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* 1. Please indicate the state where you primarily practice.

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* 2. Please indicate your primary occupation.

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* 3. Please indicate when you completed the education/training for your career as a dental professional.

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* 4. Do you feel like receive ample notification from your state board prior to the deadline for renewing your license?

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* 5. In your opinion, are the fees charged for license renewal in your state:

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* 6. In your opinion, is the process for renewing a license:

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* 7. Do you believe the license renewal process takes full advantage of available technology, such as the Internet, mobile phones, faxes, etc.?

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* 8. Do you feel the license renewal process in your state is effective in ensuring updated skills and competence among dental professionals or merely a "rubber stamp" process?

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* 9. Can you share with us one thing you dislike about renewing your license, or how the system in your state could be better?

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* 10. Please estimate how many CE credits you obtain in a one-year period, even if your state allows for two to three years to fulfill requirements.

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* 11. Would you describe the reporting of CE credit hours to your state regulatory agency as being:

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* 12. How would you characterize your ability to earn required CE credits in terms of time restraints?

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* 13. In your opinion, do consumers in your state receive a higher level of dental care as a result of the required continuing requirements?

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* 14. Have you ever been audited for your reporting of fulfillment with CE requirements in your state?

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* 15. If there’s one thing you would change about the process of reporting CE credits or earning credits through CE programs, what would that be?

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* 16. Does your state require CPR certification as a prerequisite to renewal?

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* 17. If there’s a specific CE topic (such as infection control, ethics, medical emergencies, etc.) that you think should be required, what is the topic? (Please enter “no” if you do not think a specific course should be required.)

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* 18. Which groups should have representation by having members serve on your state dental boards? (Check all that apply, in your opinion.)

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* 19. Even if you have not done so yet, would you feel comfortable reporting an unethical service or act that could constitute malpractice initiated by a colleague in your dental community to your state dental board?

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* 20. Overall, do you feel your state dental board protects consumers and upholds the standards of dentistry?

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* 21. Do you feel your state dental board effectively discourages the practice of dental procedures by dental professionals who are incompetent?

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* 22. Have you had a negative interaction with the dental board in your state?

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* 23. Without identifying anyone or providing any details that would compromise the anonymity of your participation in this survey, can you briefly describe why the interaction with the dental board was a negative experience for you?

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* 24. Thank you for participating in this survey. If you have any comments regarding renewing licenses or the oversight of state dental boards, please share your final thoughts with us.

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