Application for Board Certification in Developmental Dentistry

Application for Board Certification in Developmental Dentistry
If you have questions about the application, please contact Dr. Henry Hood at henry.hood@kd.health.

Note: The application requires a number of documents to be uploaded. We highly recommend that you review the application and gather all relevant documents prior to attempting to fill out this form as the application cannot be saved in an incomplete state.
Personal Information
Name*
As you would have it appear on a diploma. Ex. John A. Doe, DMD
Mailing Address (Must accept packages)*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Training
Upload Diploma

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(DMD / DDS) A photo of your diploma is acceptable. Cancelof
Upload Curriculum Vitae

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Upload Continuing Education Units

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Must have at least 60 hours of IDD-focused units. Cancelof
Clinical Experience
Please describe, in detail, your experience in treating dental patients with intellectual and developmental disabilities (IDD).

A minimum of three years is recommended.0/2000
Leadership / Advocacy
Please describe your experience in leadership or advocacy in clinical, academic, not-for-profit or organizational arenas focused on improving the health of children, adolescents or adults with IDD.

A minimum of three years is recommended.0/2000
Mentorship
Please describe your experience in mentoring or teaching students, externs or residents in the care of patients with IDD.

A minimum of three years is recommended.0/2000
Research

Please upload at least three publications you have authored that have furthered the field of developmental medicine (articles, books, book chapters, digital media may also be considered).
Upload up to five publications

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List up to five links to digital media

0/2000
References

Please upload a letter of recommendation from a colleague already certified in Developmental Dentistry or medicine, and a letter of recommendation from a colleague who is familiar with your work.
Upload letters of recommendation

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Case Presentation

Please upload a case presentation highlighting the uniqueness of Developmental Dentistry Please also upload five test questions you have created covering the case for learners.
Upload case presentation and test question files

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Clinical Training Modules
I understand that my application will not be complete until I have completed one of the three listed Clinical Training Modules listed in the Path to Certification document.

YesNo
Testing
I understand that my application will not be complete until I have completed the on-line course material and successfully passed the Developmental Dentistry Certification Examination.

YesNo
Commitment
I am willing to serve the American Board of Developmental Dentistry for one year as a member or advisor whose purpose is to ensure the integrity of the certification process.

YesNo
After clicking the submit button below it may take some time for your application to process. After it processes, you will be redirected to another page thanking you for submitting your application.

My Products

ABDD Board Certification Application Fee$750.00

Total $0.00

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Application for Board Certification in Developmental Dentistry

Personal Information

Training

Clinical Experience

Leadership / Advocacy

Mentorship

Research

References

Case Presentation

Clinical Training Modules

Testing

Commitment