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MEMBERSHIP

Quarterly SUMMER 2018

VOL 16 / ISSUE 5

inside...

The President’s Message Foundation Gala Save the Date Treatment Plan for Financial Health 1111 Har vard Avenue Seattle, WA 98122-4205 206.448.6620 www.skcds.org 2018 SKCDS SUMMER QUARTERLY l 1


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Seattle-King County Dental Society Membership Quarterly Managing Editor: Ms. Sandra R. Anderson Contributors: Mr. Tony Baruffi Mr. Abid Bhatti Ms. Cathy Dahlquist

SUMMER 2018 Volume 16, Issue 5

CONTENTS

President’s Message with Dr. Kirk King ............................................................. 4 Spring Time Fun .............................................................................................. 5 The Director’s Message ..................................................................................... 6 Photos: Co-Sponsored programming Preview 2018-2019................................................ 7 Ms. Sandra Anderson Dr. Chris Jean Welcome New Members .................................................................................. 9 Save the Date: 2019 Foundation Gala Masquerade Ball .......................................10 Cheers with Peers: Last Happy Hour Until Fall ....................................................11 Publisher: Bill Newcomer, BNC Printing & Graphics, Vancouver, WA Treatment Plan for Financial Health................................................................ 12 COMMUNICATIONS COMMITTEE SKCDS News ................................................................................................15 Dr. Shane Ness, Chair Member Profile ............................................................................................ 16 Dr. Victor Barry 2018-2019 Continuing Dental Education ......................................................... 19 Dr. Daniel Geare Co-Sponsored Program in October .....................................................................20 Dr. Molly McIntosh Dr. Christopher Pickel Records Round-Up ..........................................................................................21 Dr. Oleg Shvartsur Exposures with Dr. Al Munk ........................................................................... 22 Dr. Douglas Walsh Dr. Judson Werner THANK YOU TO OUR ADVERTISERS OFFICERS Dr. Kirk E. King, President Dr. Lisa Egbert, President-Elect Dr. Craig E. Neal,Past-President Dr. Rica Mackert, Secretary Dr. Eric Wagar, Treasurer EXECUTIVE COUNCIL Dr. Shane T. Ness, Executive Council 2019 Dr. Noah E. Letwin, Executive Council 2019 Dr. Austin Baruffi, Executive Council 2020 Dr. Imahn Moin, Executive Council 2020 Dr. Elizabeth A. Kutcipal, Executive Council 2021 Dr. Amanda Spivey, Executive Council 2021 Dr. Joe Vaughn, Executive Council 2021 Ms. Cathy Dahlquist, Executive Director Change of Address: To ensure continued receipt of issues, change of address must be reported to: SKCDS Central Office, 1111 Harvard Avenue Seattle, WA 98122-4205, as soon as possible -206.448.6620. Email: skcds@skcds.com The information in this publication is for the exclusive benefit of SeattleKing County Dental Society members. Neither the Society nor the publisher makes any express or implied warranties as to the information herein, including the contents of any advertising. Opinions in the Quarterly do not necessarily express the official policies of the Seattle-King County Dental Society, nor the opinions of the editor, unless so stated. Publications of advertising is not an endorsement, qualification, approval or guarantee of either advertisers or product. For advertising and publishing details, contact: Mr. Bill Newcomer, BNC Printing & Graphics, 503.318.5916, 360.573.1201, bill@bncprinting.com; www.bncprinting.com

Constantine Builders ........................................................................................2 AFTCO Verlin Frickel ........................................................................................8 Katharine Christian DMD - Sleep Apnea and Snoring ................................................9 AFTCO .......................................................................................................... 9 O’Brien Dental Lab .........................................................................................10 Keller ~ Rohrback Law Firm ..............................................................................11 NORDIC ....................................................................................................... 12 WDIA ..........................................................................................................13 Sleep Apnea and Facial Pain Center ..................................................................14 Ann Durham Attorney at Law ........................................................................... 15 Home Owners Club ........................................................................................15 Garde Capital - Tony Baruffi, CFA ......................................................................17 Handpiece Rescue ..........................................................................................17 OMNI Group ..................................................................................................17 Big Sky .......................................................................................................18 Dental Group LLC ...........................................................................................23 Nakanishi .....................................................................................................24

Cover Photos: Top: Young Members at April 2018 General Member Meeting Bottom Left: SKCDS Leaders Right: Dr. Lilly Du and Dr. Ryan O’Donnell 2018 SKCDS SUMMER QUARTERLY l 3


The

President’s Message

We want to give our leadership a good itinerary moving forward through the next 5 to 10 years, while still allowing flexibility in meeting the seeming endless waves of new initiatives, government regulation, and changing political and health care policy landscape. You can be very proud of the ideas that have come up and the constructive way in which your leadership is working together to strengthen your society and continue to provide both value to you as members, and to our community as the voice of dentistry and oral health. In the upcoming months, you may hear from us periodically as we share some of the ideas, goals and planning, and may ask for your input as well. Your voice is important; this is YOUR society.

Dr. Kirk E. King

DEAR DOCTOR By the time you will be reading this, hopefully we will be into our Seattle Summer.

With that said, we also have something to ask of you. Please take advantage of your membership. We have great CE events, fantastic networking social hours, membership meetings (combined CE & networking!), incredible resources for newer grads or those new into practice, experienced and valuable vendor partners, and a great staff that wants to be a resource for you. The depth and breadth of resources is actually impressive and, for the most part, included free in your membership. We realize your time is valuable and scarce, so let the Society show you how we can free up time for you by being a great resource, your “Go To” if you will.

Spring is often a time for change, and your Dental Society has embraced this. Besides the obvious of our annual officer and election changes, we, of course have our new Executive Director, whom Dr. Neal introduced in our last issue. This has really given us an opportunity as a society to look at everything we do, see how the pieces are falling together, and make sure we are meeting the needs of our members. Next steps are simple, read this Quarterly, chock full of information, and plan out your calendar to attend at least one evening membership Your Executive Council and Officers held a retreat in early June to meeting (free CE!), think about registering for one of our incredible initiate discussion of a more strategic plan for the Society moving all-day CE events, ponder which committee you might wish to join forward. The Foundation and Committee Chairs were also present to help shape and guide our future, and finally, reach out and say to give a total overview of where we are at the moment, where we “Hi!” to our staff, or one of your member colleagues at one of our want to be, and how we can get there. networking social hours. The overall resounding theme was clear, we want to make sure we The Society is your oyster, go find the pearl! are always relevant and offer value to our members, while continuing to support our mission of oral health in our community.

Dr. Kirk E. King

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SPRING TIME FUN Changing of the Guard We bid a fond farewell to Jennifer Freimund on May 10. After twelve years of managing the Dental Society, Jennifer retired to relax, golf and travel. The Executive Council sent her off in fine style with a lovely party at Kerloo Cellars in Seattle. Nearly eighty people attended the event including many Past-Presidents of the Executive Council. Food was provide by Delicatus. Pictured below: Past Executive Director, Jennifer Freimund, and new Executive Director Cathy Dahlquist. Pictured above: Jennifer Freimund and Dr. Marshall Titus at the reception.

Leadership Meeting

On May 3, the Society and Foundation leaders gathered for a half-day retreat at the SKCDS office. Committee Chairs were also included, as well as new Execrative Director Cathy Dahlquist, and staff member, Sandra Anderson. The group discussed where the organization is currently at, and what the goals and plans are for the future of SKCDS. There was a lot of sharing of ideas and challenging each other to look strategically at the future of the organization. Pictured at left: Drs. Kal Klass and Joe Vaughn discuss Peer Review. Pictured below: Dr. Chris Delecki (WSDA President–Elect); Dr. Lisa Egbert (SKCDS President-Elect) and Dr. Kirk King (SKCDS President).

2018 SKCDS SUMMER QUARTERLY l 5


The

Director’s Message

Ms. Cathy Dahlquist

There is nothing more satisfying then completing a project. In order to complete a project it is best to have a plan that provides guidance to achieve a specified result. On June 3, 2018 your Executive Council, Committee Chairs and the Foundation Board met for the purpose of establishing a collaborative vision that will guide the organizations for the years to come. Your leaders came together to start the process of creating a Strategic Plan. Strategic planning is important to an organization because it provides a sense of direction and outlines measurable goals. The following are the seven “C’s” of a successful strategic plan: • consensus on key issues and strategies to address them, • commitment to implementing the strategies, • capability building, • communication of priorities, • cooperation among those charged with achieving strategic objectives, and • control of strategic initiatives. Soon you will be receiving a survey, via email and your leadership team wants you to take part by providing input. Hearing from you on the key issues you are facing in the field is the next step in the process of creating the vision. Thank you for your continued membership and involvement by taking a few minutes to reply to the survey so we can begin to gain consensus. I am excited to share with you in the next edition of the Quarterly, the progress your leadership has made toward completing a strategic plan and then the process of implementing your ideas. Bringing your ideas to life, would give us all that feeling of satisfaction and motivate us to complete the next project. It is an honor and privilege to work for an amazing group of professional entrepreneurs.

Cathy Dahlquist 6 l 2018 SKCDS SUMMER QUARTERLY


Co-sponsored Programming Preview 2018-2019 For more than seven years, SKCDS has been collaborating with other local, dental organizations to bring high quality, national speakers to the Seattle area. Whether you come by yourself, or bring your team, these “mini conferences” are fun, educational and empowering. On March 1, 2019, SKCDS will collaborate with the University of Washington and the Snohomish County Dental Society to welcom Karen Baker back to Seattle. Ms. Baker is on the faculty of the University of Iowa Dental School. She will present on Homecare, Herbals and the Prescription Opioid Crisis: What You Need to Know Today at the Lynnwood Convention Center from 8:30am - 4:30pm. You can earn 7 credit hours for this class. Healthcare products – both over-the-counter and pharmaceuticals – are constantly changing. Manufacturers claim great results and get your patients’ attention through advertisements and social media posts. How do you stay up-to-date? A patient comes in using the latest whitening toothpast or claiming an herbal supplement has worked wonders – do you know how effective or harmful these may be? How do you stay current on the best methods for dental pain management, and what are the best practices considering the current opioid crisis? With so many new dental products on the market, patients ask for and need your professional guidance now more than ever. Are antioxidants, polyphenols, xylitol, edathamil, melaleuca, oil pulling or chlorine dioxide worth your recommendation? We’ll compare manufacturer claims with available evidence. An extensive and very current handout that will help you design optimal homecare regimens based on patient specific factors will be provided. The resurgence of alternative medicine has produced confusion and conflict among dental professionals and patients alike. During this program, we will discuss the dental treatment impact of popular systemic supplements as well as the effectiveness of nutraceutical products promoted for treatment of oral diseases such as caries, mucositis, gingivitis and periodontitis. We will conclude by discussing reliable information sources and step-wise strategies for evaluating and managing patients using or considering the use of nutraceutical oral health products. A practical and detailed handout will be provided to allow participants to apply this information to their practice. Over promotion and over prescribing of opioids has contributed to the current public health emergency we face in the U.S. Dentists write 10% of the opioid prescriptions but generally prescribe very few tablets per prescription. To what extent are we contributing to the development of opioid Substance Use Disorders and how can we modify our prescribing behaviors to minimize patient risk? We will outline specific strategies designed to identify the safety of prescribing opioids based on individual patient characteristics. Patient education on safe pain relief will also be reviewed. Extensive and very current handouts will be provided to maximize the chairside value of this vitally important information. COURSE OBJECTIVES: After attending this full day course and reviewing the handouts, the participant should be able to: • Recommend a mouth rinse based on patient factors such as xerostomia and caries risk. • Select an “alternative” homecare product line based on effective ingredients and reasonable manufacturer claims. • Select specific nutraceutical oral health products with reasonable claims and safe ingredients. • Evaluate and rate the effectiveness of nutraceutical products for microbial and non-microbial mucositis, caries, gingivitis and periodontitis. • Recognize the role of the dentist in contributing to the current public health emergency related to opioid abuse. • Discuss the benefits and risks of specific pain control regimens for effective dental analgesia. Karen Baker has been on the Dental College faculty at the University of Iowa for 36 years and occupies a unique role in dental practice and education. She is a clinical pharmacist with a Master’s degree in clinical pharmacology and therapeutics. Her focus is on patient-specific dental drug therapy. She has given well over one thousand programs nationally and internationally. Additionally, she holds memberships in many dental and clinical pharmacology and therapeutics organizations. Her dental education-based pharmacy and drug therapy consultation center is the only one in the United States. Ms. Baker has authored more than 50 articles and abstracts and lectures extensively in pre-doctoral and graduate courses at the University of Iowa. Like the previously mentioned classes, this one will include continental breakfast and lunch in the price. There will be a “vendor fair” with numerous vendors participating, and parking is readily available, sometimes at a reduced price. These classes are always popular and the prices go up as we get closer to the event date. Make your reservations early for the best prices and availability, by contacting the Seattle-King County Dental Society at 206.448.6620 or online at www.skcds.org. 2018 SKCDS SUMMER QUARTERLY l 7


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Please welcome our new members APRIL Dr. Yelena Akselrod Dr. Griffin Guess Dr. Brenda Huynh Dr. Kyung Lee Dr. Wen Jia Li Dr. Audrey McNamara Dr. Randolph Nartea Dr. Marcus Rhodes Dr. Paula Stepp Dr. Tina Harleen Subherwal Dr. Nick Tanner Dr. Igor Tverskoy

MAY Dr. Rania Abasaeed Dr. Rattanjit Bains Dr. Anahita Gupta Dr. Yunhee Jo Dr. Patrick Kennar Dr. Patricia Kho Dr. Soo Hyun Kim Dr. Viet Le Dr. Kunal Narang Dr. Lisa Park Dr. Kathleen Saturay Dr. Diane Tung Dr. Christopher Tung

JUNE Dr. Michelle Ament Dr. Veronica Bello Dr. Raymond Chan Dr. David Cheng Dr. Ahmed H. El Zawi Dr. Matthew Tanner Dr. Dale Travis

Members of SKCDS are encouraged to invite non-member dentists who are practicing in King County to join the Dental Society. A quick call to the WSDA Office at 206.973.5210 is all that is needed for them to apply for membership at all three levels: Seattle-King County Dental Society, Washington State Dental Association and the American Dental Association.

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SKCDS Summer 2018.indd 1

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2019 Foundation Gala

Masquerade Ball! Get out your glittery masks for the Masquerade! Picture Andrew Lloyd Webber’s beautiful masquerade ball in “Phantom of the Opera”. A little mystery, a little glamour and a lot of fun! Join in the mystique as we fill the Fairmont Hotel with a night of fundraising, fond friendships and fantastic food! John Curley will entertain the crowd during the live auction. Save the date for the best social and giving event in the dental community at the Seattle-King County Dental Foundation Masquerade Ball on March 8, 2019. The gorgeous Fairmont-Olympic Hotel will be the venue for this incredible evening. Gather your friends, colleagues, study club members, or school friends, and purchase a table of ten. What could be better then friends gathering for fun and collegiality, all in the spirit of helping our community? Start to plan your evening of social revelry and mystery! More information will be forthcoming so check out website and e-newsletter for details.

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CHEER WITH PEERS: LAST HAPPY HOUR UNITL FALL Sam’s Tavern was the perfect location for our last Happy Hour for the season. Bank of America sponsored this gathering and the weather was ideal. Member’s enjoyed the warm spring evening on the patio at this fun South Lake Union venue. We had a great mix of “experienced” dentists along with some recent graduates, and everyone in between. Dr. Dzuy Nguyen even brought his son, who is applying to UW SOD, just so he could see how great SKCDS events are! Thanks to our sponsors and everyone who came out. We look forward to more, multi-generational Happy Hours again in the Fall.

2018 SKCDS SUMMER QUARTERLY l 11


Treatment Plan For Financial Health In today’s fast paced world, oral health does not just happen. Eating on the go, foods loaded with sugar and salt, stressful work schedules and busy families conspire to cause smart, successful patients to fail when it comes to taking care of their teeth. Preventative measures that might take 10 minutes per day become a burden, and all of the sudden a well-meaning patient is staring at a large, expensive oral health problem. Just as a well thought out treatment plan goes a long way in securing a successful outcome in dentistry, the same is true of your finances.

recommendations apply to every dental professional’s situation. Above all, each recommendation will help give clarity of thought to help gain confidence in a more secure financial future. We have organized our recommendations into phases, with each phase loosely corresponding to when the actions should

When trying to achieve financial health, one of the biggest challenges we hear from dental professionals is that they do not know what a good plan for their finances should look like. To help solve this problem, our expert team of professionals have laid out a treatment plan that lays out what should be considered when making take place in ones’ career. Regardless of where you wealth decisions. Some of the recommendations are in your career, you should make sure that your are easier to implement than others, and not all the plan addresses the each of the five phases below.

Phase 1: Wealth and Income Protection The first phase is focused on protecting wealth and the value of your business. Your plan should focus on ensuring that your wealth is protected against catastrophic losses, identity fraud, and extended illness or disability. Issues that should be addressed include a will, power of attorney, and insurance. Phase 2: Wealth Enhancement Financial viability and growth can best occur when a well thought out plan is in place. The wealth Enhancement phase is focused on maximizing cash flow by addressing tax planning issues as well as reducing debt costs. Other factors that the plan will address include accumulation of personal savings as well as funding educational costs. Retirement plans should also be considered to reduce the amount of taxes paid over a lifetime. Ultimately, the plan should simplify your financial (continued on page 13)

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life by helping you understand the specific things Phase 4: Succession Planning you need to do in the short term in order to achieve your long term financial goals. Retirement may require a series of important decisions to be made about how to phase out or Phase 3: Wealth Plan Discipline sell a practice. Implementing a plan early in a career can have many benefits. Planning makes Once the plan is in place, the challenge is to it more likely that you will sell your practice at an manage emotions and maintain discipline to optimum time and gives your patients and staff achieve your financial goals. Having a written the confidence to remain with your practice during plan enables you to avoid letting fear or greed an orderly transition. Even if the decision is made sway your judgement. The plan should take into to just turn out the lights and walk away there are account future volatility in the financial markets, still critical choices to be made which will impact which are extremely difficult to predict. For your retirement. Whatever the case, a plan must example, the birth of a second child would likely lead to a change in your plan, while volatility in the stock market due to politics or global events would generally not lead to a change in the plan.

address the legal and financial decisions that must be made in order to have a smooth transition to retirement. Planning should include preparations to realize personal dreams such as travel or personal needs such as long-term health care. The most important way to help you stay disciplined and on track is to have a well thought out plan and a comprehensive process to execute the plan. Navigating the financial markets is a challenging task, especially while trying to run a successful dental practice. The intricacies of building a plan that considers investments, estate planning, (continued on page 14)

Having a plan to save on a regular basis and dollar cost averaging into retirement is generally the biggest factor in successfully meeting your financial goals. Reviewing your plan annually will help you evaluate your progress, seize opportunities and evaluate options to meet your goals.

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of success. Take the time to make sure that each of your experts are in touch with one another. If tax strategies, business transition, and wealth possible, conduct a stress-test of your plan on a protection can make coordinating it all a difficult regular basis to identify any weaknesses in your job. Often, dental professionals will choose to get plan before something happens to you or your assistance from a variety of professional advisors practice. By following a well thought out plan such as CPAs, personal attorneys, insurance for success while being supported by a team of specialists and an array of investment advisors and experts, you too can achieve financial health. consultants, but rarely do they work collaboratively Tony Baruffi CFA is a wealth manager at Garde to put together an integrated plan. Capital Inc. He focuses on providing wealth management solutions to successful dentists and their Phase 5: Wealth Transfer families in the Pacific Northwest. Together with his Proper estate planning is the most effective way partners, Tony helps affluent clients address their to help ensure that you are able to provide for five biggest concerns: Preserving and growing their the financial health and well-being of your family. wealth, mitigating taxes, taking care of their heirs, Depending on your needs, you may decide to ensuring their assets are not unjustly taken, and bring in other experts such as valuation specialists charitable giving. Tony also works as a fiduciary or charitable giving specialists to address specific to aid dental practices in managing their 401(k) plans effectively to meet the sponsors’ and their issues. participants’ needs.Tony is a Chartered Financial Analyst and is a member of the CFA Society SePutting it all together attle. Your investment portfolio is only one aspect of your whole financial picture. No matter what Disclaimer: We welcome articles from, members and other experts on topics or treatment philosophies having to do with phase you are in, working with a team of experts the practice of dentistry. These pieces do not represent the in a coordinated fashion will improve your chances opinion of the Seattle-King County Dental Society, nor is the (continued from page 13)

Dental Society advocating that you follow any recommendations offered here. Rather, we seek to encourage thought and discussion among our member dentists. We welcome any letters to the editor in response to this feature; and, even more we would welcome articles on other topics you think maybe be of interest and are willing to submit. The Communication Committee reserves the right to edit or not publish any submissions. This article is not, and should not be regarded as, investment advice or legal or tax advice regarding any course of action.

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NEWS

Mark Your Calendars

On the evening of Thursday, August 9, the SKCDS delegates to the Washington State Dental Association’s House of Delegates (HOD) will meet. They will review the resolutions that the House will consider during its September 20-22 meeting in Tacoma. Seattle-King has 22 delegates to the House, and they would very much like to hear our members’ thoughts on the various topics and concerns. Resolutions can cover a wide range of concerns such as a discussion of legislative initiatives in the upcoming legislative session, corporate dentistry and a host of other issues. Won’t you join us for this free meeting at 6:30 pm on August 9th? The meeting will be held at the SKCDS office on Capitol Hill. Parking is available. Please RSVP at 206.448.6620.

Clinic at Key Arena

We are gearing up for our fifth Seattle King County Clinic being held at the Key Arena from Thursday, September 20 through Sunday, September 23. This event is coordinated by the Seattle Center Foundation, and SKCDS is happy to assist. While a lot of you have already volunteered, many folks are still needed. Bring your team or bring a UW SOD student to assist you. Specialists can volunteer as triage dentists. Parking and food are provided for all volunteers, and you can earn CDE credits for volunteers hours. If you are interested and available, please go to http://seattlecenter.org/volunteers/ to sign up today!

WSDA Mentor Reception Program

Sign up to mentor a UWSOD student through the WSDA Mentor Program this fall! Mark your calendar now for the 2018 Mentor Reception on Thursday, October 11. Look for more information, including the program sign-up and reception RSVP, from the WSDA this fall. October 11, 2018, 6:00-8:30 PM Touchdown Terrace at Husky Stadium

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MEMBER PROFILE

Eric Wagar My name: Eric Wagar 1. Childhood ambition: To become a professional tennis player. 2. Fondest Memory: Going to the U.S. Open tennis tournament in high school. 3. What was your first LP or CD? Pearl Jam, when I was 12 years old. 4. Wildest Dream: To watch Roger Federer at Wimbledon. 5. Proudest Moment: Finishing dental school. 7. First Job: Mowing lawns. 9. Last Purchase: Apple Watch. 9. Biggest Challenge: Speaking in front of large groups. 10. Favorite Movie:

The Sandlot.

11. Which living person do you most admire? My brothers. 12. What is your greatest extravagance? Traveling to places I’ve never been before. 13. What do you dislike most about your appearance? Getting older . 14. Which talent would you most like to have? I’d like to have some musical talent. 15. What is your most treasured possession? My tennis racquets. 16. What do you most value in your friends?

Honesty and loyalty.

17. Who is your favorite hero of fiction? Harry Potter. 18. Who are your heroes in real life? 16 l 2018 SKCDS SUMMER QUARTERLY

My Parents.


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2018-2019 Continuing Dental Education Planning is Underway The Program Committee, and staff, are busy planning an exciting and helpful series of continuing dental education offerings for the upcoming year. Recognizing that resources are always tight, we are focused on courses that will help you provide new patient services or carefully manage your resources. Here’s a brief preview of what we’re offering—with more details to come as we finalize our speakers and locations. For now: mark your calendars! Friday, October 26, 2018 All-day class with Dr. David Clark. Dr. Clark will address restorative issues at the Emerald Queen Conference Center in Tacoma. Earn 7 CDE credits. See page 20 for more details on this class and information on how to register. Friday, November 2, 2018 Are you a possible buyer? What about selling? Get the details on the transition process and earn four CDE credits! Seattle-King County Dental Society and Bank of America Practice Solutions’ practice financing expert, Luke Kapper, are pleased to announce the sixth annual Dental Transition Seminar. Your local dental specific experts will be there to provide insight on your dental transition! It is a great opportunity to learn in an interactive environment. Location to be determined. Tuesday, November 13, 2018 A well-known, local speaker will be presenting information on pediatric dentistry and airways in children. Stay tuned for more details on this General Member Meeting. As always, General Member Meeting are free and include dinner. Tuesday, January 14, 2019 Join us for a panel discussion on Compliance and DQAC rules and regulations. This General Member Meeting includes dinner and you can earn 2 CDE credits. Tuesday, February 11, 2019 Concerned about what people will see when they “Google” your practice? Join us for a General Member Meeting when we will look at Social Media presence and how to manage your Yelp reviews. All general Member Meetings are free and include dinner and 2 CDE Credits. Friday, March 1, 2019 All-day class featuring Karen Baker. This program will look at pharmaceuticals, what works and what doesn’t! See page 5 for more details and how to register. Tuesday, April 23, 2019 It will be the “State of the State” update! We’ve asked the WSDA President-Elect, Dr. Chris Delecki, the WSDA executive director, Bracken Killpack and several other folks to join us for an update. Get an overview of the 2019 Washington State Legislative session, and how organized dentistry is advocating for member dentists. In addition, we will be installing our 2019-2020 officers and honoring our life members at the General Member Meeting. Additionally, we are working on a joint program with the WAGD (full day) with topic TBD; and we hope to have details to you soon. Our Program committee deserves a lot of credit for their contribution of time and ideas. Our thanks to: Drs. Danny Tremblay, Jansen Richins, Kirk King, Lee Zamos, Steve Carstensen, Steve Albright, Tim Hess and Tofunmi Osundeko. Keep an eye on our website (www.skcds.org) and our future mailings for final details. We hope to see you at these programs! 2018 SKCDS SUMMER QUARTERLY l 19


Co-sponsored Programming in October! Mark your calendar for the first all-day class of the program year. It’s “back to school” on Friday, October 26, 2018! The Pierce County Dental Society, University of Washington and the Seattle-King County Dental Society welcome Dr. David Clark to the Emerald Queen Conference Center in Tacoma. Dr. Clark will be presenting on restorative trends, composites and the latest in other products .This seven credit class will be held from 8:30 – 4:30 and will include continental breakfast, lunch and a vendor area. Dr. Clark received his DDS from the University of Washington School of Dentistry. He founded the Academy of Microscope Enhanced Dentistry, an international academy formed in 2002 to advance the art and science of microdentistry, microendodontics, microperiodontics, and dental microsurgery. He is a course director at the Newport Coast Oral Facial Institute. Dr. Clark has developed a matrix and composite delivery system, the Bioclear Matrix System, which promises a real advancement for direct composites. Dr. Clark has authored numerous articles including the first comprehensive guide to enamel and dentinal cracks based on 16-power magnification in the peer-reviewed Journal of Esthetic and Restorative Dentistry. He co-authored chapters on “Contemporary Molar Endodontic Access” in Dental Clinics of North America, as well as chapters regarding aesthetic composite dentistry in soon-to-be-published textbooks. He is on the editorial board for several journals and lectures extensively to international audiences. Dr. Clark also frequently lectures at and is the founder of the Bioclear Learning Center, a facility designed by Dr. Clark specifically for high-quality, small class size continuing education dentistry courses. Registration will be available online, or by calling the SKCDS office at 206.448.6620. To check on all of our classes and events for 2018-2019, please go to the SKCDS website at skcds.org.

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Records Round-up - Taming the 3 Rs: Recording, Regulation and Retention Yee-haw! Welcome to the Records Round-up. Just like herding them doggies out on the range so it is with dental records - they have to be wrangled up, branded, and sent to the right pasture. As a member benefit, we provide the following professional resources to help our members as they saddle-up to tame the 3 Rs of Dental Records Management: Recording, Regulation and Retention.

ADA Website - www.ada.org

Here you will find information on each of the 3 Rs plus additional resources aimed at keeping your practice in compliance. Of special interest is the following Dental Records document: http://www.ada.org/sections/professionalResources/pdfs/dentalpractice_dental_records.pdf This publication provides helpful information but state and federal laws or regulations should be reviewed to determine specific rules regarding dental records.

WSDA Website - www.wsda.org

Here you will find a regulatory “FAQ” section that addresses Retention. Per the WSDA website: “Both the state and federal governments have laws on healthcare record retention, but the federal law supersedes the state law. The Health Insurance Portability and Accountability Act (HIPAA) requires that all dental records be kept for at least six years after the patient’s last visit. Although the law only requires patients’ records be retained for six years, some liability experts recommend that dentists keep records longer. A rule of thumb that is commonly used is the “6-10-21 years” rule, which suggests that dentists keep patients records at the following durations: six years after the death of a patient, 10 years after a patient’s last appointment if you are no longer their dentist, and 21 years from the date of a patient’s birth if you stop seeing that patient when they’re still a minor. “

Insurance Providers

Check with your professional liability and business owner’s insurance company for risk management advice applicable to records management.

Other Helpful Sites

Dental Quality Assurance Commission (DQAC) – FAQ’s - www.doh.wa.gov/licensespermitsandcertificates Occupational Safety and Health Administration (OSHA) - www.osha.gov Washington Administrative Code (WAC) - http://apps.leg.wa.gov/wac WA Department of Health - Health Professions Quality Assurance - www.doh.wa.gov Washington Industrial Safety and Health Act (WISHA) - www.lni.wa.gov/safety We hope the resources cited above aid in your endeavor to protect patient information through appropriate records management.

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EMOTION By Al Munk DDS There is a line in the movie “A League of their Own” voiced by is crashing down upon you. I don’t remember the last time I Tom Hanks. He is the manager of an all girl’s baseball team back in cried, except during a movie about a dog or something. Once at the 40’s. One of the girls makes an error on a play and comes back the office, I went looking for my dental assistant. I am no practice to the dugout and starts crying. Tom Hanks issues the classic line management expert, “There is no crying in baseball”. It made me think of substituting but I think commonly, “Dentistry” for the word “Baseball”. We’ve all had days at the office the dental assistant when we wanted to sit down and cry over a procedure that is not should be close at going well, or a patient hand to help the or staff member that is dentist. I found her driving us crazy. But sitting in my private instead, for better or office chair crying. worse, we suck it up and I wanted to give her get right back on the horse. The show must go on. the line about crying and baseball, but I Few laymen understand the pressures of dentistry. Trying to do thought better of it. precise work in a dark, wet hole on a wiggly person, thinking all the After a few questions to her, I was no closer to a resolution of this while that some future dentist is going to point out what a hack you immediate problem, so I sent her home—perhaps the cowards are to the patient. These pressures have driven many a practitioner way out. Having a wife and daughter for almost 40 years, I am to drink or worse. We are never off duty in this profession. As I definitely no better at solving this sort of problem then I was that write this on a beautiful Sunday afternoon, I get a call from a patient day. who has a swollen face. There are many things I would rather do than go down to my office by myself and deal with this problem. To relieve stress from dentistry, we often seek out leisure activities that give us pleasure, and perhaps burn off some of the I taught for many years at the dental school. My class was the last stress generated by work and family life. I have played golf since all male class which was over 40 years ago. Dental school has its I was a kid, and have always gotten pleasure from whacking that own special problems which create stress in the students. Learning ball in random directions. One would think that emotion would the technical skills necessary to become a safe, successful dentist not be a big part of the game of golf. Wrong. Talk about going were some of the hardest things I have ever done. Then somehow, from the frying pan to the fire, there seems to be more emotion they expect you to start executing these skills on a living, breathing around golf than just about anything else. There are sports human. How is this even possible? Then, to make matters worse, psychologists writing books on the subject. I have not witnessed you may have an instructor who moonlights as a jail warden to hone crying on the course, but just about everything else. There is their skills at degradation. And yet, there is no crying allowed in anger, grief, frustration and bewilderment. And we only play for dental school, at least not by the dental student. If we could only 50 cents a hole! Then if gets real bad when two members of screen students for the ability to withstand stress, the dental world your playing group get mad at each other over some trivial thing would be a better place. We need students who are able to fail and like sneezing in a backswing, and you have 3 hours of road rage get right back on the horse to ride again. I have no idea how to to brighten your day. And this is supposed to be my fun time to screen for this skill. relieve the stress of home life and office life?

EXPOSURES

I am not very emotional. My wife can verify this statement if necessary. This is both a strength and a fault. It is a useful strength That’s all for now from Ballard. The views expressed are those of the writer and do not necessarily reflect when the sky is falling at the office or at home, and the whole world the opinion or official policy of the Seattle-King County Dental Society.

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