title: Assuring dental hygiene clinical competence for licensure: a national survey of dental hygiene program directors.
abstract: OBJECTIVE
  To conduct a national survey of dental hygiene program directors to gain their opinions of alternative assessments of clinical competency, as qualifications for initial dental hygiene licensure.
  
  
  METHODS
  A 22 question survey, comprised of statements eliciting Likert-scale responses, was developed and distributed electronically to 341 U.S. dental hygiene program directors. Responses were tabulated and analyzed using University of California, San Francisco Qualtrics® computer software. Data were summarized as frequencies of responses to each item on the survey.
  
  
  RESULTS
  The response rate was 42% (n=143). The majority of respondents (65%) agreed that graduating from a Commission on Dental Accreditation (CODA)-approved dental hygiene program and passing the national board examination was the best measure to assure competence for initial licensure. The addition of "successfully completing all program's competency evaluations" to the above core qualifications yielded a similar percentage of agreement. Most (73%) agreed that "the variability of live patients as test subjects is a barrier to standardizing the state and regional examinations," while only 29% agreed that the "use of live patients as test subjects is essential to assure competence for initial licensure." The statement that the one-time state and regional examinations have "low validity in reflecting the complex responsibilities of the dental hygienist in practice" had a high (77%) level of agreement.
  
  
  CONCLUSIONS
  Most dental hygiene program directors agree that graduating from a CODA-approved dental hygiene program and passing the national board examination would ensure that a graduate has achieved clinical competence and readiness to provide comprehensive patient-centered care as a licensed dental hygienist.
authors.forename: Lucinda M
authors.initials: LM
authors.lastname: Fleckner
authors.forename: Dorothy J
authors.initials: DJ
authors.lastname: Rowe
mesh_terms: D000288:Administrative Personnel; D002983:Clinical Competence; D003756:Dental Hygienists / Q000193:education / Q000592:standards*; D006801:Humans; D008004:Licensure; D011795:Surveys and Questionnaires; D014481:United States
keywords: clinical competence; dental hygiene; education; licensure