Scenario-based Oral Clinical Examination

The Scenario-based Oral Clinical Examination is designed to objectively evaluate an orthodontist’s knowledge, abilities and critical thinking skills to certify orthodontists based on proficiency and clinical excellence. 

 

Scenario-based testing is utilized by several other medical and dental specialty boards.  This format allows for testing for a large amount of material in a relatively short period of time.  This allows for questions to be graded objectively based on pre-determined desired responses. 

 

Scenarios and questions are developed in collaboration with program directors/chairs, examiners, leaders in the industry and the ABO Board of Directors.

 

Scenario-based Clinical Exam Requirements and Eligibility:
  • Successful completion of ABO Written Examination
  • Graduate of an advanced specialty education program in orthodontics and dentofacial orthopedics in the United States or Canada, accredited by the Commission on Dental Accreditation (CODA)
  • Examinees participating in extended programs will be required to complete their program prior to being eligible to take the Clinical Examination

 

Components and Criteria:

The examination will be composed of four domains for assessment:

 

Domain

Weighted % of Exam

Data Gathering and Diagnosis
                   25%
Treatment Objectives and Planning
                   25%
Treatment Implementation and Management
                   25%
Critical Analysis and Outcomes Assessment
                   25%

 

The scenario-based examination will be held in St. Louis, MO in the ABO Examination Center and will be graded on a Pass/Fail basis.

 

Each examination will be comprised of scenarios from each of the four domains using ABO provided patient cases. 

 

Examinees will be exposed to several different exam rooms, each consisting of a different pair of examiners and different patient cases.

 

Examinees will be presented with a case and questioned on a variety of information depending on each individual scenario.  The following includes some examples of things that may be included in the cases presented:

 

Patient history

Chief complaint

Treatment plan

Periodontal charting

Layout of current situation

Intra-oral photographs

Extra-oral photographs

Panoramic radiographs

Cephalometric radiographs

Tracings and superimpositions

Models

Discrepancy Index (DI)

Cast-radiograph Evaluation (CRE)

Case Management Form (CMF)   

 

Preparation:

As part of preparation for the Scenario-based Oral Examination, the ABO highly recommends that examinees gain as much experience as possible working through patient cases completing an objective analysis of the facts to form their own judgment.  These critical thinking exercises will strengthen an examinee's skills as they prepare for the scenario-based oral examination.  The practice of presenting an examinee's own clinical cases to fellow residents / colleagues, educators, and/or mentors will also aid individuals to become more comfortable with the oral examination format.  This process also promotes the opportunity for self-evaluation and reflection on case outcomes.

 

The tools previously created by the ABO to assess case outcomes will be utilized within the scenario-based examination process.  These tools include the cast radiograph evaluation (CRE), case management form (CMF), and cephalometric superimposition technique and interpretation.

 

Utilize the ABO study materials and board prepared videos to help you prepare for the Scenario-based Clinical Exam.