WSDA News ISSUE 8 2018

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WSDA t gus · au e8

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The voice of the Washington State Dental Association

news

REPRESENTATIVE MICHELLE CALDIER

Also in this issue: HOD Candidates th e wsda ne w s · issue 8, august · 2018 · www.wsda.org · 1

2018 CITIZEN OF THE YEAR

PREMIER BUILDERS DENTAL FACILITIES

Constantine Builders has built its business foundation on the ability to establish relationships based on trust, dependability, quality craftsmanship and integrity. We always put the client’s needs first with the firm belief that the best source for future business is satisfied clients.

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 8, august 2018 · www.wsda.org

2018 Citizen of the Year Representative Michelle Caldier seen here donating dental care in Jamaica

WSDA news Cover story photos by Adam Berman UW News photos by Craig Mitchelldyer

4 editorial

5

guest editorial

33

nordic news

hod news

35

in memoriam

6-13

issue 8 · august 2018

14-21

cover story

37-45 classifieds

22-24

wdia news

42

clinical corner

25

legal news

46

first person: dr. stephen lee

26-31

uwsod news

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

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

Continuing Education and Events Coordinator Rachel McFarlane

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

WSDA Staff:

Membership Ser vices Coordinator Rachel Gunderson

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

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

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

Director of Government Affairs Mellani McAleenan

Fax: (206) 443 -9266

Director of Operations Brenda Berlin

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

Toll Free Number: (800) 448 - 3368

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

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

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

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

98107. ISSN 1064-0835

Member Publication American Association of Dental Editors.

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

table of contents issue 8, august 2018

a day in the life

editorial dr. john evans

Teaching dentistry: What works and what doesn’t

Dr. John Evans WSDA Editorial Advisory Board

“Human beings, even bright ones, cannot absorb, learn, consume, memorize—choose your verb­—facts delivered rapid fire, for more than about twenty minutes. After that the facts start to bounce off and the efficiency of instruction drops off rapidly.”

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.

Several years ago the faculty of the University of Washington revised the pre-doctoral curriculum for three basic reasons. First, the Standards established by the Committee on Dental Accreditation (CODA) changed. It was clear that the old curriculum was inadequate if ADA accreditation was to be maintained. Second, the curriculum was rigid and difficult to change. Parts of it were outdated and in need of revision. Third, methods of teaching were changing all around us and we wanted to modernize our pedagogy. The question became: Where do we start and how do we revise of such a complex system? It was decided that tinkering around the edges would be insufficient and confusing, so, we revised all four years.

Let’s start with this premise: Dental and Medical educators, for years, have recognized that in order to produce clinical experts we must provide our students with a large knowledge base and as much clinical experience as we can. Students spend a lot of time and a lot of money acquiring both.

The knowledge base consists of many inter-related facts from the biomedical and clinical sciences and is gained through didactic instruction and study. Clinical experience must be acquired through closely supervised patient care. There is no substitute. Simulations have clear and obvious limitations. While there are many clever inventions marketed to simulate clinical care, they can take us only so far.

Since real, instructive patient care takes time and the participation of an expert dental preceptor, a student and a patient in a fully functional clinical setting it is difficult to accomplish quickly and inexpensively. An instructor to student ratio of about one to four or five is optimal.

Efficient didactic instruction is, therefore, mandatory if we are to produce safe and effective clinicians in just four years. Our pedagogy must be state of the art. We have bright, motivated students so it is up to the faculty working in an academic institution to provide efficient, comprehensive instruction. The question is then, how do we help students build the required knowledge base in four years?

Didactic instructional efficiency may be defined as the effective and timely transfer of knowledge from instructor to student. It is not efficient to present fact after fact, principal after principal, to students in a large lecture hall and expect those students to collate, memorize and subsequently apply in clinic, what they hear out of context as part of a group of sixty—or a hundred—other students.

Three elements of modern pedagogy come to mind. First, we know, and any experienced teacher knows, that small group instruction—seminars, if you like­—works better than methods that primarily rely on lecture halls filled with many students and one instructor.

Even truly gifted teachers have trouble transferring clinically relevant knowledge efficiently to more than 20 students at a time in this traditional setting. The new curriculum at the School of Dentistry was constructed to maximize the use of small group instruction.

Second, human beings, even bright ones, cannot absorb, learn, consume, memorize— choose your verb­—facts delivered rapid fire, for more than about twenty minutes. After that the facts start to bounce off and the efficiency of instruction drops off rapidly. This is an argument for mini (twenty minute)-lectures followed by small group discussion. The new curriculum at the School of Dentistry seeks to take advantage of this method of instruction whenever possible.

Third, the clinical and biomedical sciences are best taught in context. For instance, if we are seeking to teach the pathophysiology and clinical implications of a recent myocardial infarction to a student, is there a better context than in a dental clinic with an expert clinician talking directly with a patient and a student about cardiovascular disease and risks of proceeding with dental care? This is efficient instruction because the student is presented with information in a clinical context and they will think of this patient and this conversation when they treat similar patients in the future. They remember the facts because they file them in their memories in a way that makes them immediately available when they see other heart patients. Because patients are now living longer with heart disease, this aspect of dental care has become quite important.

The clerkship model at the School of Dentistry—the third year of dental school—provides small group, didactic instruction followed immediately by clinical experience, followed the same or the next day by more didactic instruction, etc. This is the most likely explanation for scores in the top 5 percent nationally on part two of the national board examination and a school ranking of third, surpassed only by the University of North Carolina and the University of Michigan.

Since we cannot rush through or skimp on clinical instruction, we must accept that this component of dental education will take time. And the more time we devote to clinical instruction, the better. We must, therefore, be as efficient as possible in teaching the didactic components of dental education. The external measures available at this time would seem to indicate that we have been successful to a considerable degree. With further refinement, the best in the nation is within reach.

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While much attention is appropriately paid to legislative activities in Olympia, rulemaking that occurs just a few minutes down the road in Tumwater has the same or greater ability to impact the way dentists care for our patients and run our practices.

As former commissioners, we fully understand the important responsibility of serving on the Dental Quality Assurance Commission (DQAC). Protecting the public’s health and safety is our primary duty, and the commitment to serve on the commission is a significant one. When serving as commissioners, we remained practicing dentists, who, like you, sought to provide the best quality care to our patients while also trying to run a successful practice. For some who currently serve on DQAC, this dynamic prompts them to be mindful of the balance that must be struck between ensuring practices are safe and remain viable businesses.

Unfortunately, some current commissioners are not as mindful of this balance, and have displayed behaviors that suggest decisions based on logic and practicality have become secondary to those based on emotion. Decision-making based on emotion can greatly complicate the dental rulemaking process, especially when coupled with a lack of strong scientific evidence or a consideration of implementation feasibility or associated costs.

At first blush, any regulation by itself sounds good. Why shouldn’t we wholeheartedly support better care and improved quality?

The problem is, we are already drowning in regulations. Arguably, the busiest commission in terms of rulemaking these days, DQAC is currently considering modifications to several dental rules that will significantly impact how you practice and your ability to remain a successful practice. For example, in order to comply with the many requirements of the proposed infection control rule, dentists could be looking at a hefty price tag. Add that to the anticipated costs of DQAC’s proposed on-site inspections for dentists with moderate sedation with parenteral agents or general anesthesia permits. On-site inspections by an approved organization could cost upwards of $20,000.

And if that doesn’t seem daunting enough, DQAC is also tossing around the idea of requiring general dentists to “recertify” every 10 years by undergoing an extensive “competency” assessment. We are unaware of any other state in the nation requiring this.

Where does it stop?

Regulations such as these force dentists to spend ever-increasing amounts of time and money for what may be de minimis or non-existent improvements in care. Every new regulation needs to be considered in respect to its marginal benefit to patient care and its marginal resource cost. Increasing costs reduces access to care; if the marginal benefit of a regulation does not exceed its reduction in access to care then it shouldn’t be enacted.

Not only are the potential impacts of the pending rule changes listed above unnerving, but so is the recent lack of time and consideration given to stakeholder comments in rulemaking. Earlier this year, when the proposed opioid prescribing rule — a pared-down 20-page document — came before the commission for review, it was clear there was no intention of discussing the numerous stakeholder comments submitted. Even worse, over the course of the meeting, it became apparent that the majority of the commissioners had not thoroughly reviewed the rule itself, much less the comments received.

Ignoring stakeholder input is alarming for many reasons, but at the most basic level it shows that some commission decisions are being made in a vacuum. And, while stakeholder comments are solicited, as required by law, there is minimal consideration being given to dentists and other stakeholders who take time out of their busy schedules to provide the commission with thoughtful comments.

Rulemaking of this nature is simply unacceptable. There needs to be less of an “us vs. them” mentality, more collaboration between commissioners and stakeholders, and a recognition that raising concerns about the unintended consequences of a burdensome regulation does not equate to putting patient safety on the backburner.

As dentists and as commissioners, we share a common goal: providing optimal care to our patients. We cannot forget that. As we move forward, let’s adopt rules that make sense and enable us to deliver the best care possible, without being bogged down in a sea of unnecessary, expensive, and potentially counterproductive red tape.

These former DQAC Commissioners penned this guest editorial: Dr. Karim Alibhai Dr. Todd Cooper Dr. Bryan Edgar Dr. Karen Homitz Dr. Bruce Kinney Dr. Mark Koday Dr. Lorin Peterson Dr. Andrew Vorono

“The problem is, we are already drowning in regulations. Arguably, the busiest commission in terms of rulemaking these days, DQAC is currently considering modifications to several dental rules that will significantly impact how you practice and your ability to remain a successful practice.”

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 It’s time for a reset at DQAC

It’s time for a reset at DQAC

2018 hod information hod news

T A C O M A

2018

wsda house of delegates

september20-22

t a c o m a , w a s h i n g t o n

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The following elective positions are to be filled at the 2018 WSDA House of Delegates meeting: Committee on Budget and Finance: One position, four-year term

Board of Directors: Four positions, three-year terms

Delegates to the ADA House: Three positions, three-year terms

RESOLUTION SUMMARIES REGULAR BUSINESS

2018 RESOLUTIONS

The following resolutions are submitted every year as part of the regular business of the House of Delegates HD-01-2018 Rules for the House of Delegates – September 2018

Establishes the rules for the 2018 House of Delegates. Submitted by the President.

HD-02-2018 Committees and Parliamentarian for Annual Meeting of House of Delegates - September 2018

Names members of Credentials Committee, Rules and Order Committee, and appoints a parliamentarian for the House of Delegates. Submitted by the President.

HD-03-2018 Acceptance of WSDA Audit For the Year Ending September 30, 2017 Submitted by the Committee on Budget and Finance.

HD-04-2018 WSDA 2018/2019 Budget

Proposes the operating budget for 2018/2019 fiscal year. Submitted by the Committee on Budget and Finance.

HD-05-2018 WSDA Dues for 2019 (Bylaw Amendment)

Proposes a schedule of dues. Submitted by the Committee on Budget and Finance.

HD-06-2018 Nominations for Elective Office

Submits names for nomination for offices indicated in the resolution, with the understanding that further nominations can be made from the floor. Submitted by the Task Force on Nominations.

HD-07-2018 Location of the 2021 House of Delegates

To be proposed by the Committee on Budget and Finance.

HD-08-2018 WSDA Legislative Agenda for 2019

Reaffirms the policy in determining its annual legislative agenda, and adopts legislative positions in preparation for the 2019 session of the Washington State Legislature. Submitted by the Committee on Government Affairs.

HD-09-2018 Staff Recognition

Establishes which staff members will be honored at the 2018 HOD per HD-10-2015.

HD-10-2018 Nomination for Honorary Membership

Calls for Ms Cheryl Jenkins, who has served as Executive Director of the Pierce County Dental Society since 1998 to be nominated, after 20 years of service, for honorary membership in the Washington State Dental Association.

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The following resolutions were submitted by various entities.

If passed, these resolutions will be added to the WSDA’s legislative agenda.

HD-11-2018 Dental Insurance the Works

Enables dentists, physicians, pharmacists, and other health care providers to choose the method by which they are reimbursed by insurers would allow for the fair treatment of dental insurance. Requires all insurance companies to provide an EOB with each reimbursement indicating patient name, date of service and procedure of patients.

HD-12-2018 Ensuring Dental Benefits for Patients

Prohibits a dental service contractor from denying payment of a patient claim that has prior authorization.

HD-13-2018 Policy for WSDA Endorsement for Dental Professional Liability Programs Calls for a request for information process prior to determining which professional liability program the WSDA chooses to endorse.

open positions, resolution summaries

President-elect: One year and three years as ADA Delegate

hod news

OPEN POSITIONS

hod news candidate profiles

Dr. Dennis Bradshaw

President-elect

Dr. Joe De Jesus

Dr. Dennis Bradshaw

Committee on PNDC, Liaison, 5 years Compensation Committee, Member, 3 years Seattle Study Club, Great Blue Heron East, Restorative Advisor, 10+ years

Candidate Statement

Past Positions

I am excited to be a candidate for President-elect of the Washington State Dental Association. It has been more than a decade since the east side of Washington has been represented in this position. While I come from a smaller component, my two terms on the Board of Directors has exposed me to critical issues facing each area of the state.

Over the last nine years, I have learned a lot about how our WSDA operates. I know that my experience, both on the Board of Directors for six years, as well as planning and delivering PNDC for nine years, has prepared me well. I have shown leadership, standing up for what I believe is in our members’ best interest.

There are many issues we as dentists are concerned about, and many of them we have been fighting for too long. But whether it is in the halls of Olympia or the offices and boardrooms of large companies, we must continue to battle against anything that challenges the integrity of the doctor -patient relationship. Most of us became dentists to be independent, while having a chance to make a difference in people’s lives. We have to continue to fight for the rights of our patients. That is the backbone of our practices, whether large or small.

That is what it is all about.

I look forward to continuing to work for our members. Whatever challenges come before us, if we keep our patients’ rights as our focus, we will have strong success as members and as your WSDA.

Current Positions WSDA Board of Directors, Member, 6 years

Committee on PNDC, Member and Chair, 4 years Benton Franklin Dental Society, All officer positions, 3 years Columbia Basin College Dental Hygiene Advisory Board, Member and Chair, 4 years

Professional Affiliations ADA WSDA Benton Franklin Dental Association Seattle Study Club, Great Blue Heron East

Education DDS, Loma Linda University, ’86

WSDA Board Dr. Joe de Jesus Candidate Statement

Dental legislative, regulatory, third-party benefit, and workforce issues will continue to be challenges as well as opportunities for our profession. A knowledgeable and enthusiastic WSDA Board of Directors is important to coordinate efforts at critical times, when influences may negatively affect dentistry and dental health in our state, or when opportunities to shape our profession’s future arise. Over the past decade, I have been fortunate to serve within state and local organized dentistry, and have continuously worked to attain a robust knowledge of our profession’s issues. I would like to apply my efforts and enthusiasm to serving on the Board, providing a unique perspective and liaison capability from near to the shadow of the capitol dome.

Dr. Amir Kazim

Current Positions WSDA Legislative Task Force, Member, ’17-’19 WSDA HOD, Thurston Mason Counties Delegate, ’08 - present TMCDS, Board member, ’08 - present WA State DOH:DQAC, Pro Tem member, ’17 - ’19 South Sound Community College, Dental Assisting Advisory Board member, ’12 - present

Past Positions WSDA, Alternate ADA Delegate, ’14 - 15 WSDA, Committee on Government Affairs, ’14 -’17 TMCDS, Alternate Delegate, ’06 - ’07 TMCDS, President, ’11 - ’12 USAF Dental Corps, Captain/Major - dentist, ’95 - ’03

Professional Affiliations ADA AAO PCSO WSDA TMCDS

Education AB, Occidental College (marine biology), ’88 DDS, University of California, San Francisco, ’95 AEGD Cert, University of California, San Francisco, ’95 MSD Cert, University of the Pacific, ’00

Other Studio West Dance Guild, Member/President (currently), ’15 - present Tumwater Rotary, Member, ’07 - present Puget Sound Orthodontic Study Club, Member, ’06 - present Association of Washington Businesses, Member-Health Care Committee, ’15 - present WSDA Leadership Institute, participant, ’15

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Dr. Amir Kazim Candidate Statement

The great boxer Muhammad Ali stated that service to others is the rent you pay for your room here on Earth, and I humbly attest that could not be more applicable to the field of dentistry. We have an innate desire to serve our fellow man. To that end, I want to extend that help and serve those who are serving others. Having represented Washington state federally and worked on both sides of the mountains, I have been afforded a unique opportunity to identify the needs of both patients and dentist to help better the situation for all. From working in an FHQC and a DSO, to being an adjunct university professor and in private practice, and all points in between, I believe I can represent a strong cross section of dentists across the Evergreen State. With the fallout of the Medicaid takeover and the upcoming elections on the political side of things, I believe it is more important than ever to have the voice of an all-encompassing dentist represent as many voices as possible at the proverbial table. Even though my resume may not match the length or gravitas of my colleagues, my accomplishments can be seen on the laughing and smiling faces of my Spokane patients. Granted, they may not have any teeth to smile with due to the previous extraction – but at least they are laughing!

Current Positions Spokane Oral Health Coalition, Committee Member, 2.5 years WA Telehealth Task Force, Committee Member, 2 years Done My Way Taskforce, Committee Member, 2 years Smile Spokane, Committee Member, 2 years Spokane District Dental Society, Executive Council Member, 1 year

Dr. Blake McKinley

Past Positions Eastern Washington University, Adjunct Clinical Faculty, 2 years Dentures and Dentistry, Associate Dentist, 1 year Dr. Hone Family Dentistry, Associate Dentist, 1 year Comfort Dentistry, Associate Dentist, 0.5 year

Professional Affiliations Ontario Dental Association Eastern Washington University Washington State University Spokane District Dental Society Washington State Dental Association

Education H.S., MacLachlan College (Oakville, Ont, Canada), ’06 B.Sc, Howard University (Washington DC), ’08 DDS, Howard University (Washington DC), ’14

Other Washington State Dental Association, Committee on Government Affairs, Alternate, 1 year EWU/ UW, Clinical Instructor; RIDE Program, 2 years Oral Eye, Case Reviewer/ Clinical Advisor, 1 year Snap Dent, Case Reviewer/ Clinical Advisor, 1 year Stallant Health, Associate Dentist, 0.5 year

Dr. Mark Koday Candidate Statement

I started off as a reluctant member of the dental profession. I never thought about dentistry until a friend of mine talked me into applying to dental school. I have, however, grown over the years to realize what an incredible profession dentistry is.

Starting with my 10 years on the DQAC and now serving as a member of the ADA’s Council on Advocacy for Access and Prevention and its representative to the Dental Quality Alliance, I’ve found that the more

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Dr. Kim Nordberg

effort I put into the profession, the more rewarding it has been.

I am very concerned about the changes and unprecedented pressures on the dental profession today. I do believe that the ADA and WSDA play a key role in protecting our ability to serve our patients with the highest quality of care possible. I’ve practiced in community health my entire career, but I’ve also gained a great appreciation for the challenges private practice is facing from the dentists I’ve come to know over the years, and the various committees I’ve served on. While the private and public sectors are different in many ways, they have far more issues in common. I believe it is essential that both sectors partner to better face the increasing attacks on our profession, and to better protect our patients. The values I can bring as a Board of Directors member come from my experiences on the DQAC and CAAP, and by acting as a bridge between the worlds of private and public health dentistry.

Current Positions Yakima Valley Farm Workers Clinic, Chief Dental Officer, 32 years

Past Positions USPHS/IHS, Dentist for Blackfeet Reservation, 2 years USPHS/IHS, Dentist for the Belknap Reservation, 5 years

Professional Affiliations ADA/WSDA Pierre Fauchard Academy International College of Dentists National Network for Oral Health Access American Dental Education Association

Koday, continued

Education BA, Indiana University, ’74

hod news candidate profiles

Dr. Mark Koday

hod news candidate profiles

Dr. William Petersen

Koday, continued DDS, Indiana University School of Dentistry, ’78 Certificate, AEGD Naval Dental School, ’86

Other WSDA, Task Force on Medicaid Managed Care & Implementation, recently appointed WSDA, Task Force on Public Policy Development, recently appointed ADA, Council on Advocacy for Access and Prevention, ’16 - present ADA, CMP’s representative to Dental Quality Alliance, ’17 - present State of WA, Dental Quality Assurance Commission, ’01 - ’11

Dr. I. Blake McKinley Candidate Statement

Dentistry affords many opportunities.

For a large number of dentists, there is the opportunity to own and operate your own business in a manner that suits your personality. For others there is the opportunity to provide care in a community service setting, or teach at the university level. For the benefit of the citizens of Washington State, these options need to be preserved.

A common link among these various options is the opportunity to participate through the Washington State Dental Association to collaborate in an effort to maintain a strong and viable dental health care model. The WSDA accomplishes this through the Pacific Northwest Dental Conference, DentPAC, WOHF, Budget & Finance Committee, and a variety of tireless efforts by the WSDA staff, all under the direction of the WSDA Board of Directors.

While dentistry affords these many opportunities, we must remain vigilant against forces out there in order to safeguard the delivery of dental health to Washington state citizens. I have been for-

Dr. Kristine Aadland

tunate to participate at the local level, as a member of the House of Delegates, and in a variety of committee positions, including Spokane District Dental Society president.

Currently, I serve on the SDDS Budget & Finance Committee, and as an Executive Council Alternate . At the state level, I have served on the Pacific Northwest Dental Conference, DentPAC Board, and Budget & Finance Committee. Currently, I am on the WSDA Board of Directors. Through these positions I have developed a good foundation for the operations of our state dental association.

I would appreciate your support toward my continued service on the Washington State Dental Association Board of Directors.

Dr. Paul Kennedy

Other Spokane Airports Tenants Association, BOD; President ’15-present, ’13 - present Assistant Scout Master, Troop 400, Grizzly District, Inland Northwest Council-BSA, ’09 - present Washington Pilots Association, Director of Legislative Affairs, ’11 - ’16 Washington Pilots Association - Spokane Chapter, Treasurer, ’08 Washington Pilots Association - Spokane Chapter, BOD; President ’06, ’03 - ’06

Dr. Kim Nordberg Candidate Statement

Education

Our profession is under economic attack.

I graduated from the UWSoD in 1979, and started my solo practice in my hometown of Puyallup. In those days we were partners with insurance and patients, and provided preventive and highest quality care. Insurance companies asked us for guidance in focus groups.

We now struggle to “make ends meet,” and spend enormous effort advocating with insurance for our patients. All of our staff and business costs continue to rise, and reimbursements fall.

Finally, our own WSDA is “standing up” for us with an attitude of “why not us.”

I am convinced NOW that our WSDA is our ADVOCATE, and not just a club.

I am not ready to “give up” on our profession and pass off the responsibility to our new beginner graduates. who are struggling to start their families and their lives.

I am the son of a Barber. My brother and oldest son are orthodontists. My youngest son is my dental partner, and my sister is our hygienist.

I am “all in .”

DDS, Creighton University, ’95 CAGS, Boston University, “97

Sincerely, Kim Nordberg

Current Positions Washington State Dental Association, Board of Directors, ’17 - ’18 Spokane District Dental Society, Budget & Finance Committee, ’18 - present Spokane District Dental Society, Executive Council (Alternate), ’18 - present

Past Positions SDDS, Delegate to the House, ’06 - ’08, ’14 - ’16 WSDA, DentPac Board, ’07 - ’12 WSDA, Committee on Budget and Finance, ’07 - ’11 SDDS, Nomination Committee, ’11 - ’14 SDDS, President, “10 - ’11

Professional Affiliations Spokane District Dental Society Washington State Dental Association American Dental Association American Association of Endodontists Boston University Endodontic Alumni Association.

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Current Positions Pierce Co. Dental Society, Board, 5 years Cannon Beach Christian, Board, 30 yrs with rotations Christian Medical Dental Association, dental missions mentor for Guatemala mission trips for USC, UCLA, Loma Linda, 16 years

Past Positions Lighthouse Christian Church, Board and Church planting for 1,800/week attendance currently, 25 years of rotations Lighthouse Christian Church, volunteer general contractor and design and development of campus and 42k sq. ft. facility, 15 years of startup Loma Linda School of Dentistry, Adjunct Professor, distance learning mentor instructor for Guatemala and El Salvador mission trips, 3 years

Professional Affiliations PCDS WSDA ADA Lifetime Member

Education DDS, UWSoD, ‘79 BS, Pacific Lutheran University, ‘74

Dr. William Petersen Candidate Statement

It has been a great honor serving as Chair of the WSDA Budget and Finance Committee this past year. I was also a member of the task force to determine how best to invest the proceeds from the sale of our interest in NORDIC. This will be my fifth year as a delegate to the House. I have met and worked with some incredible and dedicated individuals, who have volunteered many hours away from their office and have made a financial sacrifice in order to meet the many challenges that dentistry

Dr. Bryan Edgar

is facing today. I want to join that group, and I feel that my experience on the Budget and Finance Committee will benefit and strengthen my ability to contribute to the Board, for which I am a candidate.

Today, I see the traditional model of delivering dentistry is at a crossroads. The graduating dentist has incurred such a large debt that he or she is almost forced into practicing in a DSO or corporation setting in order to have an immediate means to starting paying back student loans. They are forced into meeting production goals that overtreat the true needs of the patient.

As a result, all dentists take a hit because the public believes that all dentists are in it for the money.

Our profession is facing many additional challenges. These include midlevel providers, reduced insurance benefits, increased overhead, finding qualified staff, and decreasing membership. This list could be greatly expanded, but I feel that these challenges can be dealt with. They will require input from individuals working collaboratively to resolve them, so that our profession will continue to thrive and not follow the fate of our colleagues (physicians).

We must encourage our membership to take a proactive role with our Legislature, and educate John Q. Public about the important role that dentistry plays in one’s health.

I thank you in advance for considering me as a candidate for the Board, and respectfully ask for your vote.

Current Positions WSDA House of Delegates, ’14 - present WSDA Budget and Finance Committee ’16 - ’17 WSDA Chair Budget and Finance Committee, ’17 WSDA Investment Task Force, 16-17 SDDS President, present

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Dr. Bernard J. Larson

Professional Affiliations ADA WSDA SODS

Education Gonzaga University Eastern Washington University UW School of Dentistry Rotating Hospital Internship, UW, ’66

Other Morning Star Boys Ranch, volunteer dentist 21 years Good Shepard Home, volunteer dentist, 5 years Instructor Hospital Dentistry UW Hospital ’68 - ’69 Manito-Cannon Hill Neighborhood Council, 2 years

Committee on Budget and Finance Dr. Kristine Aadland Candidate Statement

When I decided to become a dentist, I knew very little about the industry. At the time I was living with a hygienist who was passionate about dentistry, and her passion was contagious. Not only did she love working with patients, but she also loved the camaraderie of her fellow hygienists, in and out of work. I wanted that, too, but I also was determined to own my own business. I’m happy to say that I found both in the field of dentistry. I often hear dentists say that dentistry is isolating, but why? We are constantly surround by people. No one should feel this way. My advice to them is to get involved – always.

I believe that a group is stronger than an

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Dr. Austin Baruffi

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Dr. Paul Kennedy Candidate Statement

Dr. Ron Marsh

Dr. Kristine Aadland, continued individual. I have been involved in organized dentistry since I graduated, and was thrilled when I was accepted into the WSDA Leadership INstitute. It was fascinating to watch the inner workings of our association, and I knew I wanted to be a part of that. My passion for business is equal to my passion for dentistry itself. I love systems, organization, and figuring out the best method to solve a problem.

This is what has intrigued me about joining the Budget and Finance Committee. I enjoy the numbers, I enjoy working with a team, and I believe in the success of organized dentistry.

Thank you for your consideration for allowing me to join the Budget and Finance Committee.

Current Positions PeaceHealth SW Community Board, Board Member, 3 years Cerecdoctors.com/Spear, Visiting Faculty, 2 years Impact — Women in Dentistry Event, Facilitator, 3 years NW CEREC Study Club, Facilitator, 3 years

Past Positions

I grew up in Redmond, Wash. I graduated from the University of Washington with a bachelor’s degree in biology in 2000, and from the University of Washington School of Dentistry in 2004. I practiced dentistry as an associate dentist for one year, and then I transitioned into practice ownership in Kirkland, Wash. in 2005.

During my time as a practicing dentist and practice owner in Kirkland, l learned how great the profession of dentistry is. I was the only dentist in my practice, and I enjoyed the patient-doctor relationship of trust that develops over the years. As my practice grew, I also learned about the difficulties associated with insurance companies and other business aspects.

I developed a large bone spur in my right shoulder over the period of several years.

The bone spur got bad enough that I was recommended shoulder replacement surgery in 2016, in order to prevent chronic tears of my rotator cuff. I decided to look at other options within the world of dentistry, so I sold my practice in September of 2016 and began working within Henry Schein Financial Services. I oversee the practice transitions division in Washington state. I see myself fortunate to have chosen dentistry as a career, and I believe that organized dentistry is important for the future of the profession! I’d like to give back to the profession, and I believe that my skill set would be utilized best in the Committee on Budget and Finance . Thank you for your consideration.

Professional Affiliations American Academy of General Dentistry ADA WSDA SKCDS American Academy of Disabled Dentists

Education DDS, UWSoD, ’04

Delegate to the ADA

Clark County Dental Society, Secretary, VP, President, Past President, 4 years

Dr. Austin Baruffi

Professional Affiliations

Candidate Statement

WSDA Cerecdoctors.com/ Spear Education Dental Success Network KOL- Cosmendent, Inc KOL- Dentsply Sirona

Education DMD, OHSU, ’06

We all have different ways of showing our love of teeth, and I want to demonstrate my canine pride by running for a WSDA delegate position to the ADA House of Delegates. This year, I was honored to be selected as an alternate, where I get to represent our members from Washington state as the ADA strives to address the opioid crisis, the Action for Dental Health Act

for grants, and the regulation of dental insurance companies. I have been a delegate to the WSDA for two years, and I am currently on the Executive Council for my component society, SKCDS. My involvement with organized dentistry has allowed me the opportunity to interact with a large number of members.

I feel like my values and goals, when it comes to the profession of dentistry, are in line with the majority of you. This includes preventing dental therapists from entering Washington state and harming our patients, ensuring that dental practices are owned by a dentist and not just a business entity, and fighting for fair insurance practices. I look forward to representing you this year, - and I am excited for the opportunity to do so again. Thank you for your consideration.

Current Positions SKCDS, Board Member, 2 years SKCDS, New Dentist Committee Chair, 2 years SKCDS, Leadership Committee Chair, 4 years (1 as chair) WSDA, HOD Delegate, 1 year

Past Positions Delta Sigma Delta, Grand Master, 1 year

Professional Affiliations SKCDS WSDA ADA Delta Sigma Delta

Education DDS, USC, ’13 BS, LMU, ’08 BA, LMU, ’08

Dr. Bryan Edgar Candidate Statement

As most WSDA leaders are aware, I have vast experiences in serving in the role as your ADA delegate for over 15 years. I have worked very hard to bring the voice of reason to what, at times, are very protracted debates. The ADA House has many varied issues from all corners of our profession, and requires a person with considerable experience to be effective for our district. I believe I am that person.

During my time in service, I have helped to mentor newer delegates on how the decision-making process works, how to effectively use parliamentary procedures, and how to teach others to help further our issues. I have the experience upon which I can draw to put new resolutions into perspective with past and current policies. I believe I have demonstrated strong effectiveness in moving many issues forward to be effective at the ADA HOD. I have served on three ADA councils and commissions, and two HOD Reference

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Current Positions WSDA Regulatory Affairs, Chair, 1 year WSDA Investment Committee, Chair, 1 year AGD, Speaker of the House, 2 years AGD Investment Committee, Member, 9 years ADA CDEL, Member, 4 years

Past Positions ADA, Delegate, 15 years CODA, Chair, 4 years WSDAPresident, Secretary-Treasurer, 11 years WSDA, Board Member, 5 years AABD, Parlementarian, 12 years

Professional Affiliations Intl College of Dentists Fellow American College of Dentists Fellow Pierre Fauchard Academy Fellow Academy of Dentistry Intl Fellow Intl Congress of Oral Implantologists Fellow

Education BS, University of Washington, ’72 DDS, UWSoD, ’76 Cert, US Army General Practice Residency, ’77

Other WREB, Examiner, 20 years DQAC, Commissioner, 9 years

Dr. Bernard J Larson Candidate Statement

To run for another position after the amount of reform that we have embarked upon during my years as a WSDA officer may seem excessive. However, I strongly believe that the ADA itself is in need of upgrading the way it functions, and I feel that I have acquired the skills to help accomplish our aspirations to that end. Changes we initiated in Washington state are being watched closely by ADA HOD members from across the country. I am hopeful that the energy of the reform-minded delegates who regularly converse with me, and others I have yet to encounter, can be harnessed to great effect.

During my three previous trips to the ADA HOD, I have developed an understanding of its mechanisms. As others have alluded to over the years in these candidate statements, the ADA HOD demands experience in order for an individual to be effective. I have those requisites, and am ready to help my colleagues from our always forward-thinking District 11 in getting some, if not all, of our suggestions adopted by the ADA. It is time for the ADA to focus on reshaping some of the things they do to meet the needs of, and thereby ensure their relevancy to, those dentists whose support they

will depend on for decades into the future.

I intend to work toward this goal, and others as prudent, if you will see fit to elect me as Delegate to the ADA House . Thank you for your support over the years!

Current Position WSDA, Immediate Past-President, ’17 - ’18 WDIA, Board Member, ’17 - ’18 CDA, NORDIC Board Member, ’18 - present ADA, Delegate, ’16 - present AAPD, Government Affairs Committee, ’13 - present

Past Positions WSDA, President ‘16-17; Pres-elect ‘15-16; DentPac Board ‘04-10; Chair ‘06-10 AAPD, President, ’06 - ’07 Western Society of Pediatric Dentistry, WA State Representative, ’07 - ’09 Mount Baker District Dental Society, Delegate, ’07 - ’15 WA State Dept. of Health, DQAC Dental Anesthesia Committee, ’05 - ’06

Professional Affiliations American Dental Association American Academy of Pediatric Dentistry American College of Dentists Pierre Fauchard Academy International College of Dentists

Education

to provide more with less. Keeping our profession respected and honorable is my simple goal. We need to help new graduates who have unrealistic debt and provide seasoned practitioners the practice management tools they needs to remain competitive in an ever changing practice environment.

Having our profession flexible enough for change and innovative at the same time is not asking too much. We must keep the insurance industry focused on what is best for patients and not their financial success.

We must ensure common sense legislation that prohibits undue burdens on dental practices. I treasure my experiences as a dentist and look forward to the challenges ahead. Please consider me as your representative as an ADA Delegate. See you at the 2018 WSDA House of Delegates!

Current positions

WSDA Component Delegate, Delegate to WSDA House, 18 years WSDA Committee on Budget and Finance, Committee Member, 2 years UW School of Dentistry, Adjunct Assistant Professor-RIDE, 3 years Washington State DQAC, Governor-Appointed Commissioner, 2 years WREB Board, Grading Examiner WREB, 1 year

Former Positions

Specialty Residency, George Washington University / Children’s National Medical Center, ’94 AEGD, Evans Army Hospital - Fort Carson, ’87 DDS,Marquette University School of Dentistry, ’86 BS,Marquette University, ’82

CBC Dental Hygiene School, Assistant Professor, 12 years Benton-Franklin Dental Society, President, 1 year Kadlec Medical Center, Staff Surgeon, 24 years Central WA Cleft Palate Team, Team Surgeon, 22 years WSDA Government Affairs, Committee Member, 1 year

Other

Professional Affiliations

ADA, Action Team Leader, WA 2nd district, ’99 - present University of Washington, Affiliate Faculty, Dept. of Pediatric Dentistry, ’98 - present Childrens’ Museum of Skagit County, Board (‘04–present); Treasurer (‘16–present) President (‘10-15); Vice Pres (‘09–10) Boy Scouts of America, Scouter, Asst.

Scoutmaster, ’08 - present

Dr. Ronald Marsh Candidate statement

It would be an honor to represent WSDA dentists as an ADA delegate. Over the past years it has become readily apparent that determined leadership is needed at the national level in our profession. I am confident that I can provide the inspiration that is needed to think outside the box and develop new ideas.

My years of experience with education and organized dentistry have given me a solid background. I am ready for the battles ahead and will work hard for you.

As we enter the next decade, it is clear our profession is under great pressure

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American Dental Association, Benton-Franklin County Dental Society American Association of Oral and Maxillofacial Surgeons -Board Certified American Association of Dental Boards-State Commissioner/Board Member American Society of Dental Anesthesiologists Board Certified American Society of Cleft Lip and Palate Surgeons

Education

BS, Washington State University, ‘79 DDS, Loyola University School of Dentistry, ‘88 OMFS, University of Kentucky-Board Certified Oral Surgeon, ‘92 DA, UKMC- Board Certified Dental Anesthesiologist, ‘97

Other

USAR, United States Army Reserve-Retired, 20 years Association of Disabled Dentists, AADD President, 3 years Association of Retiring Dentists, Board of Directors, 3 years USA Hockey, Level 4 Certified National Coach, 4 years Boy Scouts of America, Commissioner/ Assistant Scoutmaster, 14 years

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committees. I have chaired multiple CODA hearings at the ADA House. I am grateful to have served in these roles, and ask for your support to continue as your ADA Delegate.

cover stor y 2018 citizen of the year

Each year, the WSDA chooses one of its own to honor as its Citizen of the Year. The award is bestowed upon a member who has performed outstanding service to help a community in need, reinforce the value of service to the dental community, and promote the image of dentistry. This year, the Task Force on Recognition chose Representative Michelle Caldier (R-Port Orchard) for its highest honor, not only because of her generosity in donating $1 million in uncompensated care in the course of her dental career, but because of her work as a tireless advocate for the most vulnerable populations as a legislator, and her generosity of spirit as a foster mother. As a state representative, Caldier has written or sponsored more than 30 pieces of legislation, many of which aimed to help at-risk and underserved communities she has championed all her life. WSDA President Dr. Cindy Pauley said, “As a sitting member of the Health and Wellness Committee she works every day to advocate for patient rights, always ensuring that dental patients in Washington state are served with the highest quality care our profession can provide. Dr. Caldier is a true example of what a public servant embodies.”

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2018 CITIZEN OF THE YEAR

Photos by Adam Berman

REPRESENTATIVE MICHELLE CALDIER

cover stor y 2018 citizen of the year

Rep. Caldier and her fiancé, Chris Tibbs

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Prospering in spite of a troubled youth

Caldier’s early life story isn’t one we typically hear from dentists.

She is the fourth generation of her family to call Kitsap County home. When she was 9 years old her mother divorced her father and married a man who brutally abused Caldier and her siblings.

She explained, “Our stepfather was not only physically and emotionally abusive, but sexually abusive, as well. I was in and out of the foster system from ages 10 to 17. I lived with a couple of different families and wound up being out on my own at 17. I worked three jobs, and I took care of my sister who was 14 and pregnant, and her friend. Even before I got into the foster system, I was heavily ‘parentified’ because I had to care for my three younger sisters.

There was no one else to care for them.” Caldier’s life could easily have spiraled out, but she was determined, bright, and focused.

She had a goal from an early age — to become a dentist — and she was resolute. Caldier recalled, “My childhood dentist was Dr. Pebbles, and growing up one of my best memories was going to his office because they were so nice to me. His receptionist, Shelly, would always tell me that I was so good that I could have an extra toy. Since I can remember, I have always said that I wanted to be a dentist. That was one of the things that helped me through when times were bad.”

It was a tough road, and at times Caldier felt she had few allies. By her teenage years, she had more travails than most people amass in a lifetime. But even as she bounced from foster home to foster home, she made sure she stayed in the same junior high and high schools. “I had great relationships with my teachers, and they were really who helped me and shaped me to become who I am,” she said. “Because of them I went down the right path.”

Proper guidance

Caldier found herself in the crosshairs again in high school.

Her home life wasn’t stable, she was working, and she frequently missed school. Fortunately, her high school principal had been the counselor at her junior high, and he knew three things about Caldier: she was intelligent, life had dealt her a bad hand, and she needed a way to pull herself out. Rather than suspend her for truancy, he made her enroll in the Running Start program, which allows 11th and 12th grade students to earn high school and college credits simultaneously. She spent her senior year at the community college, which suited her independent spirit. “It put me on the right path,” Caldier said. “I’ve always felt that if I hadn’t had those relationships with my teachers and the principal, he might

have chosen to kick me out and say that he was done. That’s what happens to a lot of kids. But because we had that relationship, he worked to help me create a better life.” But Caldier’s challenges continued. The program was tough, and then at age 19, she became pregnant, right when she was applying for dental school. “It was incredibly difficult,” Caldier recalled. “I had my dental school interview 14 days after I delivered my daughter, and I didn’t necessarily tell them that I had just had a child. I was very lucky that I got accepted. And so, even though I had a very rocky start, one of the things I learned was that it was important to make good friends and rely on those friendships to help me through. I had a lot of friends who helped out with my daughter. Everyone in my class at UWSoD remembers me because I had my daughter there a lot. It was tough, but I have never shied away from hard work, and I knew that I wanted her to have a better life than I had.” Dr. Dolphine Oda, a professor at the School or Dentistry who has known Caldier for more than 20 years, recalled, “Back at the UWSoD, Michelle was an enthusiastic, serious student who earned her dental degree the old-fashioned way, through intelligence, commitment, and honest hard work. She was always positive and forward looking, and showed the ability to handle challenges with grace and maturity. Overall, she was a model student.”

The road to mobile dentistry

Caldier stumbled upon her idea for a mobile practice following a geriatric rotation in dental school. She saw a need that wasn’t being met, and was determined to make that her life’s work. “I didn’t know if anyone else was doing it, and I started looking into the different types of mobile equipment,” she explained. In fact, when Caldier graduated from the UWSoD, mobile dentistry wasn’t really even a practice model. There was no blueprint for it because no one was doing it, and the available equipment was subpar. Caldier worked to change all that. Her practice, Golden Age Dentistry, was both innovative and important because it reached a population that was largely an afterthought: residents of nursing homes and homebound patients. Many of these patients aren’t mobile enough to leave their room or home, while others suffer from dementia and/or a host of medical problems.

Even though many people have the means to pay for dental care, few providers are able to treat this population. “It would have been easy for her to develop a lucrative private dental practice like most of her fellow UW dentistry graduates,” said Oda. “Instead, she chose to devote her professional efforts to serving the community, including those unable to afford dental care, treating them in her mobile dentistry practice.”

Additionally, the equipment available to Caldier at the time was underpowered and inefficient. As they say, necessity is the mother of invention, and after a lot of improvisation, she took matters into her own hands. She explained, “I bought some equipment, and I wasn’t happy with it, so I began to call the manufacturers like Aseptico to see what they could do to improve the quality.” Caldier had a dental chair welded to a base to make it portable, employed a driver who took care of delivering her equipment to the nursing homes and setting it up before she arrived, and had either one or two assistants with her, depending on the flow of the day. It was imperative that nursing home staff had the mechanical lifts to get patients in and out of the chair. Caldier said, “I absolutely had to be flexible in this business model, but that didn’t mean I had to lower my standards. I always had the philosophy of treating everyone the way I would want my grandfather treated. In fact, my grandfather got severe dementia towards the end of his life, and I ended up going into his home and doing work on him as well.”

The model had other challenges, as well. Initially, Caldier had to figure out how to deal with Medicaid regulations and prioritize patients’ emergent needs over those that could wait. Typically,

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cover stor y 2018 citizen of the year

Caldier is the first dentist in Washington state elected to the Legislature, but her service to others stretches far beyond the realm of dentistry. She has made it her cause to protect those with no voice — children, the elderly, and the infirmed. Her work in the legislature on behalf of foster children, survivors of rape, and adult Medicaid recipients have made her a voice to reckon with in her short time in Olympia. Caldier’s passion for the foster system is genuine and personal — she was placed in the foster system as a child, and later became a foster parent. Caldier is the proud mother of her daughter Cassandra and to her two foster daughters, Alicia and Sophia. Caldier has seen the foster system’s failings from the inside and knows what work needs to be done to fix some of its many problems. Her work supporting education is equally laser-focused A lifelong resident of Kitsap County, Caldier is proud to say that she graduated from Central Kitsap High School, and earned her Bachelor of Science degree in Cell and Molecular Biology from the University of Washington. She graduated from the UW School of Dentistry in 2001. She served as an affiliate professor there from 2004-2015, teaching in the school’s geriatric department, giving back to the University that so enriched her life.

cover stor y 2018 citizen of the year Caldier’s passion for the foster system is personal. She was placed in the foster system as a child, and later became a foster parent. Caldier is the proud mother of her daughter Cassandra and two foster daughters, Alicia and Sophia. Shown here: on the left, Sophia; on the right, Cassandra.

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cover stor y 2018 citizen of the year

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cover stor y 2018 citizen of the year

nursing homes were understaffed, and with frequent employee turnover, making interim care difficult. That prompted Caldier to start the Nursing Home Healthy Smiles program, an educational initiative designed to teach staff how to meet patients’ daily dental needs. She explained, “When I first started, I would leave lots of things with the staff, like proxabrushes and floss to go under bridges. I would show them how to use them, and write notes in their charts. But what I found out was that the staff would throw everything out after I left, and hope I didn’t notice on my next visit. When I asked them why they did it, they said that what I was asking for wasn’t realistic. So I asked them what was realistic. They went through what their day was like, and I learned that most of the people could barely reach the sink to spit out the toothpaste, making it quite difficult to help someone brush. To help ensure success, I trained staff to make sure there wasn’t food trapped or packed in the vestibule, I started prescribing chlorhexidine instead of toothpaste because it is an antibacterial that doesn’t have a foaming agent, and I taught them how to clean interproximally by changing the brush angle. I also taught them how to take care of someone and ensure that they weren’t getting bitten or spit on, which was a common issue. I found that if you follow up and provide the staff with the right tools, the caries rate declines drastically, so it was worth it.” The program was so good that in 2011, Caldier was an ADA Adult Preventative Care Practice of the Year finalist. Pauley said, “Dr. Caldier is a shining example of what it means to truly give back to your community. In her dental career she has been a pioneer of innovation. She creatively and proactively worked to bring optimum dental health to an often underserved and overlooked nursing home population. The creative model she developed has brought dental health to thousands of patients who would otherwise suffer needlessly from dental disease.” Through hard work and determination, Caldier was able to build the practice and make a name for herself in the community. She offered all of the nursing home patients one free evaluation and cleaning a year, which helped to slow the caries rate and allowed her to keep up with the decay in their mouths. She truly loved the work and the people she was treating, and liked the freedom it provided. She said, “The one thing that is wonderful about that patient population is that, for the most part, they’re very flexible with their time.

That was part of the appeal. People who know me know that I have issues with time management. I tend to run a little late, so working in the nursing homes was absolutely perfect for me. You still have to follow a schedule, but there was a little more flexibility compared to a typical practice. It fit my personality very well.”

Dr. Shane Ness, who worked with Caldier in the practice, said, “She struck me as a person full of energy, positivity, and a sense of obligation and duty to care for the people in our community that are all too easy to forget about. I’m not going to lie. Working on the patients she and I served was extremely challenging. I struggled mightily to adapt to the challenges faced every day with patients living with Alzheimer’s disease, medical fragility, aspiration risks, and immobility. There was a difference between Michelle and me, though. She seemed, and indeed was, completely confident and comfortable in the most challenging scenarios, and seemed so philosophically at peace with who she was as a provider, that it gave me the confidence to emulate her. I’ve known Michelle for over a decade now, and I’ve learned she has a special gift that allows her to do the things she does: passion.”

Mobile dentistry was more than just a good practice model fit for Caldier. It amplified her staunch support of underserved people, and planted the seed for her to go into public service. She explained, “Originally, I was a Medicaid provider, and I was extremely frustrated like many Medicaid providers. Not only with the low reimbursement rates, but the rules and regulations

were onerous.” When the state cut adult dental Medicaid reimbursements, it required Caldier to focus on pressing issues, offer evaluations and cleanings at no cost, perform extractions to get patients out of pain, and tackle urgent issues like denture adjustments. She said, “A lot of our time was spent on prior authorizations and fighting to get Medicaid to reimburse. Once we dropped Medicaid, we didn’t have to waste all of that time fighting them for money. It actually wound up being a lot better. Some of my nursing homes did not have any Medicaid patients. My homes where people were not on Medicaid funded the business, and allowed us to donate care to those with no money.” Other things helped, too. Because she didn’t have a brick-and-mortar practice, her overhead was low. Staffing costs also were less expensive for Caldier. She bought equipment as needed, so she had no debt. “On top of that, I wasn’t a preferred provider for any insurance,” she said, “so it was a very different model. It was kind of a blessing because when it came to fighting Delta Dental and being vocal against some of their practices, I didn’t have to fear retaliation for speaking out against them. Additionally, I didn’t have to discount my rates. I had the liberty to donate a lot of services. Quite honestly, when it comes down to someone who is in pain and needs a tooth taken out, any dentist would donate the care. For me, my biggest thing was at least offering the preventative service and getting people out of infection or pain.”

Elected to office

Cathy Dahlquist, a former state representative who is now Executive Director for the Seattle-King County Dental Society, remembers meeting Caldier for the first time. “I was taking a tour of the UW School of Dentistry. At the time, I was an elected Washington state representative, and my nephew was planning on attending the school in the fall of that year. Dr. Caldier and I ended up going to lunch because she wanted me to hear about the program she had created to treat the elderly who were living in nursing homes. I listened intently and took her message of the need to reinstate adult dental Medicaid back to Olympia. She did not give up. She visited Olympia several times that session, and we worked together to successfully bring back the program.” Dahlquist and others convinced Caldier to run for office, based on the strength of her conviction to fight for the underserved. Since being elected, Caldier has used her platform to advocate for vulnerable populations like foster children, the developmentally disabled, and the elderly, prioritizing education, fighting unfair insurance practices, and advocating on behalf of her constituents and organized dentistry. She helped defeat legislation that would have allowed for midlevel practitioners in the state, and continues to work to raise reimbursement rates for adult dental Medicaid and change its prior authorization process.

The legislation that Caldier is most proud of is the bill requiring nonprofit insurance companies with paid boards to have the salaries of the CEO and the five highest-paid employees determined by the ratepayers. Caldier said this legislation shines light on some of the practices of the big insurance companies. “For instance,” she explained, “Delta Dental was paying Executive Director Jim Dwyer $1.3 million, and in two years it went up to $2.7 million.

Delta Dental would justify its actions by saying that they had a study done showing that it was okay to increase his salary by that amount, yet at the same time, their board was also being paid, and one of the board members was making $480,000 a year, according to the IRS.” Caldier noted that many state legislators had no idea what was happening in the insurance industry, and she was proud to be the one to “…shoot an arrow into some of the most egregious things that Delta Dental was doing….” Rep. Liz Pike, R-Camas, said, “Since being sworn into office, Rep. Caldier has prime spon-

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Leaving dentistry to focus on being a legislator

As you might imagine, balancing the work of a state representative and a dentist can be very tough. “A lot of people told me doing both would be manageable, but in the end, my duties in the Legislature didn’t stop when the session was over,” Caldier said, with a laugh. “Once I was elected to office, from January to May, I had only five days that I wasn’t working more than 14 hours. It was incredibly difficult navigating the dental practice with my position as legislator. The nice thing was that my practice was already established, so there was somewhat less work than when I first started practicing. I find it hard to imagine that someone in private practice could do both jobs.” In fact, Caldier retired from dentistry in 2016. Regardless, she remains as devoted as ever to fighting for organized dentistry. Oda, who is delighted she’s staying put, said “Our state would be a far better place if it had more citizens, and particularly more leaders, like Michelle Caldier. She labors tirelessly and selflessly for others, is scrupulously honest, always tries to do the right thing, believes the government should be transparent and serve its constituents, and sets a lifelong example of helping the state’s most vulnerable. Her ethics are stainless and her reputation is above reproach.”

Bringing the voice of dentistry to Olympia

Dentists around the state celebrated Caldier’s election in 2014 (she took office in 2015). From midlevel providers, to insurance regulation, to Medicaid coverage, dentistry has long lacked a voice in the Legislature. Pauley said, “Having Dr. Caldier in elected office with her expertise in the dental field is a luxury that patients

across the state will be forever grateful for.” As a member of the Health Care Committee (she also sits on the Education and Appropriations committees), Caldier brings her unique perspective to the discussion on medical and dental issues. Legislators are constantly being bombarded with conflicting messages from paid lobbyists, and others have their own agenda, making it difficult to navigate and discern facts versus spin, according to Caldier. Case in point: the legislation being proposed to curb opioid abuse in the state. There is a lot of pressure on legislators to do something about the crisis, and myriad stories about opioid addiction and dentists’ role in the crisis crowding the news don’t help. “But it’s important that whatever legislators do, it is well thought out, and that we look at how that could impact everybody,” Caldier said.

“Some people proposed that prescribers give a three-day supply or a pill limit of 10. As one of few members in the Legislature who has ever prescribed opioids, I was fighting to make sure that whatever we put forward took other situations into consideration.

For instance, how would a three-day limit affect someone with chronic pain? How do we make sure we’re not lumping all opioids together? There is a huge difference between a fentanyl patch and Robitussin AC, yet Robitussin AC is an opioid, something most Legislators didn’t realize. If we have a pill limit, there is a difference between prescribing for someone who weighs 100 pounds versus 300 pounds. What about people who have just had major surgery and can’t go in every three days? It’s a very complicated issue, and I think it’s important to look at all of the pieces of the puzzle, not just one piece of the data. I felt like I did a great job of being at the table, and when some people would put forward very extreme ideas, I was able to counteract their argument. Sometimes we hear a story and we want to react, but if we do that, there could well be unintended circumstances.”

Back in the foster system and in the running

This year, Caldier added even more to her plate: she’s going to participate in the foster system again. Caldier let her license lapse years ago because of her frustration with the children’s administration when she was caring for her second foster daughter. “I needed a break,” she explained. “And now that we’ve passed some of these large pieces of legislation like HB 1855 which waives local requirements for foster children, many of those problems that frustrated me have been solved. I won’t be able to do long-term care because my work in the Legislature takes so much time, but I can do respite care for other foster parents, which gives them a short-term break from the foster children in their care. I want to see on the ground floor how the policies we’ve implemented work in a real-world setting. As legislators, we sometimes pat ourselves on the back for the work we do, but then what happens in the real world is totally different. I want to make sure that what we’re passing is actually being executed for the people who are taking care of our foster youth.”

Additionally, Caldier is running for re-election this year, and while she’s facing challengers, she’s resolute. She said, “I remember what it felt like to not have a lot, and to be judged. I also remember what it felt like when people went out of their way to fight for me.

And that’s the thing. Throughout my childhood, when things were really tough, some negative people told me I would never make it in life. They didn’t expect me to graduate, and they thought it was funny that I wanted to be a dentist. But I also had a lot people who took the time to get to know me and support me. I want to be here for the people who may not have a champion fighting for them.”

Congratulations Rep. Caldier, we’re proud to have you as our Citizen of the Year!

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cover stor y 2018 citizen of the year

sored bills on fair dental insurance practices, reforming Medicaid prior authorization processes, requiring ratepayers to establish chief executive officer and board salaries for nonprofit insurance companies, and requiring dental insurance companies to be transparent with their communication to patients in their explanation of benefits form. One of Rep. Caldier’s greatest assets is her ability to stay focused on the issues and work across the aisle to get things done. She is highly respected by both Democrats and Republicans in Olympia. During that process, she is continually advocating to legislators on a variety of dental issues. And her work does not end when session is over. She is working on behalf of her constituents and dentistry all year long.”

Caldier has much to be proud of, including her work on behalf of her constituents, which has helped bring $42 million to her district, funding transportation projects and supporting environmental issues, and her efforts behind the scenes to help constituents that most people never hear about. But serving as a legislator doesn’t mean you always get your way, no matter how hard you fight. Caldier said, “As a dentist, I would write a treatment plan, and I would accomplish it. And every now and then, the patient behavior was different, so you had to modify the plan. In Olympia, you write what you’re going to do, you make a plan, but you have 146 other people you have to work with, and that’s just the legislators. That doesn’t include the lobbyists or anyone else. It’s five steps forward, four steps back. Whereas in private practice, you can make five steps forward, and maybe every now and then you have to take a step back. Olympia is slow-moving because there are so many things in play, and you don’t always get a win. There were more than 4,000 bills introduced during the 2017–18 biennia, and since 2018 was the first year that the Democrats had control of the Senate in five years, all of the Democrats had bills that they wanted put forward. It was intense, and it meant that even great bipartisan bills like my sexual assault bill didn’t go through, while some bills of little substance did.”

wdia news clients rave about matt french

CLIENTS RAVE ABOUT

MATT FRENCH WDIA’S DIRECTOR OF INSURANCE

Matt French is WDIA’s Director of Insurance, a post he’s held since the late Dick Cavaliere retired in 2007. Prior to that, French served as the Exhibits Manager for the PNDC for five years, learning about the conference from the inside out, and handling a lot of “special projects” for the WSDA (like writing code for our website) along the way. Cavaliere mentored French, teaching him as much about relationship building and confidence as he did insurance. In truth, French was a natural.

He’s a genuine and friendly guy, always willing to lend a hand, share his knowledge and experience, and go the extra mile.

We recently reached out to some of French’s clients to see just what it is about his style and service that they like and respect.

Making an impression on Dr. Patty Martin

Since French is heavily involved in presentations at the UWSoD, a good number of his clients met him there first, at informal meet-and-greets about insurance and pizza. (Well, mostly pizza, since dental students are notoriously hungry. Still, connections are made.) Dr. Patty Martin first encountered Matt when she was in the RIDE program in Spokane, an educational track of the UWSoD) that trains dentists to meet the needs of rural and underserved populations in the state.

When Martin purchased her practice in Walla Walla, she reached out to French first. She said, “Matt seemed nice and friendly, and he remembered the things that we talked about when we met at school. He was straightforward and presented the information in a way that was easy to navigate.” What Martin appreciated most of all was French’s knowledge and ability to predict her needs before she or other stakeholders in her practice purchase did. She recalled, “At one point Matt suggested a policy that I wouldn’t have purchased had I not known and trusted him. As it happened, when it came time to close the loan, the bank wanted that specific type of insurance, even though they had said previously that they didn’t need any additional coverage. I wouldn’t have had that policy without Matt’s guidance, and it could have delayed the process.”

Martin added that French is great about checking in every year or so, assessing her practice’s needs and making recommendations about products. She explained, “He’s great about delivering policies personally, and about coordinating blood draws for other policies. He makes things super easy in that

regard. He’s not pushy at all. In fact, we recently asked about coverage, and rather than making the sale, he let us know that we didn’t need to worry about it for a decade. He’s trustworthy that way.”

Dr. Gorgin Arasteh

Dr. Gorgin Arasteh was introduced to French at the UWSoD, in a program sponsored by Seattle-King County Dental Society.

French was there to talk about liability insurance, something Arasteh thought little about before the WDIA presentation.

But when fellow classmates signed up, he followed suit. Later, when he was about to graduate, he met with French. Arasteh said, “Prior to that first one-on-one meeting with Matt, I honestly didn’t think much about insurance. I was about to graduate from dental school, and I felt very lost about what I truly needed, and if people were trying to sell me things that I didn’t need. Matt and I met at a location very convenient to my residence. It was not a sales pitch. We chatted as if we knew each other for a while, and we were just catching up on lost times.

He told me about his goal for himself, and how he is trying to be healthier. I told him about my goal, and how I wanted to be on my own in a year or two, instead of working for someone else. He briefly presented what I absolutely had to have in order to be able to practice as an associate, and some other options when I acquire my own practice.”

The other thing that struck Arasteh about that first meeting was the distinct sense that French was there to guide him, not pressure him to buy. Two years later, he called French. Arasteh explained, “When I was finally ready to purchase my own practice, I contacted Matt and he drove two hours to Bellingham for a 45-minute lunch meeting. That is a level of service that I won’t be able to match elsewhere. Once again, he answered all of my questions and assured me that even with my short closing timeline, he would take care of me. Matt and his team worked tirelessly, and I was able to close the deal on the last day, a Friday evening after regular business hours. He not only helped with closing the insurance contracts, he also put me in touch with bankers, lawyers, accountants, and brokers to facilitate the process. Every individual that he recommended was absolutely professional.”

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Photo by Craig Mitchelldyer

wdia news clients rave about matt french

The Obvious Choice for Washington Dentists

wdia news clients rave about matt french

Dr. Theron Manson

Dr. Theron Manson was working in community health when he bought his Kirkland practice in 2012, and friends recommended he call French. Manson was impressed by how quickly French got back to him. Manson said, “We met for lunch, and he gave me all of the information. It was really comfortable. I was in the middle of buying my practice, so I was super busy and had a ton of questions. He was really patient with me. Money was obviously tight, so he helped me do everything in stages. He told me how I could increase coverage when I had more cash flow. He made it very easy.” Manson also appreciated French’s flexibility, explaining that he was always given the option of meeting in person, over the phone, or handling the business via email. Because he had been in community health, everything about insurance was foreign to him. Manson explained, “I had a little info from some of my friends, but being in community health, I didn’t even have disability. For the most part, everything was new. Matt walked me through it, showed me the cost, talked about what I needed right away, and what I could add later. Since buying, we’ve visited often.

I feel like he has my best interest in mind, and I’ve never felt like I was being sold a product so that he could make a commission. I feel like I can trust him.”

Dr. Van Dang

Dr. Van Dang also was impressed with French’s “instant response time.” Dang recalled, “Within an hour he was on the phone, laying out options. He was able to get the malpractice insurance for me very quickly because I needed to start work right away.” Dang eventually left that practice and went into corporate

dentistry, where he wasn’t responsible for purchasing his own insurance. Recently, Dang decided to purchase his own practice in Federal Way, and contacted French immediately. “Once again he got back to me really fast,” said Dang said. “We met that week, and Matt helped me set up all the insurance I needed. There are a lot of policies when you are buying a dental practice. He met me two days later, and had everything all set up for me. The great part is that Matt has great working relationships with so many people in the industry that he was able to send documents directly to the people I was working with, which saved me a lot of headaches.

I knew that he could take care of everything for me. It was super streamlined. When you’re purchasing a practice, it’s very stressful, so Matt was able to alleviate a lot of the stress.”

Dang commended French for his personal touch, saying, “I like working with someone who wants to get to know me personally, and wants to share their life with me as well, and Matt is like that.

He’s so busy and has so many clients, but he made time for me.

I love doing dentistry, but I’m not excited by the business side of things. He told me what I would need, and he had recommendations about the best course of action. I was happy about that. I don’t want a lot of options to review. I have enough to worry about.

I have recommended Matt to two of my friends, and both have talked with him.”

Call today

If you’re unsure of the coverage you need now, or are looking to buy or sell your practice, call Matt French at 800-282-9342 or 206-441-6824, or visit www.wdiains.com for information or to request a quote.

You have goals. PARAGON can help you reach them.

Are you thinking of buying a dental practice, merging, or selling your practice? The future you want is closer than you think. Our guidance makes all the difference.

Take your next step with confidence.

Call PARAGON today.

Your local PARAGON dental transition consultant Mark Fleming, DDS

866.898.1867 info@paragon.us.com paragon.us.com

WASHINGTON – SEPTEMBER 2016

Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement 4/1/2016 to 3/31/2020 Provider ID# 302387.

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Question: I have practiced with a partner for several years as the only shareholders in a professional corporation. We never put in place employment agreements, a shareholder agreement, or any other contracts between us or the PC. My partner has now notified me that he is going to break off on his own. He has set up a new practice a mile away, and has notified patients that their records will be transferred to this new location and that he will continue treating them there. Can my partner just leave, taking the dental records and patients with him?

Answer: The absence of employment agreements and a shareholder agreement dictating

the rights and duties of the shareholders and the PC make this a difficult situation. An employment agreement would contain termination provisions, including a requirement that your partner give you a certain amount of written notice in advance of the termination of employment. An employment agreement and/or a shareholder agreement would typically also contain a covenant not to compete, making clear whether and when your partner can set up a competing practice.

An issue you have not mentioned (and one that could have been addressed in a shareholder agreement), is what your partner is due for the stock in the PC, what the PC’s obligation is to repurchase it, the price, how the price is to be paid, etc. The absence of these necessary contracts means that your partner is free to leave without notice, and that the two of you will likely be disputing each other’s actions going forward without any reasonable means (which these contracts would have provided) of resolving these issues.

Unlike the issues described above, the ownership of patient records is set forth in the law. The PC is the legal owner of the paper or other electronic media on which any patient’s records are stored. As the owner of the records, the PC is the only one that may legally transfer the records. Absent the agreement of the PC (subject to the right of the patients themselves to obtain these records, which will be discussed below), your partner cannot legally remove these records, either physically or electronically.

What most often happens in these situations is that the departing dentist will notify the patients of the move, or the patients will inquire where the departing dentist is now practicing. In either event, if a patient desires to continue treating with the departing dentist, that patient must request a copy of his/her records. Upon such a request, both Washington state and federal law would require the PC to make available a copy of the record if the patient is willing to pay a fee for the production of the copy. The fee that the PC may charge for producing the copy of the patient’s records is dictated by WAC 24608-400, which sets the maximum fees healthcare providers may charge for searching and duplicating records. Per RCW 70.02.010 (38), these fees must be adjusted every two years to reflect changes in the consumer price index.

An orderly procedure at the outset of the relationship in an employment agreement is the only way to ensure the proper continuity of care for patients. This will also limit the extent of possible costly litigation to resolve disputes and claims between you and your partner(s). © Copyright 2018 Dan Schulte and the Journal of the Michigan Dental Association.

Used with permission.

Dan Schulte, JD

“An employment agreement and/or a shareholder agreement would typically also contain a covenant not to compete, making clear whether and when your partner can set up a competing practice.”

PRACTICE BREAKUPS AND OWNERSHIP OF RECORDS

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legal news practice breakups and ownership of records

Editor’s note: This article recently ran in the Journal of the Michigan Dental Association’s July issue. We thought it was a cautionary tale worth sharing with our members, and we updated it to include Washington state WAC information.

INTERIM UWSoD DEAN DR. GARY CHIODO TALKS STRATEGY Dr. Gary Chiodo recently came on board at the University of Washington School of Dentistry as its Iterim Dean. Chiodo inherited a morass of problems at the UWSoD, and along with it, a group of stakeholders anxious for answers and fixes to problems that have been percolating to the surface for the better part of a decade, as well as a looming $36 million deficit. Chiodo knows that he won’t erase that in his two-year tenure,

but he has a plan that he used before at Oregon Health & Science University, where he was asked to perform a similar resuscitation. We spoke with Chiodo on his third day on the job, and came away impressed with his calm determination and direct style. The situation seems like familiar territory to him, and while that alone might not guarantee success, it’s comforting to know he has a framework and a plan.

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uwsod news dr. gar y chiodo named interim dean

FROM THE GROUND UP:

At OHSU, I was asked by the Provost to step in as the Interim Dean. The current Dean wasn’t leaving, but he was stepping down from his position. So what I came into was similar to the situation at the UW. They had a budget deficit which had accumulated over several years, and it was continuing to accumulate. The amount of deficit there was probably about 10 percent of what they have here, so it was a lower amount of operational deficit, but we were trying to finish up raising money for the new dental school. We had raised quite a lot of money toward that, but fundraising had slowed, and we had about $12 million left to go. So I had an operations budget deficit to get in front of, and I had a capital development campaign to re-energize. Because of the operating deficit, the faculty had not received a raise, not even a cost of living increase, in several years. It’s safe to say that morale was an issue.

That is similar at the UW, in that the faculty is aware of the fiscal challenges we have, and I think it’s concerning to faculty and affects morale. Everyone has a different idea about what caused it, and how best to fix it. So all of that is similar.

How will that experience inform the work you do to make changes at the UW?

My approach to dealing with it at OHSU is substantially similar to the approach that I intend to use here. When you have a budget deficit of the UW’s magnitude, there’s no way you can cut your way out of it. You have to grow your way out of it. I know that some cuts were made shortly before I arrived here, but that has minimal effect on our budget. And then you get to the point where if you continue cutting, you’re actually going to decrease your productivity, so my focus is on the revenue side of the ledger, and driving those numbers up. Which is not to say that I won’t be looking very strategically and carefully at the expense side of the ledger to make sure that what we have there makes sense, is the right size, and supports the mission and goals of the school. But my laser focus will definitely be on the revenue side. What I did at OHSU, and what I intend to do here, is build the faculty practice with enthusiasm and a vengeance, because that really helped make up the difference in the budget deficit. Some of the positions that were laid off shortly before I arrived may turn out to be counterproductive, and we may need to hire some of them back in order to have a robust, thriving faculty practice.

Another similarity is that at OHSU, we didn’t market our faculty practice off the campus. We marketed it to our faculty and students, and in fact, we only needed a portion of them before our schedules were completely full. I hired four dentists, put them half time in the teaching clinic and half time in the faculty practice, and made sure that we staffed-up with hygienists and assistants.

The other thing we did at the same time was reach out to people about the undergrad clinic. We found that students were very interested in getting into that clinic because they didn’t have a lot of money, and being treated in the pre-doc clinic made their insurance dollars go much farther. It had a nice effect on those schedules, as well.

Does the UW have the facilities for those practice models?

The facility that we have here in the main dental school building is actually larger and nicer than the one I inherited at OHSU in the

old dental school. We do have a nice-sized facility. It needs a little polish and fine-tuning to make it look like a regular practice, but nothing major. The other facility we have is the Center for Pediatric Dentistry in Sandpoint. It is a very nice facility. We have the option there of having faculty access the facility in the early morning hours, early evening hours, and Saturday. And there’s parking.

So we can market that to students and employees.

What are the challenges of being an Interim Dean? What are the benefits? How is this kind of work satisfying?

There are advantages and disadvantages of being an interim anything. One of the advantages is that you are here for a limited engagement, and you have some very specific goals to accomplish, which frees you up to go flat out, be aggressive and assertive, and do what it is you know you need to do to fix things, recognizing that along the way you may lose some friends. But it’s not like you’re worried about people getting mad at you and firing you.

I’m only going to be here for a short period of time. I need to move assertively and rapidly, but also strategically and cautiously. I’ve been brought in to fix some things and achieve some reasonable stability and a solid foundation. Part of what I’m doing is making this job look very attractive to a future applicant for the permanent position as Dean. Right now, if they did a recruitment for a permanent Dean, there may not be enough interest in that because of the issues that need to be fixed. I think I can do that.

When you’re an Interim Dean, and especially when you’re being brought in to fix various areas, a lot of the role is that of Chief Operations Officer. People often think of people at the Dean level as being above the day-to-day operations, focusing instead on strategy and long-term vision. But an Interim Dean who is brought in to achieve stability and fix things tends to be deep in the weeds of operations, and that’s fine. I’m comfortable with that. There’s nothing wrong or bad about being involved in operations, but it’s not the usual Dean role where you typically push the operations role to the next level of leadership. In this case, I am periodically the CEO and periodically the COO. That said, when you make changes with operations, not all changes are embraced.

How do you take all of the diverse opinions into account, and can you reach consensus?

My approach has always been to try to reach consensus. I don’t do things in a vacuum. I take a very colloquial approach to gathering stakeholders and people who have a dog in the fight, involving them in discussions, and getting agreement on the problems we need to solve. First, we define the problems, then we discuss the potential approaches to solving them. I’ll listen to everybody and drive to consensus — making sure that in the process nobody misinterprets that to mean unanimity — which you will never get.

But consensus you can hopefully get. And if at the end of the day you don’t, and we still need to move forward in an efficient manner, then the buck stops with me.

How would you characterize the mood at the School?

The morale issues are substantial, more so in some areas than others. Even when I was coming up here to interview for the position, people were pretty forthright in talking to me about how they think the dental school got in this handbasket and where we’re going. But that can devolve into finger pointing, and everyone has

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uwsod news dr. gar y chiodo named interim dean

From 2012 to 2014, you were Interim Dean at OHSU. How were their issues similar and different to those at the UWSoD?

uwsod news dr. gar y chiodo named interim dean

an opinion about who or what is at fault: that clinic, or that person, or that program. And they’re coming to that conclusion based on very limited information.

There has been a lot of public attention focused on the growing dental school deficit. How will this deficit influence your immediate and intermediate goals while Dean?

Part of the similarity of what I inherited at OHSU and the UW is that people are focused on the big picture – the consolidated budget that hits the front page of The Seattle Times.

Part of my strategy and approach both at OHSU and here will be to go to the department level and see how individual department budgets are doing. When you consolidate those, you come up with a bottom line that is a number in the red.

We need to go to each department and get them individually fiscally solvent, and then the consolidated budget will be solvent, as well. My plan here, which is precisely what I did at OHSU, is to meet individually with the department chairs once a month, and with my assistant dean of finance with a spreadsheet and a dashboard of line-by-line expenses. We can review if it is over or under, and review what the department chair’s plan to remedy that entails. So department chairs have the responsibility and accountability to run their departments in a fiscally responsible way. What I found at OHSU, and what I think I am starting to find here, is that department chairs absolutely want to do that. The reason that they may not have done it in the past was because they weren’t being provided with good data. As soon as you provide them with the data and you help them to think creatively about fixing the problem, they roll up their sleeves, get with the program, and do what they can to remediate it. For some, it’s the first time they’ve had the chance to really think about it. The large deficit number didn’t occur overnight. It occurred over many years. It was planted, and it sprouted, and it kept growing.

There was no ‘so what?’ about it, and all of a sudden it’s a huge number. We need to fix that, but we need to start department by department in the immediate fiscal year.

Is two years enough time?

I know at the department level we can do that, and by driving the revenue side of the ledger with increased productivity in the faculty practice, pre-doc clinics, and graduate clinics, where they have a waiting list of something like 3,000 patients waiting to get in there. Can we please open the doors and invite them in? That said, a lot of those patients are uncompensated or undercompensated (Medicaid) patients. I believe that the School of Dentistry is the provider in the state that is best situated to treat these patients in a way that makes financial sense. A private practice really can’t treat a Medicaid patient without personally subsidizing the cost of care, and I don’t think that’s a fair expectation for our alumni and other dentists in private practice, who are already paying a lot of tax dollars to support the school, and paying a lot of tax dollars that go into Medicaid.

At the end of the two-year period, where do you hope to be?

My hope is that all of the departments will be operating in the black in a fiscally solvent way, that we’re no longer digging the debt hole deeper, and no longer contributing to the red ink. In terms of the big number, the accumulated deficit,

at the end of two years I hope to have us on a glide path with increased revenue, so that we can at least see how the debt will be paid off. It’s not going to be paid off. You can’t pay off $36 million in two years. But I can at least get us on a realistic trajectory and see that there actually is a light at the end of the tunnel.

Our members often cite the disparity between tuition paid by dental students and the amount the dental school actually receives. Can you address how upper campus distributes the tuition paid, and why so little seems to come back to the dental school?

I don’t know enough about it yet. I know a little about the history of it. I’m still studying it and I need to get smarter about it, but my understanding about it is that five years ago, the UW went to what they call an “activity-based” budgeting process. That distributes net tuition revenue to the schools based upon a factor related to student credit hours or academic activity. It’s just one tool that universities use to allocate tuition to the various schools and colleges. It’s not the only tool, and if you looked at all of the allocation methods, there would be something to pick at with each of them. It is a tool that is fairly transparent, so you can see how the numbers are calculated. I think if you talk with any of the Deans at the UW, they are going to say that the tax on the tuition that goes back to central administration is too high.

Part of what created some of the confusion and disgruntlement about it, at least in the dental school, is that when the process came along, both the School of Dentistry and the School of Medicine went to a four-quarter, year-round curriculum, rather than a three-quarter year. The plan is supposed to be based upon credit hours, and the school wasn’t getting credit for the fourth quarter. That complaint went back to central admin, and they fixed the problem. Then last year they gave back some of the money, and they have a system in place to fix the problem going forward. At the end of the day, the way it is calculated is the same for every school and college at the UW, so it’s no different for dentistry than it is for the others. And maybe there’s a reason that it should be different for us, but I’m not sure what that is. As I said, I need to do a deeper dive to make sure that I understand why we get what we get in comparison to other schools, and if there is a disparity, is there a reason for it, is it justified, or do we need to fix it?

There’s no way you can charge enough tuition to pay the overhead of doing the education mission of the school. Our tuition is way high enough as it is. My goal while I’m here is to not raise it any higher. This problem is not unique to UW, and is true in all dental schools. Dental education has become astronomically expensive, but even at that, tuition as costly as it is doesn’t pay the cost of the education delivered.

You’re always looking for how you can supplement that. We get a variety of state funds, and depend upon philanthropy to help shore up that side of the ledger. But dental schools have the advantage of having their students in a clinical practice where they can generate revenue, which is not true of medical, nursing, or law students. We do have a bit of a unique advantage. Also, having a dental school on a campus with a medical school provides multiple opportunities for interprofessional education, and avoiding duplication of faculty teaching the

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uwsod news dr. gar y chiodo named interim dean Photo by Craig Mitchelldyer

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SAVE THE DATE!

MENTOR RECEPTION Thursday, October 11 路 Touchdown Terrace at Husky Stadium. More info this fall!

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

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

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

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same anatomy, biochemistry, physiology, microbiology, and several other foundational basic science courses.

The new curriculum seems to be achieving its mark in terms of the quality of people graduating from the program. Do you anticipate it may be changed or scaled back, or is that off the table for the time being?

UW has one of the top-rated dental schools in the nation. No matter whose rating system you look, at we’re always in the top five. The most recent rating that came out put us at number 3 or 4, so I think if you’re looking to become a dental student, and you have lots of options and your grades are good enough to get you in anywhere, all of those things being equal, a lot of those people would choose to come here. I think that the people who were working on the curriculum before I got here deserve all of the credit, because they really did make strategic and important changes in the curriculum. We’re seeing results of that in our scores and pass rates on our board exams. We also have a very high-quality body of matriculants who come into this school, so we continue to attract the best and the brightest. But curriculum is one of those things that is continually on the table for change, and partly driven by what’s going on nationally. Two of the three big drivers of that are the CODA standards and change from the national board exam part 1 and part 2 to an integrated national exam, so we need to make sure that when our students take the integrated exam, they’re prepared for it. That doesn’t necessarily change what’s in the curriculum, as much as when the curriculum is timed, and when you place it in their four years. The third and one of the most exciting things driving curriculum change is the switch from a regional and state board licensing exam with live

patients to an OSCE system. I have said so many times that I hope I live long enough to see the state board exam system go away. It’s so antiquated, ineffective, unethical, and legally perilous, and it’s really insulting. It’s an embarrassment to the profession. Going to an OSCE system is light years ahead of what we’ve been doing, and so much more meaningful and comprehensive for professional skills and judgment. We’ll have to change the curriculum to accommodate the change. We need to actively engage boards of dentistry in that effort.

Other than fiscal solvency, what do you hope to achieve?

After being here for two and a half days, I hope to consistently be able to find my way to my office and back to the front door!

On a more serious note, from what I have seen so far, we have a very impressive faculty, support staff, and student body. I’m excited to marshal all of those resources to move us forward. Part of what is on my to-do list is strategic planning, both short- and intermediate-term. Planning will help to increase the attractiveness of this job for the permanent replacement of the Dean. The strategic planning process for me involves not only our internal people — faculty, students, staff, and administrators — but it involves our community as well — the alumni association and the dental association. This dental school has a statewide impact, and all of those groups are stakeholders and need to have a seat at the table and a voice in the strategic plan. The last thing I would want to do would be to create a strategic plan that stakeholders refer to as ‘Dr. Chiodo’s Strategic Plan.’ I’m happy to drive the process and convene the people around the table to have the discussion, but the stakeholders must accept the plan as one they helped create and believe in.

th e wsda ne w s · issue 8, august · 2018 · www.wsda.org · 31

uwsod news dr. gar y chiodo named interim dean

Dr. Gary Chiodo. Photo by Craig Mitchelldyer

NS OF O I T A R E N E G R U CELEBRATING FO

EXCELLENCE

Nakanishi Dental Laboratory, Inc. is celebrating the continuation of our multi-generational, 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.

d of Excellence for Yourself! r a d n a t S i h is n a k We Invite You to Experience the Na To learn more, please visit our website, www.nakanishidentallab.com, or contact 3 2 · th e wsda ne w s · issue auguststaff 2018 · www.wsda.org our8, friendly at 800.735.7231.

rating for the 24th consecutive year, which includes comparisons to peers and industry standards, as well as assessments of operating plans, philosophy, and management.

“We’re pleased with our rating improvements and to be experiencing improved financial strength and stability,” said NORDIC board member Dr. Richard Ferguson. “The values of TDIC mirror our own, and we are thrilled to be a part of the TDIC family.”

TDIC’s “excellent” rating from A.M. Best is a reflection of the company’s consistent and sustainable growth, diversified premium base, and financial stability for policyholders. Like NORDIC, TDIC has a singular focus to protect dentists, who are provided with the tools and insight necessary to keep them well-informed of risk management topics, including a Risk Management Advice Line, educational seminars, and online resources.

“Both organizations have a mutual commitment to protect dentists, a singular focus on providing policyholders exceptional products and service,” said NORDIC board member Dr. Bernard Larson. “We understand how our decisions affect the dental profession.”

NORDIC’s shared strength with TDIC means policyholders will continue to benefit from the quality insurance products, personal service, risk management resources, and dedicated expertise in handling claims that dentists have relied on throughout the years.

NORDIC joined the TDIC family last year as part of an acquisition, endorsed by WSDA, that included the purchase of DBIC, an Oregon-based insurance company, which also received upgraded ratings from A.M. Best Company. The ratings are based on NORDIC and DBIC’s relatively strong balance sheets and expertise in providing medical professional liability, commercial multi-peril, and other liability coverages to dentists, primarily in Washington, Idaho, and Oregon. The acquisition has provided these companies with greater stability and focus in line with TDIC’s business plan and strategic direction. It also provided TDIC with greater geographic diversification, as the company and its subsidiaries now provide coverage for more than 23,000 dentists in 15 states.

For more information about NORDIC, visit nordicins.com.

You need to find a Dental Associate who’s the right match.

Henry Schein Nationwide Dental Opportunities has decades of experience successfully matching Dentists to practices.

We have qualified candidates available or will customize a search for your specific needs.

We only recruit General Dentists and Specialists.

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www.dentalopportunities.com *6-month guarantee as of 8/01/18. © 2018 Henry Schein Financial Services may receive a marketing fee from the vendor for products/services purchased. 18YS6559

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th e wsda ne w s · issue 8, august · 2018 · www.wsda.org · 33

8/10/18 12:28 PM

board appointment, rating upgrade

Northwest Dentists Insurance Company (NORDIC) is pleased to announce that Dr. Princy Rekhi has been named to its board of directors. In addition, Rekhi, a general dentist with practices in Edmonds, Kirkland, and Renton, Wash., is serving on the board of NORDIC’s parent company, The Dentists Insurance Company.

“I’m honored to be serving my colleagues in the dental profession by working to provide NORDIC and TDIC policyholders with high-quality insurance products and protection for their practices,” said Rekhi.

“It’s also an honor to be a part of the TDIC family, a company with a shared philosophy and long history dedicated to protecting dentists.”

Additionally, NORDIC has announced positive news regarding its A.M. Best rating, which is an indicator of an insurer’s financial strength and creditworthiness.

Now that NORDIC is part of the TDIC family, the A.M. Best Company upgraded its financial strength rating to B++ (good) from the previous B rating, and its longterm issuer credit rating to “bbb” from “bb+.” NORDIC’s credit rating outlook also improved to stable.

A.M. Best recently affirmed TDIC’s “A”

nordic news

Rekhi named to NORDIC board, NORDIC receives rating upgrade

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Dr. Ronald Stuart Gusa

Dr. Ronald S. Gusa passed away at his home in Mill Creek, Wash., on July 1, 2018. He was 85.

Gusa was born on Nov. 9, 1932 in Seattle and was raised in Bremerton, Wash., by his parents Myron and Edna. He lived in the Seattle area his entire life. He always said there was no better place to live.

Gusa showed strong leadership skills at a young age through his election as master councilor of the Bremerton chapter of the Order of DeMolay and by becoming an Eagle Scout. He was also a member of the Hi-Climbers Club. He graduated with honors from Bremerton High School in 1950.

Gusa continued graduated from the University of Washington’s School of Dentistry in 1957. He loved dentistry and practiced for over 40 years on Queen Anne Hill. He was especially proud of his involvement in The Academy of R.V. Tucker Study Clubs, which allowed him to mentor, share his passion, and create friendships with dentists in the U.S. and around the world.

Gusa and his first wife raised four children in the Seattle area.

Their family was fortunate enough to spend carefree summers at their cabin on Camano Island, swimming, boating, fishing, and playing lots of games. During this time, he stayed involved in his community. He was a senator and president in the Jaycees and ran for Washington state representative. He also co-founded Cub Pack 850 and was its first cubmaster. He was also president of the PTA at his children’s school.

Gusa was interested in people from all walks of life. He and his family welcomed foster children into their homes. Interesting guests from around the world could show up at any time, includ-

ing senators, the entire cast of Jesus Christ Superstar, or the person who was down on his luck and received free dental work from Gusa. He also did dental work for the conductors, singers, and others of the Soviet cast of “War and Peace.” Then all were invited to his home for dinner, singing, and dancing. He accepted people of all different perspectives, beliefs, and lifestyles, and he cherished his many friendships. He had many lifelong friends, but continued to make new friends throughout his life. Gusa was ahead of his time in his perspectives of the world and those around him. He was always open to new and progressive ideas, and was not judgmental of people with differing viewpoints.

In 1987, he met Judy. They married in 1991, and their family grew to include his beloved stepdaughter, Emily Dobson. The Gusas traveled whenever they could, visiting Germany, Russia, and Greece, and going through the Panama Canal twice, in each direction. They kept a large home, so that their family could gather in one place.

Gusa was interested in just about everything. He loved a good house remodeling project and bought a tractor to dig around his Lynwood, Wash. property. He loved to read and was always curious about the history of the many countries he visited, and loved studying the history of WWII. He liked to say that he was always learning. He prized education, not only in the classroom, but also out in the world. His legacy is one of learning, curiosity, travel, engagement with the world, and love for his family.

Gusa is survived by his children Michael, Angela (Mark Plut), Sharon (Chuck Quint), Randy, and Emily Dobson (Jesse Dias dos Passos), and five grandchildren. He was preceded in death by his wife, Judy, and his sister, Donna Hubert.

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3 6 · th e wsda ne w s · issue 8, august 2018 · www.wsda.org

OPPORTUNITIES AVAILABLE

OPPORTUNITIES AVAILABLE

GENERAL DENTIST WANTED – North Spokane. Private practice. Well-established general dental practice with single owner seeking associate general dentist. We have a state of the art, 10 op facility with Cone Beam CT, digital X-rays and pan, implants, IV sedation and Cerec. The staff is well trained and competent, but also kind and excellent to work with. PT/ FT. Flexible arrangements. We would love to hear from you to discuss this opportunity further. Call 509-251-0226 or con-tact info@ drmillerdentistry.com for more details.

ASSOCIATE DENTIST GREATER VANCOUVER, WA AREA — Buy-in opportunity. Privately owned practice with two offices located approx. 15 miles north of Vancouver, Washington searching for an energetic associate dentist to join an amazing team of professionals. We are looking for someone who has experience working with patients of all ages and is proficient in providing comprehensive quality dental care. We have a large patient base ensuring a full schedule immediately. This is a 4+ days per week opportunity with a potential buy-in option after establishing compatibility with patients and staff. We offer outstanding income potential with benefits and the ability to treat patients with full autonomy in a private practice setting. Interested candidates should please submit a cover letter and resume to: van500098685@gmail.com.

DENTISTS NEEDED — Jefferson Healthcare is opening the state’s first Dental RHC! We are seeking general dentistry dentists to head up this new clinic. Competitive salary, incredible benefits, and the opportunity to be a part of an amazing organization! Apply now on our Careers website at jeffersonhealthcare.org!

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.

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.

PT DENTIST ASSOCIATE — 2 years experience, A Plus Dental, Des Moines location.

Send resume to aplusdental2455@gmail.com or fax 206.429.3335 or 253.838.2455.

SEEKING PT ORTHODONTIST and PT DENTAL ASSOCIATE — We are searching for an energetic, part-time Orthodontist and a part-time General practice associate to join our prominent, established, state-of-theart and busy Pediatric Dentistry practice in Vancouver, WA. We are looking for someone who has experience working with patients of all ages. We value a team environment, meticulousness, patience and love for dentistry.

Please contact us to learn more about this opportunity. Contact: classified.for.associate@ gmail.com.

SEEKING ASSOCIATE DENTIST — Fulltime, South Lake Union, 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 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-to-shoulder 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.

REDMOND GENERAL DENTAL PRACTICE — Looking for 2 days a week, friendly, gentle professional dentist to joined our awesome hardworking team!. Please submit your resume and cover letter to the dentalofficeresume@gmail. com, We look forward to hearing from you!

HYGIENIST NEEDED, PUYALLUP — Fulltime dental hygienist position, open immediately in general practice in Puyallup, WA. Wed-Friday. Please fax resume to 253-7999060, or call Gretchen or Rachel at 253-8640555 with any questions.

th e wsda ne w s · issue 8, august · 2018 · www.wsda.org · 37

DENTAL ASSOCIATE, REDMOND WA — Privately owned Redmond practice seeking Dental Associate with minimum 1 year working experience. This is a unique opportunity to work with the best team. You will produce!

You will have a full schedule! and You you will have patients the day you start! Modern, paperless, all digital office, Performing General and advanced dentistry. Efficiently run office with great systems in place and an awesome team. You will have fun and be busy. This is a full-time (3-4 days a week). If you are interested in this position, please forward your confidential resume with a cover letter about yourself and days you are available. Thank you and we look forward to hearing from you.

Email: r_becky.ferrell@yahoo.com.

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.

DENTISTS NEEDED, STATEWIDE — We have wonderful practices throughout Washington and we are interested in bringing new doctors into the Smiles Family! Our practices are set in beautiful communities and have super fun and upbeat staff. If you are interested in joining a great team with tons of earning potential, send me, Jodie Barker, your resume via email at jbarker@smiles-services.com.

We will call all qualified candidates. Just a reminder: we are an equal opportunity employer! Thank you for your interest! We look forward to speaking with you.

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

classifieds issue 8, august, 2018

OPPORTUNITIES AVAILABLE

LOCAL DENTAL COMPU TER I.T. SUPPOR T, SINCE 2001

What makes us different?

We answer our phones!

Many of our clients call us in the 2-minute gaps between patients. Leaving a voicemail and waiting for a callback is not an option here! We do not use call centers or 3rd party answering services. When you call our number, one of our Seattle-based office techs will be answering the phone.

We staff our office.

The technician that answers your call is not going to be driving or working at someone else’s office.

We offer same-day onsite appointments.

We know the effect that a downed server, a malfunctioning operatory PC, or a broken x-ray scanner has on your practice.

We do not use contracted technicians.

All of our people are employed, trained, and vested in our company and our clients.

We have vast experience in dental industry.

We work with every single practice management, imaging and hardware vendors.

Our techs are familiar with the particular needs, schedules, timelines, and necessities of a dental office.

Learn how we can help, contact3 me today 8 · th e wsda ne w s

Tyson Varosyan

· issue 8, august 2018 Founder, CEO ·&www.wsda.org Director of Technology 206-715-TECH (8324) www.utspro.com

OPPORTUNITIES AVAILABLE

OPPORTUNITIES AVAILABLE

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.

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

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.

TACOMA TURNKEY DENTAL OFFICE — Close to downtown Tacoma and retail shopping areas. Easy access with plenty of parking space. 2,800 sq. ft fully equipped dental office ready to operate with 5 treatment rooms, 6th plumbed, cozy reception, Two doctor rooms, Lab, staff lounge, 2 rest rooms, storage room, laundry room. file cabinet. A digital Panoramic and 3 digital intraoral x-ray systems are also available for sale if interested. Great opportunity for Specialists and General Dentists. Please call for an inquiry. Call 253-230-8325 for details. Thanks.

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.

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.

ASSOCIATE NEEDED, OLYMPIA — Are you a caring & 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.

ASSOCIATE DENTIST, BREMERTON-KITSAP COUNTY — Established practice in Bremerton.

Kitsap Co is the best place to live outside the I-5 corridor. Come live in the best place to raise a family and work in a thriving dental practice.

Permanent position available, 4-5 day work week. Experience and residency preferred. We provide full range of preventive and restorative services (implants, IV sedation, oral surgery, orthodontics, etc). Experienced providers can easily produce/earn $200K+/year. Potential for ownership/partnership for the right person. Contact bremertondental@gmail.com.

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!

DENTIST OPPORTUNITY IN WESTERN WASH. — Seeking experienced dentist for busy, well established, successful, fee for service, group dental practice. Full-time position available. Excellent immediate income opportunity ($180,000 to $375,000 + per year) depending on productive ability and hours worked. Secure, long-term position.

You can concentrate on optimum patient treatment without practice management duties. Modern well-equipped office with excellent staff, and lab services provided. If you are bright, energetic with a desire to be productive, very personable, and people oriented, and have great general and specialty clinical skills, Fax resume to Dr. Hanssen at (425) 484-2110.

th e wsda ne w s · issue 8, august · 2018 · www.wsda.org · 39

PROSTHODONTIST NEEDED — Hughes Dental Group (Everett, WA) is adding Prosthodontist (buy-in) to expand our One-Stop-Shop for patients. Experienced in AO4, overdentures, F/, RPD, and dental implant placement and related surgeries.

Large patient base from which to diagnose and present ideal treatment. Digital radiography, CBCT. Waiting for your input to add scanner and 3D printer. Office has professional street presence, outstanding visi-bility, and high traffic count. Silverlake area of Everett. Check out website, FB presence, and then con-tact DrBob@ HughesDentalGroup.com.

OPPORTUNITIES WANTED LOCUM TENENS — 1980 graduate of University of Washington. Experienced in all aspects of general dentistry including Cerec. Available for limited days this summer and most days starting in September.

Please email brucej@brucejohnson.com.

OPPORTUNIT Y WANTED, 2018 UNLV School of Dental Medicine seeks a general dentistry position in the Seattle area. View my C V here: https: //doc s.google.com / document /d /13Tn-Aorg5_ AWjwYtae5xsCwgSekUgITLkksIJDa69Q/edit?usp=sharing.

OPPORTUNIT Y WANTED — 2018 NY UAEGD (Tacoma-Community Health Care) GR AD — Seeks a general dentistry position within 30 miles of Seattle. View my C V here: https://dr ive.google.com / open?id=1Bpe4lkcU W5ci D9P x f- 8K RYCa0IlvOa15.

OPPORTUNITY WANTED — 2017 University of Detroit Mercy School of Dentistry graduate seeks a general dentistry position in greater Seattle. View my CV here: https://drive.google. com/open?id=1RyyurwvieQKSjNU4JG27_ y wTKDs7_4Yi. OPPORTUNIT Y WANTED — 2018 UCSF SOD IDP graduate seeks a general dentistry position in Seattle + 30 miles. Need H1B sponsorship. View my CV here: https://drive. google.com/open?id=1I1iDpcYCyvI7fk8tYVliS_ x5fcDACYKq.

classifieds issue 8, august, 2018

OPPORTUNITIES AVAILABLE

PRACTICE GROUP

On average, it takes 200 hours to sell a dental practice.

As a group of former dentists and experts in practice management, we have successfully guided hundreds of dentists through transitions.

Let us do the work.

Get started today with a free consultation.

877-866-6053 info@omni-pg.com

Practice Listings: omni-pg.com Real Estate Listings: omni-hcre.com

4 0 · th e wsda ne w s · issue 8, august 2018 · www.wsda.org

OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

OPPORTUNIT Y WANTED — 2017 University of Washington School of Dentistry graduate seeks a general dentistry position in Washington. View my CV here: https:// docs.google.com /document /d /1-GcpGGF Onk12DcfM1aFyWRGy0ulmG_28ldsJgH 4eCpo/edit?usp=sharing.

SPANAWAY SOUTH TACOMA PRACTICE — For sale. Asking $305K. Beautiful. Brand new office - 1 Yr Old. Collection at 125K+ at 2 doctor days. Growing population/jobs, Close to Lewis McCord military base. High Visibility facing busy Freeway. Work FT to bring office to 1 million. Four fully functional operatories, w/a 5th operatory plumbed and outfitted with a dental chair. Digital-Xray, panorex, touch screen computers. contact thuandp@hotmail.comfor info.

NEW! WESTERN WASHINGTON Periodontal Practice for sale. Hi net, Lo Overhead Practice. Great Cash Flow. No PPOs. Digital Xrays. 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)

OPPORT U N IT Y WA N T E D, 2018 Herman Ostrow School of Dentistry of USC grad seeks a family/cosmetic dentistr y position in wester n Washington. View my C V here: https://dr ive.google.com / file/d/1ZbwFXqW0b_XURJ_YY3aRc1B4e5Ih7zu/view?usp=sharing.

OPPORTUNITY WANTED — 2018 Case Western School of Dental Medicine graduate seeks an associate position in the Bellevue/ Greater Seattle Area. View my CV here: https:// drive.google.com/file/d/1vmWnpHw89nS_ pYX8ft6i2nAGsSZbJlDu/view?usp=sharing.

OFFICES FOR SALE OR LEASE UNIQUE SPOKANE WA — Practice for Sale. Collections over $978,000. Seven operatories, Doctor is well-established in community with excellent goodwill, Real-estate is optional for this free-standing office building with ample parking, Talented, long-term staff are dedicated to the practice and patients. Growth opportunity with increased marketing and extended hours/days open For additional information about this unique practice, please contact Kaile Vierstra with Professional Transition Strategies at kaile@ professionaltransition.com FOR LEASE — Available featuring: four operating rooms (chairs), Reception and wait room, Private, residential location with scenic view and park like feeling, Close to downtown Burien and retail shopping areas. Indoor ADT security system and outside video cameras. On rapid transit line. New dental vacuum with secondary backup, new HVAC. $3,200/Month Call 206-948-8356 for details.

PRACTICE PURCHASE, KENT, WA — Well run general Dental practice in prime kent location. 3 op (2 equipped) with a room for a fourth Op. Collection averaging 285 K /year in the past 4 years and netting approx 130K on 3.5 days/week, 10 - 10.5 months/ year.

Endo, OS & full dentures referred out. Has a great potential For significantly increasing production. Asking only 220K. Using Dentrix software. Dentist is retiring. Contact: Jennifer Bennett, Email: jen@tkmgllc.com Phone: cell 206-683-8966 Office 425-4890848.

SILVERDALE GENERAL DENTISTRY — Collects 730,000 per year. Six year old practice. nice view of Silverdale bay and Mt. Rainier. contact dental8@outlook.com.

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.

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.

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.

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.

RESTORATIVE, IMPLANT, PERIODONTAL PRACTICE priced for IMMEDIATE SALE­— Great Value at $299K. Poulsbo, WA. $600K Collections. Full Schedule of Treatment Planned Patients. (4) Ops. Digital & Nitrous Oxide. Equipped for Restorative, Implant Placement & Restoration, Periodontal Treatment. Contact: Jeff Huey at Jeffrey.c.Huey@ gmail.com or Text (206) 227-2919.

NEW! MILL CREEK Dental Practice for Sale.

Annual Collections approximately $1mil. 5 ops, room for 3 more. Digital x-rays and panoramic, intra-oral camera and laser. 3,270 sq. ft of office space. Contact frank@omni-pg.com. (WD215) NEW! LINCOLN COUNTY - G/P Practice for sale within 35 miles of Spokane in the same location since mid-60s. Annual collections over $340,000. 4 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 877-866-6053; info@ omni-pg.com. (WD196)

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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) SOUTH SOUND Two ortho practices for sale. Combined revenues of $950K. Must be sold together. Contact rod@omni-pg.com.

(WD202) 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. 5 operatories, Prime location. Low overhead, hi net practice with great cash flow. Email rod@omni-pg.com. (WD190) 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) ISLAND PRACTICE FOR SALE Annual collections over $300,000. Newer buildout. Great location, tons of room for growth. Contact rod@omni-pg.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)

classifieds issue 8, august, 2018

OPPORTUNITIES WANTED

clinical corner issue 8,august, 2018

CLINICAL CORNER Large radiolucency, right posterior mandible

Figure 1

Contributed by:

Dr. Tyler McDonald, Central Washington Oral & Facial Surgery, Wenatchee, WA

History of present illness

This is a 38-year-old female with a history of progressively enlarging swelling of the right posterior mandible over the last 2 to 3 years. She presented to her dentist with

Figure 2

a chief complaint of a swelling that started to push on her throat. She had no pain or any other systemic symptoms. A panoramic radiograph revealed a large radiolucency in the posterior mandible confirmed by CBCT scan taken by the oral surgeon (Figures 1 & 2). The patient’s past medical history is significant for hypothyroidism, anxiety and chronic low back pain. Her medications in-

clude Duloxetine, Gabapentin, Levothryoxine and methocarbamol.

Test your knowledge!

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

Since 1968

We are pleased to announce...

Richard C. Downing, D.D.S. has acquired the practice of

Donald G. Sampson, D.D.S. Tunwater, Washington

Steven S. Broughton, D.D.S. has acquired the practice of

Monty D. Tolman, D.D.S. Olympia, 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 WSDA September 2018_95Black.indd 1

4 2 · th e wsda ne w s · issue 8, august 2018 · www.wsda.org

7/16/2018 4:32:36 PM

OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

OLYMPIA GD practice, building also for sale.

Annual collections over $1.1 million with good cash flow to doctor. Contact rod@omnipg.com (WD176).

ORTHODONTIC PRACTICE FOR SALE: Snohomish County — Tremendous opportunity in the heart of Snohomish County collecting $675K. 2,145 sq/ft approx. 5 fullyequipped chairs + private exam/consult room.

X-ray. Pan/Ceph. Ortho2 software w/digital charting. For more information contact: Jennifer Cosgrove at (425) 216-1612 or Jennifer@ cpa4dds.com.

SEATTLE Established general dental practice for over 50 years in desirable, high income household neighborhood. Three operatories.

Annual collections over $500,000. Room to grow. Contact Frank 877-866-6053; frank@ omni-pg.com. (WD225)

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) PEDIATRIC w/ORTHO PRACTICE FOR SALE — Greater Seattle Area/SE Lake Washington. Pediatric w/Orthodontic specialization (Associate). Large modern facility collecting $1.9M+ w/ latest computerization, ortho imaging Pan/Ceph & software. Long-term lease available. Staff trained expanded duties, modern premedication techniques & general anesthesia. 8 chairs fully-plumbed for all utilities/N2O. Excellent location. Owner willing to work-back. For more information contact: Jennifer Cosgrove at (425) 216-1612 or 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 & perio surgery. Current non-renewable lease is expiring – no space available. Equipment in good condition & available (if needed): 5 fully-equipped, computerized operatories, cavitrons, lab & autoclaves w/cassettes. Digital intra-oral camera. Nitrous. Asst surgical endo, hygiene & operative instruments. For more information contact: Jennifer Cosgrove at (425) 216-1612 or Jennifer@cpa4dds.com.

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)

GENERAL PRACTICE FOR SALE: Rural Snohomish County — Outstanding family practice with great cashflow in picturesque country setting. Ideal for dr & family seeking quality of life away from city traffic. 4 fully-equipped operatories w/5th possible. Approx 1,450 sq/ ft. Low overhead. Collecting $600-650K+ on a 3-day workweek. Opportunity to grow! For more details contact: Jennifer Cosgrove at (425) 216-1612 or Jennifer@cpa4dds.com.

GENERAL/COSMETIC PRACTICE FOR SALE: Olympia — Beautiful, state-of-the-art practice in the heart of the State’s capital! Buyin/out option available. 8 fully-computerized operatories w/Adec chairs. Digital radiography & pano. Lasers. Nitrous. Rotary endo / elements obturation. Dexis CariVu. Intra-oral cameras. iTero. Dentrix/Dexis. 3,900 sq/ft approx. For more information contact: Jennifer Cosgrove at (425) 216-1612 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 & private office. 3-D Cone Beam.

For more information contact: Jennifer Cosgrove at (425) 216-1612 or email Jennifer@ cpa4dds.com.

MADISON PARK General Dental Practice for sale. Desirable neighborhood, highly visibility.

Annual collections of $1.5 million. Contact rod@omni-pg.com. (WD208) DOWNTOWN BELLEVUE General Dental Practice for sale. Annual Collections over $550,000. 15 new patients/month with no marketing. A lot of work being referred out.

Contact Frank - 877-866-6053; frank@omnipg.com. (WD212) PUYALLUP Dental Practice for Sale. 4 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)

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NEW! DOWNTOWN SEATTLE General dental practice for sale in medical dental building.

4 operatories, $350,000 collections. Contact Frank - 877-866-6053; frank@omni-pg.com.

(WD226) SW KING COUNTY Ortho Practice for sale.

Annual collections $980,000. Large space with room to grow. 6 chairs. Large waiting room. Call Frank 877-866-6053. (WD207) NEW! WEST SEATTLE practice & building for sale. Annual collections approx $600,000.

Primarily crown and bridge practice. 4 operatories. Near retail center. Contact Frank 877-866-6053 ext 4, frank@omni-pg.com.

(WD227) 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) 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)

classifieds issue 8, august, 2018

OFFICES FOR SALE OR LEASE

classifieds issue 8, august, 2018

OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

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)

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 on-sie parking. Three ops with workstations, ADEC, Dexis, Open Dental, lab, sterilization, staff room, Dr’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

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

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) GP PRACTICE MILL CREEK — Priced to sell four chairs, busy shopping center, 400k ‘15, 700k ‘16, lots of room to grow, Open Dental, low overhead, strong referral, motivated seller, email FVqualitydentalcare@gmail.com 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. 4 complete operatories, 1850 square feet. Option to lease or purchase building. Located 1.5 hours east of Seattle, 10 minutes from Suncadia. Contact Dr. Lorin Peterson at klcehome@ msn.com or 509-674-1389.

FOR 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 @ 206-861-6288. Opportunity too good to pass up.

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

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

BELLINGHAM — Lease turnkey dental suite.

Formerly successful pediatric and orthodontic Class-A office space. Save $200,000+ construction costs. Ample parking. Interstate-5 access. High-traffic/visibility location. Customization available. Lincoln Professional Center: 360-739-1421 adengst@gmail.com.

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.

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. Welltrained 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.

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

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

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

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

BELLEVUE/FACTORIA — Newly renovated (incl hardwood floor & granite reception countertop, etc.) dental off for lease. 1,200 sq. ft. 3-ops (4th op can be added) in a stylish off bldg. slmliu at comcast dot net. Easy I-90/I-405 frwy access. Across street from Factoria Mall. 15’ pole sign by Factoria Blvd.

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.

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SERVICES

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.

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.

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.

SPECIALTY DENTAL BUILDING — Available for lease or sale in the Spokane Valley.

6000+ sq. feet. Full conference room and administrative space. Four operatories and an ASC suite. Equipment and furniture negotiable. Please contact renee@spkoms.com.

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

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

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

Email: FredH@arizonaTransitions.com.

SERVICES 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 919-229-0483 www. repairsensor.com.

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.

SPECIAL INTEREST FOR SALE — “Unhappy Patients: A Look At Dental Patient’s Complaints About Their Dental Care”. Curtis F. Smith, DDS Based on the author’s years dealing with patient complaints for an insurance company. Available from Amazon $9.95

EQUIPMENT FOR SALE 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.

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

CLASSIFIED ADS IN THE WSDA NEWS Visit wsda.org/news/classifieds/ to place your ad and select the issues you would like your ad to run in. Follow up your submission with a phone call to Rob at (206) 973-5220 to submit your credit card information.

Pricing: Members: $60 for the first 30 words, $1 for each word over 30.

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

th e wsda ne w s · issue 8, august · 2018 · www.wsda.org · 45

classifieds issue 8, august, 2018

OFFICES FOR SALE OR LEASE

first person dr. stephen lee

Workforce woes

Dr. Stephen Lee Editorial Advisory Board

“I’ve paid good money for temporary assistants to ruin or lose equipment, blow their nose in front of patients, and sometimes not even show up.”

Occasionally, at the end of a procedure, a patient will compliment my assistant and me for our work as a team and how well choreographed we are. Not being one to take compliments properly, I might tell the patient that, although both of us are below average, we’ve learned to fake it well after 15 years together. It usually earns a chuckle form the patient and a kick in the shin from my assistant, but kidding aside, it reveals how important it is for us to work with familiar, well-trained people.

Of course, our staff needs time off; perhaps they take vacations, maternity leave, or mysteriously disappear. Their absence is missed, and everybody in the office scrambles to fill the void. While technical elements of a dental procedure shouldn’t change much from one person to the next, it’s amazing how much more taxing the same task becomes when a new person is introduced. Unfortunately, filling the void of a missing staff member has become tougher than ever.

The improvement in the economy has increased busyness for dentists, along with a corresponding demand for auxiliaries. As a result, the pool of assistants, hygienists, and front desk staff has become alarmingly slim. With the unemployment rate dropping, many of those who are still unemployed are the unemployable. Consequently, practices struggle for both short-term and long-term help.

For short-term replacements, staffing agencies often fail to find a suitable fill-in. Low supply and high demand allow agencies to command hefty prices for increasingly questionable talent. I’ve paid good money for temporary assistants to ruin or lose equipment, blow their nose in front of patients, and sometimes not even show up. I’ve paid even more for temporary hygienists to butcher tissue, tell patients about their love lives, and scold me at the end of the day because they don’t like the practice software I use. After all that trouble, I kowtow to the mighty temp agency, write them a generous check, and tell myself I will never let another staff member have a day off.

Hiring for the long term offers its own set of problems. With dental assistants, the quality of training varies so greatly from one school to the next that dentists have to be especially careful about who they hire. Many of the public schools, as well as some of the for-profit schools will graduate students who have a decent grasp of the basics. Sadly, some of these for-profit schools provide such a crummy and expensive education that students are getting ripped off. Some charge close to $20,000, then graduate an assistant who is barely more skilled than when they enrolled.

Fortunately, hygiene schools are accredited, but we still encounter similar supply-anddemand problems. In Seattle, some freshly graduated hygienists are asking for hourly wages in the mid-to-high $50s. Meanwhile, some insurance plans have decreased prophy reimbursement to almost the same level. This creates a mess for the whole market. Dentists switch to a 30-minute prophy schedule to cover costs, the patient gets substandard care, and the hygienist burns out. Even the insurance companies lose, paying more to cover the higher costs of repairing a poorly maintained patient. Nobody wins.

This dilemma offers the opportunity for organized dentistry to improve the undersized and underqualified pool of dental auxiliaries. It’s time to act by opening up new hygiene and assisting schools, and enlarging the ones already operating.

On the assisting front, we need to use our relationships in Olympia to start policing the private schools. Students deserve to receive a suitable education no matter what school they attend. Locally, we need to encourage the development and expansion of assisting programs at reputable vocational schools.

Similarly, a push to expand the dental hygiene workforce will benefit everyone. Just as dental schools and residencies help deliver care to the underserved, so will growth of hygiene schools. Nearly a million people live in Snohomish and Skagit counties, but they have no hygiene programs, while Eastern Washington has three. Our state has seen significant population growth and a significant influx of dentists arriving from all over the country, so the state needs more hygienists to keep the workforce in balance. Patients, dentists, and staff all will be better off for it.

Organized dentistry must lead the charge, but help will be needed from leaders of our schools and government, as well. If we don’t push the matter, nobody will do it for us.

Fortunately, this idea should be able to sell itself. It’s an opportunity for local leaders and politicians to bring a valuable asset to their communities. Once implemented, dental offices will enjoy more highly qualified hygienists and assistants so we can deliver our best care to our patients, and I can once again let my staff take a day off.

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

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4 8 · th e wsda ne w s · issue 8, august 2018 · www.wsda.org