Expanded Function Dental Auxiliary Program. Fall 2015

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1 Fall 2015 The mission of the Expanded Function Dental Auxiliary program is to prepare Certified Dental Assistants or Registered Dental Hygienists to become more valuable team members in their office by being competent and confident in a full range of reversible procedures as prescribed by the Statues of the State of Maine. A proposed curriculum and list of skills to be acquired can be found within this packet or on our website The course is approximately 240 hours of instruction using two treatment modalities. The Lecture (didactic) and Pre-clinical Instruction Module The lecture and pre-clinical laboratory instruction modules of the course (160 hours) are scheduled for 8:00am - 4:00pm, Friday & Saturday beginning September 18 & 19, This is a ten month course. The last session is in June The student s sponsoring dentist is required to participate in the program s didactic and laboratory component which primarily involves assisting the program instructors with one-on-one lab supervision and evaluation of the students laboratory bench activities. This is at York County Community College in Wells. The time commitment for each sponsoring dentist will be at least one Friday and Saturday session/per student in the program. The Clinical Instruction Module Each sponsoring Dentist is also responsible for the direct supervision of their own student(s) during the clinical instruction training module of the program. This is at their office. Each restoration completed by the EFDA student will have a signed record that the dental examiners will need to check. The clinical phase MUST BE COMPLETED WITHIN ONE YEAR OF THE COURSE COMPLETION and be up to 80 hours in length. Final Clinical Exam Following completion of the clinical instruction module the students must successfully complete the EFDA clinical examination in order to make application to the Maine Board of Dental Examiners for the State of Maine EFDA Certificate. York County Community College will be sending an examiner to your office for this exam. York County Community College is accredited by the New England Association of Schools and Colleges.

2 Class Attendance Department of Business and Community Programs EFDA Student Guidelines Students are required to attend all class sessions; no make-up sessions are scheduled. Successful completion of the program is contingent upon attendance at and participation in all class and laboratory sessions, as well as completion of all lecture, laboratory and clinical assignments/activities. Course Requirements Classes are scheduled for Fridays and Saturdays from 8:00 AM 4:00 PM Active participation is expected. Participants must be a Certified Dental Assistant (BY THE TIME OF YOUR APPLICATION FOR LICENSURE) or a Licensed Dental Hygienist. Satisfactory completion of course requirements. Dress Code OSHA Regulations will be observed. Masks, gloves, and eye protection will be mandated for some preclinical procedures and all pre-clinical chairside procedures using our articulating manikin. These items can be supplied by your office. Scrubs are required. Hair must be neat, pulled back (no dangling ends), and away from face. No dangling earrings or excessive jewelry. Watches and wedding band are acceptable. As an operator and professional, please keep your nails short. Clear nail polish is preferable. A lab coat is required during all classroom and clinical laboratory activities. CHF Series Gallilean 3.0x Loupes will be used. Choice of mounted on safety glasses or clip on over prescription glasses. Dress, grooming and personal cleanliness standards contribute to the morale of all students and affect the professional image presented to visitors and reflect on York County Community College.

3 Financial Information and Important Dates Start Date: September 18 & 19, 2015 Tuition: $4,950 ( includes textbooks) Supply costs: 1) Typodont, Utility Case and Loupes $400 2) Lab supply fee $200 These materials will be purchased through the college and will be used throughout the sessions. Upon acceptance to the program, full tuition payment and supply costs are due. Payment Plans are available. For additional information please call Not more than twelve students will be enrolled in the EFDA Program in any given year. The student must have a sponsoring dentist participate with him/her in the program. The dentist will be responsible for supervising the student s clinical instruction module. Clinical field training starts immediately following the EFDA Program prior to applying for State Licensure. After the clinical instruction module, you will make application to York County Community College to visit the office. A fee will be required for this. You will successfully demonstrate your skills as determined by the examiner. The clinical exam must be scheduled and completed within 12 months after course completion. The Board of Dental Examiners of the State of Maine will then award you a license as an Expanded Function Dental Assistant (Auxiliary). PLEASE KEEP THIS FOR YOUR RECORDS! RETURN COMPLETED APPLICATION PACKET w/externship CONTRACT TO: Paulette Millette, Director Department of Business and Community Programs York County Community College 112 College Drive Wells, Maine 04090

4 Application Packet Eligibility 1. Proof of immunization for Hepatitis B. 2. Four-handed dentistry experience is expected and a minimum of one year clinical experience. 3. Proof of two consecutive years as a full-time General Chairside Dental Assistant and proof of one year as a full-time certified dental assistant or Proof of three consecutive years as a full-time Registered Dental Hygienist. 4. Dentist to sponsor EFDA student to be responsible for the clinical training after classroom training is complete. 5. Proof of Health Insurance Company: Health Insurance Policy # Application Process 1. $25.00 application fee (non-refundable). Make checks payable to York County Community College. 2. Completed application form submitted. 3. Letter from sponsoring dentist confirming current employment and one year experience with general chairside experience. 4. For dental assistants, copy of current DANB certification card with expiration date and state dental radiography license. 5. Copy of current state license for dental hygienist. 6. Two letters of recommendation, not from current employer. (Please type or print legibly the following information) Full Legal Name (First, MI, Last) Social Security Number Address City State Zip Code Home Phone Number Employer Phone Number Cell Phone Number Size Lab Coat Circle One: Mounted on Safety Glasses or Clip on over prescription glasses (Unisex)

5 Professional Credentials: Please check the appropriate space below Certified Dental Assistant DANB Certification Number Number of years as a CDA (attach a copy of current DANB card and current registration which includes expiration date) Registered Dental Hygienist Number of years as a RDH (attach a copy of current registration which includes expiration date) Licensed Dental Radiographer (attach a copy of current registration which includes expiration date) Employer / Sponsoring Dentist: Name Address City State Zip Code Tel # Professional Training: (Check all that apply) In-Office Training Only - Years Experience & Employer including dates: Name of School City and State Post-Secondary Dental Assisting Education Graduation Date: Number of Years: Name of School City and State College or University - Graduation Date: Number of Years: Name of School City and State Personal Statement: Please respond to the following and attach an additional page if needed. Your reasons for seeking admission to this program:

6 Your knowledge of EFDA duties and responsibilities in the State of Maine: Explain your willingness and ability to spend the necessary time outside class to complete required reading and homework assignments: How do you plan to use your EFDA training? Explain your most recent personal professional development. This could include community service, continuing education courses, and/or classes taken at the college or university. (Please include your most current 12 hours of continuing education) Please describe your restorative experience (include average number of hours per week): PLEASE RETURN COMPLETED APPLICATION PACKET w/externship CONTRACT TO: Paulette Millette, Director Department of Business and Community Programs York County Community College 112 College Drive Wells, Maine 04090

7 Externship Contract Student Agreement: I hereby agree to fulfill my EFDA responsibilities in a professional manner in the practice of. I know my clinical schedule and will be prompt and regular in my attendance. In addition to my externship responsibilities, I will complete my clinical logbook as directed. Student Signature Date Dentist Agreement: I understand my obligation to supervise, direct and evaluate in his/her responsibilities as an EFDA in my practice. I agree to provide him/her with the opportunity to utilize his/her duties in a technical and professional capacity. I also understand and agree to attend and participate in at least one of the one-on-one classroom/laboratory sessions as a mentor. Supervising Dentist Signature Date PLEASE RETURN COMPLETED APPLICATION PACKET w/externship CONTRACT TO: Paulette Millette, Director Department of Business and Community Programs York County Community College 112 College Drive Wells, Maine 04090

8 Fall 2015 EFDA Schedule September 18 & 19, 2015 October 16 & 17, 2015 November 20 & 21, 2015 December 11 & 12, 2015 January 15 & 16, 2016 February 12 & 13, 2016 March 18 & 19, 2016 April 15 & 16, 2016 May 13 & 14, 2016 June 3 & 4, 2016