The proposal stated that Virginia had two deaths in dental offices or institutions in ten years. Is this a lot? Were the deaths related to dental treatment being rendered at the time? Is this incidence rate statistically significant? Would the deaths been avoided if there was a state mandated level of Emergency training in place(since one death took place in the dental school,it can be assumed that at least some of the faculty were trained in advanced cardiac life support, and yet even that level of training,the death was not prevented)? My understanding is that CPR certification including use of an AED, is a current requirement for licensure. The content of criteria for this is standardized and well known. What would be, and who would set, the criteria for training, certification and monitoring of proficiency? If the Board, where would the budget for this additional responsibility come from? While I agree that all practicing dentist should be prepared to deal with a medical emergency arising in their office, the effect of requiring evidence of such training places a huge expense on both the dentist and the monitor(presumably the Board) without actually guaranteeing preparedness in a particular case. I would encourage all my colleagues to take a medical emergencies course if the have not recently done so, and to have staff training in dealing with an emergency, but i think adding an additional requirement for licensure is regulatory overkill. It will increase paperwork and expense without achieving the goal it seeks to attain