Commission on Dental Accreditation
1 2 3 4
At its Winter 2021 meeting, the Commission directed that the
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proposed revisions to the Accreditation Standards for Advanced
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Dental Education Programs in Periodontics be distributed to the
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appropriate communities of interest for review and comment, with
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comment due December 1, 2021, for review at the Winter 2022
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Commission meeting.
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Written comments will only be accepted through the Commission’s
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Electronic Comment Submission Portal at this link:
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https://surveys.ada.org/jfe/form/SV_b45NxzExHvE6FQ9
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15 16
Additions are Underlined
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Strikethroughs indicate Deletions
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Accreditation Standards for
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Advanced Dental Education
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Programs in Periodontics
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24 25
Copyright 2020 TBD
Commission on Dental Accreditation
All rights reserved. Reproduction is strictly prohibited without prior written permission.
Accreditation Standards for
1
Advanced Dental Education Programs
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in Periodontics
3 4
Commission on Dental Accreditation
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211 East Chicago Avenue
6
Chicago, Illinois 60611
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(312) 440-4653
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www.ada.org/coda
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Periodontics Standards 4
1 2 3
Document Revision History
4 5
Date August 10, 2012 January 31, 2013 January 31, 2013
Item
Revised Mission Statement
Revision to Policy on Accreditation of Off-Campus Sites Revision to Standard 5, Eligibility and Selection
Action
Adopted and Implemented Adopted and Implemented Adopted
January 31, 2013 Accreditation Standards for Advanced Specialty Education Programs in Periodontics
Adopted
August 9, 2013 August 9, 2013
August 9, 2013 January 1, 2014 January 1, 2014 February 6, 2015 February 6, 2015
Revised Policy on Accreditation of Off-Campus Sites Revised Policy on Reporting Program Changes in Accredited Programs
Revised Instructions for Completing Self-Study Revision to Standard 5, Eligibility and Selection Accreditation Standards for Advanced Specialty Education Programs in Periodontics
Revision to Standard 1, Institutional Commitment/Program Effectiveness
Revision to Standard 5, Eligibility and Selection
Adopted and Implemented Adopted and Implemented
Adopted and Implemented Implemented
Implemented
Adopted and Implemented
Adopted and Implemented August 7, 2015 Revision to Policy on Reporting Program Changes in
Accredited Programs
Adopted and Implemented
August 7, 2015
February 5, 2016 August 5, 2016 January 1, 2017 August 4, 2017
August 4, 2017 February 2, 2018 July 1, 2018 August 3, 2018 January 1, 2019
July 1, 2019 January 30, 2020 January 1, 2021
Revised Policy on Enrollment Increases in Advanced Dental Specialty Programs
Revised Accreditation Status Definitions Revised Mission Statement
Revised Mission Statement
Revision to Standard 1, Affiliations and Addition of Standard 2-5
Revised Accreditation Status Definitions Revision to Standard 2-6
Revision to Standard 1, Affiliations and Addition of Standard 2-5
Revised Terminology Related to Advanced Education Programs
Revised Terminology Related to Advanced Education Programs
Revision to Standard 2-6 Revision to Standard 4-12e Revision to Standard 4-12e
Adopted and Implemented
Adopted and Implemented Adopted
Implemented Adopted
Adopted and Implemented Adopted
Implemented Adopted Implemented
Implemented Adopted Implemented
Periodontics Standards 5
TBD TBD
Accreditation Standards for Advanced Dental Education Programs in Periodontics
Accreditation Standards for Advanced Dental Education Programs in Periodontics
Adopted Implemented
Periodontics Standards 6
Table of Contents
1 2
PAGE
3 4
Mission Statement of the Commission on Dental Accreditation 6
5
ACCREDITATION STATUS DEFINITIONS 7
6
Preface 9
7
Definition of Terms Used In Periodontics Accreditation Standards 11
8
STANDARD 1 - INSTITUTIONAL COMMITMENT/PROGRAM EFFECTIVENESS 13
9
STANDARD 2 - PROGRAM DIRECTOR AND TEACHING STAFF 16
10
STANDARD 3 - FACILITIES AND RESOURCES 19
11
STANDARD 4 - CURRICULUM AND PROGRAM DURATION 21
12
BIOMEDICAL SCIENCES 22
13
CLINICAL SCIENCES 23
14
STANDARD 5 - ADVANCED DENTAL EDUCATION STUDENTS/RESIDENTS
15
ELIGIBILITY AND SELECTION 28
16
EVALUATION 29
17
DUE PROCESS 29
18
RIGHTS AND RESPONSIBILITIES 30
19
STANDARD 6 - RESEARCH 31
20
Periodontics Standards 7
Mission Statement of the
1
Commission on Dental Accreditation
2 3
The Commission on Dental Accreditation serves the public and profession by developing and
4
implementing accreditation standards that promote and monitor the continuous quality and improvement
5
of dental education programs.
6 7
Commission on Dental Accreditation
8
Adopted: August 5, 2016
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Periodontics Standards -8-
1
ACCREDITATION STATUS DEFINITIONS
2 3
Programs That Are Fully Operational:
4
Approval (without reporting requirements): An accreditation classification granted to an educational
5
program indicating that the program achieves or exceeds the basic requirements for accreditation.
6 7
Approval (with reporting requirements): An accreditation classification granted to an educational
8
program indicating that specific deficiencies or weaknesses exist in one or more areas of the program.
9
Evidence of compliance with the cited standards or policies must be demonstrated within a timeframe not
10
to exceed eighteen (18) months if the program is between one and two years in length or two years if the
11
program is at least two years in length. If the deficiencies are not corrected within the specified time
12
period, accreditation will be withdrawn, unless the Commission extends the period for achieving
13
compliance for good cause. Identification of new deficiencies during the reporting time period will not
14
result in a modification of the specified deadline for compliance with prior deficiencies.
15 16
Circumstances under which an extension for good cause would be granted include, but are not limited to:
17
• sudden changes in institutional commitment;
18
• natural disaster which affects affiliated agreements between institutions; faculty support; or
19
facilities;
20
• changes in institutional accreditation;
21
• interruption of an educational program due to unforeseen circumstances that take faculty,
22
administrators or students away from the program.
23
Revised: 8/17; 2/16; 5/12; 1/99; Reaffirmed: 8/18; 8/13; 8/10, 7/05; Adopted: 1/98
24 25
Programs That Are Not Fully Operational: A program which has not enrolled and graduated at least one
26
class of students/residents and does not have students/residents enrolled in each year of the program is
27
defined by the Commission as not fully operational. The accreditation classification granted by the
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Commission on Dental Accreditation to programs which are not fully operational is “initial accreditation.”
29
When initial accreditation status is granted to a developing education program, it is in effect through the
30
projected enrollment date. However, if enrollment of the first class is delayed for two consecutive years
31
following the projected enrollment date, the program’s accreditation will be discontinued, and the
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institution must reapply for initial accreditation and update pertinent information on program development.
33
Following this, the Commission will reconsider granting initial accreditation status.
34 35
Initial Accreditation is the accreditation classification granted to any dental, advanced dental or allied
36
dental education program which is not yet fully operational. This accreditation classification provides
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evidence to educational institutions, licensing bodies, government or other granting agencies that, at the
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time of initial evaluation(s), the developing education program has the potential for meeting the standards
39
set forth in the requirements for an accredited educational program for the specific occupational area.
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The classification “initial accreditation” is granted based upon one or more site evaluation visit(s).
41
Periodontics Standards -9-
Revised: 7/08; Reaffirmed: 8/18; 8/13; 8/10; Adopted: 2/02
1 2
Other Accreditation Actions:
3
Teach-Out: An action taken by the Commission on Dental Accreditation to notify an accredited program
4
and the communities of interest that the program is in the process of voluntarily terminating its
5
accreditation due to a planned discontinuance or program closure. The Commission monitors the
6
program until students/residents who matriculated into the program prior to the reported discontinuance
7
or closure effective date are no longer enrolled.
8
Reaffirmed: 8/18; Adopted: 2/16
9 10
Discontinued: An action taken by the Commission on Dental Accreditation to affirm a program’s
11
reported discontinuance effective date or planned closure date and to remove a program from the
12
Commission’s accredited program listing, when a program either 1) voluntarily discontinues its
13
participation in the accreditation program and no longer enrolls students/residents who matriculated prior
14
to the program’s reported discontinuance effective date or 2) is closed by the sponsoring institution.
15 16
Intent to Withdraw: A formal warning utilized by the Commission on Dental Accreditation to notify an
17
accredited program and the communities of interest that the program’s accreditation will be withdrawn if
18
compliance with accreditation standards or policies cannot be demonstrated by a specified date. The
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warning is usually for a six-month period, unless the Commission extends for good cause. The
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Commission advises programs that the intent to withdraw accreditation may have legal implications for
21
the program and suggests that the institution’s legal counsel be consulted regarding how and when to
22
advise applicants and students of the Commission’s accreditation actions. The Commission reserves the
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right to require a period of non-enrollment for programs that have been issued the Intent to Withdraw
24
warning.
25
Revised: 2/16; 8/13; Reaffirmed: 8/18
26 27
Withdraw: An action taken by the Commission when a program has been unable to demonstrate
28
compliance with the accreditation standards or policies within the time period specified. A final action to
29
withdraw accreditation is communicated to the program and announced to the communities of interest. A
30
statement summarizing the reasons for the Commission’s decision and comments, if any, that the affected
31
program has made with regard to this decision, is available upon request from the Commission office.
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Upon withdrawal of accreditation by the Commission, the program is no longer recognized by the United
33
States Department of Education. In the event the Commission withdraws accreditation from a program,
34
students currently enrolled in the program at the time accreditation is withdrawn and who successfully
35
complete the program, will be considered graduates of an accredited program. Students who enroll in a
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program after the accreditation has been withdrawn will not be considered graduates of a Commission
37
accredited program. Such graduates may be ineligible for certification/licensure examinations.
38
Revised 6/17; Reaffirmed: 8/18; 8/13; 8/10, 7/07, 7/01; CODA: 12/87:9
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Periodontics Standards -10-
Denial: An action by the Commission that denies accreditation to a developing program (without
1
enrollment) or to a fully operational program (with enrollment) that has applied for accreditation.
2
Reasons for the denial are provided. Denial of accreditation is considered an adverse action.
3
Reaffirmed: 8/18; 8/13; Adopted: 8/11
4 5
Periodontics Standards -11-
1
Preface
2 3
Maintaining and improving the quality of advanced dental education programs is a primary aim of the
4
Commission on Dental Accreditation. The Commission is recognized by the public, the profession and
5
the United States Department of Education as the specialized accrediting agency in dentistry.
6 7
Accreditation of advanced dental education programs is a voluntary effort of all parties involved. The
8
process of accreditation ensures residents, the dental profession, specialty boards and the public that
9
accredited training programs are in compliance with published standards.
10 11
Accreditation is extended to institutions offering acceptable programs in the following disciplines of
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advanced dental education: dental public health, endodontics, oral and maxillofacial pathology, oral and
13
maxillofacial radiology, oral and maxillofacial surgery, orthodontics and dentofacial orthopedics,
14
pediatric dentistry, periodontics, prosthodontics, advanced education in general dentistry, general practice
15
residency, dental anesthesiology, oral medicine, and orofacial pain. Program accreditation will be
16
withdrawn when the training program no longer conforms to the standards as specified in this document,
17
when all first-year positions remain vacant for a period of two years or when a program fails to respond to
18
requests for program information. Exceptions for non-enrollment may be made by the Commission for
19
programs with “approval without reporting requirements” status upon receipt of a formal request from an
20
institution stating reasons why the status of the program should not be withdrawn.
21 22
Advanced dental education may be offered on either a certificate-only or certificate and degree-granting
23
basis.
24 25
Accreditation actions by the Commission on Dental Accreditation are based upon information gained
26
through written submissions by program directors and evaluations made on site by assigned site visitors.
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The Commission has established review committees to review site visit and progress reports and make
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recommendations to the Commission. Review committees are composed of representatives nominated by
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dental organizations and nationally accepted certifying boards. The Commission has the ultimate
30
responsibility for determining a program’s accreditation status. The Commission is also responsible for
31
adjudication of appeals of adverse decisions and has established policies and procedures for appeal. A
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copy of policies and procedures may be obtained from the Director, Commission on Dental Accreditation,
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211 East Chicago Avenue, Chicago, Illinois 60611.
34 35
This document constitutes the standards by which the Commission on Dental Accreditation and its site
36
visitors will evaluate advanced dental education programs in each discipline for accreditation purposes.
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The Commission on Dental Accreditation establishes general standards which are common to all
38
disciplines of advanced dental education, institutions and programs. Each discipline develops discipline-
39
specific standards for educational programs in its discipline. The general and discipline-specific
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Periodontics Standards -12-
standards, subsequent to approval by the Commission on Dental Accreditation, set forth the standards for
1
the educational content, instructional activities, patient care responsibilities, supervision and facilities that
2
should be provided by programs in the particular discipline.
3 4
As a learned profession entrusted by the public to provide for its oral health and general well-being, the
5
profession provides care without regard to race, color, religion, gender, national origin, age, disability,
6
sexual orientation, status with respect to public assistance, or marital status.
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The profession has a duty to consider patients’ preferences, and their social, economic and emotional
9
circumstances when providing care, as well as to attend to patients whose medical, physical and
10
psychological or social situation make it necessary to modify normal dental routines in order to provide
11
dental treatment. These individuals include, but are not limited to, people with developmental
12
disabilities, cognitive impairments, complex medical problems, significant physical limitations, and the
13
vulnerable elderly. The Standards reconfirm and emphasize the importance of educational processes and
14
goals for comprehensive patient care and encourage patient-centered approaches in teaching, research and
15
oral health care delivery.
16 17
The profession adheres to ethical principles of honesty, compassion, kindness, respect, integrity, fairness
18
and charity, as exemplified in the ADA Principles of Ethics and Code of Professional Conduct and the
19
ADEA Statement on Professionalism in Dental Education.
20 21
General standards are identified by the use of a single numerical listing (e.g., 1). Discipline-specific
22
standards are identified by the use of multiple numerical listings (e.g., 1-1, 1-1.2, 1-2).
23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42
Periodontics Standards -13-
1
Definitions of Terms Used in
2
Periodontics Accreditation Standards
3 4 5
The terms used in this document (i.e., shall, must, should, can and may) were selected carefully and
6
indicate the relative weight that the Commission attaches to each statement. The definitions of these
7
words as used in the Standards are as follows:
8 9
Must or Shall: Indicates an imperative need and/or duty; an essential or indispensable item; mandatory.
10 11
Intent: Intent statements are presented to provide clarification to the advanced dental education programs
12
in periodontics in the application of and in connection with compliance with the Accreditation Standards
13
for Advanced Dental Education Programs in Periodontics. The statements of intent set forth some of the
14
reasons and purposes for the particular Standards. As such, these statements are not exclusive or
15
exhaustive. Other purposes may apply.
16 17
Examples of evidence to demonstrate compliance include: Desirable condition, practice or
18
documentation indicating the freedom or liberty to follow a suggested alternative.
19
Should: Indicates a method to achieve the standard; highly desirable, but not mandatory.
20 21
May or Could: Indicates freedom or liberty to follow a suggested alternative.
22 23
Graduates of discipline-specific advanced dental education programs provide unique services to the
24
public. While there is some commonality with services provided by specialists and general dentists, as
25
well as commonalities among the specialties, the educational standards developed to prepare graduates of
26
discipline-specific advanced dental education programs for independent practice should not be viewed as
27
a continuum from general dentistry. Each discipline defines the educational experience best suited to
28
prepare its graduates to provide that unique service.
29
Competencies: Statements in the advanced dental education standards describing the knowledge, skills
30
and values expected of graduates of discipline-specific advanced dental education programs.
31 32
Competent: Having the knowledge, skills and values required of the graduates to begin independent,
33
unsupervised discipline-specific practice.
34 35
In-depth: Characterized by thorough knowledge of concepts and theories for the purpose of critical
36
analysis and synthesis.
37 38
Understanding: Knowledge and recognition of the principles and procedures involved in a particular
39
concept or activity.
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Periodontics Standards -14-
Other Terms
1 2
Board Certified Periodontist: A periodontist who has satisfied all requirements of the certification process
3
of the American Board of Periodontology (ABP), has been declared Board Certified by the Directors of
4
the ABP, and maintains Board certification. This individual is a Diplomate of the ABP.
5 6
Institution (or organizational unit of an institution): a dental, medical or public health school, patient care
7
facility, or other entity that engages in advanced dental education.
8 9
Sponsoring institution: primary responsibility for advanced dental education programs.
10 11
Affiliated institution: support responsibility for advanced dental education programs.
12 13
Advanced dental education student/resident: a student/resident enrolled in an accredited advanced dental
14
education program.
15 16
A degree-granting program a planned sequence of advanced courses leading to a master’s or doctoral
17
degree granted by a recognized and accredited educational institution.
18 19
A certificate program is a planned sequence of advanced courses that leads to a certificate of completion
20
in an advanced dental education program.
21 22
Student/Resident: The individual enrolled in an accredited advanced dental education program.
23 24
Resident: The individual enrolled in an accredited advanced dental education program in oral and
25
maxillofacial surgery.
26 27
International Dental School: A dental school located outside the United States and Canada.
28 29
Evidence-based dentistry: Evidence-based dentistry is an approach to oral health care that requires the
30
judicious integration of systematic assessments of clinically relevant scientific evidence, relating to the
31
patient’s oral and medical condition and history, with the dentist’s clinical expertise and the patient’s
32
treatment needs and preferences.
33 34
Formative Assessment*: guiding future learning, providing reassurance, promoting reflection, and
35
shaping values; providing benchmarks to orient the learner who is approaching a relatively unstructured
36
body of knowledge; and reinforcing students’ intrinsic motivation to learn and inspire them to set higher
37
standards for themselves.
38 39
Summative Assessment*: making an overall judgment about competence, fitness to practice, or
40
qualification for advancement to higher levels of responsibility; and providing professional self-
41
regulation and accountability.
42
Periodontics Standards -15-
1
*Epstein, R.M. (2007) Assessment in Medical Education. The New England Journal of Medicine, 387-
2
96.
3
Periodontics Standards -16-
STANDARD 1 - INSTITUTIONAL COMMITMENT/PROGRAM EFFECTIVENESS
1 2
The program must develop clearly stated goals and objectives appropriate to advanced
3
dental education, addressing education, patient care, research and service. Planning for,
4
evaluation of and improvement of educational quality for the program must be broad-
5
based, systematic, continuous and designed to promote achievement of program goals
6
related to education, patient care, research and service.
7 8
The program must document its effectiveness using a formal and ongoing outcomes
9
assessment process to include measures of advanced dental education student/resident
10
achievement.
11 12
Intent: The Commission on Dental Accreditation expects each program to define its own goals
13
and objectives for preparing individuals for the practice of periodontics and that one of the
14
program goals is to comprehensively prepare competent individuals to initially practice
15
periodontics. The outcomes process includes steps to: (a) develop clear, measurable goals and
16
objectives consistent with the program’s purpose/mission; (b) develop procedures for evaluating
17
the extent to which the goals and objectives are met; (c) collect and maintain data in an ongoing
18
and systematic manner; (d) analyze the data collected and share the results with appropriate
19
audiences; (e) identify and implement corrective actions to strengthen the program; and (f)
20
review the assessment plan, revise as appropriate, and continue the cyclical process.
21 22
Ethics and Professionalism
23 24
1-1 Graduates must receive instruction in the application of the principles of ethical
25
reasoning, ethical decision making and professional responsibility as they pertain to
26
the academic environment, research, patient care, and practice management.
27 28
Intent: Graduates should know how to draw on a range of resources such as professional
29
codes, regulatory law, and ethical theories to guide judgment and action for issues that
30
are complex, novel, ethically arguable, divisive, or of public concern.
31 32
The financial resources must be sufficient to support the program’s stated goals and
33
objectives.
34 35
Intent: The institution should have the financial resources required to develop and sustain the
36
program on a continuing basis. The program should have the ability to employ an adequate
37
number of full-time faculty, purchase and maintain equipment, procure supplies, reference
38
material and teaching aids as reflected in annual budget appropriations. Financial allocations
39
should ensure that the program will be in a competitive position to recruit and retain qualified
40
faculty. Annual appropriations should provide for innovations and changes necessary to reflect
41
current concepts of education in the advanced dental education discipline. The Commission will
42
Periodontics Standards -17-
assess the adequacy of financial support on the basis of current appropriations and the stability
1
of sources of funding for the program.
2 3
The sponsoring institution must ensure that support from entities outside of the institution
4
does not compromise the teaching, clinical and research components of the program.
5 6
Examples of evidence to demonstrate compliance may include:
7 8
• Written agreement(s)
9
• Contract(s)/Agreement(s) between the institution/program and sponsor(s) related to
10
facilities, funding, and faculty financial support
11 12
Advanced dental education programs must be sponsored by institutions, which are
13
properly chartered, and licensed to operate and offer instruction leading to degrees,
14
diplomas or certificates with recognized education validity. Hospitals that sponsor
15
advanced dental education programs must be accredited by an accreditation organization
16
recognized by the Center for Medicare and Medicaid (CMS). Educational institutions that
17
sponsor advanced dental education programs must be accredited by an agency recognized
18
by the United States Department of Education. The bylaws, rules and regulations of
19
hospitals that sponsor or provide a substantial portion of advanced dental education
20
programs must ensure that dentists are eligible for medical staff membership and
21
privileges including the right to vote, hold office, serve on medical staff committees and
22
admit, manage and discharge patients.
23 24
United States military programs not sponsored or co-sponsored by military medical
25
treatment facilities, United States-based educational institutions, hospitals or health care
26
organizations accredited by an agency recognized by the United States Department of
27
Education or accredited by an accreditation organization recognized by the Centers for
28
Medicare and Medicaid Services (CMS) must demonstrate successful achievement of
29
Service-specific organizational inspection criteria.
30 31
The authority and final responsibility for curriculum development and approval,
32
student/resident selection, faculty selection and administrative matters must rest within the
33
sponsoring institution.
34 35
The institution/program must have a formal system of quality assurance for programs that
36
provide patient care.
37 38
The position of the program in the administrative structure must be consistent with that of
39
other parallel programs within the institution and the program director must have the
40
authority, responsibility and privileges necessary to manage the program.
41 42 43
Periodontics Standards -18-
USE OF SITES WHERE EDUCATIONAL ACTIVITY OCCURS
1 2
The primary sponsor of the educational program must accept full responsibility for the
3
quality of education provided in all sites where educational activity occurs.
4 5
1-2 All arrangements with sites where educational activity occurs, not owned by the
6
sponsoring institution, must be formalized by means of current written agreements
7
that clearly define the roles and responsibilities of the parties involved.
8 9
1-3 The following items must be covered in such inter-institutional agreements:
10 11
a. Designation of a single program director;
12
b. Teaching staff and means for calibration where competency
13
assessments occur;
14
c. Availability and adequacy of staff;
15
d. Student/Resident oversight and responsibility;
16
e. The educational objectives of the program;
17
f. The period of assignment of students/residents; and
18
g. Each institution's financial commitment.
19 20
Intent: The items that are covered in inter-institutional agreements do not have to be contained
21
in a single document. They may be included in multiple agreements, both formal and informal
22
(e.g., addenda and letters of mutual understanding).
23 24
If the program utilizes off-campus sites for clinical experiences or didactic instruction, please
25
review the Commission’s Policy on Reporting and Approval of Sites Where Educational Activity
26
Occursfound in the Evaluation and Operational Policies and Procedures manual (EOPP).
27 28 29
Periodontics Standards -19-
1
STANDARD 2 - PROGRAM DIRECTOR AND TEACHING STAFF
2 3
The program must be administered by one director who is board certified in the respective
4
advanced dental education discipline of the program. (All program directors appointed
5
after January 1, 1997, who have not previously served as program directors, must be board
6
certified.)
7 8
Intent: The director of an advanced dental education program is to be certified by nationally
9
accepted certifying board in the advanced dental education discipline. Board certification is to
10
be active. The board certification requirement of Standard 2 is also applicable to an
11
interim/acting program director. A program with a director who is not board certified but who
12
has previous experience as an interim/acting program director in a Commission-accredited
13
program prior to 1997 is not considered in compliance with Standard 2.
14 15
Examples of evidence to demonstrate compliance may include:
16 17
For board certified directors: Copy of board certification certificate; letter from board
18
attesting to current/active board certification
19 20
(For non-board certified directors who served prior to January 1, 1997: Current CV
21
identifying previous directorship in a Commission on Dental Accreditation- or
22
Commission on Dental Accreditation of Canada-accredited advanced dental education
23
program in the respective discipline; letter from the previous employing institution
24
verifying service)
25 26
The program director must be appointed to the sponsoring institution and have sufficient
27
authority and time to achieve the educational goals of the program and assess the
28
program’s effectiveness in meeting its goals.
29 30
Documentation of all program activities must be ensured by the program director and
31
available for review.
32 33
2-1 The program director should be an experienced educator in periodontics and
34
should be a full-time faculty member with a primary commitment to
35
periodontics.
36 37
2-21 The program director must have primary responsibility for the organization
38
and execution of the educational and administrative components of the
39
program. The director must devote sufficient time to the program to include
40
the following:
41 42
Periodontics Standards -20-
a. Utilize a faculty that can offer a diverse educational experience in
1
biomedical, behavioral and clinical sciences;
2
b. Promote cooperation between periodontics, general dentistry, related
3
dental specialties and other health sciences;
4
c. Select students/residents qualified to undertake training in
5
periodontics unless the program is sponsored by a federal service
6
utilizing a centralized student/resident selection process;
7
d. Develop and implement the curriculum plan;
8
e. Evaluate and document student/resident and faculty performance;
9
f. Document educational and patient care records as well as records of
10
student/resident attendance and participation in didactic and clinical
11
programs; and
12
g. Responsibility for the quality and continuity of patient care.
13 14
Intent: The program director should be an experienced educator in periodontics
15
and should be a full-time faculty member with a primary commitment to
16
periodontics.
17 18
2-32 The program director must prepare graduates to seek certification by the
19
American Board of Periodontology.
20 21
a. The program director must track Board Certification of program
22
graduates.
23 24
2-43 A combination of full-time and part-time faculty is most desirable. The
25
number and time commitment of faculty must be sufficient to provide
26
didactic and administrative continuity. Part-time faculty should contribute
27
to the didactic as well as the clinical component of the program.
28 29
2-54 All faculty, including those at major and minor educational activity sites,
30
must be calibrated to ensure consistency in training and evaluation of
31
students/residents that supports the goals and objectives of the program.
32 33
2-65 Faculty must be assigned for all clinical sessions and immediately available
34
for consultation with students/residents and patients. There must be direct
35
supervision by periodontists of students/residents who are performing
36
periodontal and dental implant relatedsurgical procedures.
37 38
2-76 Faculty must take responsibility for patient care and actively participate in
39
the development of treatment plans and evaluation of all phases of treatment
40
provided by students/residents.
41 42
Periodontics Standards -21-
2-87 Faculty must be formally evaluated at least annually by the program director
1
to determine their effectiveness in the educational program.
2 3
2-98 In addition to their regular responsibilities in the program, full-time faculty
4
must have adequate time to develop and foster advances in their own
5
education and capabilities in order to ensure their constant improvement as
6
clinical periodontists, teachers and/or researchers.
7 8
2-10 Intent: The program director and faculty should demonstrate their continued
9
pursuit of new knowledge in periodontics and related fields.
10 11
2-119 The program director and faculty must actively participate in the assessment
12
of the outcomes of the educational program.
13 14
Periodontics Standards -22-
STANDARD 3 - FACILITIES AND RESOURCES
1 2
Institutional facilities and resources must be adequate to provide the educational
3
experiences and opportunities required to fulfill the needs of the educational program as
4
specified in these Standards. Equipment and supplies for use in managing medical
5
emergencies must be readily accessible and functional.
6 7
Intent: The facilities and resources (e.g.; support/secretarial staff, allied personnel and/or
8
technical staff) should permit the attainment of program goals and objectives. To ensure health
9
and safety for patients, students/residents, faculty and staff, the physical facilities and equipment
10
should effectively accommodate the clinic and/or laboratory schedule.
11 12
The program must document its compliance with the institution’s policy and applicable
13
regulations of local, state and federal agencies, including but not limited to radiation
14
hygiene and protection, ionizing radiation, hazardous materials, and bloodborne and
15
infectious diseases. Policies must be provided to all students/residents, faculty and
16
appropriate support staff and continuously monitored for compliance. Additionally,
17
policies on bloodborne and infectious diseases must be made available to applicants for
18
admission and patients.
19 20
Intent: The program may document compliance by including the applicable program policies.
21
The program demonstrates how the policies are provided to the students/residents, faculty and
22
appropriate support staff and who is responsible for monitoring compliance. Applicable policy
23
states how it is made available to applicants for admission and patients should a request to
24
review the policy be made.
25 26
Students/Residents, faculty and appropriate support staff must be encouraged to be
27
immunized against and/or tested for infectious diseases, such as mumps, measles, rubella
28
and hepatitis B, prior to contact with patients and/or infectious objects or materials, in an
29
effort to minimize the risk to patients and dental personnel.
30 31
Intent: The program should have written policy that encourages (e.g., delineates the advantages
32
of) immunization for students/residents, faculty and appropriate support staff.
33 34
All students/residents, faculty and support staff involved in the direct provision of patient
35
care must be continuously recognized/certified in basic life support procedures, including
36
cardiopulmonary resuscitation.
37 38
Intent: Continuously recognized/certified in basic life support procedures means the
39
appropriate individuals are currently recognized/certified.
40 41
Periodontics Standards -23-
The use of private office facilities as a means of providing clinical experiences in advanced
1
dental education is only approved when the discipline has included language that defines the use
2
of such facilities in its discipline-specific standards.
3
3-1 Adequate clinical and radiographic facilities must be readily available in
4
order to meet the objectives of the program. State-of-the-art imaging
5
resources should be accessible to the student/resident. There must be a
6
sufficient number of operatories to efficiently accommodate the number of
7
students/residents enrolled. One operatory should be available to each
8
student/resident during clinic assignments.
9 10
Intent: State-of-the-art imaging resources should be accessible to the
11
student/resident. One operatory should be available to each student/resident
12
during clinic assignments. Hospital facilities should be available to enhance the
13
clinical program. Facilities should be available to support research.
14 15
3-2 Hospital facilities should be available to enhance the clinical program.
16 17
3-3 Facilities should be available to support research.
18 19
3-42 Clinical photography is essential for case documentation. Students/Residents
20
must have clinical photographic equipment available.
21 22
3-53 The institution must provide audiovisual and reproduction capabilities for
23
student/resident seminars.
24
25
3-64 Students/Residents must have ready access to dental and biomedical libraries
26
containing equipment for retrieval and duplication of information.
27 28
3-75 Adequate support personnel must be assigned to the program to ensure
29
chairside and technical assistance.
30 31
3-8 Intent: Dental hygiene support should be available for the clinical program.
32
Adequate facilities should be provided for this activity.
33 34 35 36 37 38 39 40 41
Periodontics Standards 24
STANDARD 4 - CURRICULUM AND PROGRAM DURATION
1 2
The advanced dental education program must be designed to provide special knowledge and
3
skills beyond the D.D.S. or D.M.D. training and be oriented to the accepted Standards of the
4
discipline’s practice as set forth in specific Standards contained in this document.
5 6
Intent: The intent is to ensure that the didactic rigor and extent of clinical experience exceeds pre-
7
doctoral, entry level dental training or continuing education requirements and the material and
8
experience satisfies Standards for the discipline.
9 10
Advanced dental education programs must include instruction or learning experiences in
11
evidence-based practice. Evidence-based dentistry is an approach to oral health care that
12
requires the judicious integration of systematic assessments of clinically relevant scientific
13
evidence, relating to the patient’s oral and medical condition and history, with the dentist’s
14
clinical expertise and the patient’s treatment needs and preferences.
15 16
Examples of Evidence to demonstrate compliance may include:
17
• Formal instruction (a module/lecture materials or course syllabi) in evidence-based practice
18
• Didactic Program course syllabi, course content outlines, or lecture materials that integrate
19
aspects of evidence-based practice
20
• Literature review seminar(s)
21
• Multidisciplinary Grand Rounds to illustrate evidence-based practice
22
• Projects/portfolios that include critical reviews of the literature using evidence-based practice
23
principles (or “searching publication databases and appraisal of the evidence”)
24
• Assignments that include publication database searches and literature appraisal for best
25
evidence to answer patient-focused clinical questions.
26 27
The level of discipline-specific instruction in certificate and degree-granting programs must be
28
comparable.
29 30
Intent: The intent is to ensure that the students/residents of these programs receive the same
31
educational requirements as set forth in these Standards.
32 33
If an institution or program enrolls part-time students/residents, the institution must have
34
guidelines regarding enrollment of part-time students/residents. Part-time students/residents
35
must start and complete the program within a single institution, except when the program is
36
discontinued. The director of an accredited program who enrolls students/residents on a part-
37
time basis must assure that: (1) the educational experiences, including the clinical experiences
38
and responsibilities, are the same as required by full-time students/residents; and (2) there are
39
an equivalent number of months spent in the program.
40 41
Periodontics Standards -25-
4-1 The goal of the curriculum is to allow the student/resident to attain skills
1
representative of a clinician competent in the theoretical and practical aspects of
2
periodontics. The program duration must be three consecutive academic years
3
with a minimum of 30 months of instruction. At least two consecutive years of
4
clinical education must take place in a single educational setting.
5 6
BIOMEDICAL SCIENCES
7 8
4-2 Although students/residents entering postdoctoral programs will have taken
9
biomedical science courses in their predoctoral dental curriculum, this material
10
must be updated and reviewed in the program at an advanced level. Education
11
in the biomedical sciences must provide the scientific basis needed to understand
12
and carry out the diagnostic and therapeutic skills within the scope of
13
periodontics.
14 15
4-3 Formal instruction in the biomedical sciences must enable students/residents to
16
achieve the following competencies:
17 18
a. Identification of patients at risk for periodontal diseases and use of
19
suitable preventive and/or interceptive treatments;
20
b. Diagnosis and treatment of patients with periodontal diseases and related
21
conditions according to scientific principles and knowledge of current
22
concepts of etiology, pathogenesis, and patient management; and
23
c. Critical evaluation of the scientific literature.
24 25
4-4 Formal instruction must be provided to achieve in-depth knowledge in each of
26
the following areas:
27 28
a. Gross, surgical and ultrastructural anatomy;
29
b. Microbiology with emphasis on periodontal diseases;
30
c. Inflammatory mechanisms and wound healing with emphasis on
31
periodontal diseases;
32
d. Infectious processes in oral and periodontal diseases;
33
e. Immunology with emphasis on oral and periodontal diseases;
34
f. Oral pathology;
35
g. Etiology, pathogenesis, histopathology, and natural history of periodontal
36
diseases;
37
h. Epidemiology, including risk assessment, of periodontal diseases;
38
i. Genetics, epigenetics and the concepts of molecular biology as they relate
39
to oral and periodontal diseases;
40
j. Biostatistics, research design and methods; and
41
Periodontics Standards -26-
k. Behavioral sciences especially as they affect patient behavior modification
1
and communication skills with patients and health professionals.
2 3 4
Intent: Various methods may be used for providing biomedical science instruction,
5
such as traditional course presentations, seminars, self-instructional module systems
6
and rotations through hospital, clinical and research departments. It is recognized
7
that the approach to be utilized will depend on the availability of teaching resources
8
and the educational policies of the individual school and/or department.
9 10 11
CLINICAL SCIENCES
12 13
4-5 The educational program must provide training to the level of competency for the
14
student/resident to:
15 16
a. Collect, organize, analyze and interpret data;
17
b. Interpret conventional and three-dimensional images as they relate to
18
periodontal and dental implant therapy;
19
c. Formulate diagnoses and prognoses;
20
d. Develop a comprehensive treatment plan;
21
e. Understand and discuss a rationale for the indicated therapy;
22
f. Evaluate critically the results of therapy;
23
g. Communicate effectively to patients the nature of their periodontal health
24
status, risk factors and treatment needs;
25
h. Communicate effectively with dental and other health care professionals,
26
interpret their advice and integrate this information into the treatment of
27
the patient;
28
i. Integrate the current concepts of other dental disciplines into
29
periodontics;
30
j. Organize, develop, implement and evaluate a periodontal maintenance
31
program;
32
k. Utilize allied dental personnel effectively; and
33
l. Integrate infection control into clinical practice.
34 35
4-6 Each student/resident must: (a) treat a variety of patients with different
36
periodontal diseases and conditions as currently defined by The American
37
Academy of Periodontology; and (b) complete an adequate number of
38
documented moderate to severe periodontitis cases to achieve competency
39 40
4-7 The program must maintain Aan ongoing record of the number and variety of
41
clinical experiences accomplished by each student/resident must be maintained.
42
Periodontics Standards -27-
This must include periodontal diagnosis, disease severity, periodontal treatment,
1
as well as patient's age, gender and health status.
2 3
4-8 The educational program must provide clinical training for the student/resident
4
to the level of competency. This must include, but is not limited to, the following
5
treatment methods for health, comfort, function and esthetics:
6 7
a. Nonsurgical management of periodontal diseases, including:
8
1. Biofilm control;
9
2. Mechanical scaling and root planing therapy;
10
3. Local and systemic adjunctive therapy; and
11
4. Occlusal therapy.
12
b. Surgical management of periodontal diseases and conditions, including:
13
1. Resective surgery, including gingivoplasty, gingivectomy, periodontal
14
flap procedures, osteoplasty, ostectomy, and tooth/root resection;
15
2. Regenerative and reparative surgery including osseous grafting, guided
16
tissue regeneration, the use of biologics, and utilization of tissue
17
substitutes, where appropriate; and
18
3. Periodontal plastic and esthetic surgery techniques including gingival
19
augmentation, root coverage procedures and crown lengthening
20
surgery.
21 22
Intent: The emphasis of surgical training should be periodontal surgical
23
procedures.
24
c. Tooth extraction in the course of periodontal and implant therapy.
25 26
4-9 The educational program must provide didactic instruction and clinical training
27
in oral medicine and periodontal medicine.
28 29
4-9.1 In depth didactic instruction must include the following:
30
a. Aspects of medicine and pathology related to the etiology, pathogenesis,
31
diagnosis and management of periodontal diseases and other conditions in
32
the oral cavity;
33
b. Mechanisms, interactions and effects of drugs used in the prevention,
34
diagnosis and treatment of periodontal and other oral diseases;
35
c. Mechanisms, interactions and effects of therapeutic agents used in the
36
management of systemic diseases that may influence the progression of
37
periodontal diseases or the management of patients with periodontal
38
diseases;
39
d. Principles of periodontal medicine to include the interrelationships of
40
periodontal status and overall health; and
41
