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Going to USA
By Vinod Miriyala BDS, MPH, Cert. (DPH), PEDO. (CAGS), Boston University

21st October 2001

Hello, I would like little bit more information about the licensing systems in US. I agree about the suggestion about contacting each dental board. There has been recently lot of changes in regard to licensing requirements. A recent one is that of California and its new reciprocity laws. There are about 11-12 states in US which have a different rule of giving a state license without doing a DMD/DDS. But the catch is they require some other kind of two year clinical training program like a clinical speciality or two years of AEGD or GPR programs which

are like internish programs in India. These states although require that you should have cleard the regional boards, which are clinical exams and which you can take only after passing NDEB Part I and II. One last thing about studying DMD/DDS in US for trained dentists is the some dental schools, such as the one that was mentioned before in another mail (Florida) and a dental school in Chicago, have a two year or little less than a two year program which only give you a certificate and not a degree that is not recognised in other states to practice. Keep that in mind when you are planning. The best place to check out information regarding licensing information is provided on the web site of American Dental Association (WWW.ADA.ORG) and also books published by that organisation. you need to browse through the web site to find that information. Although I would stress that you should check out the web site of each dental school if they have any "Advanced Standing Program" for foreign trained dentists and also contact them through e-mail as the web sites are not updated regularly. Also some dental schools have recently started those kind of programs. Hope this information helps. Contact me if you need the names of some of the states which do not require the DMD/DDS for foreign trained dentists to practice in those states. VinodMiriyala, Boston University,

24th October 2001

Dear Collegues and friends, I am sending this mail in response to the numerous mails I got in regard to the licensing information in US. I will be replying directly to few people who do not require the general information. Please bear with me.

In regards to the licensing requirements in US, let me make it clear that the colleges which offer "Advanced Standing Program (DDS/DMD) to foreign trained dentists require atleast NDEB Part I. Most of the dental schools which offer this program require atleast 83%. (It is Percentile not Percentage, make sure you understand what Percentile basis is). To cut down the competition, the number of applicants and various other reasons some dental schools are also asking for NDEB Part II now. US state boards do not care where you get your DDS/DMD as long as you get one they are satisfied. Before giving the names of the states which donot require DDS/DMD to practice in their states, I also need to let you know that there is a requiremnt in those states which could be said as follows.... THESE STATES REQUIRE THAT A FOREIGN TRAINED DENTISTS SHOULD HAVE HAD ATTENDED ATLEAST 2 YEARS OF ADVANCED TRAINING IN DENTISTRY IN US.... which would mean the applicant either should have had completed a speciality program in dentistry which is recognized(permitted) in US. For example programs like AEGD and GPR....which brings me to a point where I need to explain what these are for those who donot know what it is. AEGD (Advanced Education in General Dentistry) is a university based one to two year program which is similar to Internship in India. GPR (General Practice Residency) is similar to AEGD but is "MOSTLY" in a hospital setting. As in US, the DMD/DDS program is only 4 years instead of 5 years as in India (whcih means US graduates of DDS/DMD) do not have to go through one year internship at the end of there course to get an degree. This is the reason why for most dental students opt for these programs after DDS/DMD here in US for experience. Now for the list of the states...

ARIZONA DISTRICT OF COLUMBIA (D.C.) FLORIDA GEORGIA ILLINOIS KANSAS MARYLAND MICHIGAN MISSISSIPI WISCONSIN NEW YORK WASHINGTON

Please donot count on me for the current information about these state rules as they have been changing a lot, may be there are new states which have been added to this list and also some of the above mentioned states might have also changed the rules. The best way is contact them and get a accurate information. Write an e-mail to the board...you might get most of the their addresses from either ADA web site (www.ada.org) or do a web search. One other state which I know of has its own licensing exam is Ohio and it does require DDS/DMD. But it might require any licensing board. Once again donot count on me on which licensing board it may accept. California had a similar rule, but from Jan 2003, the state board requires a DMD/DDS to practice in CA. ADVANCED STANDING PROGRAM: The dental schools which offer this program have increased in the recent past and also the number of seats is also increasing. Similarly the competition is high and so they look for high scores in NDEB exams. Although ADA web site does not mention the new schools which offer the program, sending a e-mail to the dental school admission office would not hurt. My experience has told me that every

admission office replies the e-mail regarding such information promptly. Rest depends upon how busy they are in that time of the year. SPECIALITY PROGRAMS: Information regarding the recognised specialities in US is one that needs to be know if pursuing that path. AEGD and GPR are also recognised specialities in US, but the program in a specific school might not be. So before you apply, find out about their "Accreditation" status (which is similar to recognition). Web Site: Regarding the feed back about a web site which was sent to me.... I have gone through the web site and found it very informative for a person who is planning a career in US in dentistry. I would advice people to go through it and take it as a lead for contacting people/dental schools/state boards. Please donot get confused with the information provided in the web site regarding educational admission requiremnts to state licensing requirements. There is a fine line between both of them. The web site is a very good information site but might not give you the current up to date information and neither can I. One more thing... the cost of studying DDS/DMD is high. The least average tution that you might end up paying is around $ 1,00,000 (One Lakh Dollars). Some of the schools charge around $ 1, 50,000 thousand dollars also. The tution rates increase every year on an average about 5%. Bank loans and financial help information is provided by the dental schools. The banks or lender organizations ask for a co-applicant or a guarantorr who is American Citizen or atleast a Green Card holder who has a good credit. This requirement is waived if you already have a green card or citizenship of US. The average

annual percentage of these loans range from 6.00% to 9.00% presently and is dependent upon the Federal Interest rate or another Federal rates published quaterly in financial reports in US. Also for the people who are either citizens are green card holders of US, are eligible to get Federal Loan. The loans I have mentioned above are private loans. The federal loans charge a annual percentage rate (APR) of around 5% presently. APPLICANTS WHO HAVE HAD ALREADY MASTERS IN DENTISTRY FROM INDIA or ANY OTHER COUNTRY: The licensing rules remain the same for these specialists as mentioned for the BDS graduates. The state rule does not change for specialists if they have done it in another country as for as I know. JOBS IN SAUDI AND ARAB COUNTRIES: I have no idea about jobs in those countries. If anybody has an first hand experience please do send it to everyone so that people who are interested would benefit. RESEARCH OPPURTUNITES IN US: It is a whole different issue and needs a different discussion and a lengthy email like this. It is not possible for me to send it in this mail. Hope you would understand. NOTE: PLEASE DO NOT RELY ON THE INFORMATION PROVIDED AND CONTACT THE CONCERNED PEOPLE/ORGANIZATIONS FOR COMPLETE, ACCURATE, UP TO DATE INFORMATION. THIS INFORMATION IS PROVIDED TO YOU TO HELP YOU GUIDE THROUGH THE PROCESS. I HAVE GONE THROUGH THIS AND DID NOT HAVE A IDEA WHEN I STARTED. IT PROBABLY WOULD HAVE MADE A DIFFERENCE TO ME IF I HAD KNOWN IT PRIOR TO COMING TO US. IF you have questions about speciality programs I would be happy to answer in due course of time.

ONE THING FOR SURE--- If you plan to settle in US, I would recommend highly that you to do the advanced standing DDS/DMD program. It pays to be a dentist in US for lifelong and it is the best sure shot way to practice in US. My personal experience says so. I am doing my second speciality in US and have good number of friends and collegues who have gone through DDS/DMD and who are going through. I will try my best to give you all the best information I can. I would reply to your mails in due course of time (when ever I get time off from my clinics) and would be glad to help my fellow collegues. Please bear with me. I appreciate your feed back. Please do share any new information with this group Thanks, Vinod Miriyala BDS, MPH, Cert. (DPH), PEDO. (CAGS) Boston University, HIGHER EDUCATION IN USA - SERIES II 24th January 2002 This is after a long time that I am writing another mail regarding education in US for Indian trained dentists(and other foreign trained dentists). This time I am going to spend time in providing information about speciality education in US and a new update about licensing requirements in state of CA. Speciality Programs in US: Speciality programs in US in the field of dentistry of various types-Clinical and non clinical. Clinical specialities include Prostho, Endo, Operative, Perio, Pedo, Ortho, Oral Surgery, sometimes Oral radiology and medicine, oral pathology and also Community dentistry. Non-clinical would be graduate programs in Oral biology, some programs in Oral Medicine, Oral Pathology and Community dentistry. I might have missed one or two...hard to differentiate sometimes. Also included in clinical speciality programs are AEGD (Advanced Education in General Dentistry) and GPR (General Practise Residency). All the clinical specialty programs mentioned above and AEGD and

GPR have been recognised by the ADA (American Dental Association). There is lot of impotance attached with the ADA recognition with these specialities for various reasons (Licensing requirements for example). Orthodontic programs need GRE scores in most cases. Oral surgery programs need a DMD/DDS degree, but I have come across 2 programs in Oral Surgery which are accepting foreign trained dentists (University of New York at Sunny Buffalo....I think). But there seems to be a catch...the foreign trained dentist needs Green Card atleast for the New York program. Endo program is as competitive as Ortho program. Ortho and Endo programs are mostly taken by dentists having DMD/DDS traditionally. There are certain dental schools which have offered those positions to foreign trained for many years, but my assumption is the dentist has good recommendations and experience in those fields. Pediatric....is becoming difficult now a days. Last year there were 2000 applicants for 121 positions through out US. Pediatric positions are present in both Dental school settings and other hospital settings. Traditionally the positions that go for foreign trained dentists are dental school based. The Govt. of US supports most of Pedo programs in US and thus require a green card and DMD/DDS. But exceptions are always there and people have done it. ONE GOLDEN RULE OF THUMB is that rules and regulations have been broken in exceptional cases (that need not necessary means that the student/dentist is exceptional in academics). Recommendations and experiences in US are most valuable in those cases and have worked 100%. Perio, Prostho, Operative are relatively easy to get in when comapred to Ortho, endo and Pedo. That does not mean that you will get it...it is a relative comparision. Sometimes there are positions unfilled in certain specialities (even Ortho and endo) that have been given away to foreign trained dentists even though they donot want to due to administrative reasons and/or iatrogenic reasons. Community dentistry is becoming pretty much for DMD/DDS and green card dentists like Pediatric dentistry for reasons of funding from US government. One way to get around it is do a Masters in Public Health and then do a one year residency in Dental Public Health programs that are RECOGNISED by the ADA. RECOGNITION of the PROGRAM is very important for licensing, as there are programs that donot have the recognition status and are in the process of recognition. It is similar to India in regards to recogniton but the value and rules are much stringent. So do not take a risk in accepting a position in those schools. There have been certain programs that were

stripped off of their recognition due to their performance. So it is good to look at each programs recogntition history. I have received mails regarding working opportunities for people who have community dentistry degree from India (I guess). You might have faculty opportunities in those cases...but remember you need to have good research experience and/or good recommendations (preferably from US). If you have good experience in teaching and research in any speciality from India or any other country then there are chances of getting a faculty positions...but once again there needs to be contacts in those dental schools. There is a great shortage of faculty in dental schools in US in many departments. As pay is lower than private practice graduates from US donnot go for it specially after having an average debt of $70,000 - $1,20,000 (national figures....approximatey). CA licensing regulations: New licensing regulations are going to be introduced in July of 2002 to practice in CA. Also I have heard that the deadline for licensing exams for CA have been extended to 2005. The new regulations are like this: California has just enacted a new law that allows licensing of out-of-state dentists by credential (i.e., they have been licensed and in clinical practice or a full-time faculty member in an accredited dental education program in another state for a minimum of 1,000 hours per year for at least 5 years preceding application for licensure by credential in California). The clinical practice requirement will be considered met: (1) if the applicant has completed a residency training program (general practice residency, advanced education in general dentistry, or ADA-recognized specialty) accredited by the ADA, in which case the applicant may receive credit for 2 of the 5 years; or (2) if the applicant provides proof of at least 2 years of clinical practice or receives 2 years of credit as defined in (1), he/she may commit to completing the remainder of the 5-year requirement by practicing full-time in a primary care clinic, or teaching or practicing full-time in an accredited dental education program. After working in one of these settings for 3 years, they are eligible for full licensure. The law takes effect July 1, 2002. Anyone interested in seeing the text of the law can find it at . ------------------------------------------------------------------------

I will try to write some more information soon about speciality education in US. I did get some mails regarding dental education (DDS/DMD) in US. I have already written once about that and also there is enough information for people who are looking for such information on Dental India web site and also cross references where provided about other web sites recently. Please do check them out. One specific web site which provided excellent information was from a dentist of Pakistan origin who is in New York. -----------------------------------------------------------------------Disclaimer: The above inforamtion is provided upon the request of subscribes to DentalIndia web site. This information is accurate upto the knowledge of the author, Dr.Vinod Miriyala. This is in no way complete and accurate information. This information should be utilized by readers as a starting point. -----------------------------------------------------------------------Vinod Miriyala BDS,MPH,DPH (Cert.),(CAGS)Pediatric Dentistry Boston
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