The Journal of the Philadelphia County Dental Society Volume 82 Issue 2 by Teresa Ravert

The Journal of the Philadelphia County Dental Society

April/May/June 2015 2016 July/August/September

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THE JOURNAL

of the Philadelphia County Dental Society ________________________________________________________________________________

First District of the Pennsylvania Dental Association April/May/June 2016 x Vol. 82 x No. 2 _____________________________________________________________________________________________ Saul N. Miller, D.D.S., '18 Editor

CONTENTS

Stanley B. Toplan, D.D.S. Associate Editor

President’s Message ........................................................................... 3

Teresa F. Ravert Executive Director

OFFICERS

Andrew J. Mramor, D.D.S. President Renee H. Fennell-Dempsey, D.M.D. President-Elect

2016 Liberty CE Preliminary Program ............................................... 4 Not Just about the Teeth ..................................................................... 8 Newsbriefs ..........................................................................................9 2016 Officers Installed ........................................................................6 New Insurance Agency for PCDS.....................................................15

Judith A McFadden, D.M.D. Secretary A J. Chialastri, D.D.S. Secretary Emeritus

Membership Report ...........................................................................15

Rochelle G. Lindemeyer, D.M.D. Treasurer

Classified Ads ................................................................................... 23

Stanley B. Toplan, D.D.S. Historian

GOVERNORS

Health Watch ..................................................................................... 17 Dental Dates.......................................................................................20 CMS Delays Medicare Enforcement until 2017 .............................. 23 Workplace Tips .................................................................................. 24

Peter J. Carroll, D.D.S., '18 Jay M. Goldberg, D.D.S., '18 Kevin J. Klatte, D.M.D., '16 Michael A. Koumaras, D.M.D., '16 Stanley W. Markiewicz, D.D.S., '17 Thomas P. Nordone, D.M.D, '16 Jonathan Siegel, D.M.D., '17

•••

Anand V. Rao, D.M.D., '17 PDA Trustee Thomas W. Gamba, D.D.S., '16 ADA First Vice President

•••

EXECUTIVE OFFICES:

One Independence Place 241 South 6th Street, Unit #C3101 Philadelphia, PA 19106-3797 215-925-6050 FAX: 215-925-6998 E-mail: philcodent@aol.com WEB: www.philcodent.org

The JOURNAL is published by the Philadelphia County Dental Society, One Independence Place, 241 South 6th Street, Unit #C3101, Philadelphia, PA 19106-3797. The opinions expressed herein are those of the author under whose name they appear and are not to be regarded as representing the views of the Philadelphia County Dental Society unless so indicated. All advertising materials and correspondence, including classified advertisements and replies should be sent to: JOURNAL of the Philadelphia County Dental Society, One Independence Place, 241 South 6th Street, Unit #C3101, Philadelphia, PA 19106-3797. The Philadelphia County Dental Society does not approve or disapprove any products or services advertised in the JOURNAL. Articles for publication may be sent directly to the Editor electronically via e-mail to philcodent@aol.com Articles and classified advertisements should be submitted as Word documents; all other advertising should be submitted in .pdf format (Adobe 6.0 or higher). Contact the Society via telephone or e-mail if you require additional information. Deadline for copy is the first of the month PRECEDING the month of issue. Subscription is included in the annual dues. The JOURNAL is published electronically 4 times a year, January through December. Single printed copies: $4.00. Standard postage paid at Philadelphia, Pennsylvania. Copyright 2016. The Philadelphia County Dental Society.

JOIN PADPAC TODAY! – Protect Your Profession! The PDA Government Relations team depends on a well-funded PAC to ensure that you have a political voice in Pennsylvania. Join your Colleagues in supporting PADPAC and help strengthen our political voice. PADPAC provides you with a way to amplify dental priorities in the General Assembly. Through political donations, direct advocacy and grassroots engagement, we monitor how legislators vote at the Capitol. It’s through your support that we can help our elected officials understand the importance of oral health. There are six contribution levels: Century Club: $120-$200 - Keystone Club: $200-$499 - Capitol Club: $500-$999 Liberty Club: $1,000+ - President's Club: $2,500+ - Student: $10 The Perks: PADPAC has many events and perks lined up for 2016, including legislative receptions during Pittsburgh Pirates and Philadelphia Phillies games! How to Contribute: Contributions can be made online or contact Charles McElwee at (800) 223-0016, ext. 108 or cfm@padental.org

Notify Us about Changes of E-Mail Address To PCDS Members: If you change your e-mail address, remember to notify the Philadelphia County Dental Society so we can keep our records current and you will continue to receive The Journal electronically. Send your new address to philcodent@aol.com (be certain to send us your full name, too, so we can attach the new address to the correct member.)

MISSION OF MERCY – PENNSYLVANIA: YOU CAN HELP . . . Friday & Saturday – June 3 & 4 – Pittsburgh, PA MOM-n-PA Foundation is a 501c3 non-profit foundation with the sole purpose of conducting an annual Mission of Mercy two-day event providing free dental care to the indigent in Pennsylvania. Pennsylvania’s MOM-n-PA events have been successful because of the hundreds of members of the dental community who have donated free dental treatment to thousands of Pennsylvania’s citizens. The next MOM-n-PA is scheduled for Pittsburgh. Volunteer dentists, dental hygienists, EFDAs, dental assistants and dental students, as well as EFDA, hygiene and assisting students, are needed to provide the professional care. Volunteer lay members of the community will provide logistical support and translators for various ethnic groups. Here’s how you can help – make a donation to MOM-n-PA and/or volunteer your services for one or both days of the event. For more information, visit online at

www.mom-n-pa.com

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

President’s Message Andrew J. Mramor, D.D.S.

As the sunshine fills more time each day, I hope you are looking forward to a wonderful and active spring and summer. Your Board of Governors was pleased to welcome PDA President, Dr. Wade I. Newman, and PDA Chief Executive Officer, Ms. Camille Kostelac-Cherry to our meeting on February 10. They spoke on a variety of topics, among which were how the PDA’s new governance model has affected staff assignments, the work of Councils and Task Forces, and the PDA’s endorsement of the MidAtlantic Dental Meeting, which is an expansion of the DC Dental Society’s annual meeting and is endorsed by PDA and the Delaware State Dental Society. They answered questions regarding PDA policies and strategic plan. I am delighted to tell you that Dr. Susan M. Chialastri has been named the recipient of the PDA Recognition Award. She was nominated by Dr. Amid Ismail, dean of Temple University Kornberg School of Dentistry, and the award will be presented during the PDA Meeting in May. Dr. Chialastri is a former member of the PCDS Board of Governors. She is a 1987 graduate of Temple University School of Dentistry and completed a residency in periodontics at the University of Pennsylvania School of Dental Medicine in 1989. She received a master’s degree in oral biology from Temple in 2009. Currently, she is an associate professor and clinical scholar in periodontology at Temple University Kornberg School of Dentistry. The PDA Recognition Award is presented to a dentist who has contributed original research, whose significant achievements and high standards have been of such character as to have materially aided and advanced the science and art of dentistry or whose public life and activities have been of such a nature as to reflect great credit upon the health profession. On behalf of all of the members of the Philadelphia County Dental Society, I extend hearty congratulations to Susan on her selection for this award. Pennsylvania’s Dental Meeting will be held Thursday, May 19, through Saturday, May 21, at the Hershey Lodge. The agenda includes CE programs and social activities, including alumni receptions for graduates of the University of Pennsylvania and Temple University. PDA’s business meeting will be held on Saturday beginning at 12:45 p.m. All PDA members are eligible to attend and participate in the business meeting at no cost. For more information and to register for any of the programs, visit www.padental.org Select Events, and then PA Dental Meeting. I hope to see you there. The PDA will be hosting a New Dentist Event in Philadelphia on May 4, from 6:30 to 8:30 in the evening at a location to be announced shortly. New dentists are defined as dentists that are ten years or less out of dental

school or residency. If you know of any new dentists that are not yet members of organized dentistry, please encourage them to attend. Information and registration can be found in the events section of the PDA website or by contacting Andrea Hoover in the membership department at 1-800-223-0016 (ext. 123). We have been reading much in our professional Journals regarding the dramatic increase in the prescribing of opioids and its possible connection to the heroin and opioid crisis in the country today. The ADA is part of a multi-organization task force that is committed to identifying and implementing best practices to combat this public health crisis. One of the task force’s goals is to enhance health care providers’ education of safe, effective and evidence-based prescribing. Safe Opioid Prescribing for Acute Dental Pain is a free, onehour CE program funded by the Substance Abuse and Mental Health Services Administration. The program, developed by faculty at the Boston University Henry Goldman School of Dental Medicine, is endorsed by the American Association of Oral & Maxillofacial Surgeons and is accredited for CE by the American Dental Association. For more information and/or to register for the program, visit http://www.opioidprescribing.com/dental_landing You may also purchase the new ADA Practical Guide to Substance Use Disorders and Safe Prescribing. This publication is the only book on this topic especially for dentists. The book includes a test worth 5 CE credits. For more information or to order, visit ADAcatalog.org Dr. Thomas A. Farley, former commissioner of New York City's Department of Health and Mental Hygiene, was appointed as Philadelphia's new health commissioner by Mayor Kenny in January and began his duties on February 16, 2016. I have reached out to him, on behalf of the members of the Society, to welcome him to Philadelphia and to let him know that the PCDS Officers and Board of Governors stand ready to provide any assistance he may request regarding dental-related matters that the Board of Health may consider. Most recently, Dr. Farley was the chief executive officer of the Public Good Projects, a nonprofit organization that works to address the nation's health problems through media and marketing. Dr. Farley, a pediatrician, served as New York's health commissioner from 2009 to 2014. He is known for his creative use of mass media to deliver messages to promote healthy behaviors, introducing the "Two Drinks Ago" campaign to reduce binge alcohol drinking, and developing a series of ads on the health consequences of smoking. Earlier in his career, Dr. Farley served in the Centers for Disease Control's Epidemic Intelligence Service, where he investigated outbreaks of disease and directed programs to control HIV/AIDS, tuberculosis and various other infectious diseases.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

The Philadelphia County Dental Society presents

The 2016 Liberty Continuing Education Series at the Philadelphia Hilton City Avenue Hotel 4200 City Avenue, Philadelphia, PA

THREE full-day programs remain in the 2016 schedule at the SPECIAL MEMBER TUITION OF $480.00 (individual full-day courses, $175.00/PCDS Member Dentist) Programs begin at 8:30 a.m. and conclude by 3:30 p.m. (unless otherwise stated). Continuing education credits awarded; hours will be deducted for those who arrive late and/or leave prior to conclusion. In recognition of the need for quality continuing education, and in an effort to make such programs attractive and accessible to members, the Philadelphia County Dental Society proudly presents this package as a MEMBERSHIP BENEFIT. Every effort is made to bring you outstanding programs at minimal cost to you. Information and materials presented by clinicians are intended for your personal evaluation and are not necessarily endorsed by the Philadelphia County Dental Society. The Society does not express or imply that individual courses will be accepted for various state mandatory continuing education requirements. The individual license holder must consult the regulations pertaining to your state/s.

N O REFUN DS on courses purchased as part of the CE package. Each full-day program includes lunch and FREE parking validation. At the end of each calendar year, w e provide you w ith an annual transcript of all courses you attended through PCDS . NOT a PCDS Member?? ADA members may become Associate Members of the Society. Dues are $157 for the calendar year (no pro-rating). Contact the PCDS Executive Office (215-925-6050) for an application (or become a member through the web site: www.philcodent.org), and then register for courses at the LOW member rate. NOT an ADA Member?? Contact us about the Liberty Enrollment Program that will enable you to register for courses at the LOW member rate.

The Philadelphia County Dental Society has been granted approval as an ADA CERP recognized provider as a component member of the Pennsylvania Dental Association. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org.cerp. The Philadelphia County Dental Society has been designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing dental education programs of this program provider are accepted by AGD for Fellowship/ Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 1/1/2016 to 12/31/2019. Provider ID: 212415.

For continuing education credit, as designated by the Philadelphia County Dental Society, see Course Descriptions.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

CE 91 – Wednesday – March 16, 2016 8:30 to 11:30 a.m. – Marianne Dryer, R.D.H., M.Ed., Radiology in the Dental Office – This program will fulfill the Pennsylvania DEP CE requirements as follows: In July of 2008, the Pennsylvania Department of Environmental Protection (DEP) notified licensed dentists that they and their staff members who are involved with X-ray procedures must include radiology safety, biological effects of radiation, quality assurance and quality control as part of their continuing education curriculum. The Pennsylvania Department of Environmental Protection recommends that individuals obtain two contact hours, or four hours of continuing education every four years. “Contact hours” are defined by DEP as those obtained in a traditional classroom setting. (3 CE credits)

presented in cooperation with Dentsply 12:30 to 3:30 p.m. – Mark Kiefer, HIPPA/HITECH Compliance: Where You Need to Be – Advances in technology keep coming at breakneck speed. By the time we evaluate, select, lease or purchase and install programs, hardware and software, they may already be upgraded or replaced. This program will help you understand the technical requirements you will need in order to remain compliant with federal patient privacy regulations. (3 CE credits)

presented in cooperation with SK Tech Group 3:45 to 5:45 p.m. – CPR Recertification – additional fee required – see “CP 96” on Reservation Form. Recertification card will be awarded at the completion of the program. NO ADMITTANCE – AND NO REFUND – FOR THOSE WHO ARRIVE AFTER THE PROGRAM BEGINS. YOU MUST BE PRESENT FROM 3:45 UNTIL THE CONCLUSION OF THE PROGRAM IN ORDER TO RECEIVE YOUR RECERTIFICATION. WRITTEN REQUESTS FOR REFUNDS MUST BE RECEIVED NO LATER THAN MARCH 9 – NO REFUNDS FOR ANY REASON AFTER MARCH 9.

CE 93 – Friday – May 20, 2016 8:30 a.m. to 3:30 p.m. – Peter Auster, D.M.D. – How to be Thrilled in Dentistry for the First Time – Dr. Auster will share the pathway to becoming the dentist you always dreamed you would be and finally looking forward to work every day. Topics included in this fun and stimulating seminar: What didn’t they prepare us for in dental school? Where is the best place to learn what we weren’t taught? Who to speak to every time if a case stumps you? How to phase cases for any budget. Conquering your fears: amazing cases broken down to basics. Should I buy that scanner now? (NOT what you expect to hear.) What NO dentist should EVER be without. The right cosmetic material for every case and what NOT to use. How deprogrammers can change everything in your dental life and make you money. The laser every office needs and the laser you don’t want. What every dentist should do once per year, no exceptions! The Big Reveal: Life-changing befores and afters you and your patient will never forget. 60 inexpensive products that you should use tomorrow morning. Incredible Cosmetic Labs (I’ll name names!) Simple and profitable in-house short-term ortho (NOT Invisalign). Cosmetic consults that excite and motivate your new patient. How to assure you never see a broken crown again. (7 CE credits)

presented in cooperation with Ivoclar Vivadent and Bayview Dental Laboratory

M ore courses ÎÎÎ

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

CE 94 – Wednesday, September 21, 2016 8:30 a.m. to 3:30 p.m. – Thomas Viola, R.P.H., C.C.P. – The Most Frequently Prescribed Medications and Their Clinical Dental Implications and Patient Care Considerations in the Management of Dental Pain – With the recent explosion of new drug and treatment protocols, dental professionals may not be familiar with the therapeutics of medications used in disease state management. This program will provide an update of the most frequently prescribed brand name medications, especially those which impact dental therapy. Indications, adverse reactions, drug interactions, and dental considerations will also be discussed. Due to their potential for producing systemic adverse reactions, knowledge of the therapeutics of local anesthetics and analgesics is essential for their safe and effective use. Discussions will include local anesthetics, non-opioid analgesics and opioid analgesics, and pain management planning based upon a patient’s medical conditions. (7 CE credits)

CE 95 – Wednesday, October 26, 2016 8:30 a.m. to 3:30 p.m. – John Nadeau – Dental Sleep Medicine Seminar – This presentation will include an analysis of patients' symptoms and how to screen for them, scripts for an effective patient interview, how to motivate the dental team to engage patients on the subject, the morphology of the airway, comorbidities to look out for, the effects to the systemic organs, the reimbursement strategy and insurance billing using dental and medical coding. The program incorporatec an interactive hands-on approach with the attendees changing roles as simulated patients and providers. Diagnostic equipment and intra-oral sleep appliances will be provided for demonstration. The objectives of this unique program will be to: 1) provide attendees with the knowledge of patient screening, diagnosis and treatment modalities for Obstructive Sleep Apnea; 2) enable attendees to have a hands-on experience with OSA diagnostic equipment; 3. encourage and enable the continuation of education in sleep dysfunction in order to provide service to the millions of sleep apnea sufferers. (7 CE credits)

presented in cooperation with Sleep Group Solutions

Visit the web site at www.philcodent.org for updates on the list of principal sponsors and participating partners

PCDS Continuing Education Convenient Relevant Affordable

Helping you meet your legal and ethical responsibilities. R eservation Form ÎÎÎ 6

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Register online at the Web Site: www.philcodent.org Use a SEPARATE reservation form for each person - this form may be duplicated.

RESERVATION FORM / 2016 LIBERTY CONTINUING EDUCATION PROGRAMS PCDS MEMBER NAME _________________________________________________________________ ADA # ______________________ TEL # (_____)________________ FAX # (_____)_______________ ADDRESS _____________________________________________________________________________ CITY/STATE/ZIP__________________________________E-MAIL _____________________________ ATTENDEE’S NAME ___________________________________________________________________ PCDS FULL DAY PROGRAMS – indicate the CODE NUMBER for each course you choose [i.e., CE 91] ____ PCDS Member for 3 FULL DAY programs: #

$480.00

____ PCDS Member for 1 FULL DAY program: #____

$175.00

____ PCDS Member for 2 FULL DAY programs @ $175.00/per: #____ _____

$350.00

____ ADA Member Dentist, for EACH FULL DAY program: # ____ (Include a copy of your current ADA membership card)

$250.00

____ Non-Member Dentist, for EACH FULL DAY program: # ____

$300.00

____ Staff employed by PCDS Member for EACH FULL DAY program: #____

$ 95.00

____ Staff employed by Non-Member, for EACH FULL DAY program: #____

$125.00

PAYMENT ENCLOSED IN THE AMOUNT OF ………………………………………… $______ Method of Payment: Credit Card #

Check

Visa

MasterCard

____ ____ ____ ____

American Express Exp. Date

__/__

Signature (required for charge cards): ______________________________________ Billing Address for Card (required): ________________________________________________________________________ _____________________________________________________________________________________________________ Mail to PHILADELPHIA COUNTY DENTAL SOCIETY One Independence Place – 241 South 6th Street – Unit #C3101 - Philadelphia, PA 19106-3797 TELEPHONE: 215-925-6050 FAX: 215-925-6998 (call to confirm our receipt of FAX) Confirmation, Tickets & Instructions will be mailed to you approximately 10 days prior to each course. CE transcripts will be mailed to you each year in December. Each attendee is responsible for forwarding copies to the appropriate licensing or accrediting agencies (State Board, AGD, Specialty Boards, etc.).

CE Available Online through JADA Licensed U.S. dentists can earn up to three CE credits each month through the JADA Online Continuing Education Program. To participate, go to http://jada.ada.org and choose the “CE” menu option. Credit for JADA CE is provided through the ADA Continuing Education Recognition Program (CERP) and administered by Elsevier, JADA’s publishing house. ADA members will continue to receive JADA CE at a discounted rate. ADA members must be registered for ADA.org members-only content and have an ADA.org password to receive discounted testing fees. Those who have never registered for members-only content will need to obtain a password by contacting the ADA at 800-621-8099 x 3553 or 312-440-2500 (weekdays 8:30 a.m.–5 p.m. Central Time), or sending an email to mscpassword@ada.org (include your membership number in your email. THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

It’s Not Just about the Teeth Saul N. Miller, D.D.S., Editor

Depression and Oral Health: An Overview Major depression affects both mental and physical health, and a relationship has also been shown with dental health. In fact, a 2014 Australian study of 10,000 people, ages 20-70, showed that poor dental health increased the likelihood of depression, independent of other factors such as Body Mass Index and inflammation in the body. Studies have shown a 41-78% simultaneous presence of depression and chronic pain which may include oral and facial pain. In addition, changes in diet and nutrition, along with an increased craving for carbohydrates related to low levels of the neurotransmitter serotonin, increase the risk for dental decay and gum disease. Of course, symptoms of depression such as lack of energy, motivation and selfworth may also lead to decreased dental treatment and compliance with oral hygiene. Common side effects of anti-depressant medications can also be contributory factors to serious dental related problems. These side effects include xerostomia (dry mouth), nausea, gingivitis and bruxism. The question is, “What can you do to prevent or resolve dental problems for patients with mood disorders?” The answers are essentially the same for a person with a mood disorder as for someone who has diabetes, heart disease or is disease-free at the moment. 1. Instruct and advise good oral hygiene on a daily basis. 2. Review the importance of good nutrition. 3. Advise the patient to schedule and keep regular check-up and maintenance dental appointments. 4. Be sure that a thorough dental and medical history, including medications, is taken. 5. Be sure that the medical history is updated at each appointment. 6. Do not be embarrassed or hesitant to ask further questions if you sense that the patient may be holding back information. Create an open, honest environment. 7. Advise that necessary treatment should be performed in a timely manner and explain that small problems are easier and less costly to resolve than bigger problems. If necessary, free and low cost dental clinics may be a consideration. 8. Discuss preventive measures such as: x Over-the-counter or prescription fluoride toothpaste or gel.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Over-the-counter or prescription fluoride rinse. x Oral appliance to lessen the effects of bruxism (Note: The psychiatrist should also be informed of this symptom). x Techniques to improve oral hygiene. x Improved nutrition. x Use of items for dry mouth, such as Biotene products containing xylitol, a natural sugar substitute. At the very least advise the following: brush thoroughly prior to bedtime and in the morning, clean in between your teeth with floss and rinse with water after meals. If nothing else, like chicken soup, it can’t hurt. For more information about this topic, you may wish to “google” the following: Carbohydrates and Depression, Serotonin and Carbohydrates and Oral Health and Depression.

Become a Mentor

Take Our Daughters & Sons to Work Day Thursday – April 28, 2016 This day is a perfect time to mentor your own children – encourage them to think now about their dreams for the future, increase their understanding of the way work life and home life often overlap and provide them with an opportunity to learn about and share the activities of your day. More than 37 million youth and adults have participated at 3.5 million workplaces each year for the last 22 years. Recommended ages: 8 to 18. Take Our Daughters and Sons to Work Day has inspired future generations of girls and boys by helping bring them into the workplace to explore the many life choices they have.

Become a mentor – it’s a good thing!

Newsbriefs Members in the News

Dr. Thomas W. Gamba is currently serving a one-year term as First Vice President of the American Dental Association. The First Vice President assists the ADA President as requested and serves as an exofficio member of the Board of Trustees and the House of Delegates. Congratulations to the following Active Members who have been elected to ADA LIFE MEMBERSHIP, having fulfilled the requirement of at least 30 years of continuous membership at the local, state and national levels: Doctors Jeffrey H. Berger, Jules I. Feinberg, Robert Finkelstein, Thomas W. Gamba, Jeffrey G. Garber, Ronald G. Pirok, Richard L. Reicherter, Harold B. Rosenthaler, Paul D. Schwartz, and Barbara J. Steinberg. Thank you for your many years of support and participation in your local, state and national dental associations.

HIPAA Settlement at Washington Medical School

On December 14, 2015, ADA News reported that the University of Washington Medicine (UWM) agreed to pay a $750,000 settlement following an investigation triggered by a breach report that 90,000 patients had their electronic protected health information accessed after an employee downloaded an email attachment containing malicious malware. The U.S. Department of Health and Human Services Office for Civil Rights (OCR) said that the affected personal information included patient names, medical record numbers, social security numbers, insurance identification, Medicare numbers and other information. OCR’s investigation indicated UWM’s security policies required its affiliates – which includes the University of Washington Medical Center, the University’s primary teaching hospital – to have “up-to-date, documented system-level risk assessments and to implement safeguards in compliance” with the Health Insurance Portability and Accountability Act Security Rule. However, the office noted that UWM did not ensure that all of its affiliated entities were properly conducting risk assessments and appropriately responding to the potential risks and vulnerabilities in their respective environments.

Oral Health Fact Sheets Available for Every U.S. State

In an article published in the ADA News in January 2016, staffer Kelly Soderlund reported that the ADA Health Policy Institute (HPI) released fact sheets for every U.S. state analyzing dental care utilization, supply of dentists, Medicaid participation, reimbursement rates, sealant use and who has access to fluoridated drinking water. HPI says “The Oral Health Care System: A Stateby-State Analysis” is a first-of-its-kind report that dentists and members of the public can access it at ADA.org/statefacts The statistics show that adults view oral health as very important, with ninety-five percent of those surveyed saying they value keeping their mouth healthy. Those same adults understand that routine dental care is a key part of overall wellness, with ninety-three percent saying that regular visits to the dentist “help keep me healthy.” Nearly 15,000 U.S. adults were surveyed to measure their dental IQ, oral health status and attitudes toward the importance and value of good oral health. The report also shows substantial gains in access to dental care among Medicaid children in recent years. Between 2000 and 2013, all but one state saw an increase in the percentage of Medicaid children who had at least one dental visit in the past year. Nationally, the rate grew from twenty-nine to fortyeight percent, with some states seeing even larger increases. Researchers also found that dental care use trends for adults are different than the trends for children. Among adults with private dental benefits, dental care use is declining in most states. Additionally, the gap in dental care use between Medicaid and privately insured adults is much wider than it is for children.

OCR Opens Updated Website

The Office for Civil Rights (OCR) has redesigned its website to make it easier to digitally access information related to federal civil rights laws and the Health Insurance Portability and Accountability Act (HIPAA). According to OCR, HIPAA is the most-searched term on HHS.gov and each year more than two million visitors visit the OCR website. OCR is the federal agency responsible for enforcing HIPAA and certain federal civil rights laws. For more information, visit http://www.hhs.gov/ocr (continued on page10)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Newsbriefs (cont’d.) Report: Dentists’ Earning Stagnant

An ADA News article by Kelly Soderland, published on January 11, 2016, reported on the ADA Health Policy Institute’s most recent research. Since the early 2000s, dental spending has flattened but the number of dentists has increased, resulting in stagnant dentist earnings, according to authors Bradley Munson, senior research analyst, and Marko Vujicic, Ph.D., chief economist and vice president of the ADA Health Policy Institute, in General Practitioner Dentist Earnings Down Slightly in 2014, available to members at ADA.org/researchbriefs In 2014, average annual net income for general practitioner dentists was $174,780; $322,200 for specialists; $183,340 for owner general practitioners; and $134,020 for nonowner general practitioners, according to HPI. When adjusted for inflation, average incomes have “decreased significantly for all general practitioners since the peak value of $219,378” in 2005, according to the research brief. The research brief also explores how busy dentists are and average wait times for patients. Overall, the researchers report there is “significant uncertainty in the general health care environment as well as the economic conditions within the dental sector.” “A recent analysis shows that if current dental care utilization trends continue . . . dental spending in the U.S. will not return to the historically high, preGreat Recession growth levels,” Mr. Munson and Dr. Vujicic wrote. “On the supply side, new research shows that the supply of dentists is expected to increase in the coming years. If the dental sector is indeed entering an era of flattening total dental spending and an increasing supply of dentists, this will have important implications for the bottom line of dental practices.”

ADA Offers Guidelines for Practice Success

As it becomes more complicated to run a practice, the American Dental Association has developed ethically-based, voluntary practice management guidelines to help your practice succeed. Guidelines for Practice Success™ (GPS™) have been developed via a consensus-driven process that includes dental practice management consultants and content authorities. Guidelines for Practice SuccessTM (GPSTM) can help you navigate the road to success. It is available online for members only. Visit ada.org In the search box type Guidelines for Practice Success. Member login is required for access to the information.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Schein Donates $250,000 to Support MOM Clinics

Henry Schein, Inc., will donate $250,000 in health care products over the next two years to the America’s Dentists Care Foundation (ADCF) to support its work at 50 Mission of Mercy clinics. As part of a two-year agreement with ADCF, Henry Schein will donate health care product kits valued at $5,000 each, including exam gloves, surgical face masks, gowns and medical gauze, to up to 50 MOM events scheduled for 2016 and 2017. Stanley M. Bergman, chairman of the board and chief executive officer of Henry Schein, Inc., said, “Despite its importance, access to oral care is limited or nonexistent for many underserved populations. We applaud Mission of Mercy for providing immediate treatment to people in need, and for raising community awareness of the critical importance of oral care.” Pennsylvania’s 2016 MOM event is scheduled for June 3 and 4 in Pittsburgh, PA.

The Dentist and Alexander Hamilton

In 1990, Clifton, NJ, dentist Dr. Warren Richman purchased a colonial powder horn from a patient. It was purported to have been owned by Alexander Hamilton, revolutionary war figure, founder of America’s banking system and first Secretary of the Treasury of the United States. Dr. Richman, a 1974 graduate of the University of Pennsylvania School of Dental Medicine, commissioned a Hamilton descendant, an appraiser and a handwriting expert to authenticate the relic. It is engraved with a number of symbols which are thought to refer to Hamilton’s family history. The horn, carved from a cow’s horn, is also engraved with Hamilton’s name and the year 1773. Early in January 2016, the powder horn sold at auction for $115,620.00, after a bidding duel between sixteen buyers. Alexander Hamilton, who was killed in a duel with Aaron Burr in 1804, has been making headlines in recent years: there is a controversy over replacing his likeness on the ten dollar bill with a more modern historic figure; and, of course, he is the darling of Broadway where playwright, composer and star LinManuel Miranda’s blockbuster Broadway hip-hop musical, Hamilton, has been playing to sold out houses. (continued on page11)

Newsbriefs (cont’d.) Update on DOL Overtime Pay Rule

As reported in the October/November/December issue of The Journal, the Department of Labor (DOL) is considering revisions to overtime pay rules that would more than double the salary threshold so that any employee earning a salary of less than $50,440 per year would become eligible for overtime pay. More than 250,000 organizations, including ADA, submitted comments on the proposed rule to DOL this past summer. In a letter dated September 1, 2015 to the director of the Division of Regulation, Legislation and Interpretation, then ADA President Maxine Feinberg and Executive Director Kathleen O’Loughlin said the revision could leave some dental employers affected by the change with the options of raising fees, which could be detrimental to millions of Americans already struggling to pay health care bills, or limiting the hours some employees work, which is not realistic for many dental practices because of after-hours emergencies and other patient problems that make working hours unpredictable. The American Society of Association Executives (ASAE) believes the new rule would adversely affect many nonprofit organizations and other employers with limited revenues and could harm many affected employees as well. To contain payroll costs from increased overtime obligations, employers would have to either lay off employees or exclude reclassified employees from telework and career growth opportunities outside of core business hours. ASAE also noted that the $50,440 salary threshold amounts to a “one-size-fits-all” measuring stick and that the minimum salary level for exempt employees should instead be keyed to government data on regional cost-of-living differences. In a February 2016 letter, 108 members of Congress led by Reps. Cresent Hardy (R-NV) and Steve Knight (R-CA) urged DOL to reconsider moving forward with the rule as drafted, reiterating ASAE’s argument that it would have a disproportionate impact on small businesses and nonprofits, particularly in certain geographic areas. “The belief that this rule change will increase millions of workers’ paychecks is simply shortsighted,” the letter states. “Unfortunately, a change of this magnitude is likely to have unintended consequences regarding how an employer compensates its employees, which would negatively affect workers.” DOL is working on a revised rule that it plans to issue soon, perhaps as early as July.

ADA Professional Product Review Online

The ADA Professional Product Review, is an online-only publication that provides members with reliable product evaluations, expert panel discus-

sions, interviews with key opinion leaders and more. It is available exclusively to ADA members in the members-only section of ADA.org First time users should login on the ADA site. You can find your ID number on your ADA membership card. If you can’t locate your user ID, contact the Member Service Center at 1-800-621-8099 or email mcpasswor@ada.org for assistance. For returning users, login and enter your User ID (ADA number or custom ID created by you such as email), along with your password. If you forgot your user ID, Contact the Member Service Center. To view current and archived issues of PPR, visit ADA.org/PPR

ADA Works for You

The ADA has urged the Environmental Protection Agency (EPA) to exempt dental offices from its proposed hazardous waste pharmaceuticals rules, according to an ADA News article by staffer Jennifer Garvin, published January 25, 2016. In September 2015, the EPA proposed two new hazardous waste rules intended to protect waterways by preventing the flushing of hazardous waste pharmaceuticals and also help reduce the burden on health care workers and pharmacists by creating a specific set of regulations for those businesses that generate hazardous waste. The ADA urged the agency to reconsider including dentists in the rule since dental offices generate very little hazardous waste and even lower quantities of hazardous waste pharmaceuticals. The Association also asked that EPA exempt dental amalgam from the definition of pharmaceuticals. “In the ADA’s view, the Proposed Management Standards For Hazardous Waste Pharmaceuticals rule fails to take into account the specific factual circumstances facing (and resource limitations applicable to) the dental community. As a result, the costs exceed the benefit and EPA seeks to impose requirements that exceed EPA’s legal authority,” the ADA wrote. The ADA also pointed out that the EPA’s proposed rule could be misconstrued by sewer authorities, states and EPA regional offices as applying to the disposal of dental amalgam into sewer systems and requested the agency revise its wording so that there are no misinterpretations. “The ADA believes that it is not EPA’s intention to include dental amalgam within the definition of pharmaceuticals in the proposed rule,” wrote the ADA. “Dental amalgam has not traditionally been considered a pharmaceutical.” (continued on page12)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Newsbriefs (cont’d.) Orthodontists, Dentists Top List of Best Jobs

U.S. News & World Report announced its list of the best jobs of 2016, and for the second year in a row, dental professionals capped the list. In 2015, dentists were number one. Orthodontists were first on the list, and dentists were second. Oral and maxillofacial surgeons cracked the top ten for 2016, in a tie. ”With great growth potential, low unemployment and a healthy work-life balance – not to mention enormous job satisfaction from treating and caring for our patients – it’s a good time to be a dentist.” said ADA President Carol Gomez Summerhays. To rank the best jobs, the magazine analyzed Bureau of Labor Statistics data, weighing statistics on job volume, median salary, stress level and other factors that matter to consumers. In achieving its top ranking, the bureau predicts that orthodontics will grow by eighteen percent from 2014 to 2024. The agency suspects this growth will be driven by an ascending desire for specialized dental care, the magazine said. For dentists, the bureau predicts employment growth of eighteen percent between 2014 and 2024. Regarding oral maxillofacial surgeons, the magazine said, “As the baby boom population ages, there will likely be an increasing demand for the sort of complicated oral and facial treatments and surgeries that these health care professionals can offer.” Here are the top 10 jobs of 2016: 1. Orthodontist 2. Dentist 3. Computer systems analyst 4. Nurse anesthetist 5. Physician assistant 6. Nurse practitioner 7. Psychiatrist 8. Pediatrician 9. Anesthesiologist 10. (tie) Obstetrician/Gynecologist and Oral and Maxillofacial Surgeon.

Texas Court Rules on Advertising

A January 2016 ruling by the U.S. District Court for the Western District of Texas said that dentists who do not practice one of the nine ADA-recognized specialties may still advertise as “specialists” in Texas if they meet certain conditions. In ruling for the plaintiff dental organizations, the court interpreted the Texas Dental Board’s advertising regulations as permitting use of the term “specialty” and “specialist” only in connection with one of the ADA recognized specialties. The court held that the restriction violates the First Amendment rights of dentists who have earned credentials in other dental practice areas from competent, bona fide credentialing boards. The court found that the Dental Board failed to show any compelling state interest in limiting dental specialty areas to those designated by the ADA. In addition, the court observed that the specialty advertising rule was enforced by the Board without the Board ever considering “whether the non-ADArecognized fields are actually bona fide and meet standards of minimum competency.” According to the court, this creates confusion and may even ban truthful claims from being made because “Texas dentists may specialize in non-ADA-recognized fields, they are just prohibited from saying so.” The plaintiffs in the case are the American Academy of Implant Dentistry, American Society of Dental Anesthesiologists, American Academy of Oral Medicine and the American Academy of Orofacial Pain. The original defendants in the case are the executive director of the Texas State Board of Dental Examiners and the Board’s members. After the case was filed, the Texas Society of Oral and Maxillofacial Surgeons was granted leave by the court to join the case as a defendant. The ADA believes there is a significant question as to whether the Board’s advertising regulation is really as restrictive as the court interpreted it to be. It does not appear, however, that the Board challenged the court’s narrow interpretation. At this time, it is not known whether the Board will appeal the decision. (continued on page 13) uuuuuuuuuuuu

The difficulty lies not so much in developing new ideas as in escaping from old ones. º John Maynard Keynes (1883 – 1946) British economist and philosopher

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Newsbriefs (cont’d.) Henry Schein Settles with FTC

As reported in the ADA News on February 1, 2016, Henry Schein Practice Solutions, Inc. agreed to pay $250,000 to settle Federal Trade Commission (FTC) charges it falsely advertised the level of encryption it provided to protect patient data, according to the federal agency. The FTC’s complaint alleged that Schein marketed its Dentrix G5 software to dental practices with deceptive claims that the software provided industry-standard encryption of sensitive patient information and, by doing so, ensured that practices using its software would protect patient data, as required by the Health Insurance Portability and Accountability Act (HIPAA). In its complaint, the FTC alleges that Schein was aware that Dentrix G5 used a less complex method of data masking to protect patient data than Advanced Encryption Standard, which is recommended as an industry standard by the National Institute of Standards and Technology and provides the appropriate protection to meet certain regulatory obligations under HIPAA. The FTC said that for two years Schein touted the product’s encryption capabilities for protecting patient information and meeting data protection regulations in multiple marketing materials, including newsletters and brochures targeted at dentists. “The settlement with the FTC does not represent an admission of wrongdoing regarding the Dentrix product,” Susan Vassallo, vice president of corporate communications for Henry Schein, said in an emailed statement. “We made a decision to settle with the FTC to avoid long and costly litigation. We would much prefer to invest our resources into products and services that help our customers operate successful practices and provide quality patient care.” In addition to the financial settlement, the company will be prohibited from misleading customers about the extent to which its products use industry-standard encryption or the extent to which its products help ensure regulatory compliance or protect consumers’ personal information, according to the FTC. Schein is also required to notify all of its customers who purchased Dentrix G5 during the period when the company made the misleading statements that the product does not provide industrystandard encryption and provide the FTC with ongoing reports on the notification program.

Study Reports on Link between Periodontal Disease and Breast Cancer Risk

Reporting on WebMD News from HealthDay in December 2015, Steven Reinberg wrote about a new study that found that periodontal disease might increase the risk for breast cancer among postmenopausal women, particularly those who smoke. The report was published December 21, 2015 in the journal Cancer Epidemiology, Biomarkers & Prevention. Women with periodontal disease appeared to have a fourteen percent overall increased risk for breast cancer, compared to women without periodontal disease. The increased risk seemed to jump to more than thirty percent if they also smoked or had smoked in the past 20 years, researchers said. “These findings are useful in providing new insight into what causes breast cancer,” said lead author Dr. Jo Freudenheim, a professor of epidemiology at the University at Buffalo’s School of Public Health and Health Professions in New York. “There is good evidence, though, that good dental care is important in any case and that treatment of periodontal disease is important for the health of the mouth,” she said. The study did not prove a cause-and-effect link between the two, a point made by several experts not involved with the study. A number of studies have found an association between periodontal disease and other chronic diseases, including stroke, heart attack and other cancers, Dr. Freudenheim said. For the study, researchers collected data on nearly 74,000 postmenopausal women who took part in the Women’s Health Initiative study. None of the women had a history of breast cancer. After an average follow-up of almost seven years, more than 2,000 women were diagnosed with breast cancer. To read more about the study, visit http://www.webmd.com/breast-cancer/news/20151221/ study-suggests-link-between-gum-disease-breast-cancer-risk

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Sponsor a new PDA member, get $100! Help PDA increase its market share of dentists in Pennsylvania by sponsoring a new member! When you sponsor a new member, you’ll not only be contributing to your professional association, but you’ll receive $100 as thanks for your efforts! For more information visit www.padental.org/100.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

2016 PCDS Officers Installed

PDA Officials Visit with Board of Governors PCDS Officers and Governors for 2016 were installed at ceremonies held on February 10 at the Society’s Executive Office. PDA First District Trustee, Dr. Anand V. Rao, administered the oath of office to the officers and governors. Dr. Andrew J. Mramor began his second year as the Society’s President; and Dr. Renee Fennell Dempsey, her second year as President-Elect. The officers installed are: Dr. Judith A. McFadden, Secretary; Dr. Rochelle G. Lindemeyer, Treasurer; and Dr. Stanley B. Toplan, Historian. 2016 marks the initial year for the realigned terms of Governors. Terms of office end on December 31 of the year printed after their names: Dr. Peter J. Carroll, '18; Dr. Jay M. Goldberg, '18; Dr. Kevin J. Klatte, '16; Dr. Michael A. Koumaras, '16; Dr. Stanley W. Markiewicz, '17; Dr. Thomas P. Nordone, '16; and Dr. Jonathan Siegel, '17.

ADA First Vice-President, Dr. Thomas W. Gamba, extended congratulations to the officers and Board members on behalf of the ADA. PDA President, Dr. Wade I. Newman (pictured on the left), and PDA Chief Executive Officer, Ms. Camille Kostelac Cherry (pictured on the right), were invited to attend. They spoke to the group about PDA activities over the past year. Their topics included: a report about the implementation of PDA’s new governance model and how it has affected the work of the Board of Trustees, Councils and Advisory Groups, as well as staff; the evolving effect of the new governance on PDA policy; upgrades to PDA’s computer and web technologies; PDA’s recent endorsement of the Mid Atlantic Dental Meeting; the future of Pennsylvania’s Dental Meeting; and PDA’s advocacy activities in Harrisburg.

Membership Report

We welcome the following to membership in the Philadelphia County Dental Society FEBRUARY 10, 2016 RECENT GRADUATE Dr. Cassandra Gafford University of Pennsylvania School of Dental Medicine, 2013 Dr. Michael B. Lieberman University of Michigan School of Dental Medicine, 2012 Temple University Kornberg School of Dentistry, 2014 (pediatric dentistry) Dr. Pearl A. Unterman Temple University Kornberg School of Dentistry, 2012

GRADUATE STUDENT/RESIDENT Dr. Erin R. Bauerle Temple University Kornberg School of Dentistry, 2012 St. Luke’s Hospital, 2014 (GPR) Temple University Kornberg School of Dentistry, 2016 (orthodontics) Dr. Shang L. Liu Temple University Kornberg School of Dentistry, 2013 Temple University Kornberg School of Dentistry, 2016 (periodontics)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

The Insurance Agency for Dentists, LLC and the Sidney Sacks Agency, Inc. are proud to be appointed as the preferred providers of insurance services for the Philadelphia County Dental Society. Bob Opperman’s experience with the dental community goes back to the mid 80’s and the Sacks Agency has been serving the insurance needs of the area since 1946. The marriage of the two provides the dental community with the opportunity to obtain excellent insurance products, at competitive pricing, with outstanding customer service.

Contact Information ǣ Bob Opperma 609-492-5608 ȀͼͶͿǦͺͿ͸ǦͻͼͶͿȋ Ȍ 215-990-6709(cell) Erika Mainhart Ǧ610-270-9180 Ext. 207

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Health Watch Reduce Daily Salt Intake

Many of us know that we are taking in more salt daily than we should. The average American gets nearly 20 times the amount of salt each day than we need, which is less than one-tenth of a teaspoon. Most of the salt that is consumed comes from prepared and processed foods – snack foods, sandwich meats, smoked and cured meats, canned juices, canned and dry soups, pizza and other fast foods, and many condiments, relishes, and sauces. The experts at HEALTHbeat, an online publication of Harvard Medical School, say it's worth finding alternatives. They suggest some ways to cut back on sodium when cooking or at the table: x Add flavor to favorite dishes with spices, dried and fresh herbs, roots (such as garlic and ginger), citrus, vinegars, and wine. These flavor enhancers create excitement for the palate, with less sodium. x Using the right healthy fats – from roasted nuts and avocados to olive, canola, soybean, and other oils – can add a rich flavor to foods, minus the salt. x Searing or sauteing foods in a pan builds flavor. Roasting brings out the natural sweetness of many vegetables and the taste of fish and chicken.

x Get whole grains from sources other than bread. Even whole-grain bread, though a healthier choice than white, can contain considerable sodium. Skip that extra salt by looking for whole grains outside of baking – instead of toast with breakfast, cook up steelcut oats, farro, or other intact whole grains with fresh or dried fruit.

The ABCs of Skin Cancer

That dark spot on your skin may be a freckle or it may be skin cancer. How can you tell? The American Academy of Dermatology takes an alphabetical approach to identifying potentially dangerous skin conditions. If you answer “yes” to any of these questions, consult a dermatologist: A: Asymmetry. Is the spot or mole generally circular, or does one side look different from the other? B: Border. Is the edge of the item uneven, notched, or blurry? C: Color. Does the object vary in color in different areas? D: Diameter. Is the area larger than a pencil eraser? E: Evolving. Has the object changed its size, shape, or color? (continued on page19)

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

UP INGcture P E Le

E S K6 CEU T IS NT urse

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16 0 2 /

5 201

THE DENTAL SOCIETY OF CHESTER COUNTY Re g i s AND DELAWARE COUNTY, PA on - li ter DKUd ne at proudly presents ental .c

DKU Continuing Dental Education

Springfield Country Club, Delaware County

DKU is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. DKU designates this activity for 30 continuing education credits. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/cerp.

Approved PACE Program Provider FAGD/MAGD credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 3/1/2013 to 2/28/2017. Provider ID #217995

Thursday, April 14, 2016 Joseph Kan, DDS, MS – Loma Linda, CA – “Essences of Anterior Implant Esthetics: The Perio-Ortho-Restorative Connection” Achieving anterior

implant esthetics is a challenging and demanding procedure. To create implant restorations with harmonious gingival contour that emulate nature is a science and art. Understanding the biologic and physiologic limitations of the soft and hard tissue will facilitate predictability in simple to complex esthetic situations. This course is designed for the Restorative Dentist, Periodontists, and Oral Surgeons focusing on current implant treatment philosophies and methodologies for replacing currently missing teeth and the management of patients who will be losing a tooth or teeth in the esthetic zone. Emphasis will be placed on evidence based diagnosis and treatment planning, and surgical and prosthetic management of soft and hard tissue for optimal anterior implant esthetics. You will learn: Prognostic keys for predictable esthetic implant treatment; Immediate vs. Delayed vs. Early placements: Indications, Contraindications; Management of the implant socket gap; Bone grafting & Soft tissue grafting concepts; Papilla management for implant vs. natural teeth; Management of inter-implant papilla; Management of surgical and prosthetic complications; and Provisionalization (contour for optimal gingival esthetics). Dr. Kan completed Prosthodontics and Implant Surgical training from Loma Linda University School of Dentistry where he is a Professor of restorative dentistry and maintains a private practice limited to imlant surgery and prosthodontics. He lectures worldwide. This course is supported by educational grants from Nobel Biocare, Dodd Dental Lab, Hayes Handpiece and PNC Bank.

Thursday, May 5, 2016 Gordon J. Christensen DDS, MSD, PhD – Provo UT – “THE CHRISTENSEN BOTTOM LINE-2016” This fast moving “bottom line” course includes the areas of dentistry with the most activity and change in any given year. It is easily understood and has numerous summaries that help attendees to interpret the ongoing advancements in the profession. The course encourages audience participation, and questions and answers and is presented in an enjoyable and humorous manner. The hottest aspects in the following topics will be included: Endo, implants, technology, fixed pros, lasers, operative, esthetics, equipment, radiology, and periodontics. On the completion of this course attendees should be able to: List the most important and useful new techniques in these topics; List the most important and useful materials discussed in these topics; List the most important and useful new concepts discussed in this course; and Implement those aspects of the course most applicable to your practice. Gordon J. Christensen is Founder and Director of Practical Clinical Courses (PCC), Chief Executive Officer of Clinicians Report Foundation (CR), and a Practicing Prosthodontist in Provo, Utah. Since 1976, he and his wife Rella have conducted research in all areas of dentistry and published the findings to the profession in the well-known CRA Newsletter now called CLINICIANS REPORT. This course is supported by educational grants from Dodd Dental Lab, Hayes Handpiece, PNC Bank and VOCO.

FEES

Delco and Chesco Society Members - Entire Series plus bonus Course - $645, Individual Courses - $195, 3 Cuorses - $530, 4 Cuorses - $615 Other ADA Members - Entire Series plus bonus Course - $695 Individual Courses - $210, 3 Courses - $570, 4 Cuorses - $665 Non-ADA Members - Entire Series plus bonus Course - $765, Individual Courses - $225, 3 Cuorses - $605, 4 Cuorses - $715 Staff members accompanied by a doctor will be $95 per course per person with reservation at least one week in advance, $110 per course per person at door. Cancellations and Refund Policy - No refunds will be made without notice of at least one week prior to course date. (A $25 administrative fee will be deducted.) For information please contact: DKU • c/o Barry Cohen, DMD • 4750 Township Line Rd • Drexel Hill, PA 19026 • 610-449-7002 • DKUDental@aol.com

October 20-25 – Denver, Colorado Distinguished Speakers Series featuring Nobel Peace Prize winner Malala Yousafzai

Ms.Yousafzai, who has campaigned for the rights of girls to receive an education since she was 10, attracted international attention in 2012 after the then-15-year-old was shot by the Taliban in a school bus in northern Pakistan. Following the attack, she made a remarkable recovery and became well enough to return to school. She continues to campaign for the right of every child to go to school, and has refused to be silenced.

The New Dentist Conference

If you have been out of dental school less than 10 years, you won’t want to miss this (includes customized CE track, and more.)

Continuing Education - October 20-23 Hundreds of cutting-edge educational opportunities.Take advantage of hands-on workshops, lectures and seminars, the ever popular live patient Education in the Round and more.

October 20-22: Dental Marketplace See and learn about the newest materials, devices, products and technology for your dental practice. To register for the Meeting and for more information about hotels and air fares, visit

ADA.org/meeting

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Health Watch (cont’d.) Pay Attention to Mental Health

Look for Unusual Superfoods

Physical health is important, but good mental health is crucial to one’s overall wellbeing. People don’t necessarily need medication or psychotherapy to find peace and satisfaction in your life. Here are some regimens to try: 5hUbSYcU Aerobic exercise keeps the heart and muscles in good shape, and a vigorous program of walking outside can go a long way toward strengthening both the body and self-esteem. Nature walks and gardening can improve the spirits, and may be as effective as medication in fighting anxiety and depression. 5Qd bYWXd The brain, like the body, needs the right combination of nutrients to remain healthy and active. Follow a healthy diet rich with fruits, vegetables, beans, and cereals, and eat meats and high-sugar foods in moderation. C\UU` Sleep rests the mind as well as the body. Keep a regular schedule, and get at least seven or eight hours every night. Avoid alcohol, caffeine, and sugar at night, and stay away from TV and the computer right before going to bed.

Health experts like to tout the benefits of “superfoods” – such as broccoli, quinoa, and the like. Time magazine published a list of foods that are a little more diverse, but worth seeking out: x Amaranth. A grain-like seed with more fiber than wheat or brown rice, amaranth is full of vitamins and may help lower cholesterol and high blood pressure. x Pu-ehr tea. This fermented Chinese tea apparently lowers levels of both cholesterol and triglycerides. x Fenugreek. An herb with the taste of curry used in many Indian dishes, fenugreek can aid in keeping blood sugar under control by slowing absorption of carbohydrates. x Celeriac. A root vegetable that tastes like celery, celeriac contains lots of vitamin K that helps build bones and is a good source of potassium and vitamin C. x Mung beans. Common in China and India, these beans are twenty-five percent pure protein, as well as being rich in potassium, iron, and fiber. They also retain most of their vitamin C even after being boiled.

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Dental Dates The JOURNAL welcomes news concerning activities of your dental study club or other bona fide dental associations. Send information (as formatted below) to the Philadelphia County Dental Society via email: philcodent@aol.com or fax: 215-925-6998. Deadline for publication is the first of the month prior to publication (June 1 for July/August/September issue), and information will be published on a space-available basis.

APRIL 6

NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB – Dinner meeting at the Buck Hotel, Feasterville, at 5:30 p.m., featuring Colin Richman, D.M.D., Periodontics and Implant Dentistry, Roswell, GA, “Minimizing Esthetic and Functional Risk through POPA (Pre Orthodontic Periodontal Augmentation and PREPA (Pre Restorative Periodontal Augmentation).” For information, contact Paula Chernoff at 215-677-8686 or email at pchernoff@padentalimplants.com

CENTER CITY STUDY CLUB – Dinner Meeting at Estia Restaurant, at 6:00 p.m., featuring Dr. Alan Atlas, “The Compromised Tooth: Risk Assessment Criteria for Tooth Retention and Protocols for Successful Reconstruction.” For information, contact Amanda Cerini at 215-985-4337 or laudenbachdental@gmail.com or 215-985-4337 or visit the website at www.laudenbach.com

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Daniel Taub, M.D., D.D.S., “Implants and Growth Factors: The New ‘Gold Standard’ in Tissue Regeneration! What’s Hot and What’s Not?” Sponsored in cooperation with Dentsply. For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Center City – 6:30 p.m. Dinner meeting (Doubletree Hotel) featuring Daniel Taub, M.D., D.D.S., “Implants and Growth Factors: The New ‘Gold Standard’ in Tissue Regeneration! What’s Hot and What’s Not?” Sponsored in cooperation with Dentsply. For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

GREATER PHILADELPHIA DENTAL HYGIENE STUDY CLUB – 6 to 9 p.m. Featuring Marianne Dryer, R.D.H., M.Ed., “Managing Dentin Hypersensitivity: A Continuous Care Strategy.” For information, contact Maggie Rutherford, R.D.H. at mrutherford@padentalimplants.com

MAY 4

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Alan M. Atlas, D.M.D., “Precision and Preservation – Achieving Exquisite Restorative Dentistry Using the Dental Microscope.” For information, contact Vickie Fisher at 215-7324450 or visit www.PhilaPerioImplants.com

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Center City – 6:30 p.m. Dinner meeting (Doubletree Hotel) featuring Alan M. Atlas, D.M.D., “Precision and Preservation – Achieving Exquisite Restorative Dentistry Using the Dental Microscope.” For information, contact Vickie Fisher at 215-7324450 or visit www.PhilaPerioImplants.com

NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB – Dinner meeting at the Buck Hotel, Feasterville, at 6:00 p.m., featuring Harold Kolodney, D.M.D., Director, Post-Graduate Prosthodontic Residency Program, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, “Navigating Complex Implant and Restorative Dentistry Cases.” For information, contact Paula Chernoff at 215-677-8686 or email at pchernoff@padentalimplants.com PENNSYLVANIA’S DENTAL MEETING – Annual meeting of the PDA. Hershey Lodge, Hershey PA. Featuring CE programs, social events and PDA business meeting. For program and registration, visit www.padental.org/PDM or contact Rebecca Von Nieda at rvn@padental.org

19–21

PHILADELPHIA COUNTY DENTAL SOCIETY –Continuing Education Program at the Philadelphia Hilton Hotel, City Avenue, featuring Peter Auster, D.M.D., “How to Be Thrilled in Dentistry for the First Time.” Register online at www.philcodent.org

GREATER PHILADELPHIA DENTAL HYGIENE STUDY CLUB – 6 to 9 p.m. Featuring Neil Lehrman, D.D.S., M.S., “LANAP, LAPIP and Beyond: Laser-Mediated Wound Healing in the 21st Century.” For information, contact Maggie Rutherford, R.D.H. at mrutherford@padentalimplants.com (continued on page 21)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Dental Dates (cont’d.) JUNE 3–4

PENNSYLVANIA MISSION OF MERCY (MOM) – Pittsburgh, PA. To volunteer or to make a contribution, contact www.mom-n-pa.com

NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB – Dinner meeting at the Buck Hotel, Feasterville, at 6:00p.m., featuring Billy W. Aiken, D.D.S., Periodontics and Dental Implants, Nashville, TN, “CBCT: Cone Beam Tomography for Everything BUT Implants.” For information, contact Paula Chernoff at 215-677-8686 or email at pchernoff@padentalimplants.com

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) speaker and topic to be announced. For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

JULY 12

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Martin Trope, D.M.D., “Expanding Role of Vital Pulp Therapy.” For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Center City – 6:30 p.m. Dinner meeting (Doubletree Hotel) featuring Martin Trope, D.M.D., “Expanding Role of Vital Pulp Therapy.” For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

SEPTEMBER

NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB – Dinner meeting at the Buck Hotel, Feasterville, at 6:00 p.m., featuring Robert Marus, D.D.S., A.A.A.C.D., Advanced Cosmetic and General Dentistry, Yardley, PA, “Mastering the Restoration of the Anterior Fractured Tooth and More.” For information, contact Paula Chernoff at 215-677-8686 or email at pchernoff@padentalimplants.com

GREATER PHILADELPHIA DENTAL HYGIENE STUDY CLUB – 6 to 9 p.m. Featuring Kathy Malone, R.D.H., E.F.D.A., C.D.A., “Radiology Review for the Dental Professional.” For information, contact Maggie Rutherford, R.D.H. at mrutherford@padentalimplants.com

PHILADELPHIA COUNTY DENTAL SOCIETY –Continuing Education Program at the Philadelphia Hilton Hotel, City Avenue, Thomas Viola, R.C.P., C.C.P. “The Most Frequently Prescribed Medications and Considerations in the Management of Dental Pain.” Register online at www.philcodent.org

23-25

CHESAPEAKE DENTAL CONFERENCE – Ocean City, MD. For information, call 410-964-2880 or visit www.msda.com/cdc-at-a-glance.html

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Edgard El Chaar, D.D.S., M.S., “Trabecular Metal and Breakthrough Concepts in Dental Implants.” Sponsored in cooperation with Zimmer. For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

OCTOBER 5

NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB – Dinner meeting at the Buck Hotel, Feasterville, at 6:00 p.m., featuring Alfonso F. Pineyro, D.D.S., Prosthetic, Implant and Restorative Dentistry, Bellevue and Monroe, WA, “Restoratively Driven Implant Failures.” For information, contact Paula Chernoff at 215-677-8686 or email at pchernoff@padentalimplants.com

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – R.D.H./E.F.D.A. invited also. Joint program in Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Samuel B. Low, D.D.S., M.S. Med., “The ‘New’ Periodontal Disease: Inflammatory and Risky.” Sponsored in cooperation with Perio Sciences. For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

20-25

AMERICAN DENTAL ASSOCIATION – 157th Annual Session, Denver, CO. For information, visit the web site at www.ada.org/meeting

PHILADELPHIA COUNTY DENTAL SOCIETY –Continuing Education Program at the Philadelphia Hilton Hotel, City Avenue, featuring John Nadeau, “Dental Sleep Medicine Seminar.” Register online at www.philcodent.org (continued on page 22)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Dental Dates (cont’d.) NOVEMBER 2

NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB – Dinner meeting at the Buck Hotel, Feasterville, at 6:00 p.m., featuring Markus B. Blatz, D.M.D., Ph.D., Professor of Restorative Dentistry, Chair. Dept. of Preventive & Restorative Sciences, University of Pennsylvania School of Dental Medicine, “The Ceramic Update in Esthetic Dentistry.” For information, contact Paula Chernoff at 215-677-8686 or email at pchernoff@padentalimplants.com

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Howard Fraiman, D.M.D., topic to be announced. Sponsored in cooperation with NobelBiocare. For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

GREATER PHILADELPHIA DENTAL HYGIENE STUDY CLUB – 6 to 9 p.m. Featuring Sheryl Radin, D.D.S. and Ross Levine, D.M.D., “Pediatric Dentistry from A to T.” For information, contact Maggie Rutherford, R.D.H. at mrutherford@padentalimplants.com

27 – Dec. 2 GREATER NEW YORK DENTAL MEETING – Jacob Javits Convention Center, New York. Meeting: November 27 to December 2; Exhibits: November 29 to December 2. For information, visit www.gnym.com or call 212-398-6922.

DECEMBER 6

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – R.D.H./E.F.D.A. invited also. Center City – 6:30 p.m. Dinner meeting (Doubletree Hotel) featuring Michele Dimaina, D.M.D., “Optimizing Hygiene, Regenerative and Implant Dentistry in the Everyday Clinical Practice.” Sponsored in cooperation with Straumann. For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – R.D.H./E.F.D.A. invited also. Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Michele Dimaina, D.M.D., “Optimizing Hygiene, Regenerative and Implant Dentistry in the Everyday Clinical Practice.” Sponsored in cooperation with Straumann. For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Classified Ads Classified Advertisement Policy. The Society reserves the right to accept, decline or withdraw classified advertisements at its discretion. The Society believes the advertisements that appear in these columns are from reputable sources; the Society neither investigates the offers being made nor assumes any responsibilities concerning them. Every precaution is taken to avoid mistakes, but responsibility cannot be accepted for clerical or printer’s errors. Requests to run advertisements “until further notice” cannot be accepted; the advertiser is responsible for renewals. Names of box number advertisers cannot be revealed. The JOURNAL reserves the right to edit copy of classified advertisements. Classified ads will not be taken over the telephone. DOCTOR, ARE YOU SEEKING EMPLOYMENT? Call the Philadelphia County Dental Society at 215925-6050 or Fax 215-925-6998 to have your name listed on our employment referral list. Monday thru Thursday, 10 a.m. to 4 p.m. DOCTOR, ARE YOU LOOKING FOR AN ASSOCIATE or for a dentist to work in your practice? Call the Philadelphia County Dental Society at 215925-6050 or Fax 215-925-6998 for the list of dentists seeking employment. Monday thru Thursday, 10 a.m. to 4 p.m. HOMEBOUND PATIENTS NEED CARE – If you have time in your schedule, why not consider providing care to homebound patients? Many patients need dental care, and most pay for the services. For more information, call Dr. Glenn Goodhart at 215635-0200. PRACTICE TRANSITIONS – We specialize in Practice Sales, Appraisals and Partnership Arrangements. Ask about our free guides for Sellers and Buyers. For information on services and listings, contact Philip Cooper, D.M.D., M.B.A., American Practice Consultants, toll free 1-800-400-8550, or www.ameriprac.com

FOR SALE – Maryland, D.C., VIRGINIA DENTAL PRACTICE SALES no buyer’s fees. EASTERN SHORE PEDIATRIC SPECIALTY grossing over $ 1.5 million. Hyattsville, MD – Retiring, 4 ops free standing. Practice and building. 800-544-1297. info@polcariassociates.com FOR SALE – Dental practice with great potential. The University City area of Philadelphia is booming. Universities and hospitals are expanding and new luxury apartment buildings are going up. This is one of the last individually owned Dental Practices in the area. Already paperless with digital x-rays. Call Henry Lazarus at 215-382-5126 or email: hlazar@verizon.net ENDODONTIST TO JOIN YOUR TEAM – Available to treat your patients in the setting they love, YOUR OFFICE. High quality, academic affiliation, compassionate, efficient root canals that keep you in control of your patient and your productivity. Call me or email TODAY! 267-560-7425. ENDORCT@gmail.com DENTAPPRAISE™ NATIONWIDE DENTAL PRACTICE APPRAISALS since 1992. Pre-sale, purchase, estate, mediation. “Ballpark Edition” approximate estimate, “Premier Edition” comprehensive market value. Information brochure: POLCARI ASSOCIATES, Ltd. 800-544-1297. info@polcariassociates.com

CMS Delays Medicare Enforcement until 2017 On March 7, 2016, an ADA News article noted that the federal government has once again delayed the deadline for dentists who prescribe Part D covered drugs to Medicare beneficiaries to enroll in the program or opt out. Dentists now have until February1, 2017, to take action, otherwise Part D prescription drug claims for Medicare eligible patients will not be covered. If dentists want Part D plans to continue covering drugs prescribed for their Medicare patients, they must either enroll as an ordering/referring provider by filling out form 855O or enroll as a Medicare provider through form 855I. Otherwise, they must opt out of the program. CMS encourages health care providers to submit their Medicare enrollment applications or opt-out affidavits to their Medicare administrative contractors before August 1 to allow time for processing. It's the fourth time CMS has delayed the deadline. Visit CMS.gov for more information and to access forms 855O and 855I. The ADA Center for Professional Success also has links to the forms and a video tutorial on the process at Success.ADA.org/practice/Medicare/Medicare

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Workplace Tips Ragan Communications, publisher of corporate communications, public relations and leadership development newsletters, as well as other sources offer the following workplace tips through several of its online publications. Although targeted to corporate environment, these can be adapted for your practice and your personal life.

Communication Tips

Communication is the key to a good working relationship with your employees. Here are some tips for communicating effectively with everyone on your team: 4_^µd gQYd V_b U]`\_iUUc d_ S_]U d_ i_e An open-door policy may be a good start, but what if nobody comes to your door? Get out from behind your desk and walk around. Talk to people. Listen to what dXUi dU\\ i_e 4_ dXYc _VdU^ enough, and soon your employees will start sharing their honest ideas and opinions with you. 2U cebU i_eb cdQVV Yc S_]]e^YSQdY^W d__ 4_^µd Qcce]U dXQd Zecd RUSQecU i_eµbU S_]]e^YSQdY^W dXU rest of your staff is as well. Encourage employees to share ideas with each other. Support open discussions TebY^W ]UUdY^Wc c_ i_eµbU ^_d T_Y^W Q\\ dXU dQ\[Y^W 1c[ U]`\_iUUc gX_µc XU\`Y^W dXU] gYdX Y^V_b]QdY_^ and resources, and reward workers who cooperate and lend a hand. 7QdXUb VUUTRQS[ _^ dXU Vb_^d \Y^Uc Ask lots of aeUcdY_^c QR_ed gXQd g_b[c gXQd T_Uc^µd Q^T X_g dXU Z_R S_e\T RU Y]`b_fUT I_eµ\\ \UQb^ \_dc Q^T i_eµ\\ also improve both morale and customer relations.

Don’t Let Fear Block Success

Most people feel fear at one time or another, but successful people refuse to let it overcome them. You can learn to control fear with this advice: 5h`\_bU i_eb ]U]_bYUc Look back over your SQbUUb GXQd cYdeQdY_^c XQfU ]QTU i_e VUU\ QVbQYT/ 4_ you see any common denominators? When was the last time you were afraid of something and did it anyway? <__[ Qd i_eb bUc`_^cYRY\YdYUc You have a lot of priorities in your life. Which ones make you fearful? GXi QbU i_e QVbQYT _V dXU]/ 4YW TUU`\i Qc[Y^W ²gXi³ at least five times to get at the root of your fear. CXYft your focus. GXU^ i_eµbU S_^Vb_^dUT Ri Q task that makes you fearful, stop and think about all the positive benefits it will produce in the end. Focus _^ dX_cU Y^cdUQT _V gXQdµc ]Q[Y^W i_e VUU\ cSQbUT Dbi ^Ug dXY^Wc At least once a month, take on a new task or a different responsibility. This will increase your capacity to take risks. BUfYUg i_eb bYc[c Look at some of the risks i_eµfU dQ[U^ bUSU^d\i 3XQ^SUc QbU ]_cd _V dXU] turned out OK. Figure out what made them work. Think about what actions you took that ensured success, and how you can duplicate those actions and decisions in other situations.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Set Goals Together for Maximum Performance

When employees share in setting goals, they are more committed and involved in achieving them. Here are some ideas for participative goal setting: DQ[U dXU \UQT IUc i_eµbU g_b[Y^W d_WUdXUb Red as a manager you still have the main responsibility for identifying performance targets. Start by suggesting a goal. Ask employees to evaluate it for anything that is unclear or inaccurate. Revise the goal if necessary. 6_b]Q\YjU dXU `\Q^ ?^SU i_eµfU QWbUUT _^ Q goal, write it down so no one ]Yce^TUbcdQ^Tc gXQdµc supposed to happen. Make sure everyone knows how i_eµ\\ ]UQcebU employeesµ efforts. 6_\\_g e` Ask employees to check in with you regularly. Agree on follow up intervals at the outset. Put a reminder on your calendar to review progress. 5fQ\eQdU dXU `b_SUcc Once the goal has been completed, meet with employees to discuss what g_b[UT gU\\ Q^T gXQd TYT^µd 1c[ V_b ceWWUcdions QR_ed X_g d_ Y]`b_fU dXY^Wc dXU ^Uhd dY]U.

Focus on Leadership Skills

The most crucial leadership skill is communication. From time to time, re-evaluate your performance in these fundamental areas: C`UQ[Y^W Good verbal skills are essential. You XQfU d_ RU QR\U d_ Uh`\QY^ i_eb bUaeUcdc Q^T instructions, ideas, and strategies to people inside Q^T _edcYTU i_eb _bWQ^YjQdY_^ <__[ V_b _``_bde^YdYUc to hone your speaking skills at conferences and in meetings. <YcdU^Y^W Pay attention to the people around you. Repeat and paraphrase what they say to make sure you understand – and to show that you take their opinions seriously. GbYdY^W The paper trail you leave tells people a lot about X_g S\UQb\i i_e dXY^[ Q^T Uh`bUcc i_ebcU\V 4_^µd cU^T UfU^ dXU cY]`\Ucd U]QY\ gYdX_ed bUbUQTY^W it critically to be sure it says just what you want. BUc_\fY^W S_^V\YSd Conflict can be subtle, but you still must defuse it if you want things to get done. Use your skills to encourage people to open up and clear the air about their disagreements. {{{{{{{{{{

Doubt kills more dreams than failure ever will. º Ceji ;QccU] (1975 - ) American writer, film director, philosopher, poet

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