口腔类别外国医师在京行医资格实践技能考试有关要求
（2014年1月修订版）
为了协助外国医师在参加口腔类别在京行医资格实践技能考试时考前和考试过程中顺利进行，请参加考试的外国医师和所在医疗机构仔细阅读，严格按要求准备，考试过程中将严格按此规定执行。如有疑问，可在报名过程中与北京市外国医师考试中心联系人沟通，以便实践技能考试顺利进行。
一、考试准备须知
（一）考生语言要求
1.理论考试试卷文字为中文或英文，考生选择一种语言进行考试。
2.临床实践技能考试所用语言仅限汉语或英语，考生须具备运用汉语或英语与考官、护士和标准患者沟通的能力。
3.临床实践技能考试中翻译不得进入考场，所携带护士在考试中不能帮助翻译。
（二）标准病人准备
为保证参加考试的患者志愿者安全和考试的公平公正，医疗机构应协**生按照以下要求准备标准病人：
1. 考生须按要求自己携带合格的候选标准患者参加考试，标准患者必须为18岁以上、具备完全民事行为能力的成年人，在考试的过程中仅限中文或者英文，具备与参加考试的考生进行交流的能力，并能够与护士和考官交流。
2. 参加考试的考生及其所在的医疗机构应完成所有参与考试的标准患者相关风险知情同意内容，并签书面知情同意书。
3. 每一考试科目/诊疗项目可准备2名标准患者备选，考官确定符合条件的1名实施考试，如所准备的2名标准患者均不符合条件，该科目的考试将视作自动放弃，并终止本次临床实践技能考试。
4. 考生在参加实践技能考试前应亲自诊察标准患者，完善治疗前的各项辅助检查（如X光片等），完成治疗前的病历记录，所有相关准备工作完成质量将作为实践技能考试成绩的组成部分。
（三）考试用器械准备
考生所在的医疗机构必须提供与考试项目所需的所有诊疗器械和考试用材料（包括考试用的工作服、帽，口罩及医用手套等），并保证用于考试的所有器械和材料符合中华人民共和国的法律、法规，可以在中国大陆进行临床使用，允许考生自行携带数字化影像资料者，但需自备可供阅读的显示设备（如笔记本电脑）。
（四）考试配合护士准备
考生所在的医疗机构必须提供具有合法执业资质的护理人员作为考生的配合护士，配合护士能与考生进行直接的语言交流，但只负责医疗的辅助工作，不得为考生或标准患者翻译。凡在考试期间，护士给考生进行翻译者，将中止考生该科目的考试。考试当天配合护士需出示资质证明。
二、考试内容及考核事项
1．对患者的关爱及与患者的交流；
2．询问病史；
3.临床检查；
4.诊断和诊断依据，鉴别诊断；
5.治疗方案；
6.治疗操作；
7.术后医嘱。
三、各科目考试特别要求
外国医师在京行医实践技能口腔类别考试分为口腔全科和口腔专科考试两种。口腔专科考生须通过口腔全科考试，并在北京市卫生局有效执业注册期限内进行专科考试报名。考生需准备好治疗所需的有关病历、器械、材料及相应的X线片。
（一）口腔全科考试要求
口腔全科考试包含牙体牙髓科、口腔颌面外科和口腔修复科三类别，考生须通过上述三个类别考试，才能通过口腔全科考试。
1．牙体牙髓科：每位考生提供一位牙体疾病或牙髓疾病的初诊病人。牙体治疗科目为磨牙邻牙合面Ⅱ类洞的复合树脂直接粘接修复，拟行治疗的患牙应具备如下条件：有邻牙和对牙合牙，牙体缺损深度达牙本质深层；牙髓治疗的科目为根管治疗，拟行治疗的患牙牙位须由上、下颌磨牙中选取。患牙必须备有合格的根尖片（不能由曲面体层片等其他X线片替代）。
2. 口腔颌面外科：每位考生提供一位需行拔牙术的患者。所供拔除之患牙应当是磨牙，且不松动的。
3．口腔修复科：每位考生提供一位已经完成修复前各项准备工作，符合全冠修复或前牙桩核冠修复或固定桥修复治疗适应证的患者。 拟行修复的患牙应具备如下条件：①如需牙髓治疗，修复2周前应完成根管治疗且达到根管充填的合格标准；②无根尖病变；③未进行牙体预备，④有邻牙和对牙合牙。准备好治疗所需的有关器械、材料及相应的X线片) 。
（二）口腔专科医师考试要求
已具有外国医师在京行医口腔全科有效执业资格的外国医师可报考口腔专科考试，考生一次可以申请参加以下专科的考试：口腔颌面外科、口腔修复科、口腔正畸科、牙髓科、牙周科、儿童牙科和口腔种植科。各专科的规定如下：
1．口腔颌面外科：提供一位需要拔除下颌阻生智齿的成年病人；
2 ．口腔修复科：
（1）提供由考生自行完成治疗的二例成年病例的全部资料。
（2）二例病例应包括：①固定义齿修复一例；②可摘局部义齿一例。
（3）提供病例应包含的全部资料如下：①治疗全程的病历记录；②治疗前、治疗完成时的X线片；③治疗前、治疗完成时的石膏牙模；④治疗前、治疗完成时的照片。
（4）操作内容：提供一位无牙颌患者，并准备X线片、托盘、工作模型、暂基托；考核取印模及确定颌位关系。
3．口腔正畸科：
（1）提供由考生自行完成治疗的三例错牙合畸形病例的全部资料。
（2）三例病例应分别包含：2例恒牙期安氏II类拔牙经任何一种固定矫治技术完成的病例；1例其他错牙合畸形的病例。
（3）提供病例应包含的全部资料如下：①治疗全程的病例记录；②治疗前和治疗完成时的石膏牙模；③治疗前和治疗完成时的头颅侧位X线片及投影测量分析结果；④其他相关的X线影像资料如全口曲面体层片、牙片及颞下颌关节片；⑤治疗前、治疗中和治疗完成时的面像及像（照片或幻灯片均可）。
4.牙髓科：成人恒磨牙显微根管再治疗术。
5.牙周科：
（1）提供一名中重度慢性牙周炎的初诊患者。
（2）进行全口牙周检查、诊断、治疗设计,一个区段的手工洁治。
（3）提供病例与所诊治疾病相关的全部资料（如全口根尖片）。
6．儿童牙科：
（1）提供病人应为未成年人，能配合并接受牙医的检查和治疗。
（2）患儿应为初诊，待诊治的患牙需进行牙体缺损治疗、牙髓治疗或因乳牙、年轻恒牙缺失需修复治疗。
（3）提供病例与所诊治疾病相关的全部资料（如根尖片、牙合翼片、全口曲面体层片、咬合片、侧位片或牙模）。
7．种植科：
（1）提供由考生自行完成全程治疗的三例成年种植病例的全部资料。
（2）提供病例应包含的全部资料如下：①治疗全程的原始病例记录；②种植手术（治疗）前和手术（治疗）后的X线片如曲面体层片、CT片模型、外科设计资料、全面设计方案等；③种植修复后的口内临床照片。
（3）提供一例可以并拟定进行种植治疗的初诊病人。
四、各科考试时间规定
1．理论考试和实践技能考试的具体时间由北京市外国医师考试中心负责确定并通知考生所在机构。考生须按准考证要求准时到达考试地点，逾时视为放弃考试。
2．理论考试 时间要求：
（1）全科考生：120分钟(包括牙体牙髓科、口腔颌面外科和口腔修复科三部分)。
（2）专科考生：每单科40分钟。
3．实践技能考试 时间要求：
（1）全科考生：①牙体牙髓科：60分钟；②口腔颌面外科：30分钟；③口腔修复科：60分钟。
（2）专科考生：①口腔颌面外科：50分钟；②口腔修复：60分钟；③口腔正畸科:40分钟④牙髓科：60分钟；⑤牙周科：40分钟；⑥儿童牙科：40分钟；⑦口腔种植：40分钟。。
五、具有下列情况之一者终止考试：
1．考试所准备2名标准患者均不符合条件者，经本专业考官组审核并报请主考官同意后告知考生终止本次临床实践技能考试。
2．未按要求准备器械、材料及X线片而导致影响考试者，经本专业考官组审核并报请主考官同意后告知考生终止本次临床实践技能考试。
3．考生应当具备汉语或英语沟通能力。实践技能考试翻译不得进入考场，所携护士在考试中不能帮助翻译。因各种原因致语言交流障碍而影响考生进行考试者，经本专业考官组审核并报请主考官同意后告知考生终止其本次实践技能考试资格。
六、其他规定
1．凡申报口腔全科考试的考生，牙体牙髓科、口腔颌面外科、口腔修复科每项专业必须合格。
2．凡有参加口腔专科考试意愿的考生必须提供在中国大陆获得的口腔全科医师执业证书。
北京市外国医师考试中心
2014年1月 6日
EXAMINATION NOTICE
(Revised October 31, 2013 )
To help the foreign doctors who apply for the General Dentistry finishing the clinical practice exam smoothly, the applicant and the medical institution should read carefully and prepare in accordance with the following requests. If you have any question, please connect with the officer of the exam center.
I. Examination preparations
1. Language
A. Only Chinese or English is permitted to use in the written examination and examinee should choose either language.
B. Only Chinese or English is permitted to use in the examination of clinical practice skills. The examinee should be skillful in expression of language and word in either Chinese or English.
C. In the examination of clinical practice skills, translator is not allowed to enter exam room, and the nurse is not allowed to help with translation
2. Preparation for standard patients
A. The examinee should bring standard patients selected by himself (herself) as required. The patients must be over 18 years of age and have full capacity for civil conduct. Only Chinese or English is permitted to use in the examination. The patient should be able to communicate with the examinee, nurses and the examiners.
B. The examinee and the medical institution should inform the standard patients all the related risks before the exam and sign the written informed consent.
C. The examinee can prepare two standard patients for every subject of examination. The examiners will choose one patient to take examination of the clinical practice. If neither of the two patients prepared can meet the standards, it will be regarded as waiver for this subject and the entire clinical practice exam will be terminated.
D. The examinee should examine the standard patient in person before the clinical practice exam and finish the accessory examinations (such as X ray) and medical record before treatment. All the preparations before the clinical practice exam will be scored as part of the exam.
3. Preparation for appliances, materials and so on
The medical institution should prepare for the examinee all appliances and materials (including clothes, work hat, masks and gloves) needed for the treatment, and make sure that all the appliances, materials and local anesthetic have the permission for clinical use from Drug Administration Law of P.R. China and other related laws and regulations. Examinees who bring their own digital image data, should also bring their own display equipment (e.g.notebook computer) available for reading.
4. Nurse
Examinee should bring a nurse registered in Mainland China, who can communicate with the examinee in Chinese or English in clinical examination and assist the examinee in the clinical practice But the nurse is not allowed to help with translation for the examinee or the patient, otherwise the clinical exam will be terminated. On the test day, the nurse must provide her or his professional qualification documents.
II．What to do in the clinical examination for foreign dentists
1. Care for the patient and communication with the patient;
2. Ask about medical history of the patient;
3. Clinical examination;
4. Diagnosis and support of the diagnosis, differential diagnosis;
5. Treatment plan;
6. Treatment procedure;
7. Medical advice after operation.
III. Foreign dentists who apply for practising in Beijing China need to prepare standard patients in clinical examination
There are two kinds of clinical examination for foreign dortors who apply for Dentistry: General Dentistry and special field of Dentistry. The applicants who would like to apply for special field should provide the general dentist certificate acquired in mainland China within validity.
1．Standard patients for an applicant in general practice
The applicant for general dentistry should pass all of the three examinations: Operative Dentistry and Endodontics, Oral and Maxillofacial Surgery and Prosthodontics. The applicants are strongly supposed to prepare case history, appliances, materials and radiographs required for the treatment.
A. Operative dentistry and Endodontics: Choose a restorative case (filling treatment) or an endodontic case for the examination. The case should meet the following criteria.
a. The restorative case: The tooth should be maxillary or mandibular molar affected by interproximal decay (requiring class Ⅱ cavity preparation), and have adjacent and opposite teeth. The cavity floor of tooth decay should be in the deep dentin.
b. The endodontic case: The tooth should be maxillary molar or mandibular molar with good endodontic and restorative prognosis. The qualified PA X-ray image of the tooth is required.
B. Oral and Maxillofacial Surgery: a patient with a tooth requiring extraction. The tooth requiring extraction must be molar and not be loose.
C. Prosthodontics: a patient who has received all necessary pre-prosthodontic treatment and requires crown or crown with post and core or fixed bridge restoration. The tooth has received perfect endodontic treatment 2 weeks before，no apical leisions，but tooth preparation for crown has not been done，the tooth to be treated must have adjacent and opposite tooth. Preparing appliances, materials and radiographs (PA X-ray) required for the treatment.
2．Standard patient for an applicant in a special field
The applicant for a special field should pass the examination of general dentistry for foreign dentist in Beijing，and the certificate should be within the valid period set by Beijing Municipal Health Bureau. The applicant can apply for the following fields: ①Oral and maxillofacial Surgery;②Prosthodontics;③Orthodontics;④Endodontics; ⑤Periodontics; Oral⑥Pedodontics；⑦Implantology。
A. Oral and Maxillofacial Surgery: ① a patient with an impacted third molar of the lower jaw requiring extraction. ②The patient must be over 18 years of age.
B. Prosthodontics:
a. Providing full data of two finished cases：one is fixed partial denture; the other is removable partial denture. ③The patients must be over 18 years of age.
b. The data should include: ① records of whole treatment process; ② pretreatment and posttreatment X-ray data; ③ models before and after treatment; ④ photo pictures or slides before and after treatment.
c. Provide a standard edentulous patient; other preparations: ①panoramic radiograph, final impression trays, final casts, trial denture bases; ②operation: making final impression, recording centric relation.
C. Orthodontics:
a. Provide full data of three finished cases：two are Class Ⅱ extraction cases (permanent dentition ) who have been treated with any fixed appliance; one is other type of malocclusion.
b. The data should include: ① records of whole treatment process; ② plaster models before and after treatment; ③ pretreatment and posttreatment lateral cephalometric radiographs analysis; ④ other related X-ray data, such as panoramic, radiograph of TMJ; ⑤ face and dental films (photo or slide) before, after and in the procedure.
D. Endodontics: Choose an endodontic case for endodontic retreatment using a dental operating microscope. The tooth to be retreated should be maxillary or mandibular molar.
E. Periodontics:
a. Provide a first visiting patient with moderate and severe chronic periodontitis.
b. Full mouth periapical films must be required.
c. Test contents: full mouth periodontal examination, diagnosis, treatment plan, manual scaling in one quadrant region.
F. Pedodontics:
a. A child patient who is on his first visit and can cooperate during clinical examination and treatment.
b. With caries or pulp disease needing conservation treatment or missing premature or permanent tooth needing prosthodontic treatment.
c. Provide full data of a case (eg. periapical, bite wing, panoramic, occlusal. lateral view of jaw or dental plastic model…)
G. Oral Implantology
a. Please provide full data of three finished cases.
b. The data should include: ① records of whole treatment process; ② pretreatment and posttreatment X-ray data, such as panoromic, CT results; ③ intraoral pictures after restoration of implants；④ model surgery data, overall design
c. Provide one patient who is ready to go through implant treatment. ⑤ The patient must be over 18 years of age.
IV. Examination time
1. The Examination Center for Foreign Physician will inform medical institutions about the time for written exam and clinical practice. The examinee should arrive at the exam room of clinical practice on time according to the admission ticket, otherwise he(she) will be regarded as giving up the exam.
2. Written examination time:
a. General dentistry: 120 minutes(including Operative dentistry and Endodontics, Oral and maxillofacial Surgery and Prosthodontics )
b. Special fields: 40 minutes per subject.
3. Clinical practice time
a. General dentistry: ①Operative dentistry and Endodontics: 60 minutes; ② Oral and maxillofacial Surgery: 30 minutes; ③Prosthodontics: 60 minutes.
b. Special fields: ①Oral and maxillofacial Surgery: 50 minutes;②Prosthodontics: 60 minutes;③Orthodontics: 40 minutes;④Endodontics:60 minutes; ⑤Periodontics: 40 minutes; Oral⑥Pedodontics:40 minutes.⑦Implantology: 40 minutes.
V. In any of the following cases, the exam will be terminated.
1. If all of the two patients provided by the applicant are not the standard patient as required, after review the examiner team has the right to stop the examination.
2. Examinee should prepare appliances, materials, radiographs and related case history needed for the treatment. Examinees who bring their own digital image data, should also bring their own display equipment (e.g.notebook，computer) available for reading. If the examinee does not provide the necessary above-mentioned things, making the examination difficult to proceed, the examiner team has the right to stop the examination after review.
3. Only Chinese or English is permitted to use in the examination and examinee should choose either language before the examination. Translator is not allowed to enter the clinical examination room. The nurse is not allowed to help with translation. Examinee who cannot communicate in Chinese or English for any reason will not be allowed to continue the examination after the review of the examiner team.
VI. Other requests:
1. The applicant for general dentistry should pass all of the three examinations: Operative dentistry and Endodontics, Oral and maxillofacial Surgery and Prosthodontics.
2. The applicants who would like to apply for special field should provide the general dentist certificate acquired in mainland China.
Examination Center for Foreign Physician in Beijing
January 6, 2014
