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In 2022, the existing ACS will be replaced by the NDECCTM.

The purpose of the  NDECCTM is to assess the clinical competence of dentists trained in non-accredited programs. During the two-day examination, you will perform seven clinical requirements on simulated patients (manikins) in a clinical setting and 10 situational judgement requirements.

The NDECCTM  will be administered in the new NDEB® Test Centre located in Ottawa, ON. The examination will be offered multiple times a week throughout the year. The first examination is expected to be offered in June 2022.

The NDECCTM can be taken an unlimited number of times in a 60 month period.


Component 1: Clinical Skills

Class II amalgam preparation
Class II amalgam restoration
Class II composite restoration
Class IV composite restoration
Crown preparation
Provisional restoration
*The provisional restoration will be fabricated on the examinee's crown preparation.
Endodontic access cavity preparation

The requirements assess clinical skills and techniques relevant to current Canadian standards.

You must perform all requirements as if you were working with actual patients.

You are required to use your judgment and follow accepted clinical care guidelines and standards.

Requirements can be performed in any order. Infection control and safety will be assessed by invigilators throughout the clinical skills day.

Component 2: Situational Judgement

Patient-Centered Care
Examples: Assess caries risk, Manage patients’ needs, Gather data, Develop a problem list, Establish diagnoses, Sequence treatment, Plan treatment, Maintain records
Examples: Respond to ethical dilemmas, Manage referrals, Use social media appropriately
Communication and Collaboration
Examples: Maintain privacy, Maintain records, Write a referral, Write a lab prescription, Discuss treatment, Document informed consent, Demonstrate cultural competence, Interact with staff , Give post-op instructions
Practice and Information Management
Examples: Manage patient records, Follow protocols, Make evidence-based decisions
Health Promotion
Examples: Demonstrate an understanding for social determinants of health, Promote access to care for all individuals, Promote measures to prevent oral disease/injury, Advocate for patients

The situational judgement component assesses judgement required for solving problems in work‑related situations.

You will be assessed on 10 situational judgement scenarios dealing with competency in Patient-Centered Care, Professionalism, Communication and Collaboration, Practice and Information Management and Health Promotion.

The scenarios in the above table are examples and do not reflect all situations that can be assessed.

NDECCTM Equipment, Materials, and Supplies

You will be provided with all the necessary equipment, materials, and instruments for your exam. Visit Clinical Skills Equipment, Instruments, and Supplies to learn more.

Frequently Asked Questions

The exam will be held at the NDECCTM Test Centre located at 340 Albert St. 12th Floor Ottawa, ON. The Test Centre is located:
  • a 4 minute walk from the O-train Lyon station
  • 4 km from the Ottawa train station
  • 11 km from the Ottawa airport
At the Test Centre, you will have access to an examinee locker room, examinee lounge including kitchen, an examinee private room for prayer, breastfeeding, meditation, etc., washrooms, a classroom, situational judgement rooms, and the simulation clinic.
If during your exam you leave the Test Centre, even to return to reception , you will not be permitted back into the Test Centre to complete your exam.
You are permitted to bring your lunch, snacks, drinks, medications (if pre-approved), and menstrual products. You must provide your own protective eyewear. Dental surgical loupes are permitted. You must also bring the NDECC™ card provided at registration.
You should wear comfortable professional streetwear. A disposable surgical gown to wear on top of your clothes will be provided. Closed toed shoes with socks must be worn. For the health and comfort of examinees and staff the Test Centre is a scent free environment. We request that you avoid scented products such as cologne, aftershave, perfume, and scented lotion. The use of scented deodorant is permitted.