunities for remediation, at the candidate's dental school, prior to graduation. Guarantee anonymity of candidates and examiners. Be administered by examiners who have been calibrated to provide standardized and consistent scoring. Not include a written examination that duplicates the content of the National Dental Board Examination Parts 1 or 2. Be offered to candidates at the lowest reasonable cost possible. Be universally accepted by all state boards of dentistry. Be psychometrically sound.

B-3

Interdisciplinary Dental Education Supports opportunities for interdisciplinary experience, through participation in a team health care delivery approach. More cooperative and reciprocal didactic and clinical approach among the various health professional schools.

E-6

Leave of Absence for Dental Students Reasonable attempt will be made by the dental school to approve requests for leave of absence, no discrimination. Reasonable accommodations be made to facilitate the student's continued participation in the program of study.

Policy Set L

Licensure

L-2

Licensure for Graduates of Foreign Dental Schools opposed to licensure by any mechanism of graduates from schools not accredited by CODA Graduation from an accredited program should be required for eilibility for initial licensure

B-2

Managed Care Provide education on managed care. This will help students make informed decisions about contractual agreements and preserve the sanctity of the doctor-patient relationship.

Policy Set M

Membership Issues

L-4

National Board Dental Exams supports a secure examination process. For International Dentists Programs supports a single exam that is secure and valid for quantitative scoring.

Policy Set N

Other Issues

B-1

Predoctoral Training in a Hospital Setting Supports clinical training within a hospital setting of an adequate duration or minimum percentage of total clinical training. Rotations of one week or greater should be encouraged, including training in hospital protocol and techniques of physical diagnosis related to the dental treatment of medically compromised patients. Supports training as early as possible and includes allied medical specialty rotations (anesthesia, pediatrics, geriatrics, pathology, pt diagnosis, otolaryngology and radiology/oncology)

I-5

Prohibition of Smoking in All Dental School Facilities Supports prohibition of smoking and offering of smoking cessation programs

A-14

Residency Application Process Encourages all residency programs to accept standard, universal and affordable application and admissions process that does not request supplemental material already provided by the standard application.

E-3

School Closing Proper and humane transition with a specific phase-out action to protect their rights --Assurances that the same standards of high quality education under which students or residents were accepted will be maintained. --Assurances that the school or program will continue to meet accreditation standards as set by the Commission on Dental Accreditation. --The ASDA President will contact the school's Dean or program director to obtain his personal assurance that a phase-out committee will be established immediately to enforce the phase-out plan. --In the case of a dental school, this committee will be composed of student, faculty, and administration representatives. --Assistance in transfers/relocation. Advice and support in seeking legal counsel. --The immediate disclosure of pertinent closing information to the students or residents as it becomes available. --In the case of a dental school, avoid at all cost attempts to place fourth year students due to differences in dental school curricula and the inevitable compromise in the students' dental education.

E-4

Sensitivity to Diversity Safe and humane environment for all students and all members of the dental team, both physically and psychologically. Sexist, discriminatory, or other similarly insensitive language and practices are totally unacceptable. Faculty members should review their course content and styles to use inclusive language, to eliminate all potentially offensive language and graphics, and to present information in an objective manner which is sensitive to differences in gender, ethnicity, age, religion, politics, and physical abilities. Supports recruitment of an applicant pool that represents the continually diverse population. Promotion of access to care for underserved diverse populations through legislative advocacy at the state and national levels. Development of opportunities to create open communication regarding diversity among associations within organized dentistry. Incorporation of diversity training and cultural competence as part of dental education. Retention of diverse dental students and new dentists in organized dentistry.

E-5

Sexual Harassment of Dental Students Condemns all forms of sexual harassment of dental students: --Submission to such conduct is made either explicitly or implicitly a term or condition of a student's continuing enrollment. --Submission to or rejection of such conduct by a student is used as a basis for decisions affecting that student. --Such conduct has the purpose or effect of interfering with a student's performance or creating an intimidating, hostile, or offensive educational or clinical environment.

I-3

Smokeless Tobacco Labeling maximize the size of warning labels on smokeless tobacco products.

I-4

Smoking Ban at ASDA Functions Prohibits use of all forms of tobacco

H-5

Special Needs Dentistry supports appropriate initiatives and legislation to improve and foster the oral health of persons with special needs. Encourages societies to support initiatives to improve the oral health of persons with special needs. educate students about the oral health needs and issues of people with special needs

C-4

Standards of Dental Hygiene Education Opposed to efforts that seek to train and qualify persons to practice dental hygiene who have not completed an accredited dental hygiene program or the necessary requirements

G-3

State Dental Associations Encourages to invite selected students to participate in councils, committees, and conferences. Should be active ASDA members selected by the dean and chapters.

F-4

Student Debt Encourages congress and state legislatures to pass: --Expansion of the tax deductibility of interest on educational debt, student scholarships and loan repayments; --The reduction of student loan interest rates; --Improved access to public service loan forgiveness programs; --Loan forgiveness of tuition for dental students and residents practicing in underserved areas after graduation; Scholarship opportunities for dental students and residents practicing in underserved areas after graduation; --Tax deductibility and rebates for dentists practicing in underserved areas; --Prohibiting the compounding of interest during loan repayment and the capping of interest rates upon graduation; --Strengthening regulations for the protection of private student loan borrowers --Tax exemption for scholarships awarded --Increase state funding to dental schools a priority --dental societies to dedicate funding to scholarships

D-1

Student Involvement in Dental Research Encourages participation of interested dental students in dental research

H-1

Student Involvement in Public Health in Dentistry Encourages the participation of students in efforts to impact the oral health of the public through projects, education, internships and externships.

H-6

Student Outreach to Underserved Populations Supports

G-1

Student Representation in National Organizations Determining Educational Policy for Dental Schools ASDA should pursue active membership in and full representation on any committees or other education policy making bodies of national dental organizations.

G-2

Student Representation on Dental School Committees Affecting Their Professional Training ASDA urges schools to adopt student representation on committees that directly affect the academic life of the students at their schools.

A-9

Study Time for National Board Provide students an adequate amount of time off from school to prepare for NBDE that includes but is not limited to an exam-free window before and after boards.

J-1

Substance Abuse/Chemical Dependence supports school and tripartite-based programs that act as a resource to the impaired dental student for information on treatment and counseling services. Such programs should facilitate the return of the impaired dental student, in a rehabilitated state, to the competent and successful completion of his/her education.

E-7 Nonmaleficence and Beneficence

The student should conduct him/herself with veracity (truthfulness). He/she should always act in a manner that promotes the welfare of patients and avoids harm to the patient. Treatment plans should be determined according to patient needs as opposed to unmet requirements of the student. No procedures should be started without instructor authorization, and all procedures should be evaluated by the instructor upon completion. Referrals to residents, specialists, or staff members should be made when the complexity of the case exceeds the student's ability to meet the standard of care. The referring student should inform the patient who will be responsible for dental maintenance and the reason for referral. Students should exercise discretion in treating family members due to problems associated with medical history disclosure, confidentiality, objectivity, and professionalism. Students are encouraged to participate in community outreach programs in order to improve the dental health of the public. Students should advocate access to care for patients who are unable to receive care due to physical or mental disability or financial hardship.

A-3

Timely Graduation Dental schools must strive to graduate all of their students by the graduation date announced by the institution.

H-3

Treating Infectious Patients Opposes dental care discrimination on the basis of disease or handicap.

F-1

Tuition Increase Control Develop and utilize an estimated costs increase statement for incoming and existing students. Dispute=request school to substantiate the tuition increase.

I-7

Universal Infection Control Procedures supports compliance with current infection control precautions as advocated by the American Dental Association

D-2

Use of Animals in Research, Testing and Education Supports the use of animals in research and believes that researchers bear several responsibilities in this regard (proper care, sensitivity to pain and discomfort, adhering to relevant laws and regulation, communicating respect for animal subjects) Development of alternative research methods should be encouraged. Should be supervised by teachers who are properly trained in welfare of animals.

N-1

Use of Recyclable Materials supports the use of environmentally safe and recyclable materials at all ASDA meetings and events. Where appropriate, opportunities to recycle materials used in ASDA-related functions should be planned and implemented. supports student-led initiatives toward the responsible reduction of energy and material waste by dental schools.

B-9

Written Consent for Student-to-Student Injections Supports utilization of informed written consent and all appropriate safety measures by schools that employ student-to-student local anesthetic injection experiences and for schools to provide alternative learning opportunities for students who do not wish to participate

E-4 Definition of Diversity

differences and variations among and between individual characteristics, demographics and professional choices, including, but not limited to, race, religion, ethnic background, gender, socioeconomic status, sexual orientation, gender identification and gender expression. ASDA recognizes the unique challenges faced by these diverse populations of students.

I-1

encourages the fluoridation of community water supplies as a scientifically-proven safe and effective means of preventing dental decay

L-1 Alternatives

nitial licensure without an independent clinical licensing examination. Graduates of dental schools accredited by the Commission on Dental Accreditation should be eligible for initial licensure without taking any additional clinical examination. A portfolio-type clinical examination based on cases compiled during the final year of dental school. Such an examination should require a standardized catalog of required clinical procedures and the portfolio should be evaluated by an examiner independent of the dental school. A non-traditional patient based clinical licensure examination. Although the American Student Dental Association does not support the use of live patients in traditional clinical licensing examinations, the association recognizes the potential for creation of an ethical, patient based examination. An Objective Structured Clinical Examination designed to evaluate a candidate's diagnostic and treatment planning skills. Completion of a one year post graduate residency program in accordance with ASDA's A-1 policy. Completion of a postgraduate residency program that has been accredited by the Commission on Dental Accreditation that has a minimum duration of one year should be sufficient to substitute for the clinical licensure examination requirement in any jurisdiction.

J-2

student diagnosed with an infectious disease should be treated in accordance with the Americans with Disabilities Act of 1990.