WSR 21-18-073
PROPOSED RULES
DEPARTMENT OF HEALTH
(Dental Quality Assurance Commission)
[Filed August 26, 2021, 6:52 p.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 21-08-076.
Title of Rule and Other Identifying Information: WAC 246-817-440 Dentist continuing education requirements, the dental quality assurance commission (commission) is proposing a rule amendment to allow full continuing education credit for recorded interactive webinars, making it the same as for live interactive webinars. The amended language will also clarify that full credit also applies to live interactive webinars too.
Hearing Location(s): On October 22, 2021, at 8:35 a.m. In response to the coronavirus disease 2019 (COVID-19) public health emergency, the commission will not provide a physical location for this hearing to promote social distancing and the safety of the citizens of Washington state. A virtual public hearing, without physical meeting space, will be held instead. To access the meeting: Please join meeting from your computer, tablet, or smartphone. Please register for commission meeting October 22, 2021, 8:30 a.m. PDT at https://attendee.gotowebinar.com/register/5843394544406820366.
Date of Intended Adoption: October 22, 2021.
Submit Written Comments to: Jennifer Santiago, P.O. Box 47852, Olympia, WA 98504, email https://fortress.wa.gov/doh/policyreview, fax 360-236-2901, dental@doh.wa.gov, by October 11, 2021.
Assistance for Persons with Disabilities: Contact Jennifer Santiago, phone 360-236-4893, fax 360-236-2901, TTY 711, email Jennifer.santiago@doh.wa.gov, dental@doh.wa.gov, by October 11, 2021.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The proposed language added to WAC 246-817-440 (4)(b)(i) will allow recorded interactive webinars to obtain full continuing education credit, making it the same as live interactive webinars. The amended language will also clarify that full credit also applies to live interactive webinars too.
Reasons Supporting Proposal: This proposed rule amendment is necessary to allow dentists to obtain full, one hour continuing education credit for recorded interactive webinars. Current rule allows dentists to earn 30 minutes for every one hour of self-study continuing education completed, including online courses, towards the total of continuing education hours. Live interactive webinars are already allowed for full continuing education credit under WAC 246-817-440 (4)(a).
A rules petition was received on November 13, 2020, requesting amendments to WAC 246-817-440 to allow full, one hour credit for self-study online continuing education courses. The commission determined that recorded interactive webinars may be just as beneficial as live interactive webinars.
The commission is mandated under RCW 18.32.002 to regulate the competency and quality of professional health care providers, including but not limited to continuing education.
Statutory Authority for Adoption: RCW 18.32.0357, 18.32.0365, and 18.32.180.
Statute Being Implemented: RCW 18.32.002.
Rule is not necessitated by federal law, federal or state court decision.
Name of Proponent: Dental quality assurance commission, governmental.
Name of Agency Personnel Responsible for Drafting, Implementation, and Enforcement: Jennifer Santiago, 111 Israel Road S.E., Tumwater, WA 98501, 360-236-4893.
A school district fiscal impact statement is not required under RCW 28A.305.135.
A cost-benefit analysis is required under RCW 34.05.328. A preliminary cost-benefit analysis may be obtained by contacting Jennifer Santiago, P.O. Box 47852, Olympia, WA 98504, phone 360-236-4893, fax 360-236-2901, TTY 711, email Jennifer.santiago@doh.wa.gov, dental@doh.wa.gov.
The proposed rule does not impose more-than-minor costs on businesses. Following is a summary of the agency's analysis showing how costs were calculated. A significant cost analysis has been completed. The proposed rule amendment does not increase costs to licensed dentists. Licensed dentists currently must complete 63 hours of continuing education every three years. The proposed rule amendment allows an exception for full continuing education credit for completed recorded interactive webinars. The proposed rule amendments do not impose more-than-minor costs as defined in RCW 19.85.020(2).
August 26, 2021
David Carsten, DDS, Chairperson
Dental Quality Assurance Commission
OTS-3190.1
AMENDATORY SECTION(Amending WSR 18-12-116, filed 6/6/18, effective 1/1/19)
WAC 246-817-440Dentist continuing education requirements.
The goal of continuing education is to encourage the lifetime professional development of the licensed dentist, and to enhance the clinical and overall skills needed to protect the health and safety of all patients.
(1) A licensed dentist shall complete a minimum of sixty-three hours of continuing education every three years.
(a) The three-year continuing education reporting period for a dentist licensed in Washington before 2019 begins January 1, 2019, and verification of completion of continuing education hours will be due on the dentist's annual license renewal date in 2022, and every three years thereafter. The three-year continuing education reporting period for a dentist initially licensed in Washington in 2019 or later begins upon date of licensure.
(b) A licensed dentist shall attest to the completion of sixty-three hours of continuing education every three years as a part of their license renewal requirement.
(c) The dental quality assurance commission (commission) may randomly audit up to twenty-five percent of licensed dentists every three years for compliance after the license is renewed as allowed by chapter 246-12 WAC, Part 7.
(d) A licensed dentist shall comply with the requirements of chapter 246-12 WAC, Part 7.
(e) The commission will not authorize or approve specific continuing education courses.
(2) A licensed dentist shall complete the commission approved dental jurisprudence examination once every three years. One hour of continuing education will be granted toward the sixty-three hour requirement.
(3) Continuing education must contribute to the professional knowledge and development of the licensed dentist or enhance services provided to patients. Continuing education must be completed in one or more of the following subject categories:
(a) Education courses relating to the practice of dentistry;
(b) Emergency management, advanced cardiac life support (ACLS), and pediatric advanced life support (PALS);
(c) Health care provider basic life support (BLS). BLS certification is required in WAC 246-817-720. One hour of continuing education for each BLS certification course will be granted. A licensed dentist may not count more than three hours every three years in this category;
(d) Infection control, federal/state safety standards, and radiation protection;
(e) Pharmacology, prescribing practices, and pain management;
(f) Ethics;
(g) Patient care related education including risk management, methods of health delivery, multicultural, and suicide prevention education;
(h) Washington state dentistry law;
(i) Practice management and billing practices. A licensed dentist may not count more than twenty-one hours every three years in this category.
(4) Continuing education in subject categories identified in subsection (3) of this section may be completed using any of the following activities or methods:
(a) Attendance at local, state, national, or international continuing education courses, live interactive webinars, dental study clubs, postdoctoral education, and dental residencies;
(b) Self-study by various means, relevant to dentistry, without an instructor physically present.
(i) Self-study can be continuing education provided online or through the mail provided by a continuing education provider. Thirty minutes will count for every one hour completed for this activity, except for live or recorded interactive webinars;
(ii) Self-study can be reading a book that contributes to the professional knowledge and development of the licensed dentist, or enhance services provided to patients. A two-page synopsis of what was learned written by the licensed dentist is required. Two hours of continuing education for each book and synopsis will be granted. A licensed dentist may not count more than six hours every three years for this activity.
(c) Teaching, presenting, or lecturing in a course, only if the presentation or lecture is created or authored by the dentist claiming the continuing education hours. A licensed dentist may not count more than twenty-one hours every three years in this activity;
(d) Direct clinical supervision of dental students and dental residents. A licensed dentist may not count more than twenty-one hours every three years in this activity;
(e) Publishing a paper in a peer review journal. A licensed dentist may count fifteen hours the year the paper is published and may not count more than a total of thirty hours every three years in this activity. A copy of the publication is required;
(f) Reading and critically evaluating any hypothesis-driven scientific journal article on a topic that has relevance to dentistry and is published in a peer-reviewed journal devoted to dentistry, medicine, or useful to dentistry. A licensed dentist may not count more than twenty-one hours every three years.
(i) Before completing this activity, the licensed dentist must complete at least four hours of education in evidence-based dentistry or medicine that includes journal article evaluation. The four-hour education may count toward the required sixty-three hour requirement. The four-hour education is a one-time requirement. A licensed dentist may not count more than four hours every three years.
(ii) A licensed dentist may count one hour for each article that the dentist completes a "Critical Evaluation of a Journal Article" questionnaire. The questionnaire may be obtained from the commission. The completed questionnaire is required;
(g) Volunteer dental patient care. A licensed dentist may not count more than twenty-one hours every three years; and
(h) The commission will accept a current certification or recertification from any specialty board approved and recognized by the American Dental Association (ADA), the American Board of Dental Specialties (ABDS), or other specialty board certification or recertification approved by the commission as sixty-two hours of continuing education. The commission will also accept the award of Fellow of the Academy of General Dentistry, Master of the Academy of General Dentistry, or the Lifelong Learning and Service Recognition Award as sixty-two hours of continuing education. The certification, recertification, or award must be obtained in the three-year reporting period.
(5) Proof of continuing education is a certificate of completion, letter, or other documentation verifying or confirming attendance or completion of continuing education hours. Documentation must be from the organization that provided the activity, except in subsection (4)(b)(ii), (e), and (f)(ii) of this section, and must contain at least the following:
(a) Date of attendance or completion;
(b) Hours earned; and
(c) Course title or subject.