issu
WSDA 8 201 er · tob · oc e1
The voice of the Washington State Dental Association
news
DR. CHRISTOPHER DELECKI
2019 WSDA PRESIDENT
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PREMIER BUILDERS DENTAL FACILITIES
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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 1, october 2018 · www.wsda.org
WSDA President Dr. Chris Delecki gets a hug from the Mariner Moose at a recent event for tobacco-free kids
WSDA news Cover story photos Scott Eklund HOD photos by Rob Bahnsen King County Clinic photos by Rob Bahnsen Cover Story by Rob Bahnsen
4 editorial
5
guest editorial
33
foundation news
6
special meeting news
35
letter to the editor
37-38
ce across the state
7-8
delta bylaws amendments
10-11
member news
12-17
hod results and pictures
issue 1 · october 2018
39
in memoriam
41, 43, 45, 47, 48, 49
classifieds
19-25
cover story
46
clinical corner
26-27
wdia news
50
counterpoint: dr. peter milgrom
28-31
special report
Like us on Facebook: www.facebook.com/WashingtonStateDentalAssociation WSDA News Editor Dr. Mar y Jennings
Dr. Kim D. Nordberg Dr. Ashley L. Ulmer
Membership Ser vices Coordinator Rachel Gunderson
Editorial Advisor y Board Dr. Brittany Dean Dr. John Evans Dr. Julie Kellogg Dr. Stephen Lee Dr. Joseph Vaughn
WSDA Staff:
Membership and Communications Coordinator Emma Brown
Washington State Dental Association Dr. Christopher Delecki, President Dr. Dennis L. Bradshaw, President-elect Dr. Nathan G. Russell, Secretary-Treasurer Dr. Cynthia R. Pauley, Immediate Past President Board of Directors Dr. Marissa N. Bender Dr. Joseph Y. de Jesus Dr. Chris E. Dorow Dr. Linda J. Edgar Dr. John L. Gibbons Dr. Todd R. Irwin Dr. Christine L. Kirchner Dr. Mark Koday Dr. Eric J. Kvinsland Dr. Blake McKinley
Executive Director Bracken Killpack Assistant Executive Director Kainoa Trot ter
Bookkeeper Joline Hartman Association Of fice: (206) 448 -1914
Controller Peter Aaron
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 Director of Government Affairs Emily Lovell Continuing Education and Events Coordinator Rachel McFarlane
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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, Suite 300, Seattle, Wash. 98107. ISSN 1064-0835 Member Publication American Association of Dental Editors and Journalists. Winner: 2018: Journalism Award, Platinum Pencil, Leadership Article, Division 1, Honorable Mention; 2018: Platinum Pencil Award (4); 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 Diversity and Inclusion; 2013: Journalism Award, Platinum Pencil; 2012: Journalism Award, Best Newsletter, 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 1, october 2018
a day in the life
editorial dr. mar y jennings
A fond farewell
Dr. Mary Jennings Editor, WSDA News
“I have had a wonderful time being your editor. I have learned and grown, and will never forget this adventure. I challenge you all to participate in our association. You never know where your hidden talents lay, and where journeys will lead. ”
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.
I have been editor of WSDA News for nine years! It seems like just a flash in time. It is time to retire from the News and start new adventures. Over the years many people have asked me questions about how the magazine works. I thought I would give you an inside peek before I close the door for the last time. I am often asked how the editor is selected. In my case, I had written as a component president and written various reports to the WSDA Board of Directors that were well received. I was one of several people who were asked to write mock editorials to try out. I made the cut. Editors are appointed by the WSDA President. Publications must have humans at the helm to take responsibility for content. In our case the WSDA Executive Director is the publisher, I am the editor, and Rob Bahnsen is the art director and managing editor. My job is to write editorials, work with Rob on content, edit and check each word and phrase, make sure that dental terms and issues are correct, work collaboratively with WSDA staff and leaders to get correct and meaningful information out to members, and to take, along with the publisher, ultimate responsibility for the content of WSDA News. Some people ask if we really need a news magazine. That is an interesting question. We live in a time where people are very reactive to, well, virtually anything anyone shares. There are consequences, both intended and unintended, in journalism these days. Should we have a coffee table journal to give to legislators that shows all the good things we do and leave it at that? Or should we continue to keep this as our very own platform to keep dentists informed and work through issues that we care about? You know where I stand. I think WSDA News has done a remarkable job informing dentists about looming problems that could drastically affect the way we practice and the patients we serve. Dr. Linda Edgar said it best at our WSDA House of Delegates meeting last month: “It takes one stroke of a legislator’s pen to change your practice.” I also think we need to highlight our leaders who do so much both inside and outside organized dentistry. WSDA News serves as a strong connector that builds warmth and camaraderie to more than 4,000 readers. It is an important asset to our association. We live in changing times. WSDA has grown to more than just a print magazine. It is actually a little media empire thanks to Rob’s proactive efforts to keep up with technology. We’ve been online for years. We were one of the first dental journals to do so. We have tried blogs, Facebook, and other platforms. Now we are branching into podcasts. As technology advances, so will WSDA News. If that is not quite enough, WSDA News brings in around $100,000 in ad revenue per year. Bet you were not expecting that! That revenue stream has the potential to increase as we expand across platforms. How much is my cut, you ask? Nothing. Like the WSDA Board of Directors, I am not paid for my services. Per the association bylaws, WSDA will pay for the editor to go to the ADA. In my case, we use me as an alternate delegate to the ADA House of Delegates, so it is a true working business trip. I use that benefit to help with advocacy, gather knowledge, and network with actual sources of information. When I started, WSDA News had just transitioned from publishing monthly, plus a membership roster, to eight times a year to accommodate more in-depth stories. I suspect that almost every dentist has a “hot issue” that they could easily write an editorial about. The tricky part is having eight hot issues a year to entice the dental reader. Serving six years on the WSDA Board and four years on the ADA Council on Government Affairs helped me track down interesting topics, and identify leading experts to answer my many questions. In 2016 there was a call from our Board to hear more voices and allow younger dentists a place to speak about their issues. We formed a new editorial board, and we now have a rota for the editorial space and the back page. It has been interesting to hear those voices and see our dental world through their lens. Rob takes the lead and works with new writers. He happens to be an exceptionally thoughtful listener and a great sounding board. He has the rare talent of offering kind and very constructive criticism. I think we have a great team going. WSDA News is an award-winning magazine. That is a big deal in the journalism arena. There are literally hundreds of dental journals supporting thousands of articles. There are very few awards. Rob’s series on Race and Dentistry won both the ADA’s Golden Apple Award and the International College of Dentists Golden Pen Honorable Mention Award in 2014. Rob has also won many ICD’s Platinum Pencil awards over the years. This is a graphics award for magazines with a large circulation. The Platinum Pencil award celcontinued on page 35
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“Why are we here?” is a question we ask ourselves routinely as we work together to establish priorities, plan programs and identify issues to be addressed. The answer boils down to a simple statement: WSDA exists to support its member dentists and their patients. Central to that mission is protecting the doctor-patient relationship in every practice model that dentists choose. That is why, in 2017 we pushed hard for legislation to prohibit corporations, including dental service organizations (DSO), from practicing dentistry and to establish strict prohibitions on non-dentists interjecting themselves into the doctor-patient relationship. As a result of its passage, Washington law now expressly and explicitly defines actions that constitute the unlicensed practice of dentistry. These unlawful practices include directing a dentist’s treatment plan; limiting or imposing requirements on how a dentist uses equipment or materials in providing treatment; or limiting or imposing requirements on the materials, supplies, instruments or equipment a dentist deems necessary for diagnoses or treatments consistent with the standard of care. This list is not exhaustive. Providers and patients alike have raised concerns that agents of some DSOs were doing just that, making decisions and establishing “business” policies that interfere with the doctor-patient relationship. Upon passage, we noted that the new law gives state regulators powerful tools to protect patients and that strict enforcement would be important. Recent developments provide state regulators the chance to use those tools. A courageous whistleblower, a former office manager for a clinic operated by Lone Peak Management Group, LLC, recently reported a corporate scheme designed to wring out minor cost savings at the expense of patient safety. According to the whistleblower’s complaint, Lone Peak Management Group has been directing its staff to reuse Isolite dental mouthpieces that are specifically designed and intended for single use only. Lone Peak Management Group operates 12 clinics in Washington under various names and is owned by private equity firm Tailwind Capital. The whistleblower filed a complaint with the Department of Health and, as we head to print, DOH has already authorized a high-priority investigation of that complaint. WSDA has supported this whistleblower complaint because we immediately recognized that this practice exposes children, a high percentage of whom come from lowincome, Medicaid-eligible families, to serious risk of infection and other complications. We also engaged to support our member dentists who are working in a DSO environment. Regardless of their choice of practice model, dentists should always have full authority over the treatment of their patients. The complaint indicates this is not the case at Lone Peak Management Group clinics. Internal emails quoted in the complaint describe how Lone Peak Management Group ignored concerns raised by a clinic dentist about reusing these single-use mouthpieces. In response, Lone Peak Management Group agents directed dental office staff to deceive that dentist: “We should probably hide our open Isolites on the days we know she is coming in,” wrote a Lone Peak Management Group agent. “In the meantime, just make her happy when she is around, and then go back to business as usual when she leaves.” This cynical response demonstrates blatant disregard for the professional opinion and ethics of a licensed dentist. It speaks volumes about what can happen when corporate representatives are allowed to direct, question and overrule the decisions dentists make related to patient care. It’s never an easy decision to engage in a complaint when one bad actor’s misdeeds could cast a broader cross-section of the dental profession in a negative light. But when we become aware of egregious behavior like this, we all have a duty to protect public safety. For our part, WSDA remains ready to support whistleblowers who come forward with legitimate complaints about similar violations in other office settings. We believe that such efforts serve the interests of the public, the dental profession and our members. It is why we are here.
Bracken Killpack Executive Director, WSDA
“A courageous whistleblower, a former office manager for a clinic operated by Lone Peak Management Group, LLC, recently reported a corporate scheme designed to wring out minor cost savings at the expense of patient safety.”
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.
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guest editorial in support of the whistleblowers: a troubling DSO complaint
In Support of the Whistleblowers: a Troubling DSO Complaint
delta special meeting member news
DELTA SPECIAL MEETING
Thursday, November 15 · 3 PM · Visit wsda.org/delta for updated proxy information
We want to make sure all WDS/Delta member dentists are aware of information sent by WDS regarding the special meeting to be held on Thursday, November 15 at 3 PM at DoubleTree by Hilton Hotel Seattle Airport (18740 International Blvd, Seattle, WA 98188).
Three things you should know: Do not mail your proxy ballot back to WDS/Delta directly! We are gathering additional information about the proxy process and will share more information when it is available.
It is vitally important that you do everything in your power to attend the special meeting in person! We are fighting for nothing less than the health of your patients and the future of your practice.
We recommend that you vote in SUPPORT of the bylaw amendments. This round of bylaw amendments would:
Attend or participate by proxy on Thursday, November 15 and support these bylaw amendments to make Delta more patientfocused, transparent and responsive to its member dentists.
· allow for open nominations for members to run for the board; · impose term limits on board service for member dentists at Delta; · make the Delta CEO an ex-officio rather than full member of the board; and eliminate board veto powers over member-approved bylaw amendments.
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Amendment to Washington Dental Service Bylaws
WHEREAS, those amendments adopted below, which amend the delineated Bylaw sections, are adopted in the best interest of Washington Dental Service, recognizing that the current governance structure prevents Member knowledge of, and participation in, Washington Dental Service governance; NOW, THEREFORE, the Members of Washington Dental Service, assembled in a special meeting called pursuant to the Bylaws, ordain as follows:
Bylaw Amendments 1. Changes to Bylaws. Article X is hereby deleted in its entirety and replaced with the following, effective immediately:
These Bylaws may be amended or repealed by the vote of two thirds of the votes entitled to be cast by the members present in person or proxy at an annual or special meeting of the members, provided that the proposed amendment or revision shall have been delivered to each member of this corporation along with the notice of meeting.
2. Open Nomination of Member Directors. Article IV, Section 1.B.4.b is hereby deleted in its entirety and replaced with the following, effective immediately:
Any Member may nominate any Member to be a Member Director at the meeting during which a Member Director seat is to be filled. Elections for Member Director seats shall take place as described in Article II, Section 4 of these Bylaws.
3. Article IV, Section 1.C.2 is hereby deleted in its entirety and replaced with the following, effective immediately”
To nominate, by majority vote of the Independent Director whose terms are not expiring, Independent Directors in accordance with these Bylaws.
4. Article IV, Section 1.D is hereby deleted in its entirety and replaced with the following, effective immediately:
In the event of a vacancy in a Member Director seat, the remaining Member Directors shall elect, by majority vote and as soon as practical after the vacancy arises, a replacement to serve until the next meeting of the Members, at which meeting the Members shall elect a replacement to fill the seat for the remainder of the original Member Director’s term. In the event of a vacancy in an Independent Director seat, the remaining Independent Directors shall elect, by majority vote and as soon as practical after the vacancy arises, a replacement to serve the unexpired term of the original Independent Director.
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delta bylaws amendments
WHEREAS, the Members of Washington Dental Service are empowered to amend the organization’s Bylaws; and
member news
RESOLUTION OF THE MEMBERS OF WASHINGTON DENTAL SERVICE
delta bylaws amendments member news
RESOLUTION OF THE MEMBERS OF WASHINGTON DENTAL SERVICE Amendment to Washington Dental Service Bylaws, continued
5. Term Limit for Member Directors. Article IV, Section 1.B.3.c is hereby deleted in its entirety and replaced with the following, effective immediately:
Each Independent Director ordinarily may serve no more than three (3) full terms consecutively, exclusive of time served to complete the term of a previous Director. However, a Director may be nominated and elected to an additional term of one, two or three years following the Director’s completion of three (3) consecutive full terms if the Governance and Nominating Committee and the Board of Directors determine that such is necessary to assure continuity on the Board of Directors.
No Member shall be eligible to serve more than two (2) consecutive terms as a Member Director, except where the initial service is a shortened term to facilitate transition to orderly rotation, or for the purpose of filling an unexpired term. After three years off the Board of Directors, the Member may be eligible again.
6. Size and Composition of Board of Directors. Article IV, Section 1.B.1 is hereby deleted in its entirety and replaced with the following, effective immediately:
Size and Composition. The Board of Directors shall consist of an odd number of Directors, at least nine (9) but no more than thirteen (13), with one more seat reserved for Independent Directors than for Member Directors. The number of Directors may at any time be increased or decreased within this range by the Board of Directors, but no decrease shall have the effect of shortening the term of any incumbent director or changing the requirement that there be one more seat reserved for Independent Directors than for Member Directors. Independent Directors shall at all times after January 1, 2012 comprise a majority of incumbent Directors.
7. Removal of President and CEO from Board of Directors. Article IV, Section 1.B.4.c is hereby deleted in its entirety and replaced with the following, effective immediately: Ex Officio Director. The President and CEO shall, by virtue of holding such office, automatically be a non-voting member of the Board of Directors for the period that he or she holds such office. The President and CEO shall not count for the purposes of calculating quorum of the Board of Director or any committee.
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dental action day
save the date!
2019 DENTAL ACTION DAY
THURSDAY, JANUARY 31
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2018 king county clinic member news
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member news
For the fifth year in a row, dentists gathered at Key Arena to take part in the Seattle/King County Clinic, a four-day event run by the Seattle Center Foundation that provides a full range of free dental, vision, and medical care to underserved and vulnerable populations in the region. This year Drs. Mike Karr, BJ Peterson, and Jeff Parrish were co-directors for the dental portion of the event. This clinic isn’t for the faint of heart. Healthcare providers often put in 10-and 12-hour days during the event. WSDA President Dr. Chris Delecki said, “This past year I had an opportunity to triage over 500 patients over a three-day period. Ninety percent of these patients needed dental hygiene services. This demonstrates the importance of developing strategies to increase access to dental hygiene services for low-income individuals in our state.” While final numbers won’t be in for some time, initial estimates provided by the foundation are that more than 2,000 dental patients were seen, with more than $1.5 million worth of direct care provided. That number jumps to $2 million when you factor in
volunteer time value. Of those seen, 18 percent were on AppleCare or Medicaid; 12 percent were on Medicare; 50 percent said English was their primary language; 4 percent were veterans; and only 49 percent had seen a dentist within the past year. Karr said, “Seattle/King County Clinic number five just completed, and predictably was another huge success! It didn’t surprise the large participation by WSDA dentists, as the need is huge, not just in Seattle, but around the Puget Sound. So many people, like families, senior citizens, and those that are homeless, need care and often have to choose between healthcare and food! Again, thanks to all dentists that volunteered their time, especially the large contingent of WSDA dentists.” Karr and Parrish have volunteered at all of the clinic events at Seattle Center. Parrish said, “With the help of a number of WSDA dentists and others, we were able to provide much care to folks on the fringes of society. Mike, BJ, and I thank everyone for their efforts.”
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Photos by Rob Bahnsen
2018 KING COUNTY CLINIC
2018 king county clinic
WSDA MEMBERS GIVE BACK
2018 hod in pictures hod news
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hod news
2018 HOD Smooth as glass
We were fortunate this year to not have to contend with fires during the House of Delegates, as we did last year in Skamania. Tacoma proved to be a delightful setting for this congenial House of Delegates, with attendees largely in agreement over the relatively small number of new resolutions put forth. Though there was some spirited debate over a few of the resolutions, the crowd remained civilized and friendly throughout. Members easily worked through the resolutions in front of them, and elected new officers, board members, and ADA delegates. Congratulations to all who were elected! (See all results on pages 14 and 15.)
Citizen of the Year Banquet
At the annual Citizen of the Year banquet, winner Rep. Michelle Caldier shared her story of working as a dentist serving homebound and nursing home populations, her commitment to the needs of what many consider a forgotten population, and her work as a state representative, where she has advocated on behalf of those without a voice, as well as the dental community in the state. Photos, opposite page,clockwise l-r: Dr. Peter Pelligrini talks with another delegate, Dr. Negar Sherkat, Dr. I. Blake McKinley, WSDA Counsel Ms. Emily Studebaker, Ms. Cheryl Jenkins receives her 20year recognition from Dr. Lisa Buttaro, Dr. David Hoeger (l) and Dr. Jeff Pruiett. This page, from top: WSDA President Dr. Chris Delecki addresses the House, Dr. Ron Hsu during the rose ceremony.
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2018 hod in pictures
IN PICTURES
2018 hod in pictures
HOD RESULTS ELECTION RESULTS At the 2018 House of Delegates, the following people won their elections. We would like to thank everybody who ran for a position. We know it’s not easy to do, and we’re proud of everyone who ran!
hod news
President-elect:
Dr. Dennis Bradshaw
WSDA Board of Directors:
Dr. Joe de Jesus, Dr. Mark Koday, Dr. Kim Nordberg, and Dr. I Blake McKinley.
Committee on Budget and Finance: Dr. Kristine Aadland
HD-06-2018 · ADOPTED Nominations for Elective Office HD-07-2018 · ADOPTED Location of the 2021 House of Delegates HD-08-2018 · ADOPTED WSDA Legislative Agenda for 2019 HD-09-2018 · ADOPTED Staff Recognition
Delegates to the ADA:
HD-10-2018 · ADOPTED Nomination for Honorary Membership
RESOLUTION RESULTS
HD-11-2018 · ADOPTED Dental Insurance That Works
HD-01-2018 · ADOPTED Rules for the House of Delegates – September 2018
HD-12-2018 · ADOPTED Ensuring Dental Benefits for Patients
Dr. Austin Baruffi, Dr. Bryan Edgar and Dr. BJ Larson
HD-02-2018 · ADOPTED AS AMENDED Committees and Parliamentarian for Annual Meeting of House of Delegates September 2018 HD-03-2018 · ADOPTED Acceptance of WSDA Audit For the Year Ending September 30, 2017 HD-04-2018 · ADOPTED WSDA 2018/2019 Budget HD-05-2018 · ADOPTED AS AMENDED WSDA Dues for 2019 (Bylaw Amendment)
Amended as follows: The discount for UWSoD full-time faculty was extended through the fiscal year beginning October 1, 2020.
Ms. Cheryl Jenkins was awarded honorary memberhip in the WSDA
HD-13-2018 · ADOPTED AS AMENDED Policy for WSDA Endorsement for Dental Professional Liability Programs
Amended as follows: A new resolve clause was added. It reads, RESOLVED that the WSDA Board of Directors appoint a task force consisting of an equal number of atlarge members and Board members to assess the before mentioned products.
HD-14-2018 · ADOPTED Dental Insurance Efficiencies
Calls for a rule that insurance companies directly reimburse the provider for services rendered regardless of whether the provider is in or out of network be added to WSDA’s legislative agenda, along with elimination of nonduplication of benefits clauses.
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hod news
2018 hod in pictures Photo: WSDA Board member Dr. Ashley Ulmer speaks at the 2018 House of Delegates.
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2018 hod in pictures hod news
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hod news
This page, clockwise from top: Dr. Rolf Wuerch, your new Board of Directors, delegates share a laugh, Dr. Karim Alibhai addresses the crowd, Dr. Lilo Black and Dr. Tim Hess.
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2018 hod in pictures
Photos, opposite page, clockwise from top: Delegates from Seattle-King take a moment to memorialize the day, Drs. BJ Larson, Cindy Pauley and Chris Delecki, Dr. Blake McKinley, Dr. Dennis Bradshaw.
cover stor y dr. chris delecki, wsda president
For the entirety of his dental career, new WSDA President Dr. Chris Delecki has worked in either public health or Indian Health Service (IHS) clinics. It’s a testament to his upbringing in Flint, Michigan, as one of four children raised by second-generation immigrants. The family’s existence, according to Delecki, was “not uncomfortable, but meager.” Still, he and his siblings were imbued with a commitment to altruism from an early age. “The current buzz phrase is ‘social justice,’” said Delecki. “It really is embedded in the theology of the Catholic Church. Unless you went to a Jesuit school, you hardly heard about it in the general community 60 years ago, but it was promoted in the church and in my family. My parents were sensitive to the needs of others. They would often help neighbors and elderly immigrants. I had great role models in that respect.” In turn, Delecki and his wife, Bonnie, an RN, instilled those same values in their children, according to Dr. Brian Williams, a close friend and colleague. The church, and its legacy of helping people with less, has been a constant influence for providing good works in Delecki’s life. He has given back to his communities throughout his career, donating his time to repair homes and improve yards of those in need, as well as providing free dentistry, serving on state agencies, and teaching and mentoring students at the UW School of Dentistry. Talk to Delecki’s friends, and they’ll tell you the goodness within him is innate. Williams, who met Delecki at Odessa Brown Children’s Clinic in Seattle, said, “We’re all born with a temperament that doesn’t change, and I think that Chris was born with a lot of positive aspects to his temperament. Then obviously his upbringing contributed, along with his life experiences. I believe he came into the world with a set of core values, and quite honestly, I don’t think those have changed whatsoever, and they’re wonderful core values.”
Shared values
The Deleckis met while working at a department store in Flint during winter break. He was in the record department, she was in electronics. He says, “I had never owned a record in my life. Money was tight, and I packed a slide rule in high school, so music wasn’t my thing. Bonnie knew nothing about electronics, and was counting the days until the job was over. On the day after Christmas, we were walking out of the building on our final day of employment, and I asked her out. She was so elated about not having to work anymore that
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cover stor y dr. chris delecki, wsda president
DR. CHRISTOPHER DELECKI
2019 WSDA PRESIDENT
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The Delecki family, bottom row, left to right: granddaughters Becca, Ema, Anna; second row, left to right: Bonnie, Dr. Delecki, grandson Caleb, daughter Lindsay; last row, left to right: son Zac, granddaughter Rees (held by daughter-in-law Chelsie), and son-in-law Eric
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Breaking free of Flint
As a kid growing up in Flint, Delecki didn’t know he wanted to be a dentist. Like most of the workforce in that area, his father was a production worker in the gear and axle plant for Buick. “It was hard, miserable, and greasy work, with no air conditioning in the factories,” Delecki said. “For five years out of the nearly 40 years that he worked in the industry, he was a foreman, and during that time he was the middle man between management and the union.” Delecki remembers his father’s advice, “He told me whatever you do, be your own boss.” And while that didn’t happen — Delecki literally has never been his own boss — the advice helped light the way to dentistry. Like his father, Delecki also logged some time in the auto plants. He joined the United Auto Workers union, and worked on the Chevy Malibu assembly line. It was disagreeable and monotonous work, but it’s what people did in Flint, and the money wasn’t bad for a young single guy in school. One summer Delecki went around the plants refilling vending machines, where tobacco products were his biggest seller. Later in life, he was a staunch advocate for tobacco education and prevention while with the IHS. Always a keen observer, Delecki took lessons from his early work experiences. He got to see many of the manufacturing processes in the auto industry, and realized it wasn’t for him.
Off to university
He and his siblings attended a small Catholic school. When he was in the ninth grade, the parish decided to close the campus, which only had 100 kids across four classes. This meant that Delecki would have to attend an inner-city public high school with some 2,400 students. It was a huge jump in scale, but provided access to classes his former school didn’t offer. Delecki had always dabbled in the sciences. Now, with access to biology, chemistry, and physics at the larger high school, his interest blossomed. Delecki’s musings led him toward the healthcare industry, where he was open to nursing, pharmacy, and medicine, as well as dentistry. He was accepted into the University of Michigan on a scholarship program for students from low-income families. He started in the pre-med, pre-dent track, and quickly found himself bored after his first year. “I became antsy and wanted to do something,” he recalled. “The spring semester of my second year of undergrad, I happened to meet the Assistant Dean of recruiting for the dental school, Dr. Don Strachan. We had an informal meeting, and I talked with him about the program. Until I met the Dean, dentistry was probably fourth on the list. We had a great conversation about dentistry, and he was very encouraging. We talked about both the cerebral aspects of dentistry and the physical skills it required, which intrigued me. It seemed like a good fit.” The meeting altered Delecki’s educational trajectory. Strachan
encouraged him to take the dental entrance exam that fall, and after just four completed semesters of undergrad, he was accepted into dental school. “I still had pre-requirements that had to be satisfied, so I took those and a few other courses, and enjoyed the last semesters of undergrad before entering dental school the following fall,” Delecki said. “I joke that I was a slow learner because it took me seven years of college to earn a degree, as I never received my bachelor’s degree.” Fast-tracking was not uncommon back then, Delecki explained, because the federal government wanted to address a shortage of dentists. Many of the dental schools in the early 1970s increased class sizes by 50 to 100 percent. In the end, dentistry was a good move for Delecki, who said, “I love dentistry because it is both intellectually and physically stimulating, and it allows me to be altruistic in work.”
Practicing dentistry
It was during his senior year of dental school that Delecki was awarded a U.S. Public Health Service scholarship with a two-year payback, either in the National Health Service Corps or the IHS. When he graduated from dental school, he was assigned to the IHS and offered a posting on the Pine Ridge Reservation in Wanblee, South Dakota. “The summer before was the uprising at Wounded Knee on the Pine Ridge Reservation,” Delecki said. “It was a very isolated duty station, where a single dentist worked in the small clinic and lived onsite. There were only four other professionals there, with a total of 10 on staff.” After consultation with the area director, Delecki declined this assignment because he felt it wasn’t the best way to start his dental career. Instead, he chose to go to a clinic that was being built in Wewoka, Oklahoma. Delecki said, “It was supposed to be completed when I got there, but it wasn’t. I practiced there with another recent graduate from southern Illinois in one of two small trailers that they would haul onto a site, take the wheels off, put a skirt around the base, and open up shop. We did that for nine months until the clinic was completed, and it was great. Shortly after the new clinic’s opening, we had two other dentists join us, a senior career public health service dentist and a prosthodontist. For the following two-plus years, I had a mini residency in prosthodontics.” The other dentist was proficient in surgical procedures, and helped Delecki learn new skills. When his time in Wewoka was up, Delecki returned to Michigan and considered accepting an offer with a father-son private practice, until he heard about an opportunity in Yakima. He explained, “It was just after the Arab oil embargo, and the auto industry was just starting its decline and laying people off. Consequently, the dental insurance numbers were rapidly declining because people were losing their benefits. Therefore, I elected to stay in the IHS and took a transfer to Yakima in early January of 1980. Bonnie and I really enjoyed the area because of what it had to offer, and we ended up staying there 11 years.” The move to Yakima “was definitely a cultural experience,” he said. “Oklahoma has no designated reservations and only a small percentage of the Native Americans, mostly the elders, spoke the language. In Yakima, the language was more widely spoken, and because of the reservation setting, it had a different cultural feel, which was enlightening. I now had three years of dentistry under my belt, so I was more confident and relaxed with my clinical skills. It was there that I first became involved with the Head Start program. Working with the preschool children, their families, and the teachers gave me a true cultural experience, and that made me feel very welcomed in the community.” However, one reality was not lost on Delecki: He isn’t a Native American. “This is something that has been with me for my entire career,” he said. “I’m a dental provider who doesn’t look like the population I treat. I think it is so important that we recruit from different populations. When we talk about ethnicity among dentists, we really need to see more African-American, Native, and
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she was distracted and agreed. We saw a terrible movie (“There’s a Girl in My Soup,” starring Goldie Hawn), but we continued to date. I went back to school and began a relentless calling campaign, which worked, surprisingly.” The couple have been married 44 years, and have two children: Zac, an FBI agent serving in Singapore; and Lindsay, a finance officer for a real estate developer in Denver. Between Zac and Lindsay, there are five grandchildren whom the Deleckis adore. Delecki credits Bonnie with nurturing and growing his altruism, saying, “Bonnie’s parents were deaf, and from an early age she was their interpreter, as well as interpreter for their deaf friends. She became very responsible early on. She and her brother grew up in the deaf culture, which is very much its own culture, like any ethnic group. She’s always eager to help anyone out, more so than me. She’s the one who helped me and encouraged me to do what I have done in my life. We’ve shared the same values throughout our marriage.”
cover stor y dr. chris delecki, wsda president
“Dr. Delecki and Bonnie are two of the most generous people I know. They truly have a passion and a heart for the people of the community. It shows in everything they do. They are so selfless. I can tell you many stories about how wonderful they were to my family personally when my wife was pregnant. The number of times they have dropped what they were doing to come over and help is ridiculous. They are amazing, giving people.” — Dr. Dan Dupuis
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cover stor y dr. chris delecki, wsda president
Hispanic dentists. If we’re really going to be successful in recruiting ethnic groups into our profession, we’re going to have to establish programs much earlier in their education, even if we’re just exposing them to the possibility of a career in healthcare.”
He noted that not much has changed with the ADA House, but re-energized with retirement, he hopes to make his mark during his next few years as a WSDA delegate to the ADA.
The Yakima years
Following this stint in New Mexico, the Deleckis moved to Reno, Nevada. He spent two years working for the tribes, then retired (for the first time) in 1998. During his Public Health Service career, Delecki received numerous awards and honors, including more than eight unit citations, and the prestigious Surgeon General’s Outstanding Service Medal for his dedication and success at improving the oral health of Native American communities. But Delecki wasn’t ready to retire, and the fates aligned. He heard about a plum position at Seattle’s Odessa Brown Children’s Clinic, which is part of Children’s Hospital. The Deleckis had always hoped to return to Washington, and with a clinical, dental education, and community health component, the move seemed like a natural fit.
When Delecki arrived at the Yakima clinic, it was a four-op, two-dentist program. Dr. Jeff Hagan was the chief, and Delecki was the self-professed grunt. Delecki said, “We worked our heads off and did a lot of dentistry. We saw kids in the morning and adults in the afternoon. During the school year, we would do sedation dentistry on Head Start kids, four days a week. We didn’t have the resources to do crown and bridge, so we did a lot of large, full buildup restorations on both anterior and posterior teeth.” Eventually, Hagan left and Delecki assumed the duties of the director. He took night and weekend classes over two years at City University and earned a master’s degree in business in 1984. “I loved the material I studied for the business degree, and I really thought it would help me develop better skills in running a clinic and managing people. In reality, I worked for the government, where sound business principles don’t always apply,” he said. “I also learned that when it comes to managing people, the Golden Rule is the still most important principle.” After Delecki’s 10-year anniversary in Yakima, the planning and construction of a 12-chair clinic was completed. He left shortly after its opening. The IHS sent him back to Michigan to get a master’s degree in public health. He explained, “IHS is like a paramilitary organization. Our promotions mirrored those in the military, and there was the expectation for professional career advancement and achievement.” IHS also had an impressive continuing education program, which was entirely hands-on with patients. Delecki said, “It was a wonderful and ideal learning experience to have hands-on training with specialists. They offered courses in all the specialties, including pedo, endo, perio, oral surgery, and ortho. I thought it was well worth my years with the IHS, and it was a great way to develop well-rounded dentists. They had few specialists, so general dentists in IHS were expected to be able to remove wisdom teeth with relative ease, and be proficient with other specialty procedures. This was the only way to meet the expansive dental needs of the population.” After obtaining his master’s degree, Delecki was sent to Albuquerque to work on specific issues related to prevention in oral health and epidemiology, the collection and analysis of data for use in improving the oral health of a population. Delecki stayed in Albuquerque for three years, serving as the area prevention officer. He visited New Mexico pueblo communities, which served as a catalyst for prioritizing additional prevention activities within tribal and non-tribal communities during the rest of his professional career. He did prevention activities and dentistry there, often filling in at 20 clinics in the area when a dentist was out. “I really enjoy the community aspect of dentistry of trying to analyze and resolve issues that are community based,” he said. “This experience was very attractive to me in terms of my career track and professional satisfaction.” In 1995, Delecki became the U.S. Public Health Service’s first open delegate to the ADA House of Delegates. (Prior to that, all of the federal services were represented by their top officers. When the ADA changed its policy, members of each of the services were able to elect their peers to serve as ADA delegates). Delecki served two years and said the experience drove him to try and make a difference locally because he found it extremely frustrating, timeconsuming, and inefficient to make changes on the national level.
Washington via Reno
Odessa Brown
Delecki applied for the dental director position at Odessa Brown, which was under the purview of Williams, the chief of dentistry at Children’s Hospital. “It became really apparent to me that we made a really good hire in Chris,” said Williams. “Probably one of the best I’ve made in my career. I really did not have to be involved in the day-to-day operations of the clinic because from day one, Chris really had things together. He had an incredible amount of experience coming into the job, he worked hard to get the staff on board, and everybody really supported him. Children’s is a very big healthcare system, and my role was to help Chris be successful by ensuring he had the resources he needed. Otherwise, I just stayed out of his way because he was doing things so well.” For his part, Delecki really enjoyed the interdisciplinary nature of the work at Odessa Brown, saying, “At Children’s we worked with physicians, nurses, the WIC staff, dietitians, and the behavioral health staff, all of which has given me a unique perspective on healthcare in general. You don’t get that when you go into private practice. I have also practiced in multi-dentist clinics for almost my entire career, and the professional stimulation that model provides can be a huge advantage over individuals who may be practicing solo. I don’t want to disparage private practice at all, but I believe practicing in multi-dentist and multi-disciplinary clinics has enhanced my understanding of dental issues and the longevity of my career.” Another aspect Delecki loved about his work was the interaction with residents and UWSoD students, who did a rotation at the clinic. One of those students was Dr. Daniel Dupuis, who met Delecki while a pre-dent summer intern at Odessa Brown. He said, “As a student at the UW, you rotate through Odessa, so I would see Dr. Delecki there. He continued to mentor me in dental school. We were able to get our speed up and learn with Dr. Delecki and the other doctors there. It was a great hands-on experience. Without the Odessa experience, I would probably not have pursued pediatric dentistry. In fact, it was Dr. Delecki who continued to reach out to me as my mentor. I think that’s what allowed me to get into pediatrics because it is so highly competitive.”
Other service in the community
Over the years, Delecki has given back to the communities he has called home in myriad ways: from school visitations to dental van days, to serving in state and county positions and working as an Affiliate Professor at the UWSoD for the past 20 years. One of the things that has always struck him was the divide between the
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King County Board of Health
In 2012, Delecki accepted a new challenge: serving on the King County Board of Health. Composed of elected officials and three professional members, the board sets county-wide public health policy, enacts and enforces local public health regulations, and carries out other duties of local boards of health as specified in state law. Delecki, the first dentist to be appointed to the board, serves as the vice chair representing health professionals. “What is interesting to me is the knowledge and expertise I have gained from looking at non-dental issues, such as housing and homelessness. The social determinants of health play a huge role in the health status of individuals in our community,” he said. “Where individuals live, how they grew up, can they pay their bills and put food on the table, can they exercise and safely walk around their neighborhood, are all huge factors in our general health, including our oral health. My three-year term will be ending this December, and I would like to stay on for another term, as I enjoy the experience immensely. It adds to my educational base on healthcare, and I would like to have an effect on improving the health and wellbeing of my community.”
Dental Vans
Like so many WSDA members, Delecki has volunteered on dental vans. Having worked on the SmileMobile, bringing dentistry to underserved children across the state, he noticed the need has dramatically decreased, as youngsters have considerably better access to care than they had 20 years ago. He now focuses his volunteer activity on providing care to adults, especially the homeless and senior populations. “I have added to my understanding of the issues patients face accessing dental care by visiting small communities and working in very busy public health and IHS clinics,” said Delecki, who has also volunteered at the Seattle/King County Clinic for the last five years and occasionally volunteers
with Medical Teams International (MTI). Wanting to spend more time with his wife, he no longer stacks his schedule. He explained, “I’m available on short notice if a need arises, but I’m not on a regular schedule. I probably volunteer three or four days a year. Working on the vans and in the clinics is an example of how being in the trenches and doing that kind of work gives me a better understanding of the problems and solutions over individuals who come out and simply say we need to treat the homeless or provide care to seniors. They don’t fully understand the issues, resources, and strategies needed to successfully treat these groups.”
What’s ahead
According to Delecki, if you ask legislators what the important issues are in dentistry, they’ll say midlevels, corporate practices, and insurance. But that’s just part of it, he said, adding, “I think it’s important for our profession to frame our issues differently in the community. Most importantly, we need to show concern for patient care. To do this dentists must focus on topics outside those three issues, such as providing outreach in schools, or working with senior organizations on improving oral health care for nursing home residents. I believe dentists should build relationships with school staff by showing their face in schools, introducing themselves, and making themselves available for students in need. Educating nursing home staff on appropriate dental hygiene care for their residents could also go a long way in building relationships and support from the community on issues that dentistry is passionate about supporting.” Delecki also wants to promote the good works that dentists have done and continue to do, especially things that the public rarely sees. He’s encouraged by the recent ADA House Resolution 80, which urges the creation of a CDT code to establish a uniform method of quantifying donated dental care. He has remained passionate about promoting bona fide solutions to the access-to-care issue, such as improving Medicaid reimbursement rates. “The state is certainly enjoying its best economic times in many years,” Delecki said. “Projections for the next biennium are very good. If I was running the show in Olympia, I would create pilot programs in select areas of the state that offer enhanced Medicaid rates for mothers with young children and seniors, just as they recently did for diabetics and pregnant moms in select counties. By doing only select areas, you can see how it affects the oral health and the general health status of those populations, compared to the populations in other areas of the state.”
High praise
We asked Delecki’s good friends Dupuis and Williams what they thought upon hearing that Delecki was going to be president of the WSDA. Dupuis said, “He’ll be incredibly generous with his time, and trying to build community. He has a passion and a heart for the people of the community. It shows in everything he does. He’s very selfless.” Williams agreed, saying, “Chris is a really good person with great principles and values. He cares a lot about other people, and he’s absolutely not selfish. He has a broad vision of dentistry and society, and of his own life. He has a great ability to look at things from others’ perspectives, and he has a very longterm perspective. He understands that things don’t fall out of the sky like a blessing. You have to be focused, work hard, maintain a vision for your goals. He’s always been that kind of guy. He’ll make an outstanding president!” We agree! His breadth of experience in the public sector and years of working with legislators and on the board of health, combined with his unique insight and dental history, will serve De-
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cover stor y dr. chris delecki, wsda president
public health dental community and the private practice dentist community. “I have always viewed myself as being the bridge between those two communities,” he said. Because of that he quickly became involved in the Washington State Oral Health Coalition when he got back to Washington. The coalition is a broad-based group of organizations and individuals whose mission is to promote and advocate for optimal oral health for all Washington state residents. Delecki recognized that the group didn’t always understand the realities of delivering healthcare to high needs’ populations. “Many of those involved with the coalition have little experience in clinical practice, so it was foreign to them. Their focus was not on the delivery of care. It was more about trying to develop or promote community-based programs that would impact the oral health status of the entire community,” he explained. “While we’re not going to be able to drill ourselves into optimum oral health in the community, we have to be very strategic and cost-conscious about programs that might truly have an impact on the oral health status of the population, particularly of disparate populations that have long suffered from higher levels of decay and periodontal disease. You have to be careful because public health practitioners often don’t realize what clinical resources it takes to impact that population. I’ve become a firm believer from 40-plus years of experience that you have to be in the trenches to understand which community programs may work, and which will not.” Delecki continues to be a member of the Washington Oral Health Coalition, as well as other national organizations, to continue to integrate and influence effective public health policies and programs.
#WDIA #TEAMSPIRIT
YOUR WDIA TEAM: Matt French · Kerri Seims 206.441.6824 · 800.282.9342 www.wdiains.com A WSDA Company 2 6 · th e wsda ne w s · issue 1, october 2018 · www.wsda.org
As you build your financial portfolio, both for your financial security now and in anticipation of enjoying a long retirement, you need to factor in the cost of care for when you need assistance in your home or become a resident of a nursing home or assisted-living facility. The average length of stay at a nursing home is 2 ½ years, which in Washington state could cost you over $282,000. You can designate money in your portfolio to cover the costs, or you can purchase Long-term Care Insurance. Here’s why it’s important.
• 70 percent of people over the age of 65 will require long term care services at some point in their lives. Long-term Care Insurance is similar to Disability or Life Insurance in that you are paying a monthly premium to have a pool of money available to you when you need it. Unfortunately, “long-term care” is not an accurate description of the benefits provided on a long-term Care policy. “Family freedom coverage” may be a bit more accurate. This type of insurance frees you from the substantial financial burden of paying for care, and frees your family from the burden of caring for you at the detriment of their time, finances, and physical and emotional well-being. In 2017, the average annual cost of a nursing home in Washington was $113,350; an assisted-living facility was $56,000; and in-home care with a health aide was $60,000. Washington Dentists’ Insurance Agency strongly encourages you to add Long-term Care Insurance to your insurance portfolio. Along with Disability and Life Insurance, Long-term Care Insurance will protect your family and you from the large financial burden that an accident or illness may cause. Purchasing coverage will relieve your family of having to center their lives on your personal care, while giving you the freedom to choose where you would like your care to take place.
• 41 percent of people receiving long term care are between the ages of 18 and 64. Since the need for assistance, not age, is the trigger for receiving longterm care benefits, this insurance will cover you should the unexpected happen at any age. For example, if at age 47 an illness or accident leaves you needing care, you would be eligible to receive benefits. This would allow your spouse to continue working or caring for your children, while a professional caregiver comes to your home to help you with your daily needs, such as bathing, dressing, or getting in and out of bed. Having Long-term Care Insurance will help you meet the cost of care for your spouse and yourself, should you need assistance with daily living at any age. It gives you the flexibility to choose when and where you receive care, and provides emotional and financial support for your family. WDIA encourages dentists to consider a Long-term Care Insurance policy as additional insurance protection for your financial security. To learn more about Long-term Care Insurance and to receive quotes, please contact WDIA at 206-441-6824 or 1-800-282-9342 or at info@ wdiains.com.
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Matt French Director of Insurance Services, WDIA
“For 2017, the average annual cost of a nursing home in Washington was $113,350; an assisted living facility was $56,000 and in-home care with a health aide was $60,000.”
wdia news the need for long term care insurance
The Need for Long-Term Care Insurance
specialists needed volunteer news
CLINIC REPORT:
SPECIALISTS NEEDED In this article: • Specialist volunteers needed across the state • Typical commitment is one day a month for 6 months to a year • Specialists often get to teach residents, staff at clinics • Credentialing process can be a slog, but worth it 2 8 · th e wsda ne w s · issue 1, october 2018 · www.wsda.org
The specialist’s perspective
Anderegg, a periodontist with a private practice in Bellevue, has been volunteering at Neighborcare in Rainier Beach for a little over a year. He said, “There is such a huge need, and it’s different from my Bellevue practice because we’re dealing with many different religions, races, ethnicities. You see the whole world there. Unfortunately, they’re limited in what they can afford to pay, and oftentimes the work I do is out of their reach. It means I have to change my approach, which is good for me. You have to treat the person.” Other than helping a patient population that is so in need, teaching is what really excites Anderegg, who said, “The nice thing about the Rainier Beach facility is they have the residency program. The most valuable thing I can do is pass on my expertise to young dentists. They don’t get a lot of exposure to specialists. I walk in and I feel like a rock star, they are so
enthusiastic and wonderful. Young dentists want more information about specialty work. ‘How do I treat this? Do we do periodontal surgery? Do we take the tooth out?’ I do some consults, some perio work, and a lot of assisting. You try to gauge their comfort level with the work, and they learn by doing the procedures. I try to resist the temptation to jump in and take over. When I retire, I can see myself working there part time.” We wondered what it’s like to volunteer in a practice that’s not your own, without staff you know and trust. While it may not be true for all specialists, for Anderegg, it’s not an issue. “I’ve done so much volunteer work that if I have a breathing body next to me, I’m excited,” he said. “The environment is great, they have the best equipment, state-of-the-art. I give them a list of what I need, and they’re good about making sure that I’m prepared. They have everybody ready for me, they’re very inviting. It works really well.”
Oral surgery, endo, perio and pediatric
All the dental officers we spoke with say there’s a clear need for specialists in their clinics, starting with oral surgeons and followed by endodontists, then a split between periodontists and pediatric dentists, depending on the clinic location. The Yakima Valley Farm Workers Clinic (YVFWC) has been able to hire an oral surgeon for resident training and in preparation for the managed-care program. “He received his specialty training in India, did an Advanced Surgical Implant Dentistry residency at UCLA, and he likes public health work,” explained Koday. “He’s a really talented guy. But in our other clinics, we still struggle.” Additionally, Koday has a retired endodontist who works with the residency program. “The residency programs are attractive to specialists because they get to teach,” Koday said. “The endodontist we use had a very successful, quality practice. He retired about two years ago, and he loves it. It gets him out of the house, and he loves teaching and hands-on training.” Not all clinics have the luxury of hiring specialists. Koday explained, “It depends on what type of residency program a clinic has. Because we own our residency program, we get all the funding, and I can use some of that funding to pay specialists to come and work and teach. However, Lutheran Medical Center/
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specialists needed
“Dr. CR Anderegg is currently volunteering at Neighborcare Health and has been a great asset for their dental program. Volunteering has the added value of improving access to care while helping to train young dentists, as many of the clinics have dental residencies. Moreover, dental staff get to enhance their abilities, as they assist specialists in complex procedures not normally done in clinics. I suspect there are a number of specialists who may be interested and available in giving back to their community.” It turns out that Delecki is right. Specialists are sorely needed in clinics, and they would love to have specialists volunteer, but it’s not as simple as volunteering at your local MTI van or on mission trips to places like Haiti and Africa. There are some serious hoops to jump through first, and the clinics themselves are really interested in a commitment of once or twice a month for at least six months, preferably a year. We reached out to Dr. Sarah Vander Beek, Chief Dental Officer at Neighborcare Health, Dr. Mark Koday, WSDA Board member and Chief Dental Officer for the Yakima Valley Farm Workers Clinic, Dr. Jennifer Alexander, Chief Dental Officer for Healthpoint CHC, and Dr. C R Anderegg to get their take on the need for specialist volunteers in clinics, and what the experience is like for those who volunteer.
volunteer news
One of WSDA President Dr. Chris Delecki’s first requests of WSDA News staff was that we write a piece about a subject dear to his heart: the need for specialist volunteers in clinics across the state. “It’s a wonderful opportunity for older retired or retiring specialists to volunteer or be minimally compensated to work at community clinics a day or two each month,” said Delecki.
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Access, but still a wait for services
At Neighborcare Health, Vander Beek’s oral surgery needs are also complex. “We could keep an oral surgery volunteer busy until the cows come home,” she said. “In the city of Seattle, we have reliable access to the charity program at Swedish Hospital, which is staffed by the Swedish GPR residents and volunteer oral surgeons. It’s a wonderful service, and it has really improved our access, but there’s still a several week wait. We have extractions that are beyond our scope, or have patients that have dental anxiety or fear or a complex medical history. We need additional assistance with those patients. I’m guessing if you’re talking with Jennifer Alexander and Mark Koday you’re going to hear about pretty similar needs. Community health center directors have a quarterly meeting, and it’s pretty standard across the board in terms of what our patients need. I’ll be surprised if there are any big differences, but the order of need could be different.” Vander Beek’s pediatric population has excellent access to care, but she said where it gets challenging is with children who are on Apple Health with a complex endodontic need or oral surgery need. Other than that, Vander Beek said, they’re definitely interested in volunteers and are open to different disciplines and time commitments. Alexander is much more circumspect about Healthpoint CHC’s ability to use volunteer specialists, and with good reason. Unlike helping out at the King-County clinic or on an MTI van, you just
can’t ring up a clinic and say, “I’d like to volunteer.” Credentialing and consistency must be considered. She explained, “I really appreciate those who want to volunteer. The issue is with being able to provide a consistent level of service. We want somebody who could be a part of our team on a semi-regular basis. It takes hours of time, and some expense, to get somebody credentialed. Having a volunteer go through the credentialing process just to work one day just doesn’t make sense. What would be really meaningful for us is to have a specialist willing to work one day a week or two times a month, and would commit to six months or a year. Or having a specialist who agrees to take our referrals in their clinic one day a month. That would help us to give our patients access to specialty care and the specialist has access to their equipment and staff. We’re not actively recruiting for a specialist now, but we would definitely consider bringing someone on board. The goal for us is to provide services our patients need while maintaining a high level of service to our patients, and a consistent experience for our staff.”
The fly in the ointment: credentialing
As we noted, volunteering as a specialist in one of the clinics isn’t as easy as walking in the door and offering to work. You have to be credentialed first. Koday said, “The credentialing process is a 20-to-30-page document that requires volunteers to fill in all the details, with the addresses of colleges and residency programs and every place you have practiced. If you’re a private dentist who has only practiced in one or two places, it’s easier, but if you’ve been in the military, it’s hard because you have to track a lot of information down. If you were foreign-trained, it’s even worse because there’s a lot more information to provide. Once the forms are filled out, the credentialing office has to verify everything and get three references. It’s not unusual for the process to take two or three months. Then there’s privileging, which is easier, and finally, there’s the enrollment in Medicaid and other plans. That takes time. And again, it’s nothing the clinics enjoy doing, but we’re required to do so by the federal government. It’s like learning a foreign language for a dentist from private practice. They’re extremely different worlds.”
“It was all worth it.”
Anderegg jokingly described the credentialing process as worse than dental school, saying, “There was a mountain of paperwork to complete. I’m a licensed dentist who has volunteered all over the world. I’ve also volunteered at MTI, where you can just show up and do dentistry. There is no credentialing whatsoever. They don’t even ask for my license. While I knew credentialing was important, I wasn’t into it. There are a lot of forms to send in. I had to have a letter from my physician saying my immunizations were up-to-date. My point is, I can understand how the process could turn people off to volunteering, but you know what? It was all worth it.” That’s the point we hope all specialists will take to heart. The onboarding process might be a pain in the neck, but the need is great. It’s a fun, collaborative process that often allows you to teach and do what you love, and helping the underserved can change your perspective about life, your community, and your career. If you are retired or nearing retirement and want to help out, contact your local clinics. You won’t be sorry!
th e wsda ne w s · issue 1, october · 2018 · www.wsda.org · 31
specialists needed
NYU programs just get the resident for free, so they would face the same issue that other clinics have. They would have to find money somewhere to pay for specialists or find ones to come in on a volunteer basis.” That doesn’t mean that the YVFWC is fully staffed with specialists by any means. Their needs are still great. Koday said they could use a volunteer oral surgeon one or two days a month in their clinics outside the Yakima valley, but they’d have to case manage to ensure they were busy on their days in the clinic. They could use a volunteer endodontist in all of their clinics one day a month, too. Their pediatric and oral surgery needs are trickier, however, and may not be as good a match for a volunteer. He explained, “A welltrained general practitioner can do most of the pediatric needs we have in the clinics. The cases we refer out require general anesthesia (GA), or they’re procedurally difficult cases. It’s just best to refer out those cases because they’d have a really tough time in our clinics” Koday said. “Most dentists in health centers are used to the vast majority of surgical extractions, erupted extractions, soft tissue impactions, and even some partial bony extractions. What they need to refer to oral surgeons are the things cases with higher difficulty and ones that require deep sedation, or in some cases GA. That can make having a volunteer coming in one or two days a month a tougher fit. Koday explained, “It’s also a lot to ask an oral surgeon to work with staff who aren’t used to them. Even our oral surgeon has trained two assistants who he always works with. He’s performing complex procedures that he needs the assistants to understand and be able to explain, often in Spanish or other languages, to patients in the clinic. If they’re unable to do that, it would be an issue that would need discussed and worked out in advance.”
volunteer news
“What would be really meaningful for us is to have a specialist willing to work one day a week or two times a month, and would commit to six months or a year. Or having a specialist who agrees to take our referrals in their clinic one day a month. That would help us to give our patients access to specialty care and the specialist has access to their equipment and staff. ”
3 2 · th e wsda ne w s · issue 1, october 2018 · www.wsda.org
SPOKANE DENTAL RESIDENCY BLESSING On Sept. 14, the Providence Health Care Foundation held a blessing of a six-chair dental residency clinic in Spokane, which is scheduled to open next year. A community-effort, the Spokane clinic will help Providence expand access to dental care for the poor and vulnerable populations. The WSDA Foundation donated $50,000 to fund the clinic, its first large donation. Since that time, the Foundation has donated $200,000 for a similar clinic in Olympia. Located on the Providence Sacred Heart Medical Center campus, the clinic will care for patients with oral health needs and significant medical issues, such as cardiac disease, cancer, and dementia. Dental residencies are a proven and sustainable accessto-care solution. In order to be accredited, a residency program must demonstrate a commitment to the underserved population. Hospital dental residencies are common in major medical centers throughout the United States. However, this will be the first of its kind in eastern Washington. Providence and CHAS are planning to jointly host six residents beginning in 2020. Spokane lacks adequate dental resources for the nearly 95,000 adults on Medicaid. Without affordable access, oral health may go unchecked, resulting in individuals being treated in hospital emergency departments. Providence Sacred Heart Medical Center and Providence Holy Family Hospital emergency departments had more than 2,300 patient visits for dental issues in 2017. “This new clinic means that patients will have direct access to dental care with dentists who are trained to consider the patients’ other medical issues in planning and delivering their care,” said Tim Naomi, DDS, clinic director.
th e wsda ne w s · issue 1, october · 2018 · www.wsda.org · 33
foundation news spokane dental residency blessing
Photo: Lindsey Paxton (l) and Diane Paxton. Below, l-r: Elaine Couture, Chief Executive of the Washington/Montana Region for Providence St. Joseph Health, Dr. Amy Winston, Rep. Marcus Riccelli
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editorial, continued from page 4
Dear Dr. Jennings: Kudos to the eight former Commission members who had the courage to address the problems with our current dental overregulators in Olympia. (WSDA News—August guest editorial: “Time for a Reset”) What we need is a total reboot, starting with a name change that doesn’t refer to us as “quacks.” We need a whole new dental board structure that fast-tracks malpractice claims, so bad actors get taken out of the practice pool quickly, and dentists who are victims of mistaken charges are given their dignity back asap. Justice delayed is, indeed, justice denied, for the public and providers alike. The current commission sees their mission to protect the public as incompatible with respecting providers’ rights. Their regulatory bent doesn’t help, but only hinders our member dentists. Their timeline for decision-making is frustratingly slow. We need a new Board
that will give timely updated rulings based on the march of technology, and not on the tempo of the attorneys from the AG’s office. Can assistants scan preps? Can dentists administer Botox? Can dental patients be prescribed take-home sleep apnea tests? The profession needs answers to these types of questions in weeks, not years. When the data shows that 10,000 dentists, hygienists, and assistants failed to renew on time from 2007 to 2017, we need a Board that will admit the license renewal system is broken and needs reforming. The WSDA needs to form a task force to gather input from member dentists and others adversely affected, and come up with a blueprint for legislation that will help the Legislature create a new Board of Dentistry that is responsive to the needs of patients and dentists in modern, ethical practices. Our profession deserves no less.
— Dr. Vic Barry
ebrates Rob’s beautifully written and illustrated articles, as well as the overall design of the magazine. The “award” that most dental writers covet is to be republished. We just want to be read. WSDA articles are often republished by other journals. I have had six editorials published in the ADA News. I would have died happily with one. Other journals frequently request reprinting our stories and editorials. It is rewarding to get an email or actual card from someone here or in another state that heard your voice and found it meaningful. I have had a wonderful time being your editor. I have learned and grown, and will never forget this adventure. I challenge you all to participate in our association. You never know where your hidden talents lay, and where journeys will lead. Your voice and action matter to our legislators, our patients, and our profession, and to your own development. Now go have fun and start your own adventure.
editorial continued
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th e wsda ne w s · issue 1, october · 2018 · www.wsda.org · 35
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ACROSS THE STATE — BY COMPONENT PIERCE COUNTY DENTAL SOCIETY
To register: www.pcdentists.org
April 16, 2019
January15, 2019
Dr. Doug Knight, MSD
Speaker: TBD
General Membership Meeting, 5:30 p.m. Tacoma Country & Golf Club
October 16, 2018
Topic: TBD 2 CE Credits, Cost: $41.00 Sponsored by Burkhart Dental & Garfield Refining Company
Dr. Steve Baerg
May 3, 2019
General Membership Meeting · 5:30 pm Tacoma Country & Golf Club
PCDS Spring Meeting Emerald Queen Conference Center 5580 Pacific Hwy. East • Fife, WA 98424
October 26, 2018
Debra Englehardt-Nash
Dr. David Clark
All-Day Program • Registration/Breakfast 8:30 a.m. • Lecture 9:00 a.m. – 4:00 p.m. — Breakfast & Lunch Included
Topic: Better, Faster, Stronger, Prettier Direct Composites with the Injection Molding Technique 7 CE Credits
Topic: TBD 6 CE Credits, Cost: $98.50
November 20, 2018 Dr. Gregg Kinzer
October 26, 2018
January 15, 2019
Dr. David Clark
Topic: TBD 2 CE Credits, Cost: $41.00
General Membership Meeting, 5:30 p.m. Tacoma Country & Golf Club
Joint Meeting · 8:30 a.m. – 4:30 p.m. Emerald Queen Conference Center 5580 Pacific Hwy. East, Fife, WA 98424 Topic: Better, Faster, Stronger, Prettier Direct Composites with the Injection Molding Technique 7 CE Credits
Dr. Ashley Hoders
Topic: TBD 2 CE Credits, Cost: $41.00
February 26, 2019
General Membership Meeting, 5:30 p.m. Tacoma Country & Golf Club
Dr. David Dean
Topic: TBD 2 CE Credits, Cost: $41.00
Start with the Correct Diagnosis: How Airway Influences Facial Growth and Development
March 1, 2019
Lynnwood Convention Center, 8:30 am – 4:30 pm 711 196th St SW, Lynnwood, WA 98036 Homecare, Herbals and the Prescription Opioids Crisis: What You Need to Know Today 7 CE Credits Sponsored by: Snohomish County Dental Society, UW, and SKCDS
April 23, 2019
Annual Officer Installation and Member Recognition Event Salty’s on Alki, 6 pm – 9 pm 1936 Harbor Avenue SW, Seattle, WA 98126
Dr. Christopher Delecki 2 CE Credits
SNOHOMISH COUNTY DENTAL SOCIETY
Luke Kapper, Todd McVay, Brian Bray and Mike Dinsio
Visit our website for more details and contact the SCDS office to register. All SCDS General Membership meetings are held at the Mill Creek Country Club, starting at 6 p.m. with a Meet & Greet /Nohost bar, dinner and CE program, ending at 8:30 p.m. (2 Credits). Guests are welcome to attend.
Sixth Annual Dental Transition Seminar Seattle Golf Club 210 NW 145th St, Shoreline, WA 98177
4 CE Credits, Sponsor: Bank of America
March 19, 2019
The Plateau Club, 6 – 9 p.m. 25625 E. Plateau Drive, Sammamish, WA 98074
Dr. Keith Phillips
Christy Augsburger, Kory Korfiatis and Sasha Thompson-Bachtold
Topic: TBD 2 CE Credits, Cost: $41.00
Dr. Rebecca Bockow
November 2, 2018
November 13, 2018 General Membership Meeting, 5:30 p.m. Tacoma Country & Golf Club
The Sorrento Hotel, 6pm - 9pm 900 Madison Street, Seattle, WA 98104 2 CE Credits
Karen Baker
SEATTLE KING COUNTY DENTAL SOCIETY
General Membership Meeting, 5:30 p.m. Tacoma Country & Golf Club
Topic: Compliance
February 12, 2019
Topic: TBD 2 CE Credits, Cost: $41.00
Joint Meeting · 8:30 a.m. – 4:30 p.m. Emerald Queen Conference Center 5580 Pacific Hwy. East, Fife, WA 98424
Washington National Golf Club, 6 pm – 9 pm 14330 SE Husky Way, Auburn, WA 98092
Topic: Online Marketing: Pitfalls, Possibilities and How to Guard Your Reputation 2 CE Credits
th e wsda ne w s · issue 1, october · 2018 · www.wsda.org · 37
October 26, 2018 –
CPR Pro & First Aid Courses
I Know CPR in Everett
CPR Pro: 8:30 a.m. – 11:30 a.m. First Aid: Noon – 3 p.m. Advance Registration Required. Contact the SCDS office.
continued on page 38
continuing education by component
CONTINUING EDUCATION
continuing education by component
continuing education by component continued from page 37
November 15, 2018
Annual Gala, Staff Appreciation & Foundation Fundraiser 5:30 p.m. Social Hour, 6:30 p.m. Dinner, 7:30 p.m.-8:30 p.m. & entertainment—Jet City Improv Lynnwood Convention Center Advance Registration Required. Contact the SCDS office.
February 15, 2019
March 20, 2019
SCDS General Meeting, Mill Creek Country Club Thank you to Burkhart for sponsoring this speaker! Staff welcome!
Collin Henderson, M.Ed.
Culture is King: 5 Keys to Building a Winning Environment for Customers & Co-Workers
Toothapalooza at Imagine Children’s Museum, 5:30 p.m. – 8:30 p.m. Volunteer dentists & assistants needed to do mini-exams for the community free night. Contact the SCDS office to volunteer.
April 17, 2019
February 20
April 26, 2019
SCDS General Meeting, Mill Creek Country Club
SCDS General Meeting, Mill Creek Country Club SPEAKER: TBD TOPIC: TBD
CPR Pro & First Aid Courses Everett Advance Registration Required. Contact the SCDS office
Jeffrey R. Adams, MD – ENT/The Everett Clinic
When Sinusitis Presents as Dental Pain: Overview & Advanced Treatment Options
March 1, 2019
Annual Seminar co-sponsored with SKCDS & UWSOD. (CE Credits: 7) SAVE $$ with Early-Bird registration by Oct. 31st, 2018. Lynnwood Convention Center
Karen Baker, BS, MS
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May 15, 2019
SCDS General Meeting, Mill Creek Country Club
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Dr. James R. Calahan
Dr. Jim Calahan passed away on July 16, 2018 in Poulsbo, Wash. He was 86. Calahan was born on June 19, 1931 to James and Dorothy (Harris) Calahan in Seattle, He attended Daniel Bagley grade school, Lincoln High School (1949), the University of Washington, and the UW dental school. He then served in the U.S, Air Force and was stationed at George Air Force Base in California for three years. He returned to Seattle in 1959, and spent the next 40 years practicing dentistry in Madison Park. A kind and generous man, Calahan chaired several committees of the King County Dental Society and served as a delegate for three years. He also chaired the Madison Park Business Association and the local Rotary Club. He served on the King County Cancer Society Board and was chairman of the March of Dimes for two years. He also was quite proud of the years he coached two Mercer Island Little League Championship teams without ever having a serious disagreement with a player, parent, or umpire! In 2001 he happily put on a baseball uniform for the first time in 50 years, and helped his son coach his grandson’s district-winning Babe Ruth team. Calahan married Cherie Dennis on Feb. 25, 1979. They spent 40 wonderful years living on the shores of Apple Tree Cove, enjoying the beach with their family and many friends. He loved gardening, reading (he was quite the history buff), golfing, traveling, and talking! He was a gentle man with bright blue eyes, a quick wit, and an incredible humor who loved his family, patients, all his friends, and life. He will be greatly missed. Calahan is survived by his wife, Cherie; three children with previous wife Barbara, Jim (Michele Browning), Lynn (Ed) Thenell, and Connie Calahan; grandchildren Jimmy, Aimee (Geoff), and Jillian Calahan and Eddie and Erin Thenell; and great-grandchildren Landon and Makayla.
Dr. Perry S. Hatcher
Dr. Perry S. Hatcher, 90, a resident of the Skagit Valley, passed away peacefully on April 23, 2018. Perry attended dental school at the University of Washington, graduating with the class of 1954. He was a member of the alumni association of the University of Washington.
Dr. Robert E. Morrow
Dr. Robert E. Morrow died peacefully on April 13, 2018, following a long and wonderful life full of more good friendships than most could imagine. His life journey took a turn 15 years ago, when signs of dementia began to appear, marking the beginning of a new path that was both bittersweet and enlightening to those close to him. While not sudden, the onset of this disease and its gradual development revealed the true nature of his personality: pleasant, positive, and gentle. Soon after his birth in Berwyn,Ill., to Ed and Esther Morrow on St. Patrick’s Day 1928, the family moved to his mother’s hometown of Spencer, Iowa, where Morrow enjoyed a Tom Sawyer-like childhood and adolescence. High school yearbooks suggest his teen years were filled with sports, academics, and girls, and apparently he excelled at all three! Morrow enlisted in the U.S. Navy in 1946, where his dream of becoming a dentist began with his service as a dental technician. Upon discharge In 1948, with GI Bill in hand, he enrolled at the University of Iowa. While an undergraduate, Morrow was introduced to his future wife, Bonnie, whom he had noticed while playing ping pong at the student union. This lead to dating, engagement, and eventu-
ally marriage in June 1951. The couple quickly settled into married life, with her teaching school and he finishing finished dental school. Their first two summers together were spent at Lake Okoboji in a $75-a-month lakefront cabin. Thus began their lifelong love of summer-time lake living. In 1954, with his dental degree in hand and expecting their first child, Jane, the couple headed west to Spokane, where he began his practice in Millwood with Dr. Jack Fowler. Son John followed in 1957, and soon thereafter Morrow established his own practice in a town in the Spokane Valley fittingly named Opportunity. Daughter Polly completed the family in 1958. Opportunity indeed abounded, as Morrow saw a need for a pediatric dental practice in the Spokane Valley, and began his training with and eventual certification by the American Academy of Pedodontics. He achieved leadership positions in his professional organizations, and lecturing extensively, all the while mentoring his peers and developing deep friendships among them. His career could best be measured by the 15 years he spent after retirement in 1988, traveling the world with his wife as Rotary volunteers and providing free dental care to those in need. With his extensive volunteer work and as past president of Spokane’s Club #21, Morrow was emblematic of Rotary’s concept of “Service Above Self.” Always looking to the future, the Morrows were constantly building or improving something, whether it was their life together, his practice, their community, their place at Spirit Lake, or their two homes in Glenrose. At the lake, Morrow could always be seen with work gloves on, cigar in place, and a hammer, saw, shovel, or trowel in hand. But work was not his only pursuit at the cabin, as fun always followed, with rest and relaxation bringing up the rear. Ping pong, the genesis of the couple’s relationship, was a frequent rainy-day activity. Morrow had many pursuits outside of family and career, most especially tennis, skiing, physical fitness, and, in retirement, gardening. Well into his 80s, he worked out daily at the Spokane Club, practiced “old fart” skiing at Mount Spokane, and propagated geraniums in his greenhouse. Tennis at the Spokane Racquet Club was an essential after-work passion that eventually came to a reluctant halt as knees and ankles eventually wore out. The Morrows traveled the world often, and established a tradition of taking each grandchild on an international trip upon reaching the age of 12. Their many trips to Italy with friends were favorites, especially to Tuscany and the Amalfi Coast. Morrow was also a member of the International Wine and Food Society, which served to better his passion of being the consummate dinner host. Morrow is survived by his wife, Bonnie; son John (Marlee Griffith); daughter Polly (John) Green; and grandchildren Emma and Liza Goodstein and Hadley and Jack Morrow. He was preceded in death by his daughter Jane, brother, sister, and parents.
Dr. Donald C. Rose
Dr. Donald C. “Don” Rose, of Gig Harbor, Wash., died on June 11, 2018. He was born the eldest son of Bueford and Louise Rose of Shelton, Wash., on Jan. 24, 1924. Rose graduated from the University of Washington with degrees in pharmacy and dentistry. He practiced dentistry in Tacoma for 39 years, and was a veteran of WWII and the Korean War. He is survived by his wife of 53 years, Marian; son Kenneth; stepdaughters Marge and Janet; six grandchildren; and several great-grandchildren. He was preceded in death by his daughter Kathy, step grandson Jim, brothers Bob and Darrell, and parents.
th e wsda ne w s · issue 1, october · 2018 · www.wsda.org · 39
in memoriam drs. calahan, hatcher, morrow, rose
in memoriam
Since 1968
We are pleased to announce... Rochelle J. Riley, D.D.S. has acquired the practice of Michael A. Kay, D.D.S. Enumclaw, Washington
Sang & Jiyon Kim, D.D.S. have acquired the practice of Mary E. Sebek, D.D.S. Seattle, Washington Call today for a FREE MARKET VALUE ANALYSIS ($5,000 value)
We are pleased to have represented all parties in these transitions. 800.232.3826 | www.AFTCO.net Practice Sales & Purchases Over $3.2 Billion
4 0 · th eWSDA wsda ne w s · issue 1, october 2018 · www.wsda.org October 2018.indd 1 9/12/2018 1:34:19 PM
OPPORTUNITIES AVAILABLE
OPPORTUNITIES AVAILABLE
ASSOCIATE DENTIST, TACOMA/OLYMPIA — We are seeking an associate dentist for 3-4 days/ week. We are a privately owned and well established dental practice with two offices. We are located in University Place (Tacoma), and Olympia. We have a dedicated, long term, experienced team committed to excellence. We would love to hear from you to discuss this opportunity further. Please email your resume to caodds@hotmail.com.
GENERAL DENTIST/WESTERN WA — A rare opportunity in beautiful Wenatchee Washington for a General Dentist. This highly successful private practice is seeking a doctor that has a desire for a position where they can feel valued, enjoy a work life balance all while contributing to the team and practice. The doctors are looking to share the practice with a doctor that values quality dentistry and focus on building relationships with the patients and the dental team. This position offers a flexible day count schedule, as well as number of days per week. Wenatchee is a wonderful place to enjoy outdoor activities and raise a family all in a lower cost of living community. Please e-mail your CV to julie@trgcoaching.com.
SEEKING FULL TIME ASSOCIATE DENTIST, ABERDEEN, WA Are you searching for an opportunity in dentistry that rises above the ho-hum of traditional private practice as well as the binding constraints of the corporate approach? Do you yearn for a setting that tirelessly cultivates clinical compassion and excellence alongside extraordinary teamwork and practice health? If so, we invite you to contribute your talent and passion to a leading dental organization that embodies Washington’s innovative spirit. Our aim is simple: We preserve the integrity of private practice while leveraging the power of the cooperative group. And here’s the real deal: You’ll work shoulder-to-shoulder with some of the most talented and committed dental professionals and industry leaders. The tools, technology, and clinical support are unparalleled, and practice partnership is the end-game. The field of dentistry is progressively changing, and we’re at the forefront of the positive transformation. We hope you’ll consider joining us -- or at least exploring the opportunity -- as we continue to strengthen an extraordinary culture that shines through our service to each and every patient. Please email adam@atlasdentistry.com.
DENTAL HYGIENIST NEEDED — Island Dental is looking for a Dental Hygienist to join our practice. 2 years experience is preferred. Needs current Washington license. Hourly rate DOE. Please email resume to islanddental@rockisland.com. DENTIST NEEDED — Yakima Neighborhood Health Services (YNHS), a Community Health Center in Central Washington State, is looking for a full time dentist to serve low income and underserved individuals and families. Provide full scope preventive and restorative care all ages, six months to elderly. YNHS is an eligible site for National Health Service Corp and Washington State Health Professional loan repayment programs. YNHS also has a special focus to serve the homeless of Yakima County. Dental providers work alongside committed HCH staff to care for high needs homeless individuals. Full time for providers is 40 hours per week (typically four 10-hour days). YNHS offers a competitive compensation package, inclusive of malpractice coverage, paid leave, CME, retirement / life / disability. See our website at www.ynhs.org for the breadth in our services and diversity in our staff. We are looking for individuals who share a sense of compassion for the underserved, and passion for quality. Email resume and CV to hr@ynhs.org. FANTASTIC GENERAL DENTIST OPPORTUNITY — Close to downtown Seattle, new state of the art clinic, easy parking, beautiful new office. Great support staff. Group practice with Oral Surgeons and Orthodontists co-treating. Guarantee as well as production bonus. Must love working with children and have a great attitude. Please email jbabka@applesmiles.com for consideration or questions. LOCUM TENENS WANTED — North Bend Practice The position is for two successive weeks. The dates are October 30th thru November 2nd and the following week November 6th thru the 9th. Office hours are Tuesday-Thursday 9-5 and Friday 8-2. Interested Doctors please contact Dr Kris Brain at Kbrain0827@aol.com or (S425) 765-1211 Thanks ENDODONTIST NEEDED — Busy multi-doctor practice in Renton looking for endodontist 1 day a week, great pay, well-trained staff, some flexibility on day. Please email resume or questions to dental. officead.local@gmail.com. DENTIST, COLLEGE PLACE — SonBridge Dental Clinic in College Place, WA is looking to fill the paid position of a Dentist at 3 days/week. Call Mel Lang at (509) 301-3460 if interested. DENTAL ASSOCIATE — Privately owned, established dental practice in the Seattle area looking for a dental associate to work Thursday through Saturday with experienced staff. New graduates welcome to apply. Email HealthySmilesDDC@comcast.net.
ASSOCIATE, MULTIPLE LOCATIONS — We have a great associate opportunity for a 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 $200,000 (for experienced dentists) plus bonuses, but opportunity to earn upwards of $350,000/year. New grad salary starting at $180,000, plus bonuses. Full benefits package and moving allowance. We are offering a signing bonus, moving allowance, paid time off, license reimbursement, malpractice coverage and a continuing education stipend. State of the art clinics and equipment. Mix of children and adult dentistry. Mix of State and private insurance. Come try out Eastern Washington, where there’s 300+ days of sunshine, beautiful landscaping, the gorgeous Columbia River and family friendly communities and low cost living! We have openings in Spokane, Yakima and Tri-Cities! Please email jbabka@applesmiles.com for consideration or questions. HYGIENISTS NEEDED — Great Full Time Registered Dental Hygienist opportunities in the following locations: Renton Modern Dentistry, Renton, WA, Kent Smiles Dentistry, Kent, WA, Everett Modern Dentistry, Everett, WA. Email: vasquezb@ pacden.com. ASSOCIATE DENTIST POSITION AVAILABLE — Well established, state of the art dental practice looking for an associate dentist 3 days/week with strong potential to becoming 4 days/week. Busy 10 chair general practice with well seasoned, experienced staff and doctors; clinic complete with digital scanners, in office milling machine, Carivu, intraoral cameras, and digital radiography. Candidate must have experience in all aspects of general dentistry, including Invisalign, implants, molar endodontics, and oral surgery. Several years experience and/or a residency is preferred. We are looking for that someone to become part of our team and grow with our practice. Our doctors have a combined 50 plus years of experience and would like to mentor our associate. Please send all inquiries including CV to lecuyeramatodds@gmail.com. DENTAL ASSOCIATE NEEDED — Ellensburg office 2-4 days per week, must be willing to work on weekend. Please email resume to uwdentaldoc@ hotmail.com
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ASSOCIATE NEEDED, OLYMPIA — Are you a caring and charming doctor who does beautiful quality work? We have patients who need you! A growing family and cosmetic practice in Olympia, Washington seeks associate to join our wonderful staff. Two-three days a week, great compensation. Two years experience. Email resume to maryannvetter@usa.net. SEEKING ASSOCIATE DENTIST — Full-time, South Lake Union, WA Are you searching for an opportunity in dentistry that rises above the hohum of traditional private practice as well as the binding constraints of the corporation? Do you yearn for a setting that tirelessly cultivates clinical compassion and excellence alongside extraordinary teamwork and practice health? If so, we invite you to contribute your talent and passion to a leading dental organization that embodies Washington’s innovative spirit. Our aim is simple: We preserve the integrity of private practice while leveraging the power of the cooperative group. And here’s the real deal: You’ll work shoulder-toshoulder with some of the most talented and committed dental professionals and industry leaders. The tools, technology, and clinical support are unparalleled. The field of dentistry is progressively changing, and we’re at the forefront of the positive transformation. We hope you’ll consider joining us -- or at least exploring the opportunity -- as we continue to strengthen an extraordinary culture that shines through our service to each and every patient. Our practice is ideally located in the heart of Seattle in the growing South Lake Union area. We are just one block away from Amazon’s headquarters that provide our practice with a seemingly endless supply of new patients! Please email ashley@atlasdentistry.com. ASSOCIATE DENTIST — (Mill Creek/Snohomish/Everett) Seeking a dentist to join our great team. One day/week, possibly leading to more days in the future. Contact: jacob.foster@gmail. com.
classifieds issue 1, october, 2018
OPPORTUNITIES AVAILABLE
Expert support– count on it. So you can focus more on patients and leave the technical challenges to us. It seems like every week there is a new technology, restorative material or treatment option on the market. Staying abreast of developments in dentistry has never been tougher, so where do you get accurate information you can trust? With our technicians’ decades of experience and rare level of certification, above-and-beyond assistance is only a phone call away—allowing you to give patients the best possible care.
800.445.5941 | 541.754.1238 customerservice@obriendentallab.com Improving the margins of success®
Tom K. Michael, DDS (Seller)
Dustin Webb, DMD (Buyer)
Bringing buyers & sellers together since 1997!
“Selling your practice is insanely difficult and emotional, with countless unforeseen complications that cannot be overemphasized. You absolutely need a honed professional as your broker! This benefits both the buyer and the seller. I was fortunate to have Rob Stanbery recommended by a colleague. He is phenomenal on every possible level, and I doubt my practice sale would have been successful without his help. I give him my strongest endorsement!” Tom K. Michael, DDS - East Wenatchee, WA
call us or visit our website to learn more Robert Stanbery
Transition Specialist
888.789.1085
www.practicetransitions.com
4 2 · th e wsda ne w s · issue 1, october 2018 · www.wsda.org
OPPORTUNITIES AVAILABLE
OPPORTUNITIES WANTED
PART-TIME DENTAL ASSOCIATE — Vashon, WA - a short ferry ride from Downtown or West Seattle. Are you searching for an opportunity in dentistry that rises above the ho-hum of traditional private practice as well as the binding constraints of the corporate approach? Do you yearn for a setting that tirelessly cultivates clinical compassion and excellence alongside extraordinary teamwork and practice health? If so, we invite you to contribute your talent and passion to a leading dental organization that embodies Washington’s innovative spirit. Our aim is simple: We preserve the integrity of private practice while leveraging the power of the cooperative group. This is a great opportunity to work in the rural setting of Vashon, which is just short trip from urban Seattle. We are looking for a dentist to work 2 days per week. The days are negotiable. We hope you’ll consider joining us. Please contact Dr. Adam Cramer at adam@atlasdentistry.com.
MULTI-SPECIALTY GROUP PRACTICE OPPORTUNITIES — With more than 400,000 patients throughout our 50+ practice locations in Oregon, Washington, and Idaho, and a built-in 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 — 2017 University of Detroit Mercy School of Dentistry graduate seeks a general dentistry position in greater Seattle. View my C V here: https://drive.google.com / open?id=1RyyurwvieQKSjNU4JG27_ywTKDs7_4Yi.
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.
OPPORTUNITY WANTED — 2019 University of San Francisco (DDS), University of Penn (Orthodontics) graduate seeks an orthodontics position in the Seattle, Bellevue, Tacoma areas. Email me for my CV: ctruong@upenn.edu.
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. ASSOCIATE — We have a great associate opportunity for a 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 $200,000 (for experienced dentists) plus bonuses, but opportunity to earn much, much more. New grad salary starting at $175,000, 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 Eastern Washington, where there’s 300+ days of sunshine, beautiful landscaping, the gorgeous Columbia River and family friendly communities and low cost living! We have openings in Spokane, Yakima and Tri-Cities! Please send inquiries to jbabka@ applesmiles.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 wellequipped 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. FEDERAL WAY — Existing GP associate retiring in 1-2 years, looking for new associate to transition and take over practice. High percentage, lots of benefits and future buy-in available. Email: wsda@ calderwood.org
OPPORTUNITIES WANTED LOCUM TENENS — 1980 graduate of University of Washington. Experienced in all aspects of general dentistr y including Cerec. Available for limited days this summer and most days starting in September. Please email brucej@ brucejohnson.com. OPPORTUNIT Y WANTED — 2019 Ohio State U n iv er s it y C ol lege of D e n t i s t r y g r a du at e seeks an associate position west of Seattle. View my C V here: https://drive.google.com / f ile /d /1K8q go1zQZ qfDE3j2u4lR 8WiqL 3JhK mne/view?usp=sharing. OPPORTUNIT Y WANTED, 2018 Herman Ostrow School of Dentistr y of USC grad seeks a family/cosmetic dentistr y position in western Washington. View my CV here: https://drive. google.com/file/d/1ZbwFXqW0b_XURJ_YY3aRc1B4e5Ih-7zu /view?usp=sharing OPPORTUNIT Y WANTED, 2017 NY U College of Dentistr y grad seeks a general dentist position in Seattle. View my CV here: https://drive. google.com /file /d /1SPu-yAMJxp8Dr7NrL zsrfLpTy urAmr6c /view?usp=sharing. OPPORTUNITY WANTED, 2018 UCSF SoD IDP grad seeks a general dentistr y position in the greater Seattle area. View my CV here: https:// d r ive.go og le.com / f i le /d / 1V B _ P z7w a A 8x N 6zRPN6TrelVrrL8-5Wdx /view?usp=sharing.
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OPPORTUNITY WANTED — 2018 UCSF SOD IDP graduate seeks a general dentistry position in Seattle + 30 miles. Need H1B sponsorship. View my C V here: https://drive.google.com / open?id=1I1iDpcYCyvI7fk8tYVliS_x5fcDACYKq. OPPORTUNITY WANTED — 2017 University of Washington School of Dentistry graduate seeks a general dentistr y position in Washington. View my C V here: https://docs.google.com / document /d /1- GcpGGFOnk12DcfM1aFyW R Gy0ulmG_28ldsJgH4eCpo/edit?usp=sharing. OPPORTUNITY WANTED — 2018 University of Colorado Denver SODM ISP graduate seeks an associate position in the Tacoma, Renton or Tukwila areas. View my CV here: www.linkedin.com/in/ hannahngocdoan.
OFFICES FOR SALE OR LEASE FOR SALE, VANCOUVER — General practice for sale in Vancouver, WA. Office has three ops and is located in a busy intersection across strip mall. Paperless office with digital X rays. Collections for last year about 450K. Office has low overheads (monthly rent below $1k) and tremendous potential for growth. Owner seeking quick resolution and so offering at a very compelling price of $210000. Serious inquiries welcome. Email: clin.inq@gmail.com. SPACE FOR LEASE - Dental space for lease in Lakewood. 1550SF, 4 ops (possible 5), 2 hygienist rooms, sterilization lab, x-ray room, consult room. Call (253) 588.1707 for more information. ORTHODONTIC PRACTICE FOR SALE, North Seattle — Superbly located near schools and community core. Collecting $400K on a 10-day/month schedule w/zero marketing. Four fully-equipped operatories w/5th possible. 1,100 sq/ft (approx). New digital pan/ceph (upgradeable). Excellent opportunity to grow and add marketing program. For more information contact: Jennifer Cosgrove at (425) 216-1612 or Jennifer@cpa4dds.com. GENERAL PRACTICE FOR SALE, Bainbridge Island — Outstanding general practice centrally located in the vibrant core of Puget Sound! Collecting $880K+. Five fully-equipped operatories. Adec chairs. New x-ray. Lab/sterilization. Private office. 2,399 sq/ft approx w/ample parking. Refers out: denture; some endo and OS. For more information contact: Jennifer Cosgrove at (425) 216-1612 or email Jennifer@cpa4dds.com. NEW! EAST VANCOUVER General practice in same location over 20 years. Collected about $293,000 in 2017. Digital, 5 ops, 4 equipped, 1800 sq ft., Dentrix. Seller refers out endo, implants, surgery, ortho. Contact Megan - (503) 830.5765, megan@omni-pg.com. (WD239)
classifieds issue 1, october, 2018
OPPORTUNITIES AVAILABLE
XCELLENCE E F O S R A E Y E V I CELEBRATING SIXTY-F
Nakanishi Dental Laboratory, Inc. is celebrating the continuation of our multigenerational, family-owned legacy. We remain dedicated to our staff, who help us continue doing the work we love every day. The Nakanishi family, and dental team, are grateful to the clients who have allowed us to provide them with high-quality dental restorations for over 65 years! We look forward to serving the dental industry through the years and generations to come.
ard of Excellence for Yourself! d n a t S i h is n a k a We Invite You to Experience the N To learn more, please visit our website, www.nakanishidentallab.com, or contact 4 4 · th e wsda ne w s · issue our 1, october friendly2018 staff at· www.wsda.org 800.735.7231.
OFFICES FOR SALE OR LEASE
OFFICES FOR SALE OR LEASE
GENERAL PRACTICE FOR SALE, Rural Snohomish County (Washington State) — Outstanding family practice w/ great cashflow in picturesque country setting. Ideal for Dr and family seeking quality of life away from city traffic. Four fullyequipped operatories w/5th possible. Approx 1,450 sq/ft. Low overhead. Collecting $650K+ on a 3-day workweek. Opportunity to grow! For more details contact: Jennifer Cosgrove at (425) 2161612 or Jennifer@cpa4dds.com.
NEW! BELLEVUE — Dental practice and real estate for sale. Annual collections over $1.2 M. Five operatories, room for a sixth. Opportunity to grow. Contact frank@omni-pg.com, (877) 8666053 ext. 4. (WD245)
FIRST HILL SEATTLE — Well established fee for service practice for sale. 2016 collections of $1,350,000. Four ops, digital x-rays. Email rod@ omni-pg.com. (WD191)
ORTHODONTIC PRACTICE FOR SALE, Snohomish County — Tremendous opportunity in the heart of Snohomish County collecting $675K. 2,145 sq/ft approx. five fully-equipped chairs and private exam/consult room. X-ray. Pan/Ceph. Ortho2 software w/digital charting. For more information contact: Jennifer Cosgrove at (425) 2161612 or Jennifer@cpa4dds.com. PERIODONTIC PRACTICE FOR SALE,Eastern Washington — State of the art, family friendly periodontic practice in Eastern Washington. 5 fully-equipped operatories. High profitability! High collections; low overhead. Approx. 1,700 sq/ ft + common area. Sterilization room and private office. 3-D Cone Beam. For more information contact: Jennifer Cosgrove at (425) 216-1612 or email Jennifer@cpa4dds.com. GENERAL PRACTICE FOR ACQUISTION/ MERGER, Seattle — Strong acquisition/merger opportunity centrally located in the core of Downtown Seattle w/an experienced dentist willing to work-back part-time/pre-retirement! Collecting $1M+. Provides perio cleanings; cosmetic; whitening; TMJ treatment; sports guards; crown/bridge/ dentures/partials. Referring out: endo; oral surgery; pano; ortho and perio surgery. Current nonrenewable lease is expiring – no space available. Equipment in good condition and available (if needed): 5 fully-equipped, computerized operatories, cavitrons, lab and autoclaves w/cassettes. Digital intra-oral camera. Nitrous. Asst surgical endo, hygiene and operative instruments. For more information contact: Jennifer Cosgrove at (425) 216-1612 or Jennifer@cpa4dds.com. MILL CREEK— Dental practice for sale. Annual collections approximately $1M. Five ops, room for 3 more. Lots of new patients. Digital x-rays and panoramic, intra-oral camera and laser. 3,270 sq. ft of office space. Contact frank@omni-pg.com. (WD215) GENERAL/COSMETIC PRACTICE FOR SALE, Olympia — Beautiful, state-of-the-art practice in the heart of the State’s capital! Buy-in/out option available. Eight fully-computerized operatories w/ Adec chairs. Digital radiography and 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 Cosgrove at (425) 216-1612 or Jennifer@ cpa4dds.com. NEW! BELLEVUE Holistic Dental Practice For Sale. Annual Collections of $1 million. Located on busy street with visibility. Practice focuses on holistic dentistry with a great reputation. Five operatories. Contact - frank@omni-pg.com, 877866-6053 ext. 4. (WD243)
NEW! SHORELINE - Neighborhood dental practice and building for sale. Great visibility. Annual collections of $400,000 and over $600,000 in prior years. Four operatories. Contact frank@omnipg.com; (877) 866-6053 ext. 4. (WD246) NEW BOTHELL/WOODINVILLE/MILL CREEK — Dental practice for sale, established over 40 years in busy strip mall. Three operatories. Annual collections over $500,000. Opportunity to grow with marketing and adding specialty procedures. Contact frank@omni-pg.com. (WD187) SEATTLE General dental practice for sale. Desirable neighborhood, high visibility next to Starbucks. Five ops. Annual collections of $1.5 million. Contact rod@omni-pg.com. (WD208) LINCOLN COUNTY - G/P Practice for sale within 35 miles of Spokane in the same location since mid-60s. Annual collections over $340,000. Four operatories. Doctor works 3 days/week. Doctor owns the building and will sell it now or in the future. Excellent collection policy and cash flow for a practice of this size. Contact Buck (877) 8666053; info@omni-pg.com. (WD196) WESTERN WASHINGTON Periodontal Practice for sale. Hi net, Lo Overhead Practice. Great Cash Flow. No PPOs. Digital X-rays. Four fully equipped operatories. Great visibility. Large double-sided monument sign in front. 1656 SF leased office space, 900 SF available next door that could be tied into existing lease for additional operatories. Contact Buck (877) 866-6053; info@omni-pg.com. (WD192) PUYALLUP Motivated Seller. General Dental practice for sale. Lots of room with six equipped operatories. Paperless, digital practice using Open Dental software. Great location near mall and new Wesley Park Neighborhood. Contact Frank frank@omni-pg.com; (877) 866-6053. (WD223) WEST SKAGIT VALLEY General Dental Practice located near the water. Four operatories. Annual collections approximately $400,000/year. Call Frank - (877) 866-6053. (WD173) SKAGIT COUNTY — General dental practice for sale. Annual collections over $250,000. Four operatories. Be the only dentist in town. Email frank@ omni-pg.com. (WD172) EASTSIDE — Great location just off I-90. Annual collections over $400,000. Two ops, possible room to grow. Call Frank (877) 866-6053. (WD180) LINCOLN COUNTY — Owner is selling two separate general dental 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 — Annual collections almost $900,000. Five operatories, Prime location. Low overhead, hi net practice with great cash flow. Email rod@omni-pg.com. (WD190)
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ISLAND PRACTICE FOR SALE — Annual collections over $300,000. Newer buildout. Great location, tons of room for growth. Contact rod@omnipg.com. (WD182) WHATCOM COUNTY — GD practice for sale. Annual collections approximately $250,000. View of Mt. Baker, busy street. Building also for sale with another space for rental income. Email rod@omni-pg. com. (WD177) LAKE CHELAN — General dental practice for sale. Annual collections $600,000+. Good patient base, room to grow. 4 operatories in newer, beautiful building which is also for sale. Contact rod@ omni-pg.com. (WD184) GRAYS HARBOR — Dental practice for sale collecting almost $600,000 in two locations. Call Buck at (503) 680-4366 for more information. (WD194) MOUNTLAKE TERRACE — General dental practice for sale grossing over $500,000 on 3 days per week. 3 operatories, plenty of parking. Contact Frank (877) 866-6053 ext 4; frank@omni-pg.com. (WD161) MUKILTEO — practice with amazing view of the sound. Watch the ferries coming and going from this four operatory practice. Amazing visibility and free marketing from the main street that goes to the ferry terminal. Lots of treatment diagnosed, waiting for you to come and get it done. Contact rod@omni-pg.com. (WD201) SEATTLE — General dental practice for sale. Desirable neighborhood, highly visibility. Annual collections of $1.5 million. Contact rod@omni-pg. com. (WD208) PUYALLUP — Dental practice for sale. Four ops located in retail center. Annual collections of $500,000. Contact Frank at (877) 866-6053. (WD218) LYNNWOOD — dental practice for sale. Annual collections of approximately $400,000 with no marketing. 5 ops, convenient location, lots of parking. Contact Frank (877) 866-6053 ext 4, frank@ omni-pg.com. (WD224) SEATTLE Established general dental practice for over 50 years in desirable, high income household neighborhood. Three operatories. Room to grow. Annual collections over $500,000. Specialty procedures being referred out. Contact frank@omnipg.com; 877-866-6053 ext. 4. (WD225) DOWNTOWN SEATTLE — General dental practice for sale in medical dental building. 4 operatories, $350,000 collections. Contact Frank - (877) 8666053; frank@omni-pg.com. (WD226) PRICE REDUCED — Oral Surgery practice which formerly collected $1 million annually. Only oral surgeon within 10-mile radius. Doctor chose to work at his own leisurely pace now collecting approximately $400,000/yr. With vision and a bit of work you can grow the practice back to its previous levels - possibly higher. Contact Rod (877) 866-6053 ext. 1, rod@omni-pg.com. (WD200)
classifieds issue 1, october, 2018
OFFICES FOR SALE OR LEASE
clinical corner issue 1,october, 2018
CLINICAL CORNER Large well-demarcated swelling on the upper lip
Contributed by:
Dr. David Haralson, Oral & Maxillofacial Surgery, Seattle, WA
History of present illness
This is a 21-year-old male who presented with a large smooth-surfaced, pink, firm and movable nodule on the upper lip (Figure 1). It was around 2 cm in diameter at its greatest dimension and was slowly increasing in size over the last six months. It is otherwise asymptomatic. The overlying mucosa is pink and shows no evidence of ulceration.
Test your knowledge!
Visit https://dental.washington.edu/oral-pathology/case-of-themonth/ and see if your assessment of the case is correct.
Figure 2
Figure 1
MANAGEMENT | CONSULTING | SALES | TRANSITIONS
OVER 50 YEARS OF EXPERTISE IN THE DENTAL INDUSTRY We would love to help.
CONTACT US TODAY! knutzenmcvaygroup.com 425. 489. 0848 TODD MCVAY
JULIE HAWKEN
JEN BENNETT
DAVE KNUTZEN
CURRENT LISTINGS WESTERN WA
Downtown Seattle General Practice new
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RECENT TRANSITIONS Dr. Leah Snare to Dr. Yogesh Goel & Dr. Evan Chiang—Everett, WA
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Dr. Bradley Bemis to Dr. Jeff Chen & Dr. Joan Nagatomo—Bothell, WA Dr. Matthew Maynard to Dr. Tyler Rumple—Arlington, WA Dr. Byran Brenner to Dr. Tofunmi Osundeko—Seattle, WA Dr. Travis Magelsen to Dr. Clinton Crandall—Monroe, WA Dr. Michael Condon to Dr. Gregg Liedtka—Odessa, WA
4 6 · th e wsda ne w s · issue 1, october 2018 · www.wsda.org
OREGON DENTAL PRACTICES FOR SALE — Portland, Southern Oregon Endo, Albany building, Central Oregon and Southern Oregon GP and building for sale. Contact megan@omni-pg.com for info. BOTHELL PREMIER RETAIL SPACE AVAILABLE — 2,000 SF at North Creek Plaza. Near UW Bothell, Cascade Community College, and the Bothell Technology Corridor. Contact steve@omni-pg. com. KENT — Woodmont Place Shopping Center High Visibility space available. Signage along Pacific Highway. 1,300 sq. ft. Three exam rooms, x-ray room, darkroom, lab area, executive office, kitchenette, great signage, plenty of parking. Asking $2,275.00/month - modified gross. Contact steve@ omni-pg.com. (WR113) LYNNWOOD PLUMBED DENTAL OFFICE Roughly 2,000 sq. ft., 5 ops including Nitrous and O2, plenty of parking, visibility from 196th. Contact steve@omni-pg.com. (WR111) 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. (WR110) 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. (WR108) TRI CITIES GRANDRIDGE DENTAL/MEDICAL OFFICE FOR LEASE Opportunity for a start-up or move your existing practice. Fully built out, 4 equipped operatories. Contact steve@omni-pg. com. (WR107) 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. (WR106) NORTHGATE Fully built Dental Office For Sale/ Space for Lease 2nd floor of a quality professional/ medical building. 4 fully operational operatories with ADEC chairs, CT scanner. Excellent opportunity to do a start-up or move your existing practice. No patients, assets only, and space is for lease. Asking price $50,000.00. Contact Steve - steve@ omni-pg.com. (WR105) GRANITE FALLS Standalone Medical/Dental office. 2 medical spaces - 2,000sf and 1,104sf. Nice opportunity to for owner/user while generating some income on the additional space or occupy the entire building. Abundant parking. Contact Steve (877) 866-6053 ext. 3; steve@omni-pg.com. (WR101) FOR SALE, SPOKANE — GP solo dental practice and building for sale. 2017 gross $488K working 27 hrs/wk. 6 operatories with space for more. Serious inquiries call (509) 638-3157. SILVERDALE GENERAL DENTISTRY — Collects 730,000 per year. Six year old practice. nice view of Silverdale bay and Mt. Rainier. contact dental8@outlook.com.
OFFICES FOR SALE OR LEASE
OFFICES FOR SALE OR LEASE
GIG HARBOR — Established practice is collecting $730,000 per year. Experienced staff, great location, 5-6 ops, break room, lab, consult room, sky lights, many windows with trees to view. Fully computerized, digital x-ray and digital pan. reply to dental8@ outlook.com.
FOR SALE, SEATTLE — Established Seattle general practice w/ great hygiene program for sale. All specialties referred. 15 new patients a month. 1,268 Sq ft. New equipment. 175k obo. Call (206) 765-6725.
FAIRFIELD DENTAL CLINIC FOR SALE — $120,000. Includes: patient charts, two story building, equipment (x-ray, digital sensor, software, dental chairs, etc). A wonderful place to call home and enjoy your dental practice. txt (360) 471-6608. NEW! DENTAL PRACTICE FOR SALE, MILL CREEK — Four chairs +2200 sq ft plumbed for six, busy main street shopping center, consistent collection over 700k, open dental and digital xray, good new patient flow, strong referral base, referring extractions ortho perio implants, preapproved financing, priced to sell. Email FVqualitydentalcare@gmail.com. PRACTICE FOR SALE, AUBURN — Existing DDS is ready to retire! Four ops, Selling the book of business, solid patient base. Great staff would like to stay. Collections average $700K-$900K at 3.5 days/week. Contact ted12@msn.com or lori.leonarddds@outlook.com. 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. BUY LOW — Dental office collecting 135K a yr. One year old, brand new buildout. Growing population/ jobs. High Visibility facing busy Freeway. Work FT to bring office to 1 million. 3 fully functional operatories, w/a 4th and 5th operatory plumbed and outfitted with a dental chair. Digital-Xray, panorex, touch screen computers. Big shopping plaza anchors by FredMeyers. Reception area with Granite counter tops. 135K a year collection working 2 days a week. There is alot of potential for growth with the right doctor and team. Price: $297,000.00 Email thuandp@hotmail.com for more information. DENTAL BUILD-OUT FOR SALE - Business not included. Build-out completed in 2014, seven operatories, consultation room, private offices, lunch room. Incredible opportunity for a dentist, orthodontists, periodontist. Please contact listing broker for a tour. Five year lease with options. Please call Rick Remax Northwest (360) 920-7053 FOR SALE — Start-up office space. Prime downtown Seattle location. 1350+ sq.ft.; fully equipped; 3-ops; room to add 4th op. Medical Dental Bldg. Ample parking and access. S. Lk. Union; Amazon; Pacific Place; Nordstrom. Refurbished 2009. Save huge on build-out costs - it’s ready to operate, or change to your needs. 87K. Contact: Jim at (206) 861-6288. Opportunity too good to pass up. SILVERDALE SPACE — Available for specialist, next to general dentist. shared compressor. One OP in, space for more and consult room. Nice view of bay. $2,000 per month. txt 360-471-6608.
th e wsda ne w s · issue 1, october · 2018 · www.wsda.org · 47
PRACTICE PURCHASE, SOUTH SEATTLE — This general practice of 1050 sq ft is located on the 1st floor in a stand-alone building with excellent signage and onsite parking. Three ops with workstations, ADEC, Dexis, Open Dental, lab, sterilization, staff room, doctor’s office. Excellent opportunity for growth with low, assumable multi-year lease. Fast growing community. Doc leaving area. Collections $270,000on 2 days per week, 1 day with hygienist and zero marketing. Hygiene fully booked six months in advance. No HMO, Medicare or Medicaid. Email:dentaloffice1952@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. 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. 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. 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 X-Rays, 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.
classifieds issue 1, october, 2018
OFFICES FOR SALE OR LEASE
DG Transitions LLC
DG Advisors
5808 Lake Washington Blvd NE Suite 101
Dental Wealth Advisors LLC
LLC
Kirkland, WA 98033
We’re your Transitions Specialist,CPA,& Wealth Advisor 5 ops > Collecting $1M+
RURAL SNOHOMISH COUNTY
4/5 Ops > Collecting $600-650K
BAINBRIDGE ISLAND
5 Ops > Collecting $800K
OLYMPIA
8 Ops > Collecting $2.2M
425-216-1612
Transitions Done Right
SM
We bring all of our tools and expertise to bear to achieve your desired transition and through tax and other planning, leaving more of your hard earned value in your pocket.
The Dentist’s Advisor
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 Wealth Advisor
SM
Comprehensive Financial Planning* Wealth Management Investment Management Retirement Plan—CFO Services
General Dental Practice Opportunities SEATTLE (ACQUISITION OPPORTUNITY)
|
*Personal financial planning, Investment & Wealth Management Services provided by Dental Wealth Advisors, LLC a Registered Investment Advisory
Specialty Dental Practice Opportunities EASTERN WASHINGTON
Perio/Implant > Collecting (Inquire)
NORTH SEATTLE
Ortho > Collecting $400K
GREATER EVERETT AREA
Ortho > Collecting $675K
Pending Transitions SNOHOMISH COUNTY [CLOSED]
General Practice > Collecting $583K
REDMOND [CLOSED]
General Practice > Collecting $616K
KENT [CLOSED]
General Practice > Collecting $415K
Don’t miss our upcoming seminar
Mid-Career to Life After Dentistry
incl. Tax Law Updates
October 26 | Bellevue Club Contact jennifer@cpa4dds.com for more information
sam@cpa4dds.com
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mmb@cpa4dds.com
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nate@wealth4dds.com
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karrie@cpa4dds.com
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Jennifer@cpa4dds.com
4 8 · th e wsda ne w s · issue 1, october 2018 · www.wsda.org
Call 425-216-1612 or jennifer@cpa4dds.com us today to see how we can help you!
DG Transitions LLC
The Dental Group
Comprehensive | Professional | Tax Efficient LLC A DENTAL GROUP COMPANY
SERVICES
DENTAL PRACTICE FOR SALE — Great location in Lynnwood. Three operatories, fully equipped, dental office. Dentist is retiring. Contact Dirk at dirk1@msn.com for details.
T R A NSITION SERV ICES — In ser v ing the 11th District of the ADA, Practice Management Associates is committed to providing a level of service that is second to none. We are equipped to position your practice for an optimal transition. It’s never too early to begin planning. Please contact us today for your complimentary consultation. (888) 762-4048 w w w.practicemanagementassociates.org.
G/P PRACTICE FOR SALE IN THE GREATER SPOKANE AREA — Annual collections over $1.33M. Five fully equipped operatories. Digital X-rays and CEREC. 1,800 SF office space with room to expand. Outstanding location with great access to parking. Great signage that brings in over a dozen new patients/month itself. Outstanding collection policy in place. Great marketing system in place. Well-established practice that has been in the same location for over 25 years. Well-trained and experienced staff will continue and assist with the transition. Doctor refers out endo, surgery, and dentures. Great upside for incoming buyer to add these services in house. Hygiene accounts for 52% of total practice production as hygienist place restorations. Contact: Buck Reasor, DMD, Reasor Professional Dental Services and ONMI Transitions. info@reasorprofessionaldental.net or (503) 680-4366. 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. FOR LEASE — Sammamish Plateau Medical/ Dental Suite. 3,300 SF. Growing demographics. Class-A building, good street visibility. Eastlake, Skyline, Eastside Catholic High Schools nearby. 22603 NE Inglewood Hill Road, Sammamish, 98074. Contact Dr. Greg Ogata (425) 829-4858.
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. PROVIDING LOCUM TENENS — for the Seattle and South Sound area. UW graduate, 1-year GPR, ADA, FAGD and 30 years experience. Comfortable with all aspects of general dentistry including pedo, routine molar endo and surgical extractions. Recently relocated to Western Washington. Karl Hunt DDS (509) 999-3178. DAVID K DESIGNS — Affordable dental space planning and design services. Permit and construction plans provided in auto cad format. We guarantee and secure your building permit for construction. Construction costs in the NW have skyrocketed the past few years, We provide designs that meet your budget requirements. Website: www.davidmedicaldesign.com Contact Kelly to schedule a free consultation: (206) 999-3457. EQUIPMENT FOR SALE
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) 5751551.
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 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.
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. See our ad on the inside front cover!
FOR SALE, CHELAN — General practice in beautiful Chelan County, WA, same owner since 1979, consistent annual collections: $700,000, 60 percent OH, largely FFS, digital technology, 3,400 sq. ft., five ops, asking $425,000. Email: FredH@ ArizonaTransitions.com. SERVICES
OFFICE CONSTRUCTION
INTRAORAL X-RAY SENSOR REPAIR/SALES — Repairs with rapid turnaround. Save thousands over replacement costs. We specialize in Kodak/ Carestream, Dexis Platinum, and Gendex sensors. We also buy/sell dental sensors. Call us (919) 2290483 www.repairsensor.com.
th e wsda ne w s · issue 1, october · 2018 · www.wsda.org · 49
MCNA is pleased to be a benefits administrator for the
Washington Medicaid Dental Program serving the State’s Medicaid members beginning on July 1, 2019. MCNA is a provider-centered organization committed to helping dentists serve Medicaid enrollees. We provide dentists with leading-edge technology and superb customer service support to reduce missed appointments and encourage patients to seek timely dental care. For more information, visit us online at: www.mcnaWA.net
classifieds issue 1, october, 2018
OFFICES FOR SALE OR LEASE
first person | counterpoint dr. peter milgrom
Counterpoint: Dental education at the UWSoD
Dr. Peter Milgrom Emeritus Professor of Oral Health Sciences and Pediatric Dentistry
“The current model of predoctoral dental education at the UW is not financially or practically sustainable. The main financial problem is an antiquated and expensive clinical education model that provides students limited experience.”
In the August 2018 WSDA News, Dr. John Evans discussed some aspects of the UW School of Dentistry’s teaching predoctoral program, particularly focusing on small group instruction and clinical fellowships. Both were in contrast to the traditional rote lecture and clinical instruction. Evans is correct that efficiency can be achieved by eliminating traditional lectures, but there is also an opportunity to introduce simulation and other new methods of instruction While the arguments made by Evans are attractive, they ignore the larger picture of the future of dental education. In order to be a university-level program, the school needs to invest in more than predoctoral education. Advanced specialty training, residency training, and research are required. Over more than a decade, the school has increasingly invested its limited resources in predoctoral education, and failed to invest in its other programs. The emphasis on predoctoral education has also resulted in research-trained faculty members being reassigned to more and more predoctoral teaching, and the loss of research-trained faculty. Once one of the top research-oriented dental schools in the world, today the school’s research program is ranked 23rd among U.S. dental institutions.1 Absent the intellectual richness brought by broadly trained faculty, opportunities for our students are limited. School leadership will need to focus faculty recruitment on replacing the key research faculty, where retirement continues to decimate the programs. There is a serious underlying problem. Dental students are increasing at twice the rate of the population.2 Applications are starting to decline nationally, and are likely to drop dramatically if there is a recession. State dental schools like the UW have responded to decreasing state support by increasing tuition and enrollment. Students largely borrow the funds for tuition, and average student debt now exceeds $250,000. Repaying this debt is becoming more difficult, as dentist incomes are declining because of market forces. National studies3 suggest that market forces will cause a reduction of dental graduates and schools, and those schools in research-intensive universities are the most vulnerable. The school needs to reduce DDS class size. The dental delivery system is undergoing transformational change with a reduction in solo practices and a rapid expansion of large group practices, which operate more efficiently and expect all graduates to have much more clinical experience and also residency training.3 Half of graduates today are going into salaried practice.4 Most dental group practices will eventually become part of large integrated medical systems. This integration is already under-way. The UW training and residency programs will need to be developed to address these changes. The current model of predoctoral dental education at the UW is not financially or practically sustainable. The main financial problem is an antiquated and expensive clinical education model that provides students with limited experience. This problem is not limited to the UW. It exists in most of the state-affiliated schools across the U.S. This problem will not be solved by new buildings and or raising Medicaid payments. Instead, in my opinion, we will need to close most of the current UW dental clinics and establish a disseminated model of clinical training, following the model used by the UW medical school. An example is co-location of the dental hygiene clinical program of Seattle College with the Neighborcare Health system. The current UW dental school clinical facilities and buildings are obsolete, and there are no funds to replace them. We have ample evidence that changes around the margins of this system will continue to bankrupt the school. The debts created by the poor choices made over the last decade will never be repaid. In summary, the current dental education system is not financially sustainable, and, increasingly, is not compatible with the mission of major research-intensive universities. A focus on limited changes in instruction without major change will not be successful. The UW, its reputation tarnished by mismanagement and low morale, still has the opportunity to lead the change and begin the integration of medical and dental education. Other dental schools are already moving in this direction. Funds to support the proposed changes will be available for the “early adopters” from the federal government, private foundations, and industry. 1. Rank Listing of NIDCR Grants to U.S. Dental Institutions, FY 2017. https://www.nidcr.nih.gov/grants-funding/funding-to-schools-institutions/ dental-schools/FY2017 2. Bailit HL. How Many Dentists Are Needed in 2040: Executive Summary. J Dent Educ. 2017 Aug;81(8):1015-1023. doi: 10.21815/JDE.017.054. PubMed PMID: 28765446
The views expressed are those of the writer and do not necessarily reflect the opinion or official policy of the WSDA.
3. Bailit HL. The Oral Health Care Delivery System in 2040: Executive Summary. J Dent Educ. 2017 Sep;81(9):1124-1129. doi: 10.21815/ JDE.017.068. PubMed PMID:28864795 4. Vujicic M. Practice ownership is declining. JADA. 2017; 148:690-692.
5 0 · th e wsda ne w s · issue 1, october 2018 · www.wsda.org
The Obvious Choice for Washington Dentists
YOUR WDIA TEAM: Matt French · Kerri Seims 206.441.6824 · 800.282.9342 www.wdiains.com A WSDA Company th e wsda ne w s · issue 1, october · 2018 · www.wsda.org · 51
Washington State Dental Association 126 NW Canal Street, #300 Seattle, WA 98107
PRESORTED STANDARD U.S. POSTAGE PA ID SEATTLE, WA PERMIT NO. 8115
CHANGE SERVICE REQUESTED
Shared strength. Northwest Dentists Insurance Company is now part of The Dentists Insurance Company family. Both organizations share a proud heritage of protecting dentists and a commitment to pursue this singular focus. NORDIC policyholders will continue to benefit from quality coverage and exceptional service — all led by the same Pacific Northwest based management and staff. With director boards of dentists and public members with remarkable industry expertise and business acumen, you can be sure we have our policyholders’ interests at heart. 800.282.9342 | nordicins.com
Endorsed by
5 2 · th e wsda ne w s · issue 1, october 2018 · www.wsda.org