This Newsletter is an independent publication, and is not a product of the Central Oregon Dental Society, Oregon Dental Association or the American Dental Association. This Newsletter relies on the dental community, its readers and Editor for its content and aims to relay announcements, information and dialogue relevant to the Central Oregon Dental Community.
- This issue of the Central Oregon Dental News is brought to you through the generous support of:
- — Assured Dental Lab —
- — BnK CONSTRUCTION INC. —
- — Elite Dental Arts —
- — GO REMOTE DENTAL SOLUTIONS —
- — O’Brien Dental Lab —
- CONTENTS OF NEWSLETTER:
- Upcoming Central Oregon Meetings & Events
- Central Oregon Dental News
- Volunteer Opportunities
- Classified Ads
- Regional CE Calendar
- More Info.
- Dear Dr. Rupert
UPCOMING CENTRAL OREGON MEETINGS & EVENTS
(Please email or send any dental related events or courses that you would like posted on this calendar.)
September 16, 2021 Central Oregon Dental Society Business / Dinner Meeting
- 6:30 p.m.
- Riverhouse Convention Center (Bend, Oregon)
- Speaker: Deb Hainisch, Speech Pathologist at St. Charles will make a presentation on “The Role of the Tongue and Myofunctional Therapy for Swallow Disorders and Sleep Disordered Breathing, the most serious of which is sleep apnea.”
- An RSVP email usually comes from Dr. Lenox a few weeks prior to the event. If you aren’t on the Dental Society email list or haven’t received an RSVP email 10 days prior to the event, please contact Dr. Lenox’s office to be added to the email list and RSVP for the dinner and meeting.
CENTRAL OREGON DENTAL NEWS
Cascade Endodontics Welcomes New Endodontist to Central Oregon
Dr. Cameron Woolsey was born and raised in Snohomish, Washington, just north of Seattle. He completed his undergraduate studies at Western Washington University with a degree in Cellular and Molecular Biology in 2014. Dr. Woolsey then received his dental degree from the University of Washington School of Dentistry in 2019, where he met his wife. He decided to stay in Seattle to pursue his M.S.D. in Endodontics, which he received in 2021.
Dr. Woolsey and his wife decided to move to Bend, Oregon after completing their educations. They wanted to find a home with great recreation and a strong community and felt that Bend was the perfect fit. Dr. Woolsey enjoys golfing, tennis, mountaineering, and snowboarding. Dr. Woolsey loves spending time with his wife and their dog, Palmer. Dr. Woolsey is excited to pursue excellent endodontic care with skill, empathy, and compassion alongside Dr. Bitner and Dr. Paparcuri at Cascade Endodontics.
Leadership Opportunity in Central Oregon Dental Society
Want to get involved on the local level within the Central Oregon Dental Society?? The Secretary/Treasurer position is up for new leadership! Duties include working with other component leaders to ensure the success of the society, communication with vendors to secure sponsorship, maintaining the societies monetary funds, taking accurate minutes at component meetings and reporting them for inclusion in the monthly newsletters. If you are interested in this position or have additional questions please contact Erica Crosta (email: firstname.lastname@example.org , cell: 503-267-3828). We will hopefully be holding elections at one of our upcoming society meetings!!
Dr. Jared Adams Earns AGD Fellowship
The Academy of General Dentistry (AGD) is pleased to announce that Dr. Jared R. Adams of Bend Oregon recently received the prestigious Fellowship Award, a prestigious credential that recognizes AGD member’s commitment to excellence in dental education. Dr. Adams accepted this award along with 286 other recipients at a special convocation on June 12, 2021 during AGD’s Annual Scientific Session in Austin, Texas. 6% of dentists have earned their AGD Fellowship.
If anyone is interested in learning more about pursuing their AGD Fellowship, Dr. Adams would be happy to meet with you and discuss the Fellowship and Mastership track options and buy you a beverage of your choice. You can reach Jared at email@example.com.
UPDATES FROM THE ODA
N95 respirator requirements (OR-OSHA Requirements, OHA Recommendations, CDC Recommendations). When performing Aerosol Generating Procedures (AGPs), providers should follow CDC’s Guidance for Dental Settings, which links N95 usage to the patient’s COVID status, community transmission levels, and allows for provider discretion. In summary:
- Providers performing AGPs in facilities located in areas with moderate to substantial community transmission should continue to utilize N95 respirators for AGPs.
- Providers performing AGPs on patients suspected or confirmed to be COVID-19 positive should always use an N-95 respirator during AGPs.
- Providers performing AGPs on patients without signs or symptoms of COVID-19 in minimal to no community transmission areas may utilize standard PPE precautions. Providers should evaluate clinical risk and determine appropriate PPE.
Providers should follow best practices, take due diligence to evaluate risk, and make good faith efforts to provide adequate protection to your employees. Document, document, document your decisions!
Aerosol Generating Procedures (AGPs) for Suspected or Confirmed COVID-19 Patients (see also N95 requirements above)
- AGPs for patients suspected or confirmed with COVID-19 or known exposure should be delayed if medically reasonable (OHA recommendation, CDC recommendation)
- When conducting AGPs on suspected or confirmed COVID-19 positive patient, N95 respirator, eye protection, gown and gloves should be used. (Respirator required by OR-OSHA, recommended by OHA, recommended by CDC)
Whenever possible, suspected or confirmed COVID-19 positive patients should be treated in an airborne infection isolation room (AIIR). (Required by OR-OSHA, recommended by OHA, recommended by CDC)
Masks in the Dental Office: With limited exceptions (i.e. young kids; when eating/drinking), OR-OSHA and OHA require and the CDC recommends that health care personnel and all visitors wear a mask or face covering while in a health care office.
Barriers in the Dental Office: Physical barriers are required by OR-OSHA to protect workers, patients and visitors from individuals known or suspected to be infected with COVID-19. Use physical barriers or partitions in triage areas to guide patients when appropriate, use curtains to separate patients in semi-private areas; when available use airborne infection isolation rooms (AIIRs). CDC recommends physical barriers in certain areas of the dental office, i.e. reception areas, to limit close contact between triage personnel and potentially infectious patients.
Screening of Patients and Employees for COVID-19 Symptoms: Required by OR-OSHA:
- The employer must screen and triage all individuals entering its healthcare setting for symptoms of COVID-19.
- At a minimum, each employer must:
- Limit and monitor points of entry to the healthcare setting where direct patient care, or aerosol-generating healthcare procedures are performed by workers. Consideration must be given to establishing stations at the healthcare setting entrance to screen individuals before they enter;
- Screen all individuals and employees entering the healthcare setting for symptoms consistent with COVID-19. This can be achieved by asking the affected individual about symptoms of COVID-19 and asking if they have been advised to self-quarantine because of exposure to someone with COVID-19 or if they have been told to isolate after testing positive for COVID-19; and
- Develop a triage and screening protocol that isolates patients known or suspected to be infected with COVID-19 from other non-COVID-19 patients; procedures for transporting patients known or suspected to be infected with COVID-19 within the facility and between facilities as applicable; implementation of temporary air infection isolation rooms (AIIRs) as available.
- In addition to standard screening, OHA recommends screening of fevers before each employee shift and for patients when the county COVID-19 risk level is extreme.
- The CDC recommends screening everyone entering the dental office for a fever.
Note: There are additional requirements of dental offices not included here, such as infection control plans and respirator programs. This document is intended to provide a high-level overview of recent changes and frequently asked questions. Please review the full guidance for additional details.
UPDATES FROM THE ODA: A Narrative about ODA’s work on the Dental Therapy Bill
Dental therapy passed into law in Oregon this year. The Oregon Dental Association spent hundreds of hours negotiating the bill, successfully narrowing scope of practice, and increasing education and supervision requirements. ODA has spent considerable resources on dental therapy over the last decade. The final bill reflects years of organization-wide efforts, strategic lobbying, careful negotiations, and yes, while there may not have been much blood, there was certainly sweat and tears.
It was over a decade ago that Oregon saw the first legislative attempt to create a midlevel provider called a “dental therapist.” When legislators ultimately approved dental therapy in the 2021 Legislative Session, the bill looked nothing like it had at the outset — or like it did at the beginning of the session, for that matter. That is thanks to years of advocacy from the ODA and many of its members, who went above and beyond their everyday dental practice to advocate for their profession and for equitable dental care for all Oregonians.
“The major changes to the bill that eventually allowed us to get to a neutral stance, would not have been possible without our lobbyists and the many dentists who spoke with legislators, contributed their time and expertise on state committees and workgroups, and testified at public hearings and work sessions,” said Dr. Scott Hansen, chair of the ODA’s legislative task force.
Although the ODA eventually decided to be neutral on the final bill, the journey there was arduous.
A Decade-Long Fight
Oregon’s first dental therapy bill was rejected in 2009, but proponents continued to push for this new midlevel provider role, obtaining significant financial resources from large national funding groups who continue to support dental therapy campaigns in states across the country.
The ODA instead supported legislation to create dental pilot projects in Oregon, with the hope that any proposed workforce changes could be studied and vetted as health policy decisions, rather than political issues. Legislators approved the dental pilot project program in 2011. Five years later, the Oregon Health Authority approved the first of these pilot projects: “Oregon Tribes Dental Health Aide Therapist (DHAT) Pilot Project.” Modelled after the Alaska DHAT program, students graduate from Alaska’s dental therapy education program and return to Oregon to serve patients on tribal lands and in tribal clinics.
At every step of the way, the ODA remained involved: through the initial rulemaking and project review, through five years of advisory board meetings, site visits, evaluations, and monitoring.
“It’s truly amazing the care and expertise dentists provided on behalf of all Oregonians under such challenging circumstances,” said ODA President, Dr. Brad Hester. “Throughout this time, dentists were also critically busy with other advocacy, including expanding access to dental care for more Oregon children, empowering dentists to administer vaccines and more – not to mention dealing with the havoc caused by the COVID pandemic, during which dentists came together to gather and donate PPE for frontline workers, helped to administer vaccines and advised the state on regulatory matters.”
In the Oregon Legislature’s short session in 2020, dental therapy proponents pushed forward with legislation that called for licensing a patchwork of concepts pulling different pieces from other state dental therapy models, without attention to important details like education and training. This legislation, Senate Bill 1549, would have authorized full dental licensure for dental therapists and expanded scope and privileges well beyond what had been authorized in the original dental therapy pilot. Worse yet, it was void of input from the ODA, and dentists’ suggestions for safety and patient-centered improvements were ignored.
Again, the ODA rallied dentists and amplified their voices to fight back, successfully defeating the bill in the 2020 session. Legislators agreed that a 35-day legislative session was too short of time to create a new dental provider. But the Senate Committee on Health Care created a legislative workgroup to continue working on the proposal in spring and summer of 2020, building toward legislation that would be proposed in the 2021 session.
Not surprisingly, the dental therapy legislative workgroup consisted mostly of proponents and supportive legislators, with ODA originally given a single seat. After several conversations with the Senate Chair and committee staff, ODA successfully added representation from the Oregon Society of Oral and Maxillofacial Surgeons, as well as the OHSU School of Dentistry. A special thanks goes to Dr. Caroline Zeller, Dr. Phillip Marucha, and Dr. Norm Auzins who participated in the workgroup.
“We sat at the table in good faith offering workable solutions,” said Dr. Zeller. “The problem was that not a single one of our suggestions around oversight, patient safety, or any other factor was considered, let alone adopted in the final version of the introduced bill. When it comes to dental therapy, scope of practice, supervision, training, and education are critical considerations to ensure safe, high-quality, equitable dental care for Oregonians.”
Dental Therapy Proponents Introduce HB 2528
At the beginning of 2021, ODA saw the introduction of House Bill 2528, a dental therapy concept introduced by Rep. Tawna Sanchez, the only tribal member in the Legislature. HB 2528 resembled the bill from the 2020 session and lacked almost every single suggestion offered by the ODA during the interim workgroup.
At the outset, it was made clear that neither the proponents of the bill, nor the chief sponsors, were interested in any of ODA recommendations for changes or amendments. The proponents included Oregon tribes, dental care organizations, federally qualified health centers, advocacy groups and culturally specific organizations. With Democrats maintaining a super majority in both the Senate and the House, many of whom signed onto the bill as sponsors, it was clear ODA faced a significant challenge. Additionally, ODA learned that at the request of Oregon’s tribes, Governor Kate Brown was also calling key health care committee members and letting them know dental therapy was a priority for her.
Despite this enormous pressure to pass the original bill, ODA, working with Rep. Cedric Hayden (Republican – Roseburg), a dentist and the House Health Care Committee’s Vice Chair, as well a few other key legislative friends, gained agreement to add important sidebars to HB 2528. At this point, the goal was not to outright kill the bill – proponents were likely able to move it regardless of any objections – but instead to offer a workable path with clear guidelines around scope and educational requirements. ODA, in conjunction with Rep. Hayden, started drafting dozens of amendments to the bill with concepts proposed by ODA’s Legislative Task Force. These ideas were similar to the roughly 15 distinct and important changes suggested earlier to the interim legislative dental therapy workgroup.
With the deadline to move legislation out of the House chamber quickly approaching, ODA worked furiously to draft the necessary amendments. Unfortunately, at the deadline we were only up to the -9 amendment (each amendment takes days of work by attorneys on specific language). With an agreement between the House Health Care Chair and Vice-Chair that the bill needed additional changes, HB 2528 was amended with the -9 on the last day the committee met to hear House bills. The bill came out of committee and passed the House floor 38-17. The “no” votes were bipartisan, and legislators indicated that additional education and scope limitations should be added to the bill on the Senate side.
On the Senate side, ODA was surprised to learn that advocates for dental therapy proposed a -10 amendment to expand the scope, grandfather in all existing dental therapy education programs and reduce supervision standards – moving the bill backwards. At the public hearing on the Senate side, ODA testified and stressed that important bookends are needed, to protect not only dentists and their patients, but also for a dental therapist practicing under general supervision (one of our amendments added to the bill specifically requires dental therapists to obtain their own liability insurance). The Chair of Senate Health Committee agreed with us, but wanted to see some suggested language for the bill.
ODA’s Legislative Task Force quickly met again to identify what additional changes and ideas needed to be made to the bill. The Task Force developed key concepts including: requiring a dental therapist to consult with a dentist prior to conducting any surgical procedure on a patient with a chronic systemic health condition, making a dentist review any procedure under indirect supervision first before a dental therapist can go forward, and valuing the importance of dental education being accredited by the Commission on Dental Accreditation (CODA). Specifically, the latter requires any dental therapist from out of state to graduate from a CODA accredited dental therapist education program and requires instate programs to become accredited by a certain date.
Subsequently, the Oregon Society of the Oral and Maxillofacial Surgeons also convened an immediate meeting to consider various additions to the bill. OSOMS submitted a -12 amendment that would limit allowable extractions for dental therapists to simple anterior extractions of primary teeth and under indirect supervision allow simple extractions of permanent teeth if they have a certain level of mobility. These were important scope additions to limit unnecessary pain or discomfort for patients, given the potential complications of these procedures.
Similar to the House, legislative deadlines again loomed. At this point, ODA drafted, in conjunction with Sen. Knopp (Republican – Bend), the Senate Health Care Committee Vice Chair, several more amendments landing on a -17. On the very last day of the committee meeting, it was moved procedurally to the Senate Rules Committee (commonly known as the leadership committee consisting of majority and minority leaders and various deputy members).
At this point in session, dental therapy moved into the bigger conversation about what bills needed to pass before the legislature could adjourn. Still a priority bill for many legislators and dozens of organizations, it became clear the bill was going to ultimately pass this session. Despite strong opposition and comments from the Senate Rules Vice-Chair, Sen. Girod (a retired dentist), the votes were there in Committee to move the bill to the Senate floor for a full vote. ODA’s Board of Trustees quickly met and discussed the final version of the bill, with the proposed additional amendments. It was agreed that if legislators could adopt the remaining ODA and OSOMS amendments, giving us ultimately the majority of what ODA asked for initially during the workgroup last year, ODA would be reluctantly neutral. This decision was conveyed to the Senate Rules Chair, who agreed to include our amendments and move the bill to the Senate floor. The full Senate passed the bill on a 20-9 vote. The bill now sits on the Governor’s desk who will sign it.
Despite strong opposition and concern from ODA about dental therapy, there is a real belief among many in Oregon that dental therapy provides both economic development and opportunity for tribes in Oregon, as well as providing access to dental care in rural communities lacking dental providers. The coalition of supporters are well funded by national charitable groups, and represent culturally specific organizations, tribal communities, universities, advocacy groups, the Black Indigenous People of Color (BIPOC) caucus, dental care organizations, and many others. ODA’s Board of Trustees recognized that the bill dying does not make dental therapy goes away, but instead would continue the conversation and work into the 2022 Legislative Session and beyond.
ODA continues to argue that inadequate reimbursement levels for dental providers, high amounts of student debt, a general fear of dentistry, and oral health being seen as a lessor priority compared to physical or a mental health in state policy making, all contribute to lack of access to proper oral health. However, the time spent to defeat dental therapy every year requires significant resources. The ODA worked tirelessly over the last 6 months to protect patients by ensuring safeguards are built into this new license, through education, supervision, collaborative agreements, and limitations on scope.
If the ODA had stopped negotiating in good faith at any point, legislators likely would pass a dental therapy bill without the input and experience of our members. Instead, with the passage of the amended and vastly improved HB 2528, dentists helped to protect some of the most vulnerable patients in Oregon. Unprecedently, HB 2528 was the very last bill to move out of the House Health Care Committee, as well as the very last bill in the Senate Health Care Committee, both requiring procedural votes to move it forward.
It should also be noted that the 2021 legislative session was unlike any in Oregon history. Virtual committee meetings, technical and communication challenges, and a closed (to the public) Capitol building created significant challenges for legislative advocacy and lobbying efforts. Legislative leadership also placed a heavy, but important, emphasis on diversity, equity, and inclusion legislation, which included passing a dental therapy bill.
With this long, hard road behind us, ODA looks ahead to continued advocacy efforts to protect our patients while taking real, substantial steps toward advancing equitable oral health for all Oregonians.
Additional Resources on HB 2528
Full Bill Text (HB2528 (oregonlegislature.gov)
Summary of Key Bill Provisions (hb-2528-quick-facts7a2084ddb07d6e0c8f46ff0000eea05b.pdf (oregondental.org)
Comparison of where HB 2528 began as introduced and where it ended (hb-2528-comparison222184ddb07d6e0c8f46ff0000eea05b.pdf (oregondental.org)
- Please go to the ‘VOLUNTEER‘ page on the menu bar for contact and additional information about the following Central Oregon organizations seeking dental volunteers:
- Central Oregon Community College Friday Clinic
- Medical Teams International Mobile Dental Van
- Donated Dental Service (DDS) Program
- Healthy Beginnings
- Smile Central Oregon
- Central Oregon Community College Dental Assisting Program
- Volunteers in Medicine Clinic
REGIONAL CE CALENDAR
Please check with the CE Provider, to make sure the Course has not been cancelled due to COVID-19 measures.
|Date||Host Dental Society||Course Title||Speaker||Hours CE||Location||More Information|
|9/15/2021||Multnomah||Prosthodontic Course||Dr. Larry Over||2||OHSU School of Dentistry||Register: http://www.multnomahdental.org|
|10/20/2021||Multnomah||3D Printing Techniques – Biomaterials & Tissue Engineering||Luiz Bertasonni, DDS, PhD||2||OHSU School of Dentistry||Register: http://www.multnomahdental.org|
|1/19/2022||Multnomah||Teen Invisible Alignment||Judah Garfinkle, DMD||2||TBD||Register: http://www.multnomahdental.org|
|3/16/2022||Multnomah||Cyber Crimes Safety, Social Media/Website Accessibility & Professional Insurance – What do I need?||Cory Roletto, Chris Verbiest & a Cyber Security Attorney||2||TBD||Register: http://www.multnomahdental.org|
You are welcome to email or send in anything dental that you might want to advertise, trade or buy. Slight charge may apply to businesses offering services.
For Sale Dental Training Equipment
My name is Cathy Taylor my background is in dental education. I owned a business that traveled around the state of Oregon on the weekends to teach and prepare assistants to take their board exams.
The following equipment has been extremely well taken care of and is for sale:
DXTTR III -Xray Trainer (Quantity 4) Photo shown is one of the human skull X-ray Trainers.
- 2 are Human Skull with natural teeth and come with Arm/Finger Ball Assembly
- 2 are Plastic Skull without Arm/Finger Ball Assembly
Columbia Dentoform Manikins with SM-PVR 860 Model Assembled on M-1R-3 Chair Mount. with extra prepped teetj.
- Quantity = 10 Photos and detailed information available upon request.
Please contact me for pricing and specific questions, also please feel free to share with anyone that you feel might be interested.
Cathy Taylor 541-905-3010 firstname.lastname@example.org
Searching for a Dental Hygienist?
You might want to email the High Desert Dental Hygienists’ Association (CODHAinfo@gmail.com) and tell them about your need. They are very helpful and have a great database of Central Oregon Dental Hygienists and will email information about your opening to their members.
Announcements, Articles or Classifieds for the Newsletter
Article submissions for the Central Oregon Dental Community are encouraged and welcomed. You can email your content to Dr. Mehdi Salari (email@example.com). The deadline to contribute articles or request the posting of information in the Newsletter is 5:00 pm PST on the last day of each month. The Newsletter is typically sent out on the first or second day of each month.
Advertising or Content for Future Newsletters
Please contact Dr. Mehdi Salari (firstname.lastname@example.org) if you would like to post a classified or advertisement in future issues of the Central Oregon Dental Newsletter. The Central Oregon Dental Newsletter is available & sent to all practicing and retired Dentists, Specialists in Bend, Redmond, Prineville, Madras, Sisters, La Pine, Sunriver, Warm Springs & Powell Butte & Mitchell. The deadline to update or post an advertisement in the Newsletter is 5:00 pm PST on the last day of the each month.
Everything above the red line is put together as a service to the Central Oregon Dental Community and is the nonpartisan news and events of this Newsletter.
The Red Line
The Red Line
Everything below the red line is either for entertainment purposes or to stimulate conversation or debate. It’s personal, opinion based, has a conservative slant and is not meant to offend anybody. Reader discretion is advised.
DISCLAIMER / WARNING: The opinions expressed ARE NOT those of the Central Oregon Dental Society, Oregon Dental Association, American Dental Association or any of the Advertisers or Business Partners. Editorials are OPINIONS ONLY and are meant to encourage discussion or dialogue. Readers are welcome and encouraged to contribute editorials or comments for inclusion in future issues.
Please Consider Contributing an Editorial or Column For Future Newsletters
This Newsletter is a forum for the Central Oregon Dental Community to stay in touch and connected and a place to have your voice heard. Your opinion columns, thoughts and feedback are encouraged and welcome.
Thank you … Central Oregon Dental Community Mehdi Salari
Once a month, I rant in this Editorial corner about something that is rubbing me the wrong way. My comments have not always fixed the issue or problem that was bothering me, and the issue that I was writing about often continues on despite my ire. Depending on the topic, each month I seem to receive five or eight emails of support or thanks, for talking about something that was also bothering other dentists and readers of this Newsletter. Also depending on the topic, I receive one or two emails a month in opposition to my point of view. So far, all of those exchanges have thankfully been civil and polite.
So what’s the point of writing and talking about things when nothing seemingly changes and things continue on their same liberal course despite the belly-aching?
First, there is the immense sense of relief, gratification, joy and euphoria that results from the emails of support or appreciation. Simply knowing that I’m not the only person who feels a certain way helps remove any sadness, anger or loneliness which was the reason for the writing of the Editorial in the first place. We are constantly being told what to believe and think by our corrupt media, incompetent career politicians, elite celebrities with 24-7 worldwide platforms and the all intrusive big tech or big brother which controls everything we read, see and post. Simply knowing that there are other like-minded folks out there brings incredible comfort, joy and inner peace to me (and hopefully the reader).
Second, I have received incredible enlightenment from debating my point of view via email or phone call with those who disagree or see things in a different light. I’m not right about everything and I’ve learned and grown from the feedback and comments that I have received. You would think that after fifty years, I would learn to think before I speak (or write); but that’s not necessarily this human’s nature and I instinctively vent and moan when things are bothering me without always fully thinking everything through.
Third, there is the god given liberty and freedom that we all have to express ourselves through our freedom of speech. Sadly, that freedom is slowly being ripped out of our hands by those who insist everything we say be politically correct, sensitive and all-inclusive. While those groups too are entitled to their beliefs, they do not have and should never have the power to restrict what you or I say, think or believe. Many of the things that I have vented about in this little corner of the Newsletter would not be printed in our local paper or any of our current professional publications; without having parts edited out or changed. I just think muffling speech, thought and opinion in order to promote a differing political agenda is wrong and un-American and I love the fact that I can still write and post what I want on this website. The reader can choose to read something and make up their own mind; nobody should have the right to restrict what opinion I listen to. I pray that my kids don’t have this right taken away from them by Big Tech or those currently impersonating themselves as our Representatives.
Fourth, I’d like to believe that a little controversy or sarcasm is good for our Dental community. People do look through the various organized dentistry reprints and things like the calendar of upcoming events; but all the comments and feedback are from people who scroll below the ‘Red Line’. Whether people agree with me or not, I would like to think that we at least have a “once-a-month email bond”, and that’s better than not having any type of regular bond at all. We are all connected by our profession and should stay in touch on a regular basis, instead of only getting together in a crisis or at each others funeral.
Fifth … time has suddenly made me one of the older practitioners in town. When I was young and new in town, I remember the older and more experienced dentists (Steve Timm, Mike Olin, Dave Fuller, John Pavlicek, … ) standing up at our Dental Society Meetings and voicing their concerns to the things that they felt were not necessarily good for dentistry or our town. They weren’t always right, but I respected their courage in standing up and speaking. The young guys typically do as they are told by those in power; while the older guys have the experience to question when those in authority or power are being ridiculous. I hope our young dentists will stand up and defend their profession and town; because in a few years … I too will be gone and it’ll be the next generation’s turn to question things.
In summary, I wanted to thank all of you who have written emails of support and encouragement over the sixteen plus years that I’ve been sending out a monthly Newsletter. I love you guys and greatly appreciate your support. I also wanted to thank everybody who has taken the time to disagree with me and show me a different perspective on things over the years. I love you guys too for taking the time to have a civil discussion, expressing a different point of view and for the pleasure of having listened to each other.
DEAR DR. RUPERT
WARNING: The chauvinistic, bipolar, arrogant and politically incorrect commentary and advice of Dr. Rupert do not reflect any advertiser, organization or individuals’ views or opinions … except for Dr. Rupert and is printed for light reading/entertainment purposes only.
- Common Sense, Practical, Practice Management
- Advice for Dental Professionals
- The All-Knowing, All-Seeing, GURU of Everything Dental & Mental
(Please submit your questions, comments or disgruntled remarks to DearDrRupert@yahoo.com)
Dear Dr. Rupert,
Our schedule down at the office is packed and my Front Office staff is having a hard time finding a place to put the patients who call and demand to be seen on the same day or week. I get two or three sticky notes a day, asking me where in the schedule to put Mrs. Smith’s sensitive tooth or Mr. Jones’ chipped filling.
I realize I have to get Mrs. Smith and Mr. Jones in the schedule, but I want my Front Office staff to figure out where to squeeze emergencies into my schedule. How do you train your Front Office staff to properly triage and appoint the patients where there are available snippets of time in your schedule?
Signed, Front Office Needs to Stop Bothering Me and Figure Out Where the Patients Should Go!
– – – – – – – – – – – – – – – – – – – – – – –
Dear Front Office Needs to Stop Bothering Me and Figure Out Where the Patients Should Go!
I get where you are coming from … you are busy in the operatory working your tail off in the back of someone’s mouth and should not be getting hourly sticky notes from your Staff about where to squeeze emergency patients into your schedule. That is what you are paying the Front Office staff to figure out for you and them handing you a note in the middle of a procedure is distracting and upsetting, and does not demonstrate that they are fulfilling their duties responsibly.
The problem here is not that your Front Office can’t figure out where to squeeze emergency patients in; but more a case of you not working enough hours to accommodate all of your patient’s demands and needs. I am guessing that you have an hour blocked every day for a lunch break. Come on! It doesn’t take an hour to eat your sandwich! You can easily wolf that sandwich in ten minutes and you suddenly have fifty open minutes to accommodate that emergency that your Front Office couldn’t find an opening for earlier in the day.
I am also assuming that you go home to your family around five o’clock in the afternoon. Now seriously, do you really need to see and spend that much time with your family? Aren’t they always demanding your time, attention and wallet to do other things? Wouldn’t it make more sense to stay at the office till they go to bed and then go home? Now you’ve opened up four to five more hours every evening to accommodate your patients’ needs and demands and your Front Office will no longer be bothering you in the middle of a procedure asking you where to squeeze in Mrs. Smith or Mr. Jones?
So in summary, you need to stop whining about the little notes that your Front Office brings you and the demands of your patients and take a long, hard look in the mirror! The problem is you and not your Front Office! You are not working enough hours. You are selfishly wanting to flip through your phone for an hour during lunch, instead of taking a shorter lunch and bending over backwards for your patients. You are the one who goes running home early in the afternoon to work out at the gym or watch your kids’ baseball, volleyball, basketball, soccer or lacrosse games. You could certainly be treating emergencies down at the office with all that time you spend watching your kids playing a sport.
Stop your bellyaching about the shortcomings of your Front Office and start spending more hours down at the office and the little notes about where to squeeze in emergencies will magically disappear.
Glad I could slap you back into reality,