21 NCAC 16Y .0102. APPLICATION

(a)  Applicants for intern permit who are graduates of dental schools or programs as set out in Rule .0101(1) of this Subchapter must:

(1)           complete the Application for Intern Permit as furnished by the Board;

(2)           submit an official copy of dental school transcripts;

(3)           forward a letter from a prospective employer;

(4)           submit a signed release form, completed Fingerprint Record Card, and such other form(s) required to perform a criminal history check at the time of the application;

(5)           successfully complete written examination(s) administered by the Board; and

(6)           pay the intern permit fee.

(b)  Applicants for intern permit who are graduates of a dental program as set out in Rule .0101(2) of this Subchapter must:

(1)           submit written confirmation that the applicant has qualified for and is currently enrolled in a graduate, intern, fellowship, or residency program in the North Carolina Dental School or teaching hospital offering programs in dentistry;

(2)           submit written confirmation that an ad hoc committee (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 from the applicant's start of the program, and has determined that the applicant is functioning at a professional standard consistent with a dental graduate from an ADA-accredited dental school;

(3)           successfully complete a simulated clinical examination;

(4)           submit written confirmation that the applicant has successfully completed a program of study at the training facility in:

(A)          clinical pharmacology;

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

(C)          relevant laws and administrative procedures pertaining to the DEA;

(5)           submit a written statement of the total time required to complete the graduate, intern, fellowship, or residency program, and the date that the applicant is scheduled to complete said program;

(6)           submit a signed release form, completed Fingerprint Record Card, and such other form(s) required to perform a criminal history check at the time of the application;

(7)           successfully complete written examination(s) administered by the Board; and

(8)           pay the intern permit fee.

(c)  In making application, the applicant shall authorize the Board to verify the information contained in the application or documents submitted or to seek such further information pertinent to the applicant's qualifications or character as the Board may deem necessary pursuant to G.S. 90-41.

(d)  Intern permits shall expire on an annual basis and are subject to renewal by the Board upon application and payment of the renewal fee.

 

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

Eff. August 1, 2002;

Temporary Amendment Eff. January 1, 2003;

Amended Eff. January 1, 2004.