The American Dental Association (ADA) House of Delegates voted to eliminate live patient clinical exams in the year 2000. Canadian dental graduates take an objective structured clinical examination (OSCE) for licensure. Several states have changed their dental practice acts to permit licensure by mentored experience of a general residency or specialty Dental students have led the fight, with some results, to eliminate a practice--live patient exams--that perpetuates unprofessional and potentially illegal activity.