2018 April WSDA News Issue 5

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WSDA 8 201 ril · · ap e5

The voice of the Washington State Dental Association

OLYMPIA: THE YEAR IN REVIEW

Also in this issue: WDS PETITIONS DELIVERED · UPDATE th e wsda ne w s · issue 5, april · 2018 · www.wsda.org · 1

news

PREMIER BUILDERS D E N TA L FA C I L I T I E S

YOUR VISION, DELIVERED. C O N S TA N T I N E B U I L D E R S . C O M 2 · th e wsda ne w s · issue 5, april 2018 · www.wsda.org

WSDA ‘s Government Affairs Associate Emily Lovell (lower right, in gray) testifies in front of the Health and Long Term Care Committee

WSDA news Cover story by Mellani McAleenan Cover story photography by Craig Mitchelldyer

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editorial

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guest editorial

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delta news

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cover story

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member news · toothapalooza!

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uw news

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clinical corner

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2018 coy news

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pndc news

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2018 hod news wdia news

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classifieds

first person: dr. john evans

Like us on Facebook: www.facebook.com/WashingtonStateDentalAssociation WSDA News Editor Dr. Mar y Jennings

Dr. Ashley L. Ulmer Dr. Amy M. Winston

Continuing Education and Events Coordinator Rachel McFarlane

Editorial Advisor y Board Dr. Brittany Dean Dr. John Evans Dr. Julie Kellogg Dr. Stephen Lee Dr. Joseph Vaughn

WSDA Staff:

Membership Ser vices Coordinator Rachel Gunderson

Washington State Dental Association Dr. Cynthia R. Pauley, President Dr. Christopher Delecki, President-elect Dr. Nathan G. Russell, Secretary-Treasurer Dr. Bernard J. Larson, Immediate Past President Board of Directors Dr. Marissa N. Bender Dr. Dennis L. Bradshaw Dr. Chris Dorow Dr. Linda J. Edgar Dr. John Gibbons Dr. Todd R. Irwin Dr. Christine L. Kirchner Dr. Eric J. Kvinsland Dr. I. Blake McKinley Dr. Randall H. Ogata

Executive Director Bracken Killpack Assistant Executive Director Kainoa Trot ter Controller Peter Aaron

Membership and Communications Coordinator Emma Brown Bookkeeper Joline Hartman Association Of fice: (206) 448 -1914

Director of Government Affairs Mellani McAleenan

Fax: (206) 443 -9266

Director of Operations Brenda Berlin

E- mail/web: info@ wsda.org/wsda.org

Toll Free Number: (800) 448 - 3368

Ar t Director/Managing Editor Robert Bahnsen Director of Continuing Education and Events Emily Rademacher, CMP Government Affairs Associate Emily Lovell

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In the event of a natural disaster that takes down the WSDA web site and email accounts, the WSDA has established a separate email address. Should an emergency occur, members can contact washstatedental@gmail.com.

The WSDA News is published eight times yearly by the Washington State Dental Association. Copyright © 2018 by the Washington State Dental Association, all rights reser ved. No part of this publication may be reproduced without permission of the editor. Statements of fact or opinion are the responsibility of the authors alone and do not express the opinions of the WSDA, unless the Association has adopted such statements or opinions.

Subscription price is $65 plus sales tax per year for eight issues of the News. Foreign rate is $97.92 per year. Advertising is published as a service to readers; the editor reserves the right to accept, reject, discontinue or edit any advertising offered for publication. Publication of advertising materials is not an endorsement, qualification, approval or guarantee of either the advertiser or product. Communications intended for publication, business matters and advertising should be sent to the WSDA Office, 126 NW Canal Street, Seattle, Wash.

98107. ISSN 1064-0835

Member Publication American Association of Dental Editors.

Winner: 2017: Journalism Award, Platinum Pencil, Leadership Article, Division 1, Honorable Mention; 2016: Platinum Pencil Award; 2015: Golden Pen Award Honorable Mention; 2014: ADA Golden Apple Award for Outstanding Achievement in the Promotion of Diversit y and Inclusion; 2013: Journalism Award, Platinum Pencil; 2012: Journalism Award, Best Newslet ter, Division 1, Platinum Pencil Award Honorable Mention (2); 2008: Best Newsletter, Division 1; 2007 Platinum Pen Award; 2006 Honorable Mention; 2005 Platinum Pencil Award; 2005 Publication Award; International College of Dentists.

table of contents issue 5, april 2018

a day in the life

editorial mellani mcaleenan and katherine bobman

DentPAC and you

Mellani McAleenan Director of Government Affairs, WSDA

Katherine Bobman Fundraiser for the WSDA

“A strong DentPAC helps WSDA be more of a visible player in the political arena.

Political candidates, sitting legislators, and campaign staff pay attention to the political action committees and know which PACs in this state are well funded.”

Dr. Mary Jennings, WSDA News editor, welcomes comments and letters from readers. Contact her at her email address: mjenningsdds@gmail.com.

The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.

The mission of the Washington State Dental Association is to empower its members to advocate for, and provide optimal oral health care to, patients. As such, a top strategic priority is to advance solutions that promote the health and safety of all people in Washington state. Key to our success on these matters is developing and maintaining good relationships with state legislators. The Washington State Dental Action PAC (DentPAC) was created with this idea in mind.

DentPAC is a grassroots nonpartisan dental political action committee that works to protect and maintain quality oral health in Washington state, while proactively addressing the changing landscape of dentistry. According to WSDA’s contract lobbyist, Trent House, “To be effective in Olympia, you must be able to show a strong grassroots presence.

The most visible and powerful grassroots tool is a large PAC willing to support candidates who support the profession.”

Political Action Committees (PACs) are an important method for building relationships with candidates. PACs are often viewed as inelegant or unseemly. In fact, PACs are legal and, particularly in Washington, highly regulated. PACs do not buy elections or votes; rather, there are strict rules and laws that regulate campaign contributions. PACs also are not slush funds. For DentPAC, there is a well-defined process to allocate funds, and no DentPAC dollars are spent on anything other than issues, campaigns, and candidates.

Every dollar contributed to DentPAC is spent on increasing our likelihood for success in Olympia.

A strong DentPAC helps WSDA be more of a visible player in the political arena. Political candidates, sitting legislators, and campaign staff pay attention to the political action committees and know which PACs in this state are well funded. A large PAC can be used to fund issue campaigns, such as supporting or opposing a ballot initiative. PAC funds can be dedicated to garnering media attention, such as purchasing newspaper, TV, or radio advertisements to send specific messages in a legislative district. Funds can be used to enhance social media presence for the same reasons. In Washington state, PAC dollars can be contributed directly to a candidate up to a certain amount set by law. However, there is currently no limit on caucus contributions. Another common way to use PAC funds, either to support or oppose candidates, is through independent expenditures, which can be advertisements, such as mailers or media purchases in the candidate’s district.

DentPAC Board Chair Dr. Michael Spektor acknowledges the complex feelings surrounding the American system of politics, stating, “While I understand that many members may be disenchanted with the landscape and the partisanship that is state politics, we do not have the option nor the luxury of not participating in the process. If we sit out, someone will come in to fill the void and then policies will be foisted upon us. The stronger we are as a PAC, the more we can help shape the policies that protect and improve the oral health of the citizens of Washington state and effect our members as small business owners. It offers us a prominent place at the policy table.”

The fact is, political campaigns are expensive, and candidates cannot run for office without proper funding. DentPAC is a major tool in organized dentistry’s government relations toolbox. We have seen what can be proposed in the Legislature - midlevel provider bills, bills to allow the corporate practice of dentistry, third-party interference in the doctor-patient relationship, and so on - so we have to be proactive in supporting candidates who will listen, learn, and support issues that matter to organized dentistry.

Key to our success is supporting legislators who support us. The best way we can ensure good legislative outcomes for organized dentistry is to make sure that people who support organized dentistry are elected to public office and retain their seats for as long as they want them. According to Mr. House, “Being able to effectively communicate your message to a large audience is key to success in Olympia. The most effective way to communicate your message is to help candidates who understand your issues get elected and then take that message to Olympia.”

As busy professionals with bustling practices, families, and personal lives, dentists do not have time to track everything that is going on in Olympia, and the implications one small change could have on a practice. With the practice of dentistry at the whim of the state Legislature, it is crucial to have a strong government affairs team that is supported by a strong PAC. One significant benefit of having DentPAC is the “bang for your buck” that comes with being able to pool individual funds into one large fund and have a greater impact on state politics.

A robust PAC will be particularly important in the coming years. We have heard from continued on page 15

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Editor’s note: We recently reached out to staff at the Washington Physician’s Health Program (WPHP) and asked if they knew of a physician or dentist who had been through their program and would be willing to share their story anonymously. What follows is a personal account of addiction written by one of your peers. We’re grateful for the bravery and willingness to share the story.

At 17 I decided to become a dentist. I just didn’t know I would also become an addict.

In the summer before my senior year in high school, I was working for the park district’s mowing lawns. Wearing slick black and white Converse tennis shoes, I slipped on a steep, grassy slope and introduced my right foot to the blade of a rotary lawnmower I was operating. With the front of my shoe guillotined and a bouquet of red, I was soon in a park pickup truck and off to the hospital. Soon my life would change.

My right toes, while not perfect, are fine today. They have taken me on many adventures, including family excursions into our beloved Olympic Mountains. However, the opiates that I received at the hospital following my attempted toe-ectomy triggered a hedonic (pleasure/reward) response deep in my brain so powerful, so life-altering, so spiritual that my brain would not – could not – forget.

In the following years, these same opiates that provided relief for my injury would result in a severe addiction that took hostages, destroyed relationships, and created a wave of damage affecting those who loved me.

Addiction is a dysfunction of the hedonic system in the brain. It has a lot to do with neurotransmitters, particularly dopamine. About 1 in 10 possess this predilection toward addictive disease, although a much smaller percentage presents with active illness at any one snapshot in time.

With opiates, 5 out of 10 people hate the way they feel; 4 in 10 like the way they feel, but not enough to chase it; and 1 in 10 have a profound sense of well-being that is so seductive that, given enough time and exposure, they would beg to have their appendix out for obscure prophylactic reasons. Or cut off their little finger for a few pills. Or “save” a toothache to get drugs. Addicts continue to use despite negative consequences, often until death, unless help is received.

Following graduation from dental school, I associated with a private practice. One day a pharmaceutical rep came to the office with a box filled with this two-to-a-packet new drug called Vicodin. I was encouraged to dispense to patients when I deemed necessary. I deemed it necessary a lot, only I was the patient. I was powerless. Addiction is a progressive disease and, over a period of time, that was proven to me as the drugs became more potent, and the mode of delivery moved beyond oral intake. It took several treatments until I was able to totally accept that I had this cunning, baffling, and powerful illness.

I learned in treatment that I was a garden-variety addict. The clever ways I devised to get the drugs needed to bring about a surge of dopamine were nothing new. Other healthcare providers were much cleverer than me, and we were all so original and creative that we were sitting together in a treatment facility, institutionalized, our lives seemingly in ruin, our licenses to practice in jeopardy, our families in turmoil.

Taking some liberty, and only in my opinion, one of the pathognonomic signs of latestage addiction is that people go away. They go away after heartbreaking attempts to help the addict. They go away still loving you. They go away for their own survival because they, too, have become sick. Some never come back. I couldn’t blame them. I wanted to leave me, and I almost did. That’s addiction.

Recovery starts with a flicker. If the person is willing to gather up kindling, this small flame can grow into a roaring fire. Out of great pain can come great gifts. This is nothing new. People throughout the ages have experienced these gifts coming after a period of trial. It makes no difference what form it takes. We all get our share.

My recovery is my responsibility, but it cannot be done alone. In Washington, impaired dentists are connected with the WPHP. They saved my life and provided a framework upon which a solid recovery could be built. In addition, our State Dental Association (WSDA) has taken the remarkable step of setting up a hotline (206-973-5226) for those suffering not only from substance use disorder, but from any medical or mental disability.

For me, this is organized dentistry at its finest.

I’ve had a successful career and continue to be involved in organized dentistry on multiple levels. I earned my MAGD and was inducted into several honorary societies. Today, I continue to practice and am privileged to help my patients on a daily basis. My wife and I raised three beautiful children, and when they were younger, we attended the International Doctors in Alcoholics Anonymous (IDAA) meetings as a family. Within this organization, recovery from all shapes and shades of addiction affecting health professionals are welcomed. We healed together as a family. Words cannot adequately express my fathomless gratitude to those who loved me through my illness, and for the gift of recovery. To borrow from Lou Gehrig, today, I am the luckiest man on the face of this Earth.

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Anonymous

“In the following years, these same opiates that provided relief for my injury would result in a severe addiction that took hostages, destroyed relationships and created a wave of damage affecting those who loved me.”

guest editorial anonymous

A dentist’s story of addiction and recovery

wsda news delta no-confidence petitions filed

WASHINGTON DENTISTS FILE NO-CONFIDENCE PETITIONS WITH DELTA DENTAL 6 · th e wsda ne w s · issue 5, april 2018 · www.wsda.org

• failing to hold an annual member meeting in 2017 as required by the WDS bylaws • refusing to adopt bylaws amendments approved by more than 91 percent of voting member dentists in September 2017 • failing to ensure quality patient care is the focus of WDS and that patients, and their providers, are provided reasonable access to information necessary to understand their benefits • obstructing member dentists’ access to information on WDS finances and operations as well as governance documents.

The petition requests the WDS Board of Directors remove Dwyer from his position effective immediately and name a successor who will focus on core values of patient care, responsive governance and transparency.

“Under Mr. Dwyer’s tenure, Washington Dental Service, which should be a key partner with our profession in driving better patient outcomes, has instead become a barrier and antagonist to the dental profession,” said Dr. Cynthia Pauley, one of the petition organizers and WSDA president.

“We see this as a critically important moment for the future of oral health in our state, and a crucial inflection point for the relationship between Washington’s dental community and our largest carrier of dental insurance coverage.”

Last June, using a process provided for in the Delta bylaws, member dentists requested a special membership meeting to consider proposed bylaws amendments. Nearly 650 Delta members signed the petition in 24 hours, far exceeding the threshold to compel Delta to hold the special meeting.

In September, the resulting special meeting was held, with hundreds of member dentists from across the state attending, and many bringing proxies from their fellow dentists who could not attend. Of the more than 2,300 votes cast, over 91 percent supported the proposed amendments.

These changes were primarily designed to strengthen the doctor-patient relationship and make Delta more responsive to both patients and members.

The Delta board not only vetoed most of the proposed changes, but it also cancelled the annual membership meeting normally held in the fall. Given these actions, member dentist frustration with WDS continues to grow, said Dr. Chris Delecki, another petition organizer, and WSDA president-elect.

“We believe that substantive and positive change cannot occur until Mr. Dw-

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yer is replaced with a new executive that genuinely treats members as partners and patients as customers,” Delecki said.

“This is a unique opportunity for the board to take positive action that its member dentists believe are necessary to improve the patient and provider focus at WDS — for our patients and our profession.”

On March 12, Jim Dwyer officially announced his retirement as CEO effective February 1, 2019. In an interview published the same day by the Puget Sound Business Journal, Dwyer opined about his decision to retire. “In January when I was sitting in our home in Oahu I just said, ‘it just feels right,’…When you feel it is right, you move on.”

In a letter to WDS member dentists on March 12, Dwyer explained that “throughout this summer and fall, the [WDS] board of directors and its succession committee, will lead our internal process until a decision on a successor is made.”

“It’s important that the WDS Board of Directors understand that their members will not accept a ‘business as usual’ transition,” said Dr. Cynthia Pauley.

“The board can make an important first step toward restoring confidence and support among Delta member dentists by listening to their concerns and complying with the petition requests,” Pauley added.

The WSDA Board of Directors wishes to thank everyone who participated in this latest petition campaign. Additional updates on WDS activities will be shared as developments occur.

Photos by Rob Bahnsen

On March 16, WSDA leaders handdelivered nearly 1,500 signed petitions demanding a change in leadership at the helm of Delta Dental (also known as Washington Dental Service or WDS).

WDS member dentists on the WSDA Board of Directors shared a petition of no confidence in Delta CEO Jim Dwyer with all Washington dentists on February 21. Within three weeks, approximately one third of WDS member dentists signed the petition.

Many Delta members have lost confidence in the leadership of current CEO Jim Dwyer, who has announced plans to retire in January 2019. The petition cited several examples of Dwyer failing to faithfully execute the obligations of his position, including:

wsda news delta no-confidence petitions filed

Tied up with a bow: the stack of petitions ready to deliver

cover stor y legislative year in review

OLYMPIA: THE YEAR IN REVIEW

Photo by Craig Mitchelldyer

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Representatives and the Senate were controlled by the same party. The Democrats have held a two-vote majority in the House for some time, but the Republicans held a slim majority in the Senate until the election last November, when the Democrats took control by one vote. With the governor’s mansion also inhabited by a Democrat, there was a feeling that some of the pent-up demand felt by the Democrats could be addressed.

Indeed, 1,410 bills were introduced during this 60-day legislative session, which is 100 to 200 bills higher than in 2016 and 2014. (Sessions, not counting special sessions, are 105 days in odd-numbered years and 60 days in even-numbered years.)

Sixty-day sessions are “supplemental” sessions, and all bills that died in the previous year are automatically reintroduced. So, add in the 1,869 bills that were reintroduced from the 2017 legislative session, and legislators and government affairs professionals had to slog through more than 3,200 bills in 2018. Despite that demand, 308 bills passed this year, which is only slightly higher than the 10-year average of 287.

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cover stor y legislative year in review

The 60-day legislative session adjourned sine die as scheduled on March 8, 2018. For the first session in five years, both the House of

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ABCD bill signing. Photo courtesy of Washington State Legislative Support Services.

Included in that number are several high-profile issues that consumed a lot of focus. Legislators passed a supplemental operating budget they believe will finally fully address the Supreme Court’s 2012 McCleary ruling on education funding, while also addressing mental health issues and implementing a one-time property tax reduction in 2019. They also addressed voting rights, net neutrality, banning “bump stocks,” eliminating Atlantic salmon farming, police deadly force, and equal pay. They were not able to pass bills raising the smoking age or the age to purchase semiautomatic rifles from 18 to 21, lowering car tabs in the Sound Transit counties, repealing the death penalty, or implementing a carbon tax.

Among all of the other issues, the Legislature also addressed healthcare-related matters. The following is a summary of what happened to the bills that WSDA identified as priorities this year.

Capital budget

WSDA teamed up with Providence Health & Services to support $2.8 million in capital budget requests to help fund facilities and infrastructure needed to expand dental residency programs in Spokane and Olympia. The budget also included over $12 million for the maintenance and expansion of dental facilities across the state. While the bill was developed during the 2017 legislative session, it did not pass until this January. In addition, the supplemental capital budget that passed this March included funding for two additional facility improvements, bringing the state’s total investment to well over $16 million.

Expanding ABCD

One key success this year was the unanimous passage of Senate Bill 6549, which will expand the successful Access to Baby and Child Dentistry program to include children with developmental disabilities up to age 13. Dentists will be able to receive specialized training regarding patients with special needs, and receive an enhanced reimbursement rate when treating this Medicaid population. Funding for the program was provided in the state’s operating budget.

Insurance reform

Rep. Michelle Caldier, R-26, the only dentist in the Legislature, sponsored several measures to address dental insurance fairness.

While none of the bills passed this year, they did bring the issue more firmly before the legislators. House Bill 1316 would have required dental insurance companies to have a fair appeals process for claims and prohibited insurers from penalizing dentists when they appeal claims on behalf of their patients. House Bill 2500 would have required the establishment of a panel of ratepayers to determine the top five executive salaries and board salaries for nonprofit insurance companies when the board is compensated. And, House Bill 2502 would have required better transparency for what patient benefits are, and what their dental insurance actually covers. This legislation incorporated recommendations from the Office of the Insurance Commissioner, which convened a workgroup during the interim to review dental explanations of benefits.

Defending against midlevel providers

House Bill 1364 and Senate Bill 5224, introduced last session and reintroduced this year, would have created a new licensed health profession called “dental therapists.” Dental therapists would only need about three years of post-secondary school education, but would be allowed to perform many of the procedures a dentist (with eight or more years of education) is authorized to do, including drilling and extracting teeth. These bills did not receive additional action this year, but WSDA anticipates they will return next year and remains opposed to such legislation.

Dental labs

Last session, the National Association of Dental Laboratories proposed legislation to address supply chain accountability through dental laboratory registration and disclosure. WSDA agreed that House Bill 1782 would have enhanced patient health and safety, and that a state-maintained registry would have assured dentists that their dental laboratory was compliant and operating under high

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standards. Unfortunately, while passing the House with only one “no” vote, the bill died on the Senate floor calendar.

Opioids

The overuse and abuse of opioids has become a national and statewide crisis. In an attempt to address this crisis, Washington’s Legislature introduced nearly a dozen bills this year, in addition to several that carried over from last year. Ultimately, many of those bills were consolidated into one omnibus bill, House Bill 2489.

WSDA worked with the governor’s office and others to ensure that onerous restrictions on the doctor-patient relationship and overly burdensome administrative requirements were not included in the bill, and supported its provisions that would have created a wellrounded approach to necessary opioid treatment programs. In the end, even with much support, the bill died in the Senate.

However, HB 1427, which WSDA supported last year, requires the healthcare provider disciplinary authorities, like the Dental Quality Assurance Commission and the Medical Quality Assurance Commission, to work together to develop rules establishing requirements for prescribing opioid drugs. This group met seven times across the state, taking testimony from providers, technical experts, and stakeholders, including chronic pain patients. The draft rule will now begin the formal rulemaking process required under the Administrative Procedures Act. After much opposition from the pharmaceutical industry last year, hard work and a willingness to negotiate paid off this year with the passage of a statewide prescription drug take-back system.

House Bill 1047 will create a uniform system for the safe and secure collection and disposal of unwanted personal medications (getting them out of the house) and decrease opportunities for misuse.

Addressing Kaiser Permanente NW Dental

west Washington for decades. Because this was not the intent of last year’s bill, WSDA’s attorneys worked with Kaiser’s attorneys and the Legislature to craft House Bill 2229, a solution that will allow Kaiser to operate, but it must abide by the patient protection provisions of last year’s bill, in addition to other federal laws.

Next steps

At the close of the legislative session, Gov. Jay Inslee has 20 days, not counting Sundays, to act on the legislation passed that year. This year, that means all bills must be signed or vetoed by the end of March. Unlike in some states, the governor does not need to act in order for a bill to become law. Without a so-called “pocket veto” option, bills become law without the governor’s signature.

Nonetheless, formal bill signings are a tradition. If Inslee chooses, he may veto a bill in whole or by section. Unless otherwise noted in the bill, bills take effect 90 days after the end of session, meaning that this year, bills will take effect on June 7.

How to stay informed

Sign up for WSDA’s new text message-based action alert system.

While it was not needed this year, signing up will enable you to receive updates on your phone at the moment when action is most necessary on critical dental issues. By clicking a link in a text message, you will be able to contact legislators about dental issues by email, phone, and various social media platforms. To sign up, text “WSDA” to “52886.” Once you do so, you will be asked for your name, the ZIP code where you are registered to vote, and your email address. After answering those questions, you will be entered into the system and receive a text message every time we need you to respond to an action alert. Also, make sure to regularly check WSDA’s blog and the WSDA News for important updates.

Last year’s trailblazing legislation to address the operation of dental support organizations inadvertently placed Kaiser Permanente NW Dental at risk. This group has been operating in south-

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cover stor y legislative year in review

WSDA Director of Government Affairs Mellani McAleenan testifies in front of the House Appropriations Committee

legislative news employment law changes that could affect you

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NEW LAWS AFFECTING THE PRACTICE OF DENTISTRY YOU SHOULD BE AWARE OF

Dentists, as employers, need not only be well-informed regarding the laws regulating the practice of dentistry. They also need to remain up to date on employment law. Often, federal, state, and local laws may apply and can change regularly. Dentists should be aware of several laws that were passed during the 2018 legislative session.

Pay Equity

Equal pay laws have been in place for decades, but there has been renewed attention to “wage gaps” in recent years. Washington’s Equal Pay Act states that an employer who discriminates in the payment of wages based on gender, or who pays females a lesser wage than a similarly employed male, is guilty of a misdemeanor. Likewise, the Washington Law Against Discrimination makes it an unfair employment practice to discriminate in compensation because of sex.

Second Substitute House Bill 1506 updates the 1943 Equal Pay Act by defining “similarly employed” as when the performance of the job requires similar skill, effort, and responsibility, and the jobs are performed under similar working conditions.

Job titles alone are not determinative of whether employees are similarly employed.

This bill also modifies the employer’s defenses to provide that discrimination does not include a differential in compensation that is based in good faith on bona fide job-related factors that: are consistent with business necessity; are not based on or derived from a gender-based differential; and account for the entire differential. More than one factor may account for the differential. Bona fide factors include education, training, experience, a seniority system, a merit system, a system that measures performance by quantity or quality of production, and valid regional differences in compensation levels, including reliance on local minimum wage ordinances. A person’s past salary history is not a defense.

Additionally, an employer may not, on the basis of gender, limit or deprive an employee of career advancement opportunities that would otherwise be available.

The Department of Labor and Industries is tasked with the investigation of alleged violations. If the director or director’s designee finds that a violation occurred, he or she shall attempt to resolve the violation through “conference and conciliation,” a process similar to mediation. If no agreement is reached and the director determines that a violation was committed, he or she may issue a citation and order the employer to pay the employee actual damages, statutory damages of $5,000 or more, interest on the damages, the cost of the investigation and enforcement, and other relief deemed appropriate under the circumstances. If the director finds a pattern of violations, an additional civil penalty may be assessed. An employee may also bring a civil action against the employer.

The bill also prohibits an employer from requiring nondisclosure by an employee of his or her wages as a condition of employment, or require an employee to sign any document that prevents the employee from disclosing the employee’s wages.

Likewise, the employer may not discharge or retaliate against an employee for inquiring about, disclosing, comparing, or discussing wages; seeking a reason for the employee’s wages or lack of opportunity for advancement; or aiding or encouraging an employee to exercise these rights. An employer may prohibit an employee who has access to compensation information of other employees as part of the employee’s job functions from disclosing other employees’ wages.

An employer may not retaliate, discharge, or otherwise discriminate against an employee for exercising any of the rights created in the bill.

Prior Arrests or Convictions

Second Substitute House Bill 1298 prohibits a prospective employer from including any question on the employment application, inquiring orally or in writing, obtaining criminal history from a background check, or otherwise obtaining information about an applicant’s criminal record until after the employer initially determines that the applicant is otherwise qualified for the position.

Prospective employers may not advertise openings in a way

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legislative news employment law changes that could affect you

EMPLOYMENT LAW CHANGES

legislative news employment law changes that could affect you

that excludes people with criminal records from applying. Nor may an employer implement a practice or policy that automatically excludes people with a criminal history from consideration prior to the initial determination of qualification. These prohibitions do not apply to employers hiring a person who will have access to children or vulnerable adults, or those who are expressly permitted or required under state or federal law to consider criminal backgrounds, law enforcement, nonemployee volunteers, or other specific situations related to federal securities law.

The attorney general is authorized to investigate violations in response to complaints, and pursue administrative sanctions or file a lawsuit in the courts.

between employees or between employer and employee outside of the employment premises. Such an agreement is void and unenforceable.

Employers may not retaliate against an employee for disclosing sexual harassment of sexual assault occurring in those circumstances.

Settlement agreements between an employee or former employee alleging sexual harassment and an employer may contain confidentiality provisions.

The bill will be included in Washington’s Law Against Discrimination and will be enforced by the Human Rights Commission, which investigates complaints that allege unfair practices under the law.

Sexual harassment

In general, Washington is an at-will employment state, meaning an employee may be terminated or may quit his or her job at any time. One exception to the rule is when a contract for employment exists. Substitute Senate Bill 6313 states that an employment agreement is void and unenforceable if it requires an employee to waive his or her rights to file a complaint under the Washington Law Against Discrimination or federal antidiscrimination laws, or if it requires a claim to be resolved using a dispute-resolution process that is confidential.

Senate Bill 6471 requires the Human Rights Commission to convene a workgroup consisting of members of the business community, human resource professionals, advocates for the survivors of sexual harassment, labor organizations, representatives of farmworkers, representatives from agricultural industries, and others to develop model policies and best practices for employers and employees to keep workplaces safe from sexual harassment.

The workgroup may consider: how workplace leaders can signal commitment to stopping sexual harassment; how to create and protect anonymous reporting channels; how to ensure human resource departments are accountable; how to protect against retaliation and provide the opportunity for employees to establish “affinity groups” as a mechanism for sharing concerns and creating mentoring opportunities; the use of employee engagement surveys that contain questions regarding sexual harassment prevention; and the use of exit surveys to identify the reason employees leave the workplace and enhance working conditions to promote retention using new employee orientations to emphasize inclusion and prevention, leadership evaluations, classroom training, and creation of an internal communication plan.

The commission must adopt model policies and best practices

by Jan. 1, 2019 and post them on its website. Within 30 days following the commission’s positing, the Department of Labor and Industries must also post the documents on its website.

Senate Bill 5996 prohibits employers from requiring an employee, as a condition of employment, to sign a nondisclosure agreement that prevents the employee from disclosing that sexual harassment occurred at the workplace, at work-related events, or

Employment contracts

Leave laws

Washington also has two new leave laws on the books.

Under Initiative 1433 (I-1433), passed by the voters in 2016, all employers were required to provide paid sick leave beginning on Jan. 1, 2018. Paid sick leave accrues at a minimum of one hour of leave for every 40 hours worked, and may be used for the employee or the employee’s family member’s injury, illness, or health condition, or other specified circumstances.

Employers must pay employees using paid sick leave at their regular rate of pay or the minimum wage, whichever is greater.

Employees are eligible to use accrued sick leave beginning on the 90th calendar day after the start of employment. Unused sick leave of 40 hours or less must be carried over to the following year. Employers are allowed to provide more generous policies.

Employers must notify employees of their rights under the law and that employer retaliation for the lawful use of paid sick leave is prohibited. The Department of Labor and Industries developed a notification form that may be downloaded from the WSDA or the department’s website.

1 4 · th e wsda ne w s · issue 5, april 2018 · www.wsda.org

th e wsda ne w s · issue 5, april · 2018 · www.wsda.org · 15

editorial continued

Some dentists have inquired whether dental hygienists are exempt from wage and hour laws under the state or federal “professional” exemption. However, specialists at the Department of Labor and Industries do not necessarily agree. The act excludes employees who have a valid license to practice law, medicine, or dentistry and are engaged in that practice. However, dental hygienists do not hold a license to practice dentistry and are not considered exempt under the dentist exception. A similar exemption may apply if: the hygienist is paid a minimum salary or on a fee basis (fixed charge for work performed) of not less than $250 per week; the primary duty consists of the performance of work either requiring knowledge of an advanced type in a field of science or learning; and the work requires the consistent exercise of discretion and judgment. Therefore, a hygienist who is paid an hourly wage would not qualify for the exemption. Likewise, according to the department, to qualify for the second prong of the test, a hygienist must have successfully completed four academic years of preprofessional and professional study in a CODA-approved college or university. A hygienist with less than four years of education would not qualify for the exemption.

The Washington State Legislature also passed a paid family and medical leave law in 2017. It provides workers with the opportunity to receive partial wage replacement while on leave for up to 12 weeks to recover from illness or injury, bond with a new child, attend certain military-connected events, such as short-notice deployments or urgent childcare needs related to military service, or take care of a sick or injured family member. This law is in addition to the paid sick leave law.

Employers with fewer than 50 employees are not subject to the job protection requirements under the law, and are not required to pay a premium for their employees. However, small businesses are required to collect the employee share of the total premium and remit it to the state, and report hours and wages. Employees will be eligible for payments if they take leave that is covered by the law that would otherwise have been unpaid.

Premium collection will begin on Jan. 1, 2019. Eligible employees will be able to apply for benefits beginning on Jan. 1, 2020.

The program will be administered by the Employment Security Department in a manner somewhat similar to unemployment insurance. The agency rulemaking process is still underway, and not all of the details have been determined.

legislators that we should expect to see the midlevel provider bills introduced again as soon as next year. And, 2018 is a major election year for the Legislature. Every seat in the House of Representatives and half of the seats in the Senate are up for election this year. Eleven representatives and senators have already announced their retirements, creating a minimum of 11 open seats. Supporting the right candidates now can have a lasting impact on how the Legislature treats dentists and the practice of dentistry for years to come.

WSDA’s Board of Directors, in conjunction with the DentPAC Board, have developed a plan to enhance the funding capabilities of DentPAC through a combination of dues-based and voluntary contributions. To help us achieve our goals, WSDA contracted with Katherine Bobman, who has a successful history of fundraising for several campaigns. For more information about how to participate in DentPAC’s fundraising efforts or to donate, please contact Ms. Bobman at katherine@katherinebobman.com or 253227-4954.

legislative news employment law , continued

editorial, continued from page 4

uw news lunch and learn explores benefits of organized dentistr y Photo of Dr. Nathan Russell by Craig Mitchelldyer

1 6· ·thth wsdanene · issue5,5,april april· 2018 · www.wsda.org 16 e ewsda ww s s· issue

WSDA BOARD MEMBERS TELL THEIR PERSONAL STORIES ABOUT ORGANIZED DENTISTRY AT THE UW

Recently, WSDA President Dr. Cindy Pauley, WSDA Presidentelect Dr. Chris Delecki and Secretary Treasurer Dr. Nathan Russell met with a group of students at the UWSoD to talk about how they got into dentistry and how organized dentistry has helped them throughout their career. The three came into their dental careers in vastly different ways: Pauley was literally born into dentistry; Delecki enjoyed science and saw an opportunity to control his destiny; and Russell originally considered medicine but switched to dentistry when he compared the two career paths.

Regardless of how they arrived at their careers, all three respect organized dentistry and say they have benefitted through their involvement in numerous ways, from career advancement to building lifelong friendships. “It’s vitally important that we meet with students and share our experiences in organized dentistry,” said Pauley. “Organized dentistry has had a positive impact on our careers. From advocacy to education and social events, tripartite membership advances all dentists, no matter the type of practice or where they are in their career. Face-to-face meetings are the best way to share all the benefits of membership with the future of our profession.”

Healthcare that works

Springboarding off the motto “Dentistry is healthcare that

works,” the trio gave the students 10 reasons why it’s important to be a part of organized dentistry, and covered other topics such as DSOs and regulatory issues, followed by a Q&A. Russell said, “They are dentists in training, and we want to include them in all that we do. We asked for input and advice about their needs, and were told that they need active mentors and peers from the dental community. One of the most insightful comments we heard was, ‘I had no idea that the WSDA did all of that. You need to come back and do this more often, and help us understand all the things that organized dentistry does for our profession.’”

Dental debt

“Dental education debt from student loans was a primary concern among the dental students,” noted Delecki.“They were very interested in exploring ways to decrease tuition costs, as well as opportunities for loan forgiveness and loan consolidation or refinancing at advantageous interest rates.”

Delecki, who spent most of his dental career in public service, was buoyed by the students’ interest in exploring all practice opportunities upon graduation. He said, “They were particularly interested in practice opportunities with community clinics and Native American tribal programs.”

th e wsda ne w s · issue 5, april · 2018 · www.wsda.org · 17

uw news lunch and learn explores benefits of organized dentistr y

MAKING IT PERSONAL

call for nominations citizen of the year

About the Award The WSDA’s Citizen of the Year award is given to the member who has performed outstanding volunteer service, either domestically or overseas, which serves to help a community in need, reinforce the value of volunteering to the dental community, and promote the image of dentistry. The coveted award is the highest honor the association can bestow on one of its own.

Last year, the WSDA Board of Directors voted to expand qualifying volunteer work to include work done on behalf of an employer or in a practice. Additionally, because charity begins at home, the Board decided that priority would be given to dentists performing good works here in the state.

Last year, Dr. Nhi Pham was the WSDA’s Citizen of the Year.

Pham volunteers with more than 10 charitable organizations at home and abroad, all while running a successful practice, helping to raise her three daughters, and teaching.

If you know someone like Pham who has given selflessly, please nominate him or her for this important recognition. Apply online at https://tinyurl.com/2018COY.

Dr. Jackie Angell 2015 Citizen of the Year

Dr. Loree Bolin, 2016 Citizen of the Year

The late Dr. Bart Johnson and Dr. Amy Winston, Citizens of the Year for 2014

1 8 · th e wsda ne w s · issue 5, april 2018 · www.wsda.org

Purpose: The award exists to recognize a member dentist who has given outstanding service to a domestic and/or foreign community; to encourage others toward such activity; to reinforce values of volunteer service desirable in society; and to promote the image of dentistry.

Nominations: • Nominations may be made by an individual member or a component dental society. Former nominees may be renominated. Letters of support from organizations with which the candidate has been involved are encouraged.

• Nomination deadline June 1, 2018 • Nominations can be made online: https://tinyurl.com/2018COY

Criteria for Selection: • The nominee must be a WSDA member • The award will be based on civic activities, elective and volunteer, including, but not limited to: Service organizations Youth groups Schools Non-salaried government positions Church-sponsored community services Personal commitment to community service through volunteering Service to all 501(c)(3) Foundations • Priority will be given to nominees whose service has been in Washington state

Selection: • Selection of the state award winner will be made by the Task Force on Recognition of the Washington State Dental Association

Presentation: • The award will be presented at the annual House of Delegates meeting on September 21, 2018, Murano Hotel in Tacoma, Wash.

2018 WSDA CITIZEN OF THE YEAR AWARD

th e wsda ne w s · issue 5, april · 2018 · www.wsda.org · 19

Photos by Craig Mitchelldyer & Scott Eklund

Dr. Nhi Pham 2017 Citizen of the Year

call for nominations citizen of the year

Nominate a peer today!

Photos by Scott Eklund/Red Box Pictures

pndc news craft your pndc experience

CRAFT YOUR PNDC EXPERIENCE

2 0 · th e wsda ne w s · issue 5, april 2018 · www.wsda.org

Seven Proven Steps to Negotiating Increased Fees/ Allowables with Insurance Carriers Benjamin Tuinei Friday, June 22

This session will teach dentists and front office team members how to successfully navigate the fee-negotiating process with dental insurance carriers. Understand the “why” behind the financial aspect of quality care, learn effective negotiating strategies, and learn the seven steps to successful negotiations with PPOs!

Policing Illegal and Unethical Practices by Insurance Companies Benjamin Tuinei Friday, June 22

Too often, insurance carriers deny benefits to patients when those benefits are necessary to optimize the patient’s oral health.

In many situations, doctors are forced to fully write off treatment primarily because the insurance consultant disagrees with the doctor’s diagnosis. This lecture will provide useful tips on how to challenge an insurance carrier when it denies coverage on treatment that is both necessary and requested by the patient.

Building Your Online Brand Through Social Media and Websites Almie Borromeo Thursday, June 21

Get an in-depth look at websites and trends that will set your brand apart from your competition and discuss how to properly use social media to establish and strengthen your practice’s online brand.

Growing Your Practice Through Endodontics Dr. John West Thursday, June 21

The fastest way to grow a practice is learning endodontic skills in diagnosis, treatment planning, and endodontic treatment itself. Open your eyes to $100,000 of underdiagnosed endodontics!

Learn the six critical distinctions of endodontic disease and how to handle each one.

The Top 5 Successful Traits of Dental Front Desk Team Members Dr. Rhonda Savage Thursday, June 21

both improve your patients’ feelings about your office and improve your bottom line.

Stay Out of Jail: Avoid Coding Errors and Excel in Insurance Administration - Part 1 & 2 Dr. Charles Blair Thursday, June 21

Coding errors are predictable in today’s dental practice. Learn the top coding errors and how not to make them! You will also receive new, valuable information on some of the “hot” sections of the CDT code, which you can use to identify and fix coding problems that lurk in your practice. Most practices can expect legitimate net increases in cash flow immediately by learning how to do it right!

Financial Strategies for Newer Dentists Sam Martin Friday, June 22

Designed for newer dentists in the pre-ownership stage of their career, this lecture will cover financial management and debt prior to practice ownership, help you understand dental practice cash flow, value, and your income, and provide you with proactive steps to a successful practice and career.

Increasing Case Acceptance from Whitening to the Esthetic Dental Procedures Shannon Pace Brinker Thursday, June 21

As clinical procedures in aesthetic dentistry continue to expand and improve, the dental assistant’s role continues to evolve as well.

As we connect with patients and understand their desires, it allows them to become more open and honest with their expectations. Increasing case acceptance is easy when we know what to ask and say. This course takes the dental team through proper records gathering, treatment planning, and case acceptance, and how to include whitening and esthetic dental treatment.

Get started today!

Explore the full PNDC 2018 schedule online at wsda.org/pndc, and don’t forget—a Conference Badge includes access to any lecture (including all these lectures) for the price of one badge.

Register by May 4 to receive our Early Bird discount!

Patients can’t put their finger on it, but they know and appreciate a smooth-running front desk. Professionalism, great customer service and awesome communication skills are key to your patient’s experience. This lively, informative and timely course can

th e wsda ne w s · issue 5, april · 2018 · www.wsda.org · 21

pndc news craft your pndc experience

Craft a PNDC experience that helps sharpen your clinical skills and grows your practice! We asked dentists on the PNDC Committee to share some of their can’tmiss courses for practice management, insurance know-how, staff development and more.

rd Discount y Bi l ·S r a Ea

Ends May 4

pndc news early bird deadline approaching

· rly Ea

ve

DON’T MISS OUT ON THE SAVINGS

yR ney B egisterin o M g

On May 4, PNDC Early Bird savings officially expire. Don’t miss out on the savings — register online today!

wsda.org/pndc

REGISTRATION CATEGORIES DENTISTS

DENTAL OFFICE

WSDA Member

C $275/$375 E $75/$105

Recent Graduate WSDA Member Class of ‘12-’17

C $175/$225 E $75/$105

AK, ID, MT, OR ADA Member Dentist

C $295/$395 E $75/$105

Guest Dentist Non-Washington ADA Member, Foreign, Active Military

C $315/$415 E $75/$105

Non-ADA Member

C $1,800/$1,900 E $645/$845

HYGIENISTS Dental Hygienist

C: Conference E: Exhibit Early Bird Rate*/Regular Rate

C $175/$235 E $60/$90

Assistant/EFDA, Front Office

C $140/$200 E $60/$90

LAB TECHNICIANS Dental Lab Technician

C $140/$200 E $60/$90

GUESTS Spouse, Family, Non-dental Professional

C $140/$200 E $60/$90

ALLIANCE Alliance Member

C $110/$170 E FREE/$90

STUDENTS · MUST PROVIDE STUDENT ID ADA Member Graduate Student

C FREE E FREE

Dental Student

C FREE E FREE

Auxiliary Student Hygienist, Assistant, Lab Tech

C $75/$95 E FREE/$90

2 2 · th e wsda ne w s · issue 5, april 2018 · www.wsda.org

You know the value of membership—now earn rewards for sharing it with others! Visit wsda.org/recruit to learn more.

You can attend the 2018 Pacific Northwest Dental Conference for free and earn up to $500 in gift cards from the ADA for recruiting eligible non-member dentists to membership.

Attend PNDC for free

WSDA offers a complimentary PNDC Conference Badge (up to a $275 value) to any WSDA member (and their recruit!) who recruits another eligible non-member dentist to membership.

Submit your recruitment information by Friday, April 27 to earn your free badge.

Earn up to $500 from the ADA

Through the Member-Get-A-Member program, the ADA gives members a $100 gift card for each qualifying non-member they recruit. Earn up to $500 through this program!

New dentist experience Recent graduates can attend for as little as $175

WSDA members from the classes of 2012-2017 can purchase a Conference Badge for just $175.* We know starting a career in dentistry can be financially straining, so we want to do all we can to provide an opportunity for you to earn great CE at a very affordable price.

Recent grad Happy Hour

Dentists from the classes of 2012 through 2017 are invited to enjoy drinks and appetizers at this complimentary event just for recent grads on Friday, June 22 from 4-6 p.m. Don’t forget — if you graduated during one of those years, you get a discount on your conference registration!

Reserve your ticket during the online registration process. *Early Bird price shown.

Happy Hour

Join your friends for Happy Hour on Thursday, June 21 from 5 7:30 p.m. in the Exhibit Hall at the Meydenbauer Center. Complimentary drinks and appetizers provided! Thank you to Nakanishi Laboratory for their support of the PNDC Happy Hour!

Volunteer to go free!

Volunteer as a Speaker Ambassador to receive a free Conference Badge, parking, and meals. Learn more about the Speaker Ambassador program at wsda.org/pndc.

Exhibit Hall events

The Exhibit Hall has something for everyone, from special discounts and giveaways from vendors to multiple grand prize raffles!

PNDC even hosts a free Happy Hour for all attendees in the Exhibit Hall on Thursday night from 5 - 7:30 p.m.

Can’t miss Saturday session · Christensen

Since PNDC added a third day in 2016, we have continued to expand and improve our Saturday sessions. For 2018, we scheduled a speaker you just can’t miss! World-renowned lecturer and dental materials expert Gordon Christensen, DDS, MSD, PhD will present The Christensen “Bottom Line” on Saturday, June 23

Stay in Bellevue

Limit your morning commute to nothing more than an elevator ride by booking your stay for PNDC 2018 at the Hyatt Regency Bellevue! Along with hosting many of PNDC’s lectures and workshops, the Hyatt is centrally located in downtown Bellevue and is within walking distance of excellent dining, shopping and entertainment.

PNDC attendees receive a special discounted room rate.

Book Online: Visit wsda.org/pndc/travel Book by Phone: Call (888) 421-1442 and reference the Pacific Northwest Dental Conference

RECRUITMENT INCENTIVES & MORE! th e wsda ne w s · issue 5, april · 2018 · www.wsda.org · 23

pndc news recruitment incentives, special events

Member recruitment incentives

We are your Digital Dental Partner.

+

We gladly accept these files too: Bellevue | WA www.nakanishidentallab.com 2 4 · th e wsda ne w s · issue 5, april 2018 · www.wsda.org 425.822.2245 | 800.735.7231

Have you ever wondered how to get more involved with the WSDA or ADA? Now is your chance!

We encourage members to apply as a candidate for an open state or national elected position.

2018 hod news call for nominations

Call for nominations

open positions:

Nomination packet can be found here: ht tps://tinyurl.com/ WSDANomina tions2018 Candidates should be present during the WSDA House of Delegates, held September 20-22 at Hotel Murano in Tacoma, WA. All terms begin when the WSDA House of Delegates adjourns on September 22, 2018, with the exception of the ADA Delegates, whose terms begin on January 1, 2019.

Please email Brenda Berlin at brenda@ wsda.org with any questions.

President-elect

Term: One year as President-elect, one year as President, one year as Immediate Past President, Three years as ADA Delegate (2019, 2020, 2021) Requirements: WSDA member. Must have been a member for the preceding five consecutive years.

Board of Directors

Open Positions: 4 · Term: 3 years Requirements: WSDA member

Committee on Budget and Finance Open Positions: 1 · Term: 4 years Requirements: WSDA member

Delegate to the ADA House of Delegates

Open Positions: 3 · Term: 3 years (2019, 2020, 2021)

CALL FOR NOMINATIONS

th e wsda ne w s · issue 5, april · 2018 · www.wsda.org · 25

Photos by Rob Bahnsen

During the 2018 WSDA House of Delegates (held September 20-22 in Tacoma), the House will vote to fill the elected positions shown at right. For a complete description of any position, please email Brenda Berlin at brenda@wsda.org.

The application period is now open for state and national elected positions with WSDA & ADA! To run for any of the open positions, please complete and return our candidate nomination packet by June 30, 2017.

wdia news clients rave about kerri seims

The Obvious Choice for Washington Dentists Photo by Craig Mitchelldyer

2266· ·ththeewsda 2018 ·· www.wsda.org www.wsda.org wsdane newws s· ·issue issue5,5,april april· 2018

KERRI SEIMS Kerri Seims is Washington Dentists’ Insurance Agency’s Assistant Director of Insurance, and she’s been involved in the dental industry for as long as many dentists. Her father, Dr. Rich Seims, is a well-known dentist for whom she worked when she was in high school. Later, when he “transitioned” into the transition business, she followed him, and the two worked together for more than 10 years. In 2010, Seims was invited by Matt French, WDIA’s Director of Insurance, to join the brokerage. French had known Seims over the years, and realized her knowledge of area dentists and the dental industry would be invaluable. And while we know insurance can bring out the yawns in a lot of people, Seims’ clients got very animated when asked what they love about working with her.

Pizza: The key to all things

Like all of the dentists we spoke with, Dr. Brolin Freimanis first met Seims at a UW Lunch & Learn, a feeding frenzy of pizza with some education rounding out the hour. Actually, Freimanis and the others were listening all along. He explained, “I started using WDIA while I was still in dental school. Matt French and Kerri came in and did a presentation about disability. Kerri is hilarious and fun to work with, even though insurance isn’t really a fun thing to talk about. Just out of school, we were so focused on the clinical stuff, and there were piles of insurance and business details that had to be taken care of. Kerri was really good at breaking it down, telling us not to panic, and presenting information in a really clear way. She made the decision process very easy. My wife and I bought our practice this past January, but I have been practicing there for the past three years.”

Freimanis’ wife, Dana, added, “Kerri helped us set up business loan protection, life insurance, and our disability policies, and she helped us set up our health insurance for our new employees. We’re currently working on my life insurance as well.” The service, say the two, has been exceptional, due in large part to Seims’ background and expertise. Freimanis explained, “Kerri has a background in practice transitions, so beyond the health insurance and disability and all of that, she was very knowledgeable and was generous with her time and information. She was willing to talk with us about many details related to the transition. We valued her opinion and found her to be very, very helpful for things other than insurance.”

Personal attention

Dr. Cameron Alexander echoed these sentiments, saying, “What I like most about WDIA staff is that they’re really personable. I really like how Kerri laid it out by telling us, ‘This is what you can expect and why, this is when we’re going to have another conversation, and here are the decision points along the way.’ She gave us a timeline which was really nice because this was a whole new world to us. I guess I just felt really comfortable that she had our best interests in mind.” Alexander liked the personal attention he received, too, noting that Seims met with him privately to discuss options in detail.

“It felt really comfortable picking a path, so I think that was when I made my decision to stay with them,” he explained. “ I was impressed with how she was able to forecast what we would need. She clearly had a lot of experience in the area.”

Every step of the way

Dr. Devin Dickinson has worked with Seims for all his insurance needs. “Starting from when I finished dental school, Kerri was there to make sure I was covered for the real world. When I bought my practice, she made the transition seamless by ensuring I had all the coverage I needed. And finally, but most importantly, as I have started a family, Kerri has been there to make sure not only my business, but also my wife and daughter will be protected and taken care of. I can’t thank her or WDIA enough for being instrumental in protecting my business and family throughout my career.”

For Dickinson, one of the most impressive aspects is that Seims doesn’t get commissions based upon products she sells, so there’s no incentive other than customer service. He explained, “Kerri always gave me a number of options, and I never felt like she was pushing a particular product on me. She would tell me about several policies, would go over any and all in great detail, and explained things well. It was a comfortable process, never aggressive. She would outline the pros and cons of each, and let me make a decision. That’s why I went with WDIA and continue to do so for all of my insurance needs.” Dickinson is so impressed that when he heard a friend from Marquette University didn’t have disability insurance, he immediately referred her to Seims. He said, “Kerri is knowledgeable, cordial, and if she needs to get down to business she does, but she’s open to chatting and relaxing, too. There were things I wouldn’t have even thought about, like loan protection, that Kerri was able to show me I needed once I bought my practice.”

Well recommended

Dr. Jennifer Stinde likes Seims so much they’ve become friends outside of insurance. Stinde said, “Once I graduated she helped me with my practice purchase, guiding me prior to the purchase and clarifying what I needed once I bought the practice. The service I received was excellent! She is my go-to for all of my insurance questions.” Without Seims’ guidance, Stinde said, she might not have known that she needed more life insurance after buying a practice, or how much to buy. “Kerri was an excellent resource about other policies, like cyber insurance and business owners’ policies, too.” When we asked Stinde if she had recommended Seims and WDIA to friends, she said, “Most of my colleagues and friends already use WDIA, so I don’t have to recommend them often!” Freimanis agreed, adding, “I’ve recommended Kerri any time people I know are looking for insurance.

She’s so knowledgeable, but beyond that she’s fun to talk with, and she makes it as easy as possible.”

Insurance checkup

Not sure how much insurance you need? Ready to buy a practice or start a family? Big life changes require different types of insurance. To get an insurance checkup for all your professional and personal needs, contact Seims at kerri@wsda. org or 206-441-6824.

wsda ne newwss ·· issue issue 4, 5, march april · ·2018 ththee wsda 2018· ·www.wsda.org www.wsda.org· ·27 27

wdia news clients rave about kerri seims

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This past February the Snohomish County Dental Society (SCDS) teamed up with the Imagine Children’s Museum in Everett to present its 11th annual Toothapalooza /Give Kids A Smile program at the museum.

Toothapalooza is part of a month of events held every Friday in February, and includes dental health-themed art projects, experiments, and story times. On Feb. 16, the community “free night at the museum” was held for children and their caregivers in hopes of reaching a wide range of families from varying income levels who might not otherwise be able to afford a visit to the museum. Dentists performed screenings, and information was provided on resources for receiving follow-up care.

Dental health professionals, local dental assistant students, and volunteers discussed and demonstrated the importance of proper and regular dental care in a fun, hands-on manner. Approximately 3,000 goodie bags with a toothbrush, toothpaste, and floss were distributed to children throughout the month.

About 1,000 children and their families attended the event, and more than 400 children received free dental screenings. At press time, totals for this year’s event weren’t available, but Judy Bangs, executive director for SCDS, reported that last year more than 4,000 children attended dental-related programs throughout the month.

Congratulations to everyone involved in this fun annual community event. We appreciate the work you do to bring dental care to those who might not otherwise receive it.

T O O T H APA L O O Z A

th e wsda ne w s · issue 5, april · 2018 · www.wsda.org · 29

member news toothapalooza in snohomish

SNOHOMISH COUNTY DENTAL SOCIETY PACKS THE HOUSE

After more than 30 years of coaching Doctors, Blatchford Solutions is excited to announce a new, full-service brokerage business, Blatchford Transitions, Inc. Blatchford Transitions will offer services nationwide, helping dentists to buy and sell dental practices.

We are here to help Doctors prepare for and make rewarding transitions by expanding their thinking beyond what is presently being offered by other brokerage firms.

Dr. Bill Blatchford

We look forward to working with you when it is your time to buy, sell or merge a practice. Please visit our website blatchfordtransitions.com or call us toll-free at (844) 735-7600 to discuss your transition needs.

3 0 · th e wsda ne w s · issue 5, april 2018 · www.wsda.org

THINKING ABOUT SELLING YOUR PRACTICE?

We have Ortho, Endo, Perio, Oral Surgery and General Dental Practices available

FOR SALE IN WHATCOM COUNTY SKAGIT COUNTY ISLAND COUNTY NORTH SNOHOMISH COUNTY NORTH KING COUNTY EASTSIDE SEATTLE SOUTH KING COUNTY DES MOINES OLYMPIA SOUTH SOUND OLYMPIC PENINSULA CENTRAL WASHINGTON LINCOLN COUNTY

Try our complimentary Practice Snapshot Valuation and FREE consultation.

COMING SOON IN DOWNTOWN SEATTLE WHIDBEY WASHINGTON COAST PIERCE COUNTY SPOKANE BURLINGTON PERIO SOUTHERN WA SOUTH KING COUNTY SHORELINE

Call 877-866-6053 to schedule.

See the classifieds or visit our website at omni-pg.com.

FOR MORE LISTINGS OR HOW YOUR PRACTICE COULD BE LISTED IN OUR AD: 877.866.6053 | INFO@OMNI-PG.COM | OMNI-PG.COM

For real estate, visit omni-hcre.com.

WHEN ONLY SOMEONE WITH EXPERIENCE WILL DO Buying or selling a dental practitice is an important decision you shouldn’t make alone. Trust the guidance of a consultant from Henry Schein Professional Practice Transitions.

Don’t take our word for it, check out what your peers have to say at: henryscheinppt.com/testimonials

www.henryscheinppt.com 1-800-988-5674

n

n PRACTICE SALES n VALUATIONS TRANSITION CONSULTING/PLANNING n

ASSOCIATESHIPS

© 2018 Copyright Henry Schein, Inc. 18PT9009_divers_7.25x4.75.indd 1

th e wsda ne w s · issue 5, april · 2018 · www.wsda.org · 31

3/15/18 12:53 PM

Since 1968

We are pleased to announce...

Daniel B. Fenn, D.D.S. has acquired the practice of

A. James Harris, D.D.S. Wilbur, Washington

Paul Roe, D.D.S. has acquired the practice of

Gary E. Heyamoto, D.D.S. Bothell, Washington Call today for a FREE MARKET VALUE ANALYSIS

We are pleased to have represented all parties in these transitions.

800.232.3826 | www.AFTCO.net Practice Sales & Purchases Over $3.2 Billion

3 2 · th e wsda ne w s · issue 5, april 2018 · www.wsda.org

OPPORTUNITIES AVAILABLE

OPPORTUNITIES AVAILABLE

ASSOCIATE WANTED — Established Bothell general practice seeking associate for Mondays-Thursdays for three weeks out of every month. Potential for purchasing in the future, after a 6 - 12 month trial period to establish compatibility and alignment of goals. Bothell is a wonderful community with good middleclass families, bike trails, restaurants, and some of the best schools in the state. Please send your resume to: dr.mep012@hotmail. com along with a cover letter introducing yourself, and we look forward to meeting you!

GENERAL DENTIST, ALASKA ­— Full time general dentist position available immediately in beautiful Kodiak, Alaska. Newly updated Private Practice equipped with new technology overlooks the Kodiak boat harbor. Guaranteed salary + Moving bonus! Call 907-351-3459 and email your CV to leanne@ trgcoaching.com

RESIDENCY DIRECTOR — Oregon Health & Science University is seeking a full-time 1.0 FTE General Practice Residency Director.

Responsibilities include directing the daily administration of the General Practice Residency (GPR) Program, developing, evaluating, and implementing program curriculum, supporting and maintaining the standards and accreditation of CODA standards, recruitment and oversight of resident selection process, recruiting and involving community based faculty into program, and supervising residents in clinical activity. *Please apply online at www. ohsujobs.com, then search using IRC58347.

The School of Dentistry shares the mission of the Oregon Health & Science University to provide educational programs, basic and clinical research, and high quality care and community programs. We strive to foster an environment of mutual respect where the free exchange of ideas can flourish. The dental school prepares graduates in general dentistry and the dental specialties to deliver compassionate and ethical oro-facial health care. Required Qualifications: • Dental degree (DDS/DMD) from a CODA accredited school • Completion of GPR program from CODA accredited school • Current BLS certification from the American Heart Association • Oregon Dental License (or eligibility to obtain prior to employment) • Eligible for hospital privileges at OHSU • Oregon Moderate IV Sedation Permit, parenteral and enteral (or eligibility to obtain upon offer) • Able to perform the essential functions of the position with or without accommodation Preferred Qualifications: • Experience in teaching, research, service, patient care, and academic management • Demonstrated achievement in research including publications in peer reviewed journals • Course director or co-directorship, and • Demonstrated service activities such as committee participation at the school and university level.

Oregon Health & Science University values a diverse and culturally competent workforce.

We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.

HYGIENIST WANTED — Are you a Hygienist looking to expand your skill set and join an established prosthodontic dental practice?

We are looking for the right hygienist to join our team 1- 2 days a week. Experience with Dentrix and Dexis is preferred however not a must. Interested candidates please send resume. When replying, please put the words “A Team” in the subject line. office@petriniprosthodontics.com.

ASSOCIATE DENTIST POSITION, SEATTLE — Privately owned, fee-for-service, established practice (30+ year patient base) in West Seattle seeking a motivated, talented, and compassionate associate dentist to join a dynamic and experienced dental team. Prefers someone with at least three years of experience. Part time to start (2-3 days), transitioning to full time (4-5 days).

Great income potential, good benefits, and long-term professional development opportunity. Competitive minimum daily compensation for the first 3 months and percentage of collection thereafter. Please send your resume to: wsfd.office@gmail.com.

EXPERIENCED GP — Looking for 3-4 days/ week associateship to buy-in position.Ten yrs experience GP, endo, surg. Ext, Invisalign, pedo, geriatric, laser competent. All licenses and certifications up to date. Toothcaredr@ gmail.com (715) 379-1973.

ASSOCIATE DENTIST WANTED, ANACORTES, WA — 1-2 days per week. Our longtime associate dentist is retiring, so we are looking for a general dentist that is focused on high quality comprehensive dental care. We are a modern, mature office with an experienced staff who loves providing top notch care while having fun along the way. If you think you might be a great fit for our office, please send your resume and cover letter to the following email address: utejane@yahoo.com.

RENTON HIGHLANDS — Associate needed with buy-in intention: Established GP practice seeking exceptional associate to join our unique loyal team and family friendly patients. Paperless, 5ops, 1500+ active patient base, 20+ new patients/month, 12 RDH days/ week, consistently collects $1.1+ M/year, excellent reviews, OSHA,WISHA,HIPAA. Refers out RCT/extractions. Seller willing to work as long as needed. Please email CV/contact info to enmedcon@gmail.com.

ASSOCIATE WANTED — Growing private practice in Beautiful Northeastern WA is looking for an associate dentist to become a part of our team. We are looking for someone whose love for people equals their passion for quality dentistry. We have a fun, low stress office where people and the community are our focus. We have 11 operatories and new equipment throughout. This is an associate position with a path to partnership, but we are also open to experienced dentists who want to enjoy keeping their focus on patient care without the headaches of the business side. Very competitive pay structure, make full time pay on 3 days per week. Practice the way you want. To learn more please send a cv and contact information. Email browncoppell@gmail.com.

DENTIST OPPORTUNITY, CENTRAL WASHINGTON — Seeking experienced dentist for a busy, well established, successful, multi-specialty group, fee for service dental practice to work full time with part time options. Come join our professional, modern office and become a part of our wonderful team. Please send resume and direct any inquiries to felixzario509@yahoo.com.

GENERAL DENTIST — Spokane’s Dental Providers is looking for a driven, dedicated, and skilled general dentist to join our Maple Street Family Dentistry location in beautiful Eastern Washington. We have multiple privately held practices in the Spokane WA area that specialize in patient focused dentistry. Full schedule immediately in a family friendly environment. There are no management headaches with this well managed private practice. This practice has all the systems and pieces put together for an associate to have tremendous success. All aspects of dentistry here from same day crowns Cerac, restorative, cosmetics, endo, and implants and more. Future partnership and buy out opportunity here if we find the right fit for owner and associate. Generous Compensation Package depending on experience.

Send Resume or Contact us! roxie@libertylakefamilydentistry.com. Visit our locations: www.libertylakefamilydentistry.com, www.latahcreekfamilydentisty.com, www. northpointefamilydentistry.com, www.maplestreetfamilydentistry.com.

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PART TIME GP ASSOCIATE IN ELLENSBURG — We are looking for a long-term associate in Ellensburg, WA to work 2.5 days Wed-Fri. We are an easy-going office where you will be allowed to treat as you see fit.

Please email resume to uwdentaldoc@hotmail.com.

classifieds issue 5, april, 2018

OPPORTUNITIES AVAILABLE

Health is

preventing disease, not just treating it.

Now Hiring General Dentists - Oregon & Washington Oral Surgeon – Portland, Oregon Endodontist – Eugene, Oregon Pediatric Dentist – Eugene, Oregon Traveling General Dentist - Oregon & Washington

willamettedental.com/careers ODC | April 5 - 7 | Portland, OR WDHA | April 12 - 14 | Bellevue, WA AAE | April 25 - 28 | Denver, CO

Mimi Whittemore, DMD, Managing Dentist

Courtney Olson, Regional Recruiter colson@willamettedental.com Tel: 503.726.8563

3 4 · th e wsda ne w s · issue 5, april 2018 · www.wsda.org

OPPORTUNITIES AVAILABLE

OPPORTUNITIES AVAILABLE

GENERAL DENTIST ASSOCIATE POSITION — Option to buy. Existing DDS with is looking to be retired within the next year or sooner. This private practice (30+ year patient base) is open Mon-Thurs (Mon-Wed 8-5, and Thurs 9-3). Prefers someone with at least five years of experience. Part time to start, (3 days) building into full time. Substantial patient base! Salary DOQ. Email: lori.leonarddds@outlook.com.

ASSOCIATE DENTIST, SPOKANE — Pediatric Dentistry is a growing practice and expanding to Colville and Moses Lake. We have immediate openings for part-time or full-time associate dentists working in our new clinics.

Opened in 2013, we are an energetic, patientdriven practice, striving to provide the highest quality dental care. Our clinics provide a comfortable, kid-friendly environment to serve our growing patient base. Our team performs comprehensive preventative and restorative dental treatments, sedations and in-office General Anesthesia. Associate position includes competitive salary and complete benefit package including, employer-paid professional liability insurance and C.E. reimbursement, health insurance and 401-K plan with match. Email Patrick@spokanpediatricdentistry.com or call (509) 315-3200.

PEDIATRIC DENTIST ASSOCIATE POSITIONS — North of Seattle. Part time, competitive pay, or part time to grow into full time opportunity. Modern clinic with conservative philosophy. Email NorthSeattleDentist@gmail.com.

GENERAL PRACTICE RESIDENCY SITE DIRECTOR — Oregon Health & Science University is seeking a full-time 1.0 FTE General Practice Residency Site Director. Responsibilities include: Provide leadership in the program’s Hospital Clinic, participation in the education of dental students and residents, supervising residents in clinical activities, establishing and maintaining of a program of specific and general scholarly activity, and providing direct patient care. *Please apply online at www.ohsujobs.com, then search using IRC63053. The School of Dentistry shares the mission of the Oregon Health & Science University to provide educational programs, basic and clinical research, and high quality care and community programs. We strive to foster an environment of mutual respect where the free exchange of ideas can flourish. The dental school prepares graduates in general dentistry and the dental specialties to deliver compassionate and ethical oro-facial health care. Required Qualifications: •Dental degree (DDS/DMD) from a CODA accredited school •Completion of GPR program from CODA accredited school •Current BLS certification from the American Heart Association •Oregon Dental License (or eligibility to obtain prior to employment) •Eligible for hospital privileges at OHSU •Oregon Moderate IV Sedation Permit, parenteral and enteral (or eligibility to obtain upon offer) •Able to perform the essential functions of the position with or without accommodation Preferred Qualifications: •Experience in teaching, research, service, patient care, and academic management •Demonstrated achievement in research including publications in peer reviewed journals •Course director or codirectorship, and •Demonstrated service activities such as committee participation at the school and university level. Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ ohsu.edu.

DENTIST — Pedodontist, FT Associate, Eagle River, Alaska. Permanent position, 4-5 day work week, immediately available for an Alaska Licensed pediatric dentist. Discovery Dental Kids is looking for a compassionate, pediatric dentist who will deliver excellent care to children of all ages from infants to teens. We provide a range of preventive and restorative services, oral sedation and GA with an onsite anesthesiologist. All in a beautifully custom designed practice located 15 miles from Anchorage and surrounded by mountain views and Eagle River. Competitive compensation. Contact Leanne 907-3513459 for more details.

GENERAL DENTIST NEEDED — We are interviewing for a General Dentist position.

Salary is based on collections and can range between $250,000 to $500,000 per year. We have clinics in South Seattle & Kent. The dentist should have at least 5 years of experience and should feel comfortable doing molar root canals and surgical extractions.Please send us your Resume to jobs@buriendentalcare.com or call 425-647-4318.

DENTIST NEEDED — Family Health Center, Longview WA is looking for a DDS or DMD with at least 1 yr experience. NonProfit Community Health Center. WA State DEA license. Apply to jobs@cfamhc.org.

ASSOCIATE DENTIST, BREMERTON-KITSAP CO. — Established practice in Bremerton. Kitsap Co is the best place to live outside the I-5 corridor. Come live in the best place to raise a family and work in a thriving dental practice. Permanent position available, 4-5 day work week. Experience and residency preferred. We provide full range of preventive and restorative services (implants, IV sedation, oral surgery, orthodontics, etc). Experienced providers can easily produce/earn $200K+/year. Potential for ownership/partnership for the right person. Contact bremertondental@gmail.com.

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DENTISTS NEEDED — Dental Professionals is recruiting dentists for temporary and permanent positions throughout western Washington – Vancouver to Bellingham and the Olympic Peninsula. No fee to you and you pick the days and geographic locations that you are available to work. This is a great opportunity to earn supplemental income or find a permanent position. If interested please call Bob at (206) 767-4851.

ORTHODONTIST NEEDED — We are looking for an orthodontist for 1 to 2 days a week in our Kent clinic. The orthodontist needs to bring his/her team and supplies. We get 10 new ortho patients per week. We provide excellent compensation based on collection.

Please send us your resume to jobs@buriendentalcare.com or call 425-647-4318.

OPPORTUNITY AVAILABLE PEDIATRIC DENTIST – RENTON Our pediatric dental practice is seeking a friendly associate dentist with excellent clinical skills and the ability to communicate at a high level with both patients and staff. This is an opportunity beginning in June of 2018 to fill in for a pediatric associate who is going on maternity leave for up to eight weeks. This is also a practice purchase opportunity if the candidate is interested and qualified. Our growing office is located in Renton adjacent to Valley Medical Center. We are a professional practice focused on maintaining first class standards with an emphasis on patient care and comprehensive treatment. Presently, we have two pediatric specialists and one orthodontic specialist on staff. We have been established for over thirty five years. If interested, email a personal statement and your curriculum vitae to Chantel at Chantel@OBrienChildrensDentistry.com.

SPOKANE — We are looking for a full-time general dentist for our fast paced office. The clinic is new, beautiful and state-of-the-art.

We are a family practice. We have a network of orthodontists and oral surgeons that work alongside our general dentists. We offer a great guaranteed salary and production bonuses. Position is available immediately, but we can be flexible. jvoie24@yahoo.com SPOKANE — Seeking full-time general dentist, able to work a varied shift schedule including weekends; must be able to do all aspects of general dentistry including molar endodontics and 3rd molar/surgical extractions; able to adapt to new systems and paradigms; great opportunity to grow and learn; 1-5 years experience preferable. Unlimited income potential! Send resume to Dr. Bradley J. Harken; bradharken@hotmail.com.

classifieds issue 5, april, 2018

OPPORTUNITIES AVAILABLE

clinical corner issue 5, april, 2018

CLINICAL CORNER Large multilocular, expansile radiolucency, left posterior mandible Contributed by:

Drs. Namou Kim & Lee-Ching Zhu, Swedish Hospital-ENT and Kaiser Permanente-Pathology, Seattle, WA.

History of present illness

This is a 54-year-old female who presented with a chief complaint of an enlarging left mandible. The swelling is of 2-3 months duration. The patient reports having significant pain, mobility of teeth and difficulty chewing. She has stopped chewing food relying on a puréed and liquid diet at this time. The patient also feels that her dental occlusion has shifted but denies any paresthesia of the left lower lip.

A CT scan of the neck shows a very large multilocular mass (Figure 1) occupying the entire left body of the mandible. This lesion has essentially eroded both lingual and buccal cortical bones. The past medical history is significant for hypertension, dysfunctional uterine bleeding and hyperlipidemia.

Figure 1

Test your knowledge!

Visit https://dental.washington.edu/oral-pathology/case-of-the-month/ and see if your assessment of the case is correct.

Have you been injured or are you sick/ill?

We can help. The WSDA is ready to aid dentists and their spouses.

Cancer, depression, substance addiction, it doesn’t matter.

Call the Disability Hotline (206) 973-5226 or email info@wsda.org for assistance.

3 6 · th e wsda ne w s · issue 5, april 2018 · www.wsda.org

OPPORTUNITIES WANTED

OPPORTUNITIES WANTED

MULTI-SPECIALTY GROUP PRACTICE OPPORTUNITIES — With more than 400,000 patients throughout our 50+ practice locations in Oregon, Washington, and Idaho, and a builtin specialty referral network to more than 30 specialists, Willamette Dental Group has been a leader in preventive and proactive dental care since 1970. What makes this multi-specialty group practice unique, and better, is a commitment to proactively facilitating the best possible health outcomes. We currently have openings in Oregon and Washington for general dentists, endodontists, oral surgeons, pediatric dentists, and locum tenens dentists. As a member of the Willamette Dental Group team, we offer a competitive salary commensurate with experience. We are a performance based culture and offer a generous and comprehensive benefit package. Among the many amenities we offer are competitive guaranteed compensation, benefits, paid vacation, malpractice insurance, in-house CEs, and an in-house loan forgiveness program. Please contact Courtney Olson at colson@willamettedental.com and visit www.willamettedental.com/careers to learn more!

OPPORTUNITY WANTED — 2018 Howard University graduate seeks a pediatric dentistry position in Vancouver or Seattle and the surrounding area. View my CV here: https:// docs.google.com/document/d/1A7XJ0yGR_ crsDQGiJgxdw3nPEiHSzYTnz3xAvexGBkI/ edit?usp=sharing.

BOOST PRODUCTION — Want to boost your in-house production by not referring out your patients for treatment? General dentist with over 25 years of experience in private practice with strong skills in oral surgery and endodontics available to see patients in your practice on Fridays and Saturdays.Call (360) 402-9370 or e-mail scubatooth@msn.com.

DENTIST OPPORTUNITY IN WESTERN WASH. — Seeking experienced dentist for busy, well established, successful, fee for service, group dental practice. Full-time position available. Excellent immediate income opportunity ($180,000 to $375,000 + per year) depending on productive ability and hours worked. Secure, long-term position. You can concentrate on optimum patient treatment without practice management duties. Modern well-equipped office with excellent staff, and lab services provided. If you are bright, energetic with a desire to be productive, very personable, and people oriented, and have great general and specialty clinical skills, Fax resume to Dr. Hanssen at (425) 484-2110.

ASSOCIATE — We have a great associate opportunity for a new graduate or a long term home for a seasoned dentist looking to be compensated well with less of the headaches and stress. Group practice composed of general dentists, orthodontists, and oral surgeons. For new grads it’s the perfect opportunity to learn your craft by working side by side with generalists and specialists while being paid very well. Base salary starting at $150,000 plus bonuses. Full benefits package and moving allowance. State of the art clinics and equipment. Mix of children and adult dentistry. Mix of State and private insurance.

Come try out the Eastern Washington, where there’s 300+ days of sunshine, beautiful landscaping, the gorgeous Columbia River and family friendly communities! Please send inquiries to jbabka@applesmiles.com.

OPPORTUNITY WANTED — 2017 UWSoD graduate seeks a general dentistry position in Washington. View my CV here: https://drive. google.com/open?id=1ilkwp4P4pc91JX6OU 5u_0lX7SEYqG2bQ. OPPORTUNITY WANTED — 2018 Graduate of Midwestern University seeks a general dentistry position in the King, Snohomish, Skagit or Spokane County areas. View my CV here: https://www.michelleparksdmd.com.

OPPORTUNITY WANTED — 2018 University of the Pacific Arthur A. Dugoni School of Dentistry graduate seeks a general dentistry position in Renton or Tacoma. View my CV here: https://sites.google.com/a/u.pacific.edu/ danielkamran/professional-accomplishments.

OPPORTUNITY WANTED — 2018 UMKC Graduate seeks an associate general dentistry position in Washington state – open to relocation. View my CV here: https://drive. google.com/file/d/14lvNAcU5b14B_uUl0CnKVtkJnUTok91/view.

OPPORTUNITY WANTED — 2018 Western University of Health Sciences graduate seeks general dentistry position in Snohomish, King, and Skagit Counties. View my CV here: https://www.canva.com/ design/DACuoVq_cqc/nunviib-AOKqX1sDGuJ-NQ/view?utm_content=DACuoVq_ cqc&utm_campaign=designshare&utm_ medium=link&utm_source=sharebutton.

OPPORTUNITY WANTED — 2015 Graduate of Marquette University seeks a general dentistry position in the greater Kitsap County area. View my CV here: https://drive. google.com/file/d/1cUDpoN5r_rpYWuDdSsNY38wVUvKMrM-J/view?usp=sharing.

OPPORTUNITY WANTED, SOUTH SOUND — 2018 UWSoD seeks general dentistry position in south Puget Sound. View my CV here: https://drive.google.com/file/d/1To4YpqLqzzzC R9ROelVqvU0b280ZTDv_/view?usp=sharing.

OPPORTUNITY WANTED — 2018 University of Detroit Mercy seeks general and cosmetic dentistry position in Western Washington. View my CV here: https://uptowork. com/mycv/jzhu90.

OPPORTUNITY WANTED — 2017 University of Washington School of Dentistry seeks general practice position in Western Washington. View my CV here: https://drive.google. com/file/d/1ZI5FAYvYNm6dNUOh9I2_hHb3td0IoWhP/view?usp=sharing.

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OFFICES FOR SALE OR LEASE NEW! SOUTH SOUND GENERAL DENTAL PRACTICE — $300,000 collections, 4 ops.

Priced for fast sale! Contact rod@omni-pg. com. (WD199) NEW! SOUTH SOUND ORAL SURGERY PRACTICE FOR SALE — Great potential.

Confidential sale. Contact rod@omni-pg. com. (WD200) NORTHGATE TURN KEY DENTAL OFFICE FOR SALE/SPACE FOR LEASE — Up to 6 operatories, reception, waiting area, restroom, lab, sterile, doctor office, staff lounge.

Four operatories are fully operational with ADEC chairs, CT scanner. No patients, assets only $50,000.00. Email steve@omni-pg.com.

SEATTLE FEE FOR SERVICE PRACTICE FOR SALE — Well established practice with 2016 collections of $1,350,000. Four ops, digital x-rays. Contact rod@omni-pg.com for more information. (WD191) OLYMPIC PENINSULA DENTAL PRACTICE FOR SALE — Only dentist within 40 mile radius of town. Annual collections over $900,000 on 3 days per week. Building also for sale. Contact rod@omni-pg.com. (WD132) ISLAND PRACTICE — Annual collections over $300,000. Newer buildout. Great location with tons of room for growth. Contact rod@omni-pg.com. (WD182) CENTRAL WASHINGTON RESORT TOWN — General Dental Practice for sale. Low stress lifestyle with annual collections of $600,000+. Good patient base with room to grow. 4 operatories in newer, beautiful building which is also for sale. Get out of the rat race and practice in peace. Contact rod@ omni-pg.com. (WD184) SOUTH SOUND ORTHO PRACTICE FOR SALE — Annual collections of over $600,000 in six chair office in a stand-alone building. Some DSHS patients. Good visibility. Contact rod@omni-pg.com. (WD169) — DES MOINES GENERAL DENTAL PRACTICE FOR SALE — Nice location in newer office.

Annual collections over $600,000. Good new patient flow. Four operatories with room to grow. Contact frank@omni-pg.com. (WD171)

classifieds issue 5, april, 2018

OPPORTUNITIES AVAILABLE

Delivering Solutions For Your Long-Term Financial Success By acting as your Chief Financial Officer for your practice and as a Personal Wealth Manager for your family.

DG Transitions LLC

The Dental Group

Comprehensive | Professional | Tax Efficient LLC A DENTAL GROUP COMPANY

425-216-1612 www.dentalgroupllc.com

The Dentist’s CPA

SM

For dentists and specialists who believe that planning, implementation and monitoring are crucial to long-term financial success and quality of life.

The Dentist’s Advisor

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Sam Martin MBA(tax) , CFP®, CPA

Margaret M. Boyle CPA, CVA

Nathan J. Ricks CFP®, MS

Comprehensive Financial Planning* Wealth Management Investment Management Retirement Plan—CFO Services

Call 425-216-1612 today to see how we can help you!

MANAGEMENT | CONSULTING | SALES | TRANSITIONS

OVER 50 YEARS OF EXPERTISE IN THE DENTAL INDUSTRY

CURRENT LISTINGS WESTERN WA

Southwest Washington new Tacoma new Lakewood Opportunity new Federal Way Associateship new

Bellevue Built-Out Space Available (partially equipped pending Renton pending Federal Way pending

Everett reduced price

EASTERN WA

Northgate reduced price

Davenport new

Bellevue reduced price

Walla Walla Associateship

San Juan Islands reduced price

Spokane

Port Townsend (Fully Equipped Space)

Yakima

Ortho Space Issaquah

Lake Chelan

NE Seattle Modified Start-Up

Richland (Dental Space Only-Lease)

Mukilteo

Moses Lake (Space Only)

We would love to help.

Bellingham

Liberty Lake pending

Kirkland (new price) pending

North Spokane pending

CONTACT US TODAY! knutzenmcvaygroup.com 425. 489. 0848

Grays Harbor County pending

Lincoln County pending

TODD MCVAY

JULIE HAWKEN

JEN BENNETT

DAVE KNUTZEN

RECENT TRANSITIONS Dr. John Berwind to Dr. Chad Kleven — LONGVIEW, WA Dr. Paul Benoit to Dr. Samira Davis — KIRKLAND, WA

todd@tkmgllc.com julie@tkmgllc.com

jen@tkmgllc.com

3 8 · th e wsda ne w s · issue 5, april 2018 · www.wsda.org

OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

SKAGIT COUNTY GENERAL DENTAL PRACTICE — Annual Collections over $250,000. Four operatories. If you’re desiring an easy-paced practice and a relaxing, outdoor lifestyle, this may be for you. Contact frank@omni-pg.com. (WD172)

BOTHELL PREMIER RETAIL SPACE AVAILABLE — 2,000 SF at North Creek Plaza. Located near UW Bothell, Cascade Community College, and the Bothell Technology Corridor. Contact steve@omni-pg.com.

PRACTICES FOR SALE COMING SOON — Burlington Perio, Downtown Seattle, Spokane, Southern Washington, Washington Coast, South King County, West Linn, and Wasilla. Contact Rod to be notified when available – rod@omni-pg.com.

WESTERN SKAGIT COUNTY GENERAL DENTAL PRACTICE — Located near the water. Annual collections of approximately $400,000 per year. Four operatories. Downtown practice location. Contact Frank at frank@omni-pg.com. (WD173) WHATCOM COUNTY — General dental practice for sale. Annual collections of approximately $250,000. Located on a busy street. Building also for sale with another space for rental income. Email rod@omni-pg.com (WD177) OLYMPIA — Annual collections over $1.1 million with good cash flow to doctor. Building also for sale. Contact rod@omni-pg.com (WD176).

NORTH KING COUNTY GENERAL DENTAL PRACTICE FOR SALE — Annual collections of $180,000, three operatories, busy corner lot.

1,000 sq. ft. Building for sale at $650,000. For details, email rod@omni-pg.com. (WD178)

DENTAL OFFICE IN LYNNWOOD — Roughly 1,400 sq. ft. Plumbed for 4 ops including Nitrous and O2. Visibility from 44th Ave W. $24.00 per sq. ft. + $3.62nnn. Email steve@omni-pg.com.

TUKWILA CLASS A MEDICAL/DENTAL OR OFFICE SPACE AVAILABLE — Top floor space available with 5,000 sq. ft. and 2,500 sq. ft. available on second floor. Territorial views. Two blocks from I-5 access and next to Tukwila Park & Ride. Ready for TI improvements.7500-2000 sq. ft. Available$25 per sq. ft. Gross Lease. Contact steve@omni-pg.com MAPLE VALLEY – FRONTIER SQUARE — A mix of office and retail uses. There are currently two available spaces - 1,200 SF retail/ office space and a 1,524 SF dental/medical office. Contact steve@omni-pg.com.

FOR SALE — Well-established (40 years) dental office for sale in stand alone building. Othello, Washington. Call (509) 989-1143 for details.

TACOMA TURNKEY DENTAL OFFICE — Close to downtown Tacoma and retail shopping areas. Easy access with plenty of parking space. 2,800 sq. ft fully equipped dental office ready to operate with 5 treatment rooms, 6th plumbed, cozy reception, 2 Doctor rooms, Lab, staff lounge, 2 restrooms, storage room, laundry room. file cabinet. A digital Panoramic and 3 digital intraoral xray systems are also available for sale if interested. Great opportunity for Specialists and General Dentists. Please call for an inquiry.

Call 253-230-8325 for details. Thanks.

ASSOCIATE WANTED, TACOMA — Our office is looking for a skilled, caring, and experienced associate dentist to join our established general practice in Tacoma area. Part-time (2-3 days), potential full time or buy-in. Please call 253 230 8325 if interested. Thanks.

NORTH SNOHOMISH COUNTY PRACTICE FOR SALE — Annual collections over $650,000. Great visibility with awesome signage. Located 40 miles north of Seattle. Email frank@omni-pg.comfor more details. (WD179)

WOODMONT PLACE SHOPPING CENTER IN KENT — High Visibility space. Signage available along Pacific Highway. 1,300 sq. ft. includes three exam rooms, x-ray room, darkroom, lab area, executive office, kitchenette, great signage and plenty of parking.

Asking $2,275.00 a month - modified gross.

Contact steve@omni-pg.com.

EAST OF LAKE WASHINGTON PRACTICE FOR SALE — Just off of I-90. Annual collections over $400,000. Great location. Two ops with possible room to grow. Email frank@ omni-pg.com for more details. (WD180)

LYNNWOOD PLUMBED DENTAL OFFICE — Roughly 2,000 sq. ft., 5 ops including Nitrous and O2, plenty of parking with visibility from 196th. Contact Steve Kikikis by email steve@omni-pg.com.

FOR LEASE — Medical/Dental suites. 1,004 SF - 2,413 SF. Campus setting with other medical professionals located at 2317 SW 320th Federal Way, WA 98023 Contact Brian Clapp at Kidder Mathews (206) 248-7316.

NE KING COUNTY — Practice for sale in highly desirable community. Annual collections of $500,000 with three operatories.

Contact rod@omni-pg.com. (WD187)

MARYSVILLE DENTAL BUILDING — Two additional tax lots for sale. Well-kept 6,600+ medical building with three dental tenants in place.

One smaller unit is not rented. Residential home included. Contact steve@omni-pg.com.

ORTHODONTIC PRACTICE FOR SALE, SNOHOMISH COUNTY — Tremendous opportunity in the heart of Snohomish County collecting $629K. 2,145 sq/ft approximate.

Five fully-equipped chairs + private exam/ consult room, x-ray, Pan/Ceph., Ortho2 software w/digital charting. For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com.

SOUTH SOUND — General dental practice - Four operatory fee for service general dental practice with annual collections over $800,000. No PPO’s! Contact frank@omnipg.com. (WD188) LINCOLN COUNTY GENERAL PRACTICE FOR SALE — Owner is selling two separate practices both within 35 miles of Spokane.

Excellent cash flow for a practice of this size.

Contact rod@omni-pg.com. (WD189) NORTH KING COUNTY GENERAL PRACTICE FOR SALE — Annual collections almost $900,000. 5 operatories, Prime location. Low overhead and hi net practice with great cash flow. Contact rod@omni-pg.com. (WD190) OREGON DENTAL PRACTICES FOR SALE — Lake Oswego, Willamette Valley, Central Oregon and more. Contact megan@omni-pg. com for more info!

BELLEVUE MEDICAL CORRIDOR — Newly built in 2016 the Highland Professional Building is the perfect fit for medical, dental, or general office users. The entire second floor is available for lease - approx. 3840 sq. ft. Plumbed for 7 plus operatories or medical rooms. Plenty of parking stalls. Rent $30.00 + $6.00 NNN per sq. ft. Contact steve@omni-pg.com GRANDRIDGE DENTAL/MEDICAL OFFICE FOR LEASE — Opportunity for a startup or move your existing practice. Fully built out, 4 equipped operatories, reception, waiting area, lab, sterile, office, staff lounge. Contact steve@omni-pg.com.

MEDICAL DENTAL BUILDING FOR SALE IN NORTH SEATTLE — Currently built out as an orthodontic office. 12 parking stalls for the sole use of property. Contact steve@ omni-pg.com.

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DENTAL PRACTICE FOR SALE — Great location in Lynnwood. Three operatory, fully equipped dental office. Dentist is retiring.

Contact Dirk at dirk1@msn.com for details.

GENERAL PRACTICE FOR SALE, RURAL SNOHOMISH COUNTY — Outstanding family practice with great cashflow in picturesque country setting. Ideal for doctor and family seeking quality of life away from city traffic.

Four fully-equipped operatories w/5th possible.

Approx 1,450 sq/ft. Low overhead. Collecting $588K+ on a 3-day workweek. Opportunity to grow! For more details contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com.

GENERAL PRACTICE FOR SALE, REDMOND — Fantastic Eastside practice w/ tremendous upside potential. Collecting $616K. Four fully-equipped, digital operatories. Approx 1,573 sq/ft. Dentrix. For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com

classifieds issue 5, april, 2018

OFFICES FOR SALE OR LEASE

classifieds issue 5, april, 2018

OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

GENERAL PRACTICE FOR SALE, SNOHOMISH, COUNTY — Charming practice in a thriving, family-based community! Collecting $583K. 1,500 sq/ft-approx. Three fully equipped operatories. TMJ Therapy. Refers out implants, perio and ortho. For more information contact: Jennifer Paine at (425) 216-1612 or email Jennifer@cpa4dds.com.

FOR LEASE — High exposure commercial spaces in Sequim Professional medical/dental office spaces within 5th Avenue Medical Specialists complex. Excellent front plaza corner lot exposure in busy area of medical and dental offices in Sequim. Bring your business ideas to this great location. Water, sewer, garbage & grounds maintenance included. Tenant pays all other utilities.1229 SF @ $1600 per month-gross lease. Contact: Dollie Sparks.

(360)582-7361 cell. (360)683-6880 office dolliesparks@gmail.com.

G/P PRACTICE FOR SALE IN NORTH KING COUNTY — Annual collections almost $900,000. Five operatories, Dexis Digital X-rays w/ two sensors. Office located in the prime location in town. Practice has been in same location since 1975. Well trained and tenured staff will assist with the transition and stay on with the practice. Seller is a Delta Premier Provider. Seller does no endo, oral surgery, or pedo. Low overhead and hi net practice with great cash flow. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental. com, (503) 680-4366.

GENERAL/COSMETIC PRACTICE FOR SALE, OLYMPIA — Beautiful, state-of-theart practice in the heart of the State’s capital!

Buy-in/out option available. Eight fully-computerized operatories w/Adec chairs. Digital radiography & pano. Lasers. Nitrous. Rotary endo /elements obturation. Dexis CariVu. Intra-oral cameras. iTero. Dentrix/Dexis.

3,900 sq/ft approx. For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com.

PEDIATRIC w/ORTHO PRACTICE FOR SALE, SE LAKE WASHINGTON — Dualspecialty practice. Large modern facility collecting $1.9M w/ latest computerization, ortho imaging Pan/Ceph & software. Longterm lease available. Staff trained expanded duties, modern premedication techniques & general anesthesia. 8 chairs fully-plumbed for all utilities/N2O. Ample parking near major area hospital. Owner willing to work-back.

For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com GENERAL PRACTICE FOR SALE, KENT — Excellent opportunity poised for growth!

Collecting $415K. Three fully-equipped operatories w/ 3 additional available. Digital radiography, Private office, X-ray, Storage, Lab, 2,370 sq/ft. approx. Currently referring out: Implant placement; Third molar removal & Molar endo.

For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com FOR SALE — Periodontal practice for sale in Washington state. Realize your dream and tax advantages of practice ownership. South Puget Sound well established periodontal practice. Established in 1975 with large hygiene following. New office location designed by owner in 2013 with new Adec equipment, multiple implant systems, Piezo surgery units, Waterlase Express hard tissue and Picasso diode lasers. Experienced delightful staff. Owner willing to stay on to assist with transition. Respond to helmstetter.barbara@ gmail.com or 503-799-4743.

CLE ELUM — Well established, general practice for sale, located in a fast growing area. Four complete operatories, 1850 square feet. Option to lease or purchase building. Located 1.5 hours east of Seattle, 10 minutes from Suncadia. Contact Dr. Lorin Peterson at klcehome@ msn.com or 509-674-1389.

FOR LEASE — A dental office is available (12/1/2017) for lease. Currently, it is a dental office with three chairs set up. Total square feet is 1100 square feet. Total rent is $3300.

Flexible term. Possible signage along busy 148th Avenue in Bellevue. Call (206) 4983668 for showing.

GP PRACTICE MILL CREEK — Priced to sell four chairs, busy shopping center, 400k ‘15, 700k ‘16, lots of room to grow, Open Dental, low overhead, strong referral, motivated seller, email FVqualitydentalcare@gmail.com.

SPACE TO SHARE — Looking for another dentist to share a three operatories office in SLU. Current dentist works about 3 days per week and uses only one chair. Great opportunity for someone looking to build patient base without the overhead of your own office. Please call if you are interested. 206-445-2864.

BELLINGHAM — Lease turnkey dental suite.

Formerly successful pediatric and orthodontic Class-A office space. Save $200,000+ construction costs. Ample parking. Interstate-5 access.

High-traffic/visibility location. Customization available. Lincoln Professional Center: (360)739-1421 adengst@gmail.com.

FOR SALE — New practices for sale, located in Bellevue, Burien, Tukwila, Olympia, Tacoma. Also numerous pre-existing dental spaces for lease. Call today. New office development consultants for over 35 years. Annie Miller at REMAX (206) 715-1444.

SPACE FOR LEASE, WENATCHEE — Dentist moving to new location. 3,504 sq.ft + 300 sf basement. Presently 10 ops can be split-up call 509-421-4914 or email drharveyopenwide@gmail.com.

FOR LEASE, FREMONT - Unique Opportunity in Seattle’s hot Fremont Neighborhood.

Dental Suite- available @ 1,700 SF - very nice floor plan and building amenities Specialty Dental practices needed as building already has Family Dental Practice Please Contact Janet Backus jbackus@nai-psp.com or wparker@nai-psp.com.

G/P PRACTICE FOR SALE IN GRAYS HARBOR COUNTY — Doctor has two practices that are 30 miles apart. One practice is the only dental office for 30 miles. Annual collections of $580,000. If you are seeking a small community to raise your family and become an active member in the community then this is a great opportunity. The main office has four fully equipped operatories. Well trained and experienced staff will assist and continue in the transition. Well-established practice that has been in the same location for 25 years. Outstanding and productive hygiene program in place. Excellent collection policy. Contact: Buck Reasor, DMD-Practice Transition Broker, Reasor Professional Dental Services. info@reasorprofessionaldental. com, 503-680-4366.

FEE FOR SERVICE PRACTICE FOR SALE IN SEATTLE — 2016 collections of $1,350,000.

Cosmetic/reconstructive in the Kois philosophy. Fee for service practice Great cash flow.

Four fully equipped operatories, digital XRays, refers out endo and oral surgery. Well trained and experienced staff will continue and assist with the practice transition . Well established practice that has been in the same location for over 20 years. Selling Dr. will mentor purchasing Dr. for a limited time.

Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental. com, (503) 680-4366.

FOR LEASE — Downtown Redmond medical/dental office space for lease. Up to 2,800 sq ft. of space on the second floor, floor to ceiling windows on all sides. Prime location in City Center Building across the street from City Hall, Library, School, and Bus Stop.

Perfect for high visibility. Building currently occupied by two GPs, an endodontist, chiropractor, and physical therapy clinic. Please email redmonddds@gmail.com.

BELLEVUE/FACTORIA — Newly renovated (incl hardwood floor & granite reception countertop, etc.) dental office for lease. 1,200 sq. ft. Three-ops (fourth op can be added) in a stylish off bldg. Winner location. Easy I90/I-405 frwy access. Across the street from Factoria Mall. 15’ pole sign by Factoria Blvd (206) 915-2263 Mark.

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DENTAL EQUIPMENT FOR SALE

AVAILABLE, SOUTHCENTER — Just available. 1200 square foot fully equipped four operatory dental space. Cerec , Panoral, four chairs, lights, nitrous, air and vacuum all available and in place. Please call Dr. Jerome Baruffi at Medical Centers Management (206) 575-1551.

USED/REFURBISHED EQUIPMENT — Adec, Gendex, Pelton Crane, DentalEZ, Porter, Air Tech, Midwest, Midmark and etc. Lab equipment. Parts are also available for almost all equipment. Call Dental Warehouse at 800-488-2446 or http://cascade-dental.net.

FOR IMMEDIATE OCCUPANCY — A fully plumbed dental office. 1,350 sq ft , three operatories, air, water, vacuum, nitrous oxide and oxygen, private office, lab, staff lounge, separate staff entrance. This office has exceptional exposure to the Southcenter Mall traffic. Please call Dr. Jerome Baruffi at Medical Centers Management (206) 575-1551.

FOR SALE — General practice in Battle Ground, WA. Three fully equipped operatories, busy main street location. Contact Vicki at (360) 521-8057 or lyledkelstrom@gmail. com.

FOR SALE — General practice in beautiful Central Washington, same owner since 1979, consistent annual collections: $700,000, 60 percent OH, largely FFS, digital technology, 3,400 sq. ft., five ops, asking $546,000.

Email: FredH@arizonaTransitions.com.

OFFICE CONSTRUCTION CONSTANTINE BUILDERS INC. (CBI) — WSDA endorses CBI as their preferred builder of Dental facilities with over 25 years of experience from ground up buildings, renovations, remodels, and interior tenant improvement projects. All projects are completed on time and within budget. CBI provides the highest level of quality service with integrity that exceeds our client’s expectation. Please see our display ad on page two and website at www.constantinebuilders.com for additional information and how you can become another satisfied client. Telephone (206) 957-4400, O. George Constantine.

SPACE FOR LEASE FOR DENTAL SPECIALIST — Quality professional office space for lease in the heart of the Renton Highlands.

The Renton Highlands Professional Plaza building has just signed an Endodontist to compliment our professionals. The lower level front space is available for an Oral Surgeon or Periodontist approximately 5500 sq/ ft. Currently we have two general dentists thriving in the building along with an Orthodontist, Pedodontist, and a large Physical Therapy clinic. Because of its excellent location this building has a proven record of successful businesses. The building sits across the street from Bartells, QFC,and Starbucks.

Enjoy fast practice growth in a quality medical dental building in the Renton Highlands.

Please call Robert at 206-795-4085.

SERVICES LOCUM TENENS — 1985 UW graduate, Washington license, 32 years GP experience.

Cerec user, extensive surgical/grafting experience in addition to typical restorative skills.

Located on the Olympic Peninsula, but have a small plane so I’m close enough to anything this side of the Cascades. Contact cell/text (360) 531-1762, or chuljian1863@gmail.com.

INTRAORAL X-RAY SENSOR REPAIR — We specialize in repairing Kodak/Carestream, Dexis Platinum, Gendex GXS 700. Repair & save thousands over replacement cost. We also buy & sell dental sensors. www.RepairSensor.com / 919-924-8559.

CLASSIFIED ADS IN THE WSDA NEWS Visit wsda.org/news/classifieds/ to place your ad and select the issues you would like your ad to run in. Follow up your submission with a phone call to Rob at (206) 9735220 to submit your credit card information (sorry, no check payments), and your ad will be placed.

Sell your practice or fill a position quickly?

Don’t worry, you’re only charged for the ads that run. We’re flexible, and the process is painless and cost effective.

Pricing is as follows: Members: $50 for the first 30 words, $1 per word for each word over 30.

Non-members: $100 for the first 30 words, $1 per word for each word over 30.

th e wsda ne w s · issue 5, april · 2018 · www.wsda.org · 41

classifieds issue 5, april, 2018

OFFICES FOR SALE OR LEASE

first person dr. john evans

How much is enough?

Dr. John Evans Editorial Advisory Board

“It is a complex world medically and our patients expect us to understand their medical problems in some detail.

We should certainly know enough to keep them safe in our offices and clinics.”

I want to focus on a question asked by dentists daily: How much medicine do I need to know to practice dentistry safely in the second decade of the 21st century? Rather than detail an answer that is too prescriptive, I want to keep this more general and let the reader decide.

Modern medicine is getting more complex daily. Look at the number of anti-coagulants in use today, and there are more in the pipeline. They are not the same with regard to perioperative management of patients. Some of the anticoagulants should be stopped preoperatively, some not. Patients with compromised creatinine clearance may have to be off their anticoagulant longer than a patient with normal kidney function. Warfarin is sensitive to the amount of vitamin K in the diet. And on it goes.

Is dentistry safe in a patient who had a heart attack after ventricular fibrillation three months ago? Or should we wait six months? A year? These are difficult and complex questions to be sure. We should get medical consultation, of course, but problems like this one are difficult for physicians, too, and the decision to treat the patient now or wait, at the end of the day, rests with the dentist.

The human organism is a collection of systems. The cardiopulmonary system is the most important to know. Not only is cardiovascular disease common in the population, but this system is primarily involved when we stress our patients. The pulmonary system is inextricably linked to the cardiovascular system. When one system is compromised, so is the other. A trip to the dentist is stressful for most of us, no matter how you cut it.

Four million Americans are infected with the hepatitis C virus. Some patients go on to cirrhosis and liver transplant. Many are cured, thanks to modern medicine. Cirrhotic livers may not produce enough clotting factors, and many patients lack adequate numbers of platelets to form good blood clots. We need up-to-date lab tests — INR and platelet count —to decide whether or not our patients will bleed after dental procedures like deep scaling and root planing.

These are just a few examples of the interface between medicine and dentistry.

Fortunately, good information has never been easier to access. It is as close as your smart phone. This is a good thing because it has never been harder to keep up with the developments in both professions. “Knowledge explosion” is an apt idiom.

So how much medicine do you need to know to practice dentistry in the 21st century?

The answer is that you need to know enough to treat each and every patient safely. That is an unsatisfying answer, but it does reflect the real world. We need to know much more medicine than our forebears, no question. The more complex our patients are medically, the more we need to know. Each patient is different to some degree, and individualized dental treatment plans are necessary. The same is true for a patient’s medical needs. We are all different and require individualized medical care. However, there are common threads. The main principals of internal medicine, pharmacology, and physiology are applicable to all our patients.

I recommend diligence. Build your knowledge base over time, patient by patient. Read about their medical problems. Look up their drugs. If newly acquired knowledge is used clinically, it sticks and will be neatly filed away to be used the next time you see a similar patient. Physicians are also invaluable sources of specific advice. Most physicians realize that part of their job is to advise other professionals treating their patients and they are — or should be — happy to advise you. Pharmacists, too. They are the experts on the drugs our patients take, and will be happy to consult with you and other doctors about the drugs we prescribe.

Another word or two about sources. I have found The New England Journal of Medicine to be informative, but it may be more than you need. It is online, free, and searchable.

Otherwise, JADA is quite good with policy and specific recommendations, like antibiotic prophylaxis preoperatively. The major dental specialty journals are good for more specific problems. Many are free online. I do not find Google searches to be helpful because you get hits aimed at the public, and there is not enough detail to help make decisions.

Wikipedia is sometimes helpful, sometimes not. I try to avoid it unless I know absolutely nothing about the problem I am researching. Then it gets me in the ballpark.

It is a complex world medically, and our patients expect us to understand their medical problems in some detail. We should certainly know enough to keep them safe in our offices and clinics.

The views expressed are those of the writer and do not necessarily reflect the opinion or official policy of the WSDA.

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The Obvious Choice for Washington Dentists

YOUR WDIA TEAM: Matt French · Kerri Seims 206.441.6824 · 800.282.9342 th e wsda ne w s · issue 5, april · 2018 · www.wsda.org · 43

www.wdiains.com A WSDA Company

Washington State Dental Association 126 NW Canal Street Seattle, WA 98107

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4 4 · th e wsda ne w s · issue 5, april 2018 · www.wsda.org