DEPARTMENT OF DENTAL STUDIES DENTAL HYGIENE PROGRAM ADMISSION INFORMATION FALL 2017

Transcription

1 DEPARTMENT OF DENTAL STUDIES DENTAL HYGIENE PROGRAM ADMISSION INFORMATION FALL 2017 DENTAL HYGIENE A dental hygienist is a licensed preventive health professional, an auxiliary to the dental community, who s educational, clinical and therapeutic practices promote total well-being through the maintenance of optimal oral health. TYLER JUNIOR COLLEGE PROGRAM The Tyler Junior College (TJC) dental hygiene curriculum leads to an Associate in Applied Science Degree in Dental Hygiene and begins in the second summer session of each year. Enrollment is limited to accepted applicants. The application process is outlined in this document. The full-time dental hygiene curriculum at TJC holds full accreditation from the Commission on Dental Accreditation. Whether the individual s interest is working in a general or specialized dental office; dental clinic; public health; schools; or research, the program provides the student with the basics for furthering his or her professional and education needs.

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3 Career Opportunities in Dental Hygiene... 4 Qualities and Skills Necessary to be a Successful Dental Hygiene Student... 5 Curriculum... 6 TJC DEGREE PLAN... 7 MINIMUM QUALIFICATOINS... 8 APPLICATION PROCESS... 8 APPLICATION PERIOD... 9 HOW ARE APPLICANTS SELECTED?... 9 DENTAL HYGIENE ADMISSION POINTS... 9 WHAT STEPS DO I TAKE? TJC Selective Admissions Program Application Optional DHCAS Online Application: TESTING FOR APPLICATION HESI A2 TEST WHEN AND WHERE CAN A STUDENT TAKE THE EXAM? HOW MUCH DOES THE HESI A2 COST AND WHAT DO I NEED TO TAKE TO THE EXAM? CAN A STUDENT RETEST? IS THERE A STUDY GUIDE? WHAT HAPPENS IF I AM SELECTED? DENTAL HYGIENE WORKSHEET FOR 2017 APPLICATION DENTAL HYGIENE PRE-ADMISSION OBSERVATION FORM

4 Career Opportunities in Dental Hygiene Nature of Occupation: Dental hygienists are licensed oral health professionals who focus on preventing and treating oral diseases both to protect teeth and gums, and also to protect the patient s total health. They are graduates of accredited dental hygiene education programs in colleges and universities, and must take written and clinical exams before they are allowed to practice. In addition to treating patients directly, dental hygienists also work as educators, researches, and administrators. Working Conditions: Working conditions for dental hygienists involve close contact with people, including all members of the dental team and their patients. The majority of dental hygienists work in private dental practices directly with patients on an individual basis. Fulltime working hours vary, ranging from hours per week and rarely will include evenings and Saturdays. Dentists often employ hygienists for only 2 or 3 days per week; it is not unusual to hold several part-time jobs. Individuals who are involved in the provision of dental hygiene services may be exposed to blood borne pathogens that may result in human disease. Duties Include: Each state has its own specific regulations and the range of services performed by dental hygienists vary from one state to another. As part of the dental hygiene services in Texas, dental hygienists may: Perform oral health care assessments that include reviewing the patient s health history, dental charting, oral cancer screening, and taking and recording vital signs; Expose, process, and interpret dental X-rays; Remove plaque and calculus (soft and hard deposits) from above and below the gum line; Apply therapeutic agents such as fluorides and sealants to the teeth; Teach patients proper oral hygiene techniques to maintain healthy teeth and gums; Counsel patients about plaque control and developing individualized at-home oral hygiene programs; Counsel patients on the importance of good nutrition for maintaining optimal oral health; and Counsel patients on the relationship between oral health and overall systemic health. Outlook: What are future opportunities? Projected to grow 19% from Much faster than all occupations (7%) Flexible work schedules often available in this high demand field. Offers excellent career opportunities for nontraditional students (individuals who are over 23 years of age, those seeking a career change or reentry and individuals from culturally diverse backgrounds). Earnings: The salary of a dental hygienist depends primarily upon the responsibilities associated with the specific position, the geographic location of employment and the type of practice or other setting in which the hygienist works. Annual salaries are equitable to other health care personnel with similar education background and experience. Dental hygienists are considered an integral part of the dental team providing educational and preventive services to ensure delivery of long-term oral health. Annual Mean Wage of Dental Hygienists in Texas (May 2015) *$72,320 annually; $34.77 hourly * Compensation depends on responsibilities, geographic location and other factors. Interests and Abilities: Communicate easily with people. Perform delicate and exact work. Detail oriented. Enjoy activities of a scientific and technical nature. Enjoy contact with people. Career ladder for this occupation may look like this: Dental Hygiene Educator Public Health Dental Hygienist Dental Hygienist 4

5 Qualities and Skills Necessary to be a Successful Dental Hygiene Student In addition to the academic admission requirements for students entering the Dental Hygiene Program, the following qualities and skills are also expected of all students with or without accommodations: Students must have Problem solving skills to obtain, interpret and document information. In other words Intellectual, conceptual and critical thinking skills to access, analyze, reason and synthesize data and in order to draw sound conclusions and make clinical decisions. Effective oral and written communication skills in order to accurately transmit information appropriate to the ability of patients, colleagues, and other healthcare workers. Strong English reading, writing and speaking skills. Gross and fine motor skills sufficient to lift and operate equipment and to provide safe and effective dental hygiene care. Interpersonal skills for the interacting with individuals, families and groups from a variety of social, economic and ethnic backgrounds. Physical mobility necessary to move from place to place in small spaces. Full range of motion, manual and finger dexterity. Physical endurance that enables them to stay on task for a prolonged period while sitting, standing, or moving. Visual and perceptual abilities sufficient for observation of patients, oral conditions and assessment. Students must have the ability to discriminate between subtle changes in oral conditions, clinically and radiographically. High degree of hand-eye coordination. Auditory ability and other sensory skill sufficient to monitor and assess the health needs and determine the oral conditions of patients as well as maintain patient safety. Tactile sensitivity sufficient for the use of detection, light pressure and control when using small instruments in the oral cavity. Students must Demonstrate professional attitudes and behaviors. Be able to use reasonable judgment under stressful conditions that impact patient care. Be able to work independently as a member of a team to maintain the highest standards in relation to quality care. Be able to present a professional appearance, maintain personal health and be emotionally stable. Be able to demonstrate effective time management and patient management. Be able to multitask, prioritize, comprehend and follow instructions, and comply with a variety of clinical and professional rules and regulations related to safe clinical practice. Students must be able to fulfill these essential functions of the job without endangering patients or other healthcare workers. Students with disabilities may be eligible for accommodations. Prior to the start of the program, students may contact the ADA Student Coordinator in Support Services in Rogers Student Center or call for an appointment. 5

6 Curriculum Those applying for the program must successfully complete ( C or better) at least two of the four prerequisite science courses listed in the TJC Dental Hygiene Degree Plan prior to applying to the program and may take any of the other required courses that do not have the DHYG prefix. Only those accepted into the dental hygiene program may take any course with the DHYG prefix. After a student is accepted and placed in the dental hygiene program, enrollment is necessary for two years to complete the program, to graduate with an AAS in Dental Hygiene and to attain eligibility to apply for licensure. Failure to complete any DHYG course with a grade of 75 or better will cause dismissal from the program. Further licensure requirements include successful scoring on the Dental Hygiene National Board Exam, an exam administered by the American Dental Association a regional clinical exam like the Western Regional Exam (WREB) and a jurisprudence exam for the licensing state. 6

7 DENTAL HYGIENE Catalog Associate of Applied Science Degree (DHYG_AAS) Non-Dental Hygiene courses may be taken prior to placement in the Dental Hygiene program. Since acceptance into the Dental Hygiene Department relies heavily upon performance in the sciences, the required science courses must be completed within five years prior to submitting application. PREREQUISITES: The following prerequisite science courses must be completed with a C or better within five years prior to enrollment in the program. At least two of the following prerequisite sciences must be completed with a C or better prior to submitting application. CHEM 1406 Introductory Chemistry Allied Health Emphasis BIOL 2401 Anatomy & Physiology I BIOL 2402 Anatomy & Physiology II BIOL 2420 Microbiology for Non-Science Majors BIOL 2401 & 2402 must be completed prior to Summer II of first year. All prerequisites listed above must be completed by the end of Semester II. FIRST YEAR Summer Session DHYG 1201 Orofacial Anatomy, Histology & Embryology Semester I Semester II DHYG 1304 Dental Radiology DHYG 1215 Community Dentistry DHYG 1331 Preclinical Dental Hygiene DHYG 2201 Dental Hygiene Care I DHYG 1103 Preventive Dental Hygiene I DHYG 1260 Clinical Dental Hygiene ENGL 1301 Composition I DHYG 2133 Preventive Dental Hygiene II BIOL 1322 Nutrition and Diet Therapy I SOCI 1301 Introductory Sociology Summer Session DHYG 1339 General and Oral Pathology SECOND YEAR Semester III Semester IV DHYG 1211 Periodontology DHYG 1219 Dental Materials DHYG 1235 Pharmacology for the Dental Hygienist DHYG 2153 Dental Hygiene Practice DHYG 2231 Dental Hygiene Care II DHYG 2362 Clinical Dental Hygiene DHYG 2360 Clinical Dental Hygiene PSYC 2301 General Psychology OR PHIL 2306 Introduction to Ethics PSYC 2314 Lifespan Growth & Development SPCH 1315 Public Speaking OR SPCH 1321 Bus. & Prof. Communication Total Semester Hours: 68 All courses with bold type may be taken prior to acceptance to the program. Special admission and retention rules apply. Department specific courses must be taken in sequence and may have a prerequisite or co-requisite courses. Courses must be completed with a C or better for completion. Contact the program director for details. All applicants to our Nursing and Health Sciences programs must be able to pass a criminal background check that includes the provision of necessary documentation for the background check agency to make it reliable. Said documentation may include an authenticated social security card and positive identification such as a driver s license or identification card. Carrie Hobbs, Professor/Department Chair, Dental Studies RNHSC Room / /chob@tjc.edu Mission Statement: To provide a comprehensive collegiate experience that is anchored in the rich traditions of a quality education, vibrant student life and community service. Accreditation: Tyler Junior College is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools to award associate degrees. Contact the Commission on Colleges at 1866 Southern Lane, Decatur, Georgia or call for questions about the accreditation of Tyler Junior College. Tyler Junior College gives equal consideration to all applicants for admission, employment and participation in its programs and activities without regard to race, creed, color, national origin, gender, age, marital status, disability, veteran status or limited English proficiency (LEP).

8 MINIMUM QUALIFICATOINS An applicant is qualified to be considered for admission if the candidate has met all of the following criteria: Qualified for admission to Tyler Junior College TSI minimum requirement complete in all areas Cumulative GPA of 2.5 or bachelor s degree or higher from a regionally accredited university. All of the following seven sections of the HESI A2 Entrance Exam must be completed (only one retest allowed per application period; test must be dated Feb 16, 2015 or later): 1. Math (minimum score of 75% required) 2. Reading (minimum score of 75% required) 3. Vocabulary and General Knowledge 4. Chemistry 5. Anatomy & Physiology 6. Learning Styles (not included in points) 7. Personality Profile (not included in points) Observed a dental hygienist for a total of at least 12 hours in 2 or 3 different dental offices. (within 2 years of application) Observation hours must have been completed on or after Feb 16, Completed at least two of the following four science pre-requisites, on or after January 2012, with a C or better (Only courses that transfer to TJC as listed). CHEM 1406: Introductory Chemistry I Allied Health Emphasis OR CHEM 1405 Introductory Chemistry I BIOL 2401: Anatomy & Physiology I (prerequisite may be required). BIOL 2402: Anatomy & Physiology II. BIOL 2420: Microbiology. Tyler Junior College School of Nursing and Health Sciences Policy on Criminal Background Check and Drug Screening All applicants to Nursing and Health Sciences programs must be able to pass a criminal background check that includes the provision of necessary documentation for the background check agency to make it reliable. Said documentation may include an authenticated social security card and positive identification such as a driver s license or identification card. All applicants to our Nursing and Health Sciences programs must be able to pass a drug screening from a designated lab. APPLICATION PROCESS Completion of the dental hygiene curriculum will result in the eligibility to apply to take licensure exams to become a registered dental hygienist. All applicants must meet the same basic requirements to be selected for placement. Due to specific individual needs that include additional program specific supplies and equipment, estimated costs in the program may range from $13,000-16,000. This estimate includes in-state tuition and fees, books, uniforms, equipment, instruments, and supplies. If the applicant has previously attended any Nursing and Health Sciences Program, including programs at TJC and/or other colleges, he/she must be eligible for readmission to the respective program(s). A letter of good standing from the previous program director must be submitted electronically, along with the application, to TJC Dental Hygiene for verification. 8

9 APPLICATION PERIOD Dec 1 Feb 15 Completed qualifying application materials may be submitted online at any time. However, the department will only begin retrieving the applications on December 1 st. All documents must be submitted by the Feb 15 th deadline in order to be considered for placement. HOW ARE APPLICANTS SELECTED? Selection for placement is based on total points ranked from highest to lowest. The top ranking 30 applicants will be selected for conditional placement. If applicant scores are tied, the HESI Composite score will be utilized to break the tie. DENTAL HYGIENE ADMISSION POINTS Selection for placement into the dental hygiene program is based on the following point system: 1. BIOLOGY and CHEMISTRY Points awarded for each completed required science course completed on or after January If a course is repeated for a higher grade on or after January 2012, the lower grade will be replaced, but one (1) point will be deducted for repeated courses. Grade A B C D/F Points Bonus if completed at TJC BIOL 1322 NUTRITION & DIET THERAPY. Points awarded for this science course completed on or after January If a course is repeated for a higher grade on or after January 2012, the lower grade will be replaced, but one (1) point will be deducted for repeated courses. Grade A B C D/F Points Bonus if completed at TJC Required General Education Course Grades Points awarded for each completed required general education course (ENGL 1301; Speech elective, Humanities/Fine Art elective (PHIL 2306 preferred), Psychology elective, Sociology elective). If a course is repeated for a higher grade, the lower grade will be replaced, but one-half (1/2) point will be deducted for repeated courses. Grade A B C D/F Points HESI A2 Composite Score Points Based on the following five sections: 30% of Composite Score (max. 30 pts) a. Math (minimum 75% required). b. Reading (minimum 75% required). 9

10 c. Vocabulary/General Knowledge. d. Chemistry. e. Anatomy & Physiology. (Other required sections will not affect point value) 5. Residency within the Tyler Junior College District Points (Based on information collected by the TJC Registrar s office) 2 6. Bonus Points for course work Completion of each of the following courses with a B or better: Points HPRS 1201 Introduction to Health Professions AND HPRS 1105 Essentials of Medical Law/Ethics for health Professionals 1 HITT 1305 Medical Terminology 1 7. Certified Dental Assisting Bonus Points Current enrollment in the spring semester of the Tyler Junior College 3 Dental Assisting Program (accredited program only) Current CDA License (copy of license must be submitted with application) 6 Note: No points will be giving for RDA WHAT STEPS DO I TAKE? TJC Selective Admissions Program Application Apply to Tyler Junior College (online application available at and receive a student identification number. Complete, print, and submit a Selective Admissions Program Application, found on to TJC s Dental Hygiene Website ( Submit the Admissions Worksheet, print from the TJC Dental Hygiene Website or see pg 13 of this document. Submit the Pre-Admission Observation form, print from the TJC Dental Hygiene Website or see pg 14 of this document. Submit a copy of the HESI test scores, dated February 16, 2015 or later. Submit official transcripts, from all colleges attended, to the TJC registrar s office. Optional DHCAS Online Application: Online applications to the ADEA Dental Hygiene Central Application Service (DHCAS) may be submitted at the website anytime and will be collected by the Tyler Junior College Dental Hygiene program beginning December 1 st until the deadline for application on February 15 th. In addition to the DHCAS online application, the applicant must also submit a supplemental application, available on the TJC Dental Hygiene Website, to the TJC Dental Hygiene Program. If you apply through the Central Application Service you must still submit the Supplemental TJC Application by the Feb. 15 th deadline. TESTING FOR APPLICATION All students new to Tyler Junior College are required to participate in a testing and advisement process after satisfying admissions requirements. You may learn more about the required testing by visiting this website: 10

11 HESI A2 Entrance Exam All dental hygiene applicants must take the HESI A2 entrance exam, which is administered in Testing Services, Rogers Student Center on the TJC Campus for a fee of $50 to students who are currently enrolled at TJC or who are applying for a Nursing and Health Sciences program at TJC. The testing center will only offer the HESI exam during the application period (Dec 1 st Feb 15 th ). Some dates will not be available, so applicants need to check the testing center website for available test times. A voucher, granting permission to take the exam, must be obtained from one of the following sources: Tina Morrison, Office/Records Coordinator for Dental Studies, Robert M. Rogers Nursing and Health Sciences Building, room Carrie Hobbs, Dental Studies Department Chair, Robert M. Rogers Nursing and Health Sciences Building, room All of the following seven sections of the HESI A2 Entrance Exam must be completed: 1. Math (minimum score of 75% required) 2. Reading (minimum score of 75% required) 3. Vocabulary and General Knowledge 4. Chemistry 5. Anatomy & Physiology 6. Learning Styles (not included in points) 7. Personality Profile (not included in points) One retest is allowed per application period. HESI scores taken on or after Feb 16, 2015 will be accepted. See section on HESI A2 TEST, in this document for more detailed information. HESI A2 TEST The HESI A2 Test is a comprehensive exam that evaluates the academic and social skills of new applicants to the nursing and health sciences program. This exam evaluates a student s math skills, reading skills, science knowledge, vocabulary, social interaction, stress level, learning style, and personality profile. MATH Focuses on math skills for health care fields including basic addition, subtraction, multiplication, fractions, decimals, ratio and proportion, household measures, and general math facts. READING Provides reading scenarios over medical topics in order to measure reading comprehension, identifying the main idea, finding meaning of words in context, passage comprehension, and making logical inferences. VOCABULARY/GENERAL KNOWLEDGE Contains vocabulary terms that are used commonly in both general English speaking and in the health care fields. ANATOMY and PHYSIOLOGY Provides coverage of general terminology and anatomical structures and systems. CHEMISTRY 11

12 Contains test items that cover matter, chemical equations and reactions, the periodic table, atomic structure, nuclear chemistry, chemical bonding, etc. PERSONALITY PROFILE Uses concepts related to introversion and extroversion to classify the student s personality style. LEARNING STYLE Assesses the preferred learning style of the prospective applicant and offers test-taking and study tips suited to that learning style. In order to apply to the Dental Hygiene Program, students must complete all sections and have a passing score of 75% in the Reading and Math Sections. WHEN AND WHERE CAN A STUDENT TAKE THE EXAM? The HESI A2 exam is offered for dental hygiene in the Testing Center at Tyler Junior College between Dec 1 st and Feb 15 th. If you are not already a TJC student, you will need to apply to TJC and receive your student identification number prior to taking the HESI exam on TJC s campus. Depending on demand, an appointment may be necessary, otherwise testing is administered on a first come-first test basis. Students will be allowed 4 hours 40 minutes to complete the exam. Visit for available testing hours. If the student completes the exam at another institution, they will need to follow that institutions guidelines for completing the exam. HOW MUCH DOES THE HESI A2 COST AND WHAT DO I NEED TO TAKE TO THE EXAM? The cost of the exam is $ The student must pay for the exam and present a receipt to complete the exam. Payment can be made at the Testing Center (cash or check only) or the Cashier s office in White Administration Building. The Cashier will accept check, credit card, money order or cash payments. Along with receipt of payment, the student will need to present a photo ID. Calculators may be used during the exam and are provided by the Testing Center. Directions for testing will be given when the HESI ticket is given. CAN A STUDENT RETEST? One or more sections of the HESI A2 Test may be retaken once per application period to achieve a better score. HESI A2 is the only version accepted. Scores dated Feb 16, 2015 and later will be accepted. IS THERE A STUDY GUIDE? A study guide can be purchased at or at various bookstores. The ISBN is for reference. The cost varies from $30.00 to $45.00 on different websites. WHAT HAPPENS IF I AM SELECTED? The applicants selected for conditional placement into the Dental Hygiene Program will receive an notification, through their TJC , from the chair of the department along with a confirmation agreement. The applicant must submit the confirmation agreement along with a $100 nonrefundable deposit before their position is secure. Once confirmed, the applicant will receive the following forms: health, immunization, drug screening and criminal background check. The applicant must then submit the health and immunization forms with a full release by the physician to perform patient care, and a successful drug screening and criminal background check. Failure to submit the required confirmation agreement, deposit and/or the required forms within the designated time frame will result in forfeiture of placement. Any space vacated by forfeiture or health reasons will be filled from the alternate list in ranking order. 12

13 Applicant Name: Dental Hygiene Admission Worksheet Submit with Dental Hygiene Application 2017 Application Year Follow the instructions below to calculate your admission points: For #s 1-4 below enter the following: 12 for A 8 for B 4 for C 0 for D/F Include ALL grades earned Jan 2011 or later. For any repeated course; if multiple grades for same course number, consider highest grade earned Jan 2012 or later. 1. BIOL 2401 grade semester year Points = Was this course completed at TJC in the past 5 years with a "C" or better? If yes, enter 1 If no, enter 0 Points = Was this course repeated with 5 years? If yes, subtract 1 If no, enter 0 Minus Points = _( )_ 2. BIOL 2402 grade semester year Points = Was this course completed at TJC in the past 5 years with a "C" or better? If yes, enter 1 If no, enter 0 Points = Was this course repeated with 5 years? If yes, subtract 1 If no, enter 0 Minus Points = _( )_ 3. BIOL 2420 grade semester year Points = Was this course completed at TJC in the past 5 years with a "C" or better? If yes, enter 1 If no, enter 0 Points = Was this course repeated with 5 years? If yes, subtract 1 If no, enter 0 Minus Points = _( )_ 4. CHEM 1405/1406/1411 grade semester year Points = Was this course completed at TJC in the past 5 years with a "C" or better? If yes, enter 1 If no, enter 0 Points = Was this course repeated with 5 years? If yes, subtract 1 If no, enter 0 Minus Points = _( )_ For #5, BIOL 1322 Nutrition & Diet Therapy I, below enter the following: 6 for A 4 for B 2 for C 0 for D/F Include ALL grades earned on or after Jan 2011; if multiple grades for same course number, consider highest grade earned on or after Jan BIOL 1322 grade semester year Points = Was this course completed at TJC in the past 5 years with a "C" or better? If yes, enter 1 If no, enter 0 Points = Was this course repeated with 5 years? If yes, subtract 1 If no, enter 0 Minus Points = _( )_ For #s 6-10 below enter the following: 3 for A 2 for B 1 for C 0 for D/F Elective courses include any 3 credit course which begins with the appropriate prefex. Ex: PSYC 2301, 2314, etc. Include ALL grades earned for any repeated course; if multiple grades for same course nomber, consider highest grade earned. 6. ENGL 1301 grade semester year Points = Was this course repeated? If yes, subtract 0.5 If no, enter 0 Minus Points = _( )_ 7. PSYC elective grade semester year Points = Was this course repeated? If yes, subtract 0.5 If no, enter 0 Minus Points = _( )_ 8. SOCI elective grade semester year Points = Was this course repeated? If yes, subtract 0.5 If no, enter 0 Minus Points = _( )_ 9. PHIL 2306 (or FA/HUMA) grade semester year Points = Was this course repeated? If yes, subtract 0.5 If no, enter 0 Minus Points = ( )_ 10. SPCH elective grade semester year Points = Was this course repeated? If yes, subtract 0.5 If no, enter 0 Minus Points = ( )_ HESI A2 Version 1 Composite Score (Maximum 30 points) - only use test scores taken on or after Feb 16, HESI Score Based on the following five sections: Composite Score x 0.30 Points = a) Math (minimum 75% required) c) Vocabulary/General Knowledge b) Reading (minimum 75% required) d) Chemistry e) Anatomy & Physiology (Other required sections will not affect pont value) Tyler Junior College district classification 12. Are you classified "In-District" for Tyler Junior College? If yes, enter 2 If no, enter 0 Points = For #s below enter 1 for each course you have completed with a "B" or better; 13. HPRS 1201 Introduction to Health Professions AND Points = HPRS 1105 Essentials of Medical Law Ethics for Health Professionals 14. HITT 1305 Medical Terminology Points = 16. TJC DA Student Currently enrolled in spring semester of accredited TJC DA program Points = 17. CDA Current CDA License (must provide copy) Points = TOTAL POINTS =

14 Tyler Junior College Dental Hygiene Program 2017 Pre-Admission Observation Instructions The attached form must be completed by students wishing to be considered for entry into the TJC Dental Hygiene Program and must be returned to the dental hygiene office by the application deadline. Take the attached form with you when you go for your observation visit to a dental office. Note: If documentation of observations is deemed fraudulent, the applicant s eligibility for admission will be revoked and the application will not be processed. Carefully read the instructions below: o Each applicant seeking admission into the TJC Dental Hygiene Program will be required to observe two or three dental hygienists in at least two different dental offices for the purpose of observing behind-the-scenes operations and the role of the dental hygienist in that office. Eligible dental offices include general, periodontal, and pediatric dental practices. Each office visit (2 or 3) will require a minimum of 4 hours of observation. This will give you the required total of 12 hours of observation. o o o Each applicant is responsible for contacting dental offices and arranging an appointment convenient to the dentist, dental hygienist and other personnel. When you go for your visits, you will be expected to dress in a manner appropriate for the respective professional environment where you will be observing. If the dental office requires scrubs to be worn, please be sure scrubs are clean and wrinkle free. If the dental office attire is something other than scrubs, please dress appropriately. Do not wear blue jeans, tank top shirts or sandals of any type. Observation hours must have been completed on or after Feb 15, Observation hours submitted during the 2016 application period are on file in the TJC Dental Hygiene office. You must obtain the necessary signatures and a business card from each office. The business cards from each office must be attached to the back of the completed observation (page 3) form for verification purposes. 1

15 Name: Mrs Miss Mr Tyler Junior College Dental Hygiene Program Pre-Admission Observation Form First Middle Last Student ID Number: A Date of Birth: Telephone: Second Office Observation First Office Observation Third Office Observation (if applicable) Procedure Common Procedure Code Routine Cleaning Periodontal scaling case Optional other procedure Procedure If Varies Common Procedure Code Routine Cleaning Periodontal scaling case Optional other procedure Procedure Varies Common Procedure Code Routine Cleaning Periodontal scaling case Optional other procedure Varies Dental Hygienist s Name (Printed) Dental Hygienist s Name (Printed) Dental Hygienist s Name (Printed) Dental Hygienist s Signature Dental Hygienist s Signature Dental Hygienist s Signature Date Date Date License Number License Number License Number Number of Hours Observed Number of Hours Observed Number of Hours Observed Total hours observed (a minimum of 12 hours required): See Reverse Side for additional, required information 2

16 First Office Observation Attach 1 st Business Card Here Dentist or Hygienist Signature Evaluation of Applicant (to be completed by Dentist or Hygienist): Please circle the response that best describes the applicant s performance during his/her observation at your office. 1. The applicant was dressed appropriately. Agree Disagree 2. The applicant presented a professional demeanor. Agree Disagree 3. The applicant observed unobtrusively. Agree Disagree Second Office Observation Attach 2 nd Business Card Here Dentist or Hygienist Signature Evaluation of Applicant (to be completed by Dentist or Hygienist): Please circle the response that best describes the applicant s performance during his/her observation at your office. 1. The applicant was dressed appropriately. Agree Disagree 2. The applicant presented a professional demeanor. Agree Disagree 3. The applicant observed unobtrusively. Agree Disagree Attach 3 rd Business Card Here Third Office Observation (if applicable) (if applicable) Dentist or Hygienist Signature Evaluation of Applicant (to be completed by Dentist or Hygienist): Please circle the response that best describes the applicant s performance during his/her observation at your office. 1. The applicant was dressed appropriately. Agree Disagree 2. The applicant presented a professional demeanor. Agree Disagree 3. The applicant observed unobtrusively. Agree Disagree 3