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New Mexico Dental Hygienist Committee

REGULAR COMMITTEE MEETING

Friday, January 30, 2015

Santa Fe, NM

MEETING MINUTES

CALL TO ORDER

At 8:01 a.m. The Committee Chair, Ms. Ermelinda, RDH, called the New Mexico Dental Hygienist Committee Meeting, January 30, 2015, meeting to order.

ROLL CALL

MEMBERS PRESENT: Ermelinda Baca, RDH

Denise Teague-Myrick, RDH

Melissa Barbara, RDH

Sarah Thiel, RDH

Burrell Tucker, DDS

Kimberly Martin, DMD

Richard Hatch, Public Member

Robert Blewer, Public Member

MEMBERS ABSENT: Paula Jenkins, RDH

OTHERS PRESENT: Jennifer Salazar, Assistant Attorney General

STAFF PRESENT: Roberta Perea, Board Administrator

Melissa Saiz, Administrative Assistant

Brian McBain, Compliance Liaison

Roll Call was taken by Roberta Perea and a quorum was determined present.

3. APPROVAL OF AGENDA

Mr. Robert Blewer made a MOTION to approve the agenda as written. Ms. Sarah Thiel, RDH SECONDED the motion which was PASSED by UNANIMOUS APPROVAL.

4. APPROVAL OF MEETING MINUTES

October 17, 2014 Regular Meeting & October 17, 2014 Rule Hearing

Ms. Sarah Thiel, RDH made a MOTION to approve the minutes of the October 17, 2014 Regular Meeting & October 17, 2014 Rule Hearing as amended. Ms. Denise Teague-Myrick, RDH SECONDED the motion which was PASSED by UNANIMOUS APPROVAL.

5. REPORTS

A. Introduction of new Compliance Officer

B. Chair’s Report – Ms. Ermelinda Baca, RDH

Written report

C. Secretary’s Report – Ms. Melissa Barbara, RDH

Ms. Melissa Barbara, RDH reported to the board that from October 1, 2014 thru January 16, 2015 the following licenses were issued:

8 Dental Hygiene licenses issued by Examination

2 Dental Hygiene licenses issued by Credentials

Ms. Denise Teague-Myrick, RDH made a MOTION to enter the Boards Secretaries report into record. Ms. Melissa Barbara, RDH SECONDED the motion which was PASSED by UNANIMOUS APPROVAL.

D. Health Action New Mexico Report – Ms. Pamela K. Blackwell, JD

Written Report

E. WREB Report – Ms. Ermelinda Baca, RDH

Verbal Report

F. CRDTS Report – Ms. Ermelinda Baca, RDH

Written & Verbal Report

G. NERB Report – Ms. Ermelinda Baca, RDH

Verbal Report

H. SRTA Report – No Report

I. CITA Report – Dr. Kimberly Martin, DMD

Verbal Report

J. ADEX Report –

Written Report

K. AADB Report – Ms. Ermelinda Baca, RDH

Verbal Report

L. NM Health Services – Dr. Devi Gajapathi

No Report

M. NMDHA Report – Ms. Mary Kaye Vigil, RDH

Verbal Report

N. UNM Report – Ms. Christine Nathe, RDH - No Report

O. San Juan Report – Dr. Julis Manz, DDS

Written Report

P. Dona Ana Community College – Ms. Holly Harper, RDH

No Report

Q. Eastern New Mexico University, Roswell

No Report

R. PIMA Report – Ms. Melissa Plese, RDH

No Report

S. NM Department of Health – Ms. Carol Hanson, RDH

Written Report

T. Ad Hoc Committees – No Report

6. OLD BUSINESS

A. Confirm Future Meeting Dates and Locations

April Committee Meeting – April 24, 2015, Albuquerque

July Committee Meeting – July 17, 2015, Ruidoso

October Committee Meeting – October 16, 2015, Santa Fe

January Committee Meeting – January 29, 2016, Santa Fe

7. NEW BUSINESS

A. Refer to rules committee to research adding (a definition of Clinical Dental Hygiene Standards of Practice and adopting the ADHA’s Standard of Practice Document.) - This agenda item was referred to the rules committee.

B. Approval of Regional Board Exams for Dental Hygiene 2015 – Ms. Ermelinda Baca

Ms. Melissa Barbara, RDH made a MOTION that we accept all Regional board exams as listed in our rules and regulations with letters being sent to WREB and CITA with concerns of them dropping the oral cancer assessment. Ms. Denise Teague-Myrick, RDH SECONDED the Motion. Motion PASSED by UNANIMOUS APPROVAL.

C. Appointing a member from the committee to attend a Accreditation site visit to the Roswell Dental Hygiene Program and DACC

Ms. Denise Teague-Myrick, RDH made a MOTION to appoint Dr. Kimberly Martin, DMD to attend the site visit Ms. Ermelinda Baca, RDH will attend if there is a conflict with Dr. Kimberly Martin, DMD attending. Ms. Melissa Barbara, RDH SECONDED the Motion. Motion PASSED by UNANIMOUS APPROVAL.

D. Discussion on not for profit dental practice owned by a dental hygienist needs to register as a non-dentist owner – No Action Taken

E. Anti-Trust Discussion – Ms. Ermelinda Baca – No Action Taken

F. Public Comment

8. EXECUTIVE SESSION – None

9. ADJOURNMENT

There being no other business to come before the Committee, Ms. Denise Teague-Myrick, RDH made a MOTION at 9:14a.m. to adjourn the Dental Hygiene Committee meeting. Ms. Sarah Thiel, RDH SECONDED the motion. Motion PASSED by UNANIMOUS APPROVAL.

Submitted by: ___________

Roberta Perea, Board Administrator Date

Approved by: ________________________________________ ___________

Ermelinda Baca, RDH Chair Date

Attachment A

CHAIR REPORT

NEW MEXICO BOARD OF DENTAL

HEALTHCARE-DENTAL HYGIENISTS COMMITTEE

SUBMITTED BY ERMELINDA BACA, RDH

January 30, 2015

October 24, 2014- Served as a DH Examiner for the CRDTS Pima DH Exam in Houston, TX.

November 1, 2014- Attended the CRDTS Steering Committee Meeting in Kansas City, MO.

December 5, 2014-Served as a Local Anesthesia Examiner for WREB (Fortis College) Phoenix, AZ

December 12, 2014-Served as a DH Examiner at the CRDTS Missouri College exam in ST. Louis, MO.

January 7-10, 2015 Attended the NERB annual Meeting in Orlando, Florida

Attachment B

CRDTS STEERING COMMITTEE REPORT

SUBMITTED BY ERMELINDA BACA

JANUARY 30, 2015

I attended the CRDTS Steering Committee in Kansas City, MO on November 1m 2014. I would like to report the following items:

• A new 2015 DH Exam site was approved. This site is Carrington College, Sacramento, CA in the Summer of 2015.

• The November 2015 Executive/Steering Committee Meeting dates will be moved to January 22-23, 2016. This will be a trial change as weather may affect attendance. Cost of Conference Call for members not able to attend due to inclement weather will be researched.

Attachment C

REPORT ON ADEX ANNUAL MEETING

ADEX- The American Board of Dental Examiners- held its annual meeting November 7-9, 2014 in Chicago, IL. I attended as a representative from New Mexico. I was on the subcommittee on endodontics, the examination review committee and the House of Delegates. ADEX is a dental board developer and does not give the test itself, they design the clinical board exam and then testing agencies use the ADEX test at their sites. ADEX does monitor those agencies to be sure the test is given within the parameters that are needed to make the test psychometrically valid. ADEX is now accepted by 43 states and is administered by NERB, SERTA and CITA.

One of the weak points in the past was the poor calibration of examiners for ADEX examiners at the various agencies. To that end ADEX has revamped their calibration to a computer notebook type exam using real photos of cases, where the answers cannot be changed and there is real time feedback on which examiners have passed the exam or not. Examiners must score an 80% on the exam or take the test again. This is similar to WREB however the exam is only 25 questions over the combined exam. WREB examines with 25 questions for each area. It is however an improvement from the old system where examiners basically just discussed the slides and then wrote down the right answer.

Also to help with calibration there is a move to make the criteria for grading measurable. For example in endo the access opening must be 3mm from the incisal edge and not less than 2 mm from the marginal ridges. The danger of this movement is that if candidates are told to simply measure where the opening goes and you will pass, the exam becomes a technical skill test and not a test of clinical judgment. Dr. Bill Pappas of Nevada and I successfully argued this point to the exam committee so that the measurable criteria will be used for examiner evaluations but candidates will still have to use clinical judgment. One of the problems is that ADEX uses identical typodont teeth for the endo, and crown and bridge exams. If candidates know the ideal for that tooth there is no clinical judgment. ADEX acknowledges that using identical typodont teeth is a weak point but is trying to appease those schools who object to using extracted human teeth.

ADEX used to have three grading levels- Acceptable, marginally unacceptable and critically deficient. Theoretically several “marginally unacceptable” results could add up and have a candidate fail the exam. In reality this never happened so the psychometricians dropped the marginally unacceptable category. The clinical exam will now be pass/fail on each criteria that is graded.

ADEX has a perio treatment portion of their exam that is optional for candidates. They have dropped the requirement that 5 of the 12 subgingival calculus areas needed for patient acceptance should be in pockets of 5mm or more. So now the exam simply grades for removal of 12 areas of subgingival calculus. Candidates are graded on identifying those areas of calculus correctly.

Lastly ADEX (through NERB) will be the first testing agency to give a Curriculum Integrated Format exam as recommended by the ADA. This will occur this coming spring testing period at a school to be announced soon. They will train and calibrate dental school staff to evaluate lesions for acceptance for the restorative portion of the exam. The candidates will then restore these lesions in the regular course of treatment of the patient at their school. These preparations will be graded by a small group of outside, regular examiners who will be present at the school on specific dates. These will be graded to the regular ADEX criteria. There will be logistics to work out but it will be interesting to see.

Lastly ADEX will probably be going international as Jamaica and other foreign countries ask to use the ADEX format for their dental boards. This should not affect New Mexico as long as we continue to require that candidates take a board accepted by NM (NERB,SERTA,CRDTS, WREB) . However this does raise questions as to the validity of the ADEX exam in differently trained students.

Recommendations- ADEX is a reasonable clinical dental exam and should continue to be accepted by New Mexico through NERB and SERTA. However the NM board should closely monitor the actions of ADEX as at times they seem more anxious to gain universal acceptance at the cost of keeping the exam appropriately difficult to weed out those candidates who should not be allowed to practice.

NM should require that all candidates for licensure in NM take the ADEX (NERB or SERTA) exam that includes the periodontal treatment portion.

NM should be sure to continue to require graduation and a diploma from a CODA accredited school, as soon exams that NM accepts may be given in foreign countries. The problem with this is that the exam that is given and accepted here is based on the fact that the dental program is CODA accredited and so an instant “picture” of that candidate can be a valid determination of the acceptability of the candidate for licensure. If you take exams developed for CODA accepted schools and give them to non-CODA educated students the validity of that clinical exam no longer applies.

Respectfully submitted,

Robert J. Gherardi DMD

Attachment D

Report of the San Juan College Dental Hygiene Program to the New Mexico Board of Dental Health Care.

Friday, January 30, 2015

Dr. Julius N. Manz – Director

San Juan College Dental Programs

4601 College Blvd

Farmington, NM 87402

Phone: 505-566-3018, e-mail: manzj@sanjuancollege.edu

Faculty and Staff:

Full Time:

Julius N. Manz DDS – Director

Sherry Paxson, RDH – First Year Clinic Coordinator

Elizabeth Onik – Second Year Clinical Coordinator

Ruby Woodard – Program Administrative Assistant

Georgia Cotie – Clinical Manager

Dalene Meek – Clinic Administrative Assistant

Adjunct:

Chuck Schumacher, DDS

Craig Layton, DDS

Dennis Miller, DMD

Phil Dunn, DDS

Jennifer Thompson, DDS

Becky Miller, RDH

Mandi Pickering, RDH

Brittany Nichols, RDH

Nancy Rhein, RDH, PA

Julie Boggess, RDH

Lorrie Smith, RDH

Jennifer Ponthieux, RDH

Krysta Caudill, RDH

Carrie Maloy, RDH

Nichole Lehar, RDH

Allison Cahoon, RDH

Christine Taylor, RDH

Brooke Hoopes, RDH

Advisory Council:

Dr. Chuck Schumacher

Dr. Ronald Johnson

Dr. Gene Hilton

Amy Davis, RDH

Becky Miller, RDH

Linda Parks, RDH

Michelle Tensay, Public member

Patricia Dixon, Dental Hygiene Student Senior Class

Sylvia Ortega, Dental Hygiene Student Junior Class

Accreditation:

The San Juan College Dental Hygiene Program is fully accredited by the Commission on Dental Accreditation. The Programs next Accreditation site visit will be in 2017.

Staffing Changes

None

National Boards:

The class of 2014 are all fully licensed.

The class of 2015 will begin taking NBDHE in March 2015

WREB Local Anesthesia Boards

100% of the class of 2014 have taken and passed their WREB Local Anesthesia Boards.

Half of The class of 2015 have successfully completed their WREB local anesthesia boards. The remainder are planning to take their boards Jan and Feb 2015.

Clinical Boards

100% of the class of 2014 have passed their clinical boards

The class of 2015 will begin taking clinical boards in April-May 2015

Graduates

The Program is scheduled to graduate 11 students on May 09, 2015.

Applications:

The Program has accepted 12 new students for the class of 2016.

Farmington – 5

Bloomfield – 3

Aztec – 1

Durango -1

Grants – 1

Albuquerque - 1

Facilities

The Program is in the process of upgrading its Panoramic to a digital unit

Civic/Community Activities

Mission of Mercy – The Program participated in the Oct 23-26 2014 MOM in Rio Rancho with 23 students and 4 faculty members.

The Program will participate in GKAS: Feb 06, 2015 at the SJC Dental Clinic

Nursing home – Senior student rotation to provide preventive dental care to residents of Life Care

nursing home.

Indian Health service – Senior student rotation with IHS

School Educational Programs – Senior student rotation providing oral health education to area schools

(elementary to high school)

Head Start assessments, education and fluoride program

IHS Sealant Program

Special Needs Clinic

Dr. Julius N. Manz, Director

Attachment E

To: New Mexico Board of Dental Health Care and the Dental Hygiene Committee

From: Carol Hanson, RDH, BSDH, MPH

NM Dental Support Center (NMDSC) Coordinator

New Mexico DOH/PHD/HSB/OPCRH

300 San Mateo NE, Suite 900

Albuquerque, NM 87108

505-222-8685

carol.hanson@state.nm.us

Date: January 8, 2015

• In partnership with the New Mexico Primary Care Association (NMPCA): Developed and disseminated October, November, and December 2014 Oral Health e-News to network dental providers, dental educators, and other interested parties; planned and participated in the October 17, 2014 NMPCA/NMDSC Provider Meeting—a total of 16 attended

• Maintained and updated the NMDSC Provider and Dental Educator databases and distribution lists

• Provided technical assistance for network dental providers and educators

• Disseminated information on continuing education opportunities and other pertinent information to network dental providers and educators

• Operated exhibit booth at the Route 66 Native American Behavioral Summit on September 26, 2014

• Facilitated NM Dental Educator Consortium meeting on October 10, 2014—a total of 8 attended

• Assisted with the NM Health Service Corps program

• Toured Albuquerque Health Care for the Homeless on October 21, 2014

• Participated in the Head Start Region VI Institute Planning Meetings on October 30 and November 6, 2014. Chaired Community Connections Booths at Institute

• Disseminated monthly Brush Up on Oral Health Newsletters to NM Head Start/Early Head Start Directors and Health Coordinators

• Provided dental screenings and sealants for students at: Bluewater Elementary on November 3, Chaparral Elementary on November 17, and Seboyeta Elementary on December 9, 2014

• Provided dental screenings and conducted 3rd grade survey at Park View Elementary on December 8, 2014

• Attended and assisted with the DOH NM Healthy Aging Collaborative Fall Symposium on November 14, 2014

• Participated in the NM Healthy Aging Collaborative meetings on October 28 and December 15, 2014

• Attended NM Public Health Association Health Policy Legislative Forum on December 10, 2014

• Worked on the Office of Primary Care and Rural Health Special Needs Project

• Attended NM Chronic Disease Prevention Council meeting on December 16, 2014; Working to include oral health in the Shared Strategic Plan

• Attended an Oral Health campaign meeting on December 19, 2014

• Participated in the Association of State and Territorial Dental Directors Healthy Aging Committee meetings on October 16 and November 20 (Chaired) 2014; assisted with tasks

• Made suggestions for DOH Office of Oral Health website

Respectfully Submitted,

Carol Hanson

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New Mexico Regulation and Licensing Department

BOARDS AND COMMISSIONS DIVISION

New Mexico Board of Dental Health Care and

New Mexico Dental Hygienist Committee

Toney Anaya Building ▪ P.O. Box 25101 ▪ Santa Fe, New Mexico 87505

(505)ࠀࠁࠌࠦࠧ 476-4680▪ Fax (505) 476-4545 ▪ rld.state.nm.us

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