21 ncac 16Y .0102         APPLICATION for intern permit

(a)  An applicant who is eligible for an intern permit pursuant to Rule .0101(a) of this Subchapter shall:

(1)           submit to the Board a notarized application form provided by the Board at www.ncdentalboard.org that includes the information and materials required by 21 NCAC 16B .0301(a);

(2)           submit the nonrefundable intern permit fee set forth in 21 NCAC 16M .0101;

(3)           submit a letter from a prospective supervising dentist confirming he or she will supervise the intern; and

(4)           satisfy the examination requirements in 21 NCAC 16B .0303(a).

(b)  In addition to the requirements of Paragraph (a) of this Rule, an applicant for an intern permit pursuant to Rule .0101(a)(1) of this Subchapter shall request the information or documents as set out in 21 NCAC 16B .0301(c)(1) and (2).

(c)  In addition to the requirements of Paragraph (a) of this Rule, an applicant for an intern permit pursuant to Rule .0101(a)(2) of this Subchapter shall submit written confirmation to the Board:

(1)           that the applicant has graduated from a dental program other than one accredited by the Commission on Dental Accreditation (CODA) of the American Dental Association;

(2)           that the applicant is enrolled as of the date of the application in a graduate, intern, fellowship, or residency program at a North Carolina dental school or teaching hospital offering programs in dentistry;

(3)           that an ad hoc committee from the training facility in which the applicant is enrolled under Subparagraph (c)(2) of this Rule, consisting of three associate or full professors, only one of whom represents the department in question, has evaluated the applicant's didactic and clinical performance with the point of observation being not less than three months after the applicant's start of the program, and has determined the applicant is functioning at a professional standard consistent with a graduate from a dental school or program accredited by CODA;

(4)           that the applicant has completed a program of study at the training facility in which the applicant is enrolled under Subparagraph (c)(2) of this Rule in:

(A)          clinical pharmacology;

(B)          prescription writing in compliance with federal and State laws; and

(C)          relevant laws and federal regulations pertaining to the United States Drug Enforcement Administration; and

(5)           the total time required to complete the graduate, intern, fellowship, or residency program, and the date the applicant is scheduled to complete the program.

(d)  The Board shall receive all information and documentation required under Paragraphs (a) through (c) of this Rule for the application to be complete. Applications that are not completed within one year of being submitted to the Board shall be disregarded as expired without a refund of the application fee.

(e)  Any applicant who changes his or her address shall notify the Board office in writing within 10 business days.

(f)  Any permit obtained through fraud or by any false representation shall be revoked.

History Note:        Authority G.S. 90-28; 90-29.4;

Eff. August 1, 2002;

Temporary Amendment Eff. January 1, 2003;

Amended Eff. July 1, 2015; January 1, 2004;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 9, 2018;

Amended Eff. March 1, 2020.