In Canada, dentistry is a regulated profession that requires its professionals to obtain certification and licensure before they can become eligible for employment. The National Dental Examining Board of Canada (NDEB) oversees the general dentist certification process of both Canadian graduates and those trained outside of Canada.

Assessment of Fundamental Knowledge

The AFK consists of two books. Each book contains 150 single-answer multiple-choice questions. Each question has a value of one. The lowest score for any question is zero.Assessment results are electronically scanned and processed. Results are then verified manually at least three times. An additional verification is done of all results close to the passing score before they are released to participants. A test equated, re-scaled score of 75 or greater is reported as a Pass. A test equated, re-scaled score of less than 75 is reported as a Fail. Results will include the test equated, re-scaled score. No further breakdown of results is available.

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Assessment of Clinical Judgement

The Assessment of Clinical Judgement (ACJ) is a 5 ½ hour assessment with one scheduled 30-minute break. The assessment consists of 120-150 single-answer and multi-answer multiple choice type questions. Each section of the ACJ will contain a case-based diagnosis, treatment planning and clinical decision making questions, and radiographic interpretation questions. Both question types will be found throughout the Assessment. Case-based diagnosis, treatment planning and clinical decision making questions evaluate your ability to formulate a diagnosis and to make clinical decisions. Case histories, dental charts, radiographic images, and photographs may be provided.

Assessment of Clinical Skills

To participate in the Assessment of Clinical Skills (ACS), you must have passed the Assessment of Fundamental Knowledge (AFK). The ACS is a two-day assessment during which you perform twelve (12) dental procedures on simulated patients (manikins) in a clinical setting. The restorative and endodontic requirements are graded using the four-point grading system. You can take the ACS a maximum of three times.

Objective Structured Clinical Examination

There are two types of questions in the OSCE. Most stations have two questions and require the candidate to review the information supplied (e.g., case history, dental charts, photographs, radiographic images, casts, models, videos) and answer extended match-type questions. Each extended match-type question will have up to 15 answer options and one or more correct answers. Some stations require the candidate to review the information supplied and write an acceptable prescription for a medication commonly prescribed by general dentists in Canada. The OSCE Protocol provides specific details regarding the format and scheduling of the examination.