If you have already registered, we look forward to seeing you at the Leadership General Session on Thursday, July 17.
Not yet registered? No problem – we’re happy to register you on-site!
See you soon!
When it comes to oral health there is a lot of misinformation circulating in the public imagination. What’s the best course of action when a patient makes a request or assertion that isn’t supported by science?
Dr. Partha Mukherji is a general dentist practicing in Ft. Worth, Texas, and a supporter of Evidence-Based dentistry. He spoke with New Dentist Now about strategies dentists can use when patients are misinformed about science.
New Dentist Now
Let’s start with a quick definition of Evidence-Based Dentistry
Dr. Partha Mukherji
Sure—Evidence-Based Dentistry, or EBD, is the point where scientific evidence, my expertise as a dentist and the patient’s treatment needs and preferences all intersect. EBD isn’t new, but it has received increased focus in recent years, especially as junk science has gained prominence in the public imagination.
How do you integrate EBD into your practice on a day-to-day basis?
Dr. Partha Mukherji
It starts with my team—I’ve worked to make sure that everyone in my practice is familiar with Evidence-Based-Dentistry and how to use tools such as EBD.ADA.org. The site has some quick tutorials that can help bring newcomers up-to-speed.
I think it’s also important to share this information with patients. It has always been our role to educate patients, and this adds another dimension. It moves the conversation beyond, ‘Well I’m the dentist and I say so.”
What happens when a patient presents a real challenge, such as presenting an oral health myth as fact?
Dr. Partha Mukherji
It’s a two-step process. First of all I use it as a teachable moment, to explain how I use EBD to support my decisions, and to give an overview of how I assess scientific research. I find that many patients aren’t familiar with the basics about science—for instance the difference between correlation and causation.
And second, I work to demonstrate respect for the patient’s perspective, even as I maintain respect for my own integrity as a dentist. So I might say, “I am recommending scaling and root planing as a treatment plan. If you want to research that approach independently or seek a second opinion, I support that completely. However science doesn’t support oil pulling as an alternative.” I’ve found that helps to strike a balance between the patient’s wishes and my responsibility as a clinician.
The ADA Center for Evidence-Based Dentistry is at EBD.ADA.org
Did you know the average dental school graduate carries $221,000 in student loan debt? While this debt may not be the sole factor in determining whether a new dentist will choose a career of private practice over public service, 68 percent of graduating seniors say it does influence their decision.
The infographic uses data gathered by the American Dental Education Association. Please take action now and contact your representative about this important issue, please visit ADA.org/Engage.
This intensive business education program curriculum is designed to teach the core principles of an MBA program taught by the same professors in Northwestern University’s Kellogg School of Management MBA program.
The program meets over 3 sessions; September 19-22, October 24-27 and November 14-18, 2014. This is not a practice management course. Here’s the link for more details and the application. Don’t delay — application deadline July 1, 2014.
Today is a guest post from one of a pair of married dentists, Dr. Larry Dougherty and Dr. Ana Paula Ferraz-Dougherty.
Tried it — Didn’t Like It
by Dr. Larry Dougherty:
Owning a dental practice is rewarding. Understatement alert: it can also be stressful. This isn’t unique to dentistry; it’s just part of owning a small business. If only there was a perfect cookbook on how to handle every situation, it would be so easy.
There’s no cookbook — we learn as much as we can, we measure and analyze, and we try to course-correct after mistakes. What worked in year one might not continue to work in years two and three.
Here are a few things we used to do – maybe they will work for you, but they didn’t work for us:
Dr. Larry Dougherty and Dr. Ana Paula Ferraz-Dougherty are the owners of Rolling Oaks Dental in San Antonio, TX.
Recently we blogged about an innovative online CE course where you can follow a full-mouth restoration from the initial exam to final placement of prosthesis.
If that course interests you, consider enrolling in Treatment Planning: Implants and Attachments on Saturday, July 19 as part of the ADA 28th New Dentist Conference in Kansas City, Missouri. The course is in two parts that may be taken individually or together.
Part one is a morning lecture taking place at the Conference’s host hotel. Part two is a hands-on workshop taking place across town at the UMKC School of Dentistry. An additional $75 fee applies to those enrolling in the hands-on course.
The ADA 28th New Dentist Conference takes place in Kansas City, Missouri July 17-19, 2014 at Sheraton Kansas City, Crown Center. The conference offers up to 14 hours of continuing education, including this hands-on course. Courses do sell out; to ensure your spot, register today.
Robert “Bob” Hartman is 62 years old and in need of a full-mouth restoration.
Bob will have an immediate maxillary and mandibular dentures placed, with extractions of all of his teeth, appropriate bone reduction and placement of prosthesis.
Bob’s case will be part of a CE online series where ADA members are able follow his treatment—from diagnosis to surgery — through courses posted on ADA CE Online (here’s a link to that first course.)
ADA News has the full story, including background information on Bob. We were especially interested in what this means for continuing education:
“We’ve done a lot of live patient courses at the ADA Annual Meeting since 2007 and many online courses featuring live-patient video,” said Richard Schuch, ADA director of Continuing Education and Industry Relations. “But we’ve never taken a look at a patient from beginning to end and let our members follow that patient. We’ve wanted to do this for a long time.”
Each step in the process is being filmed—from Bob’s initial examination and diagnosis and taking appropriate recordings of his mouth to surgery and placement of implants and prosthesis. In all, the process is expected to take about 18 months, culminating in a three-hour Education in the Round course at ADA 2015 — America’s Dental Meeting in Washington, D.C.
All of us were saddened to learn of the passing of ADA student member Jiwon Lee. Lee was 29 years old, a fourth-year dental student at Columbia University College of Dental Medicine, and the immediate past-president of the American Student Dental Association (ASDA.)
We send our deepest sympathies to her family, friends and loved ones.
We’ve blogged before about the difference between classification as an independent contractor vs. as an employee. The difference in classifications has a number of ramifications, including taxes, decisions about how work is to be performed, and other considerations.
The ADA has a new publication — Dentist Employment Agreements: A Guide to Key Legal Provisions that goes into detail about the distinction between the two classifications, and raises a number of issues that could require clarification, including patient records:
Upon termination of the relationship, who will retain patient records? Where will the patient records be stored and how long will they be kept in the event of malpractice litigation? Are there any provisions to access the patient records? Can the dentist make a copy of certain patient records? Generally an employee does not own patient records, where an independent contractor may develop his or her own patient pool and possess ownership rights of patients’ records unless otherwise stipulated in the agreement. If the independent contractor does not possess ownership rights of patients’ records, it is advisable that the independent contractor secure the contractual right to photocopy the records of treated patients to defend in case of a malpractice suit, peer review or dental board action.
Dentist Employment Agreements is not a substitute for a lawyer, but can help you know what questions to ask and discussions to have with your legal advisor. The publication is available from the ADA Center for Professional Success, a member-only resource, exclusively for ADA members. And while you are there, check out the other resources including Be a Great Boss, Checklist for Terminating an Employee and Using Flexible Benefit Plans in your Practice
According to William Ury, Ph.D., co-founder of Harvard University’s Program on Negotiation and author of The Power of a Positive No: How to Say No and Still Get to Yes, an approach he calls Yes! No. Yes? can be a helpful formula. Here’s how Lindsay Levine describes it on the Fast Company blog:
The First “Yes”: Let’s say a client wants to go with a lower-priced alternative, which you know will produce a substandard result. The first Yes! is the core value, need, or principle you’re trying to protect. For example, protecting the quality of the brand.
The “No” is a respectful no, saying, “To maintain our quality standards, we cannot go with the lower priced/lower quality item.”
The “Yes?” acknowledges the ongoing relationship, and sounds like, “Let’s work together to create something that works within your budget but doesn’t adversely affect the quality of the product.”
This formula might be useful for a number of scenarios, including describing treatment planning options.
Do you have a winning approach for holding your ground without jeopardizing the relationship? Leave your suggestion in the comments.