New Opioid Two-hour Online Course Information on Page 32
VOL. 30, NO. 5 • JULY/AUGUST 2018 • STUDENT ISSUE
NEW DENTAL PRACTICE CHECKLIST WHAT IS THE FDA ADVANTAGE?
Your Dental Future Awaits! What I Wish I Learned in Dental School
Cover Photo: ASDA Presidents at the Florida Dental Convention From L to R: Ali Edrisi, Nova; Priscil a Sosa, LECOM; and, RJ Gonzalez, UF
A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION
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HELPING MEMBERS SUCCEED VOL. 30, NO. 5 • JULY/AUGUST 2018
in every issue 3 Staff Roster 5 President's Message 8 Human Relations 10 Did You Know? 12 Info Bytes 15 Legislative Corner 20 news@fda 28 Get Involved! 66 Compleat Dentistry 69 Diagnostic Discussion 72 Career Center 75 Advertising Index 76 Off the Cusp
42
Let's Meet Your 2018/2019 ASDA Presidents
46
27
Super Sealant Saturday
31
What I Wish I Learned in Dental School
The FDA Says, "Thank You!“
Become a Mentor!
32
13 16
New Dental Practice Checklist for Florida Dentists
House of Delegates
18
33 38
50 56
What is the FDA Advantage?
New Opioid Two-hour Course
FDAPAC-supported Candidates
A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION
60
UF Summer Health Professions Education Program
62
FDC2018 Recap
Your Dental Future Awaits!
Board of Dentistry
TODAY'S FDA ONLINE: floridadental.org
FLORIDA DENTAL ASSOCIATION JULY/AUGUST 2018 VOL. 30, NO. 5
EDITOR Dr. John Paul, Lakeland, editor
STAFF Jill Runyan, director of communications Jessica Lauria, communications and media coordinator Lynne Knight, marketing coordinator
BOARD OF TRUSTEES Dr. Jolene Paramore, Panama City, president Dr. Rudy Liddell, Brandon, president-elect Dr. Andy Brown, Orange Park, first vice president Dr. Dave Boden, Port St. Lucie, second vice president Dr. Gerald Bird, Cocoa, secretary Dr. Michael D. Eggnatz, Weston, immediate past president Drew Eason, CAE, Tallahassee, executive director
FDA District Calendar
Dr. Suzanne Ebert, Jacksonville • Dr. Karen Glerum, Boynton Beach Dr. Jeannette Pena Hall, Miami • Dr. Bernard Kahn, Maitland Dr. George Kolos, Fort Lauderdale • Dr. Eddie Martin, Pensacola Dr. Jeffrey Ottley, Milton • Dr. Paul Palo, Winter Haven Dr. Howard Pranikoff, Ormond Beach • Dr. Rick Mullens, Jacksonville Dr. Beatriz Terry, Miami • Dr. Stephen Zuknick, Brandon Dr. Ethan Pansick, Delray Beach, speaker of the house Dr. Tim Marshall, Spring Hill, Treasurer • Dr. John Paul, Lakeland, editor
PUBLISHING INFORMATION Today’s FDA (ISSN 1048-5317/USPS 004-666) is published bimonthly, plus one special issue, by the Florida Dental Association, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303 . FDA membership dues include a $10 subscription to Today’s FDA. Non-member subscriptions are $150 per year; foreign, $188. Periodical postage paid at Tallahassee, Fla. and additional entry offices. Copyright 2018 Florida Dental Association. All rights reserved. Today’s FDA is a refereed publication. POSTMASTER: Please send form 3579 for returns and changes of address to Today’s FDA, 545 John Knox Road, Ste. 202, Tallahassee, Fla. 32303.
EDITORIAL AND ADVERTISING POLICIES Editorial and advertising copy are carefully reviewed, but publication in this journal does not necessarily imply that the Florida Dental Association endorses any products or services that are advertised, unless the advertisement specifically says so. Similarly, views and conclusions expressed in editorials, commentaries and/or news columns or articles that are published in the journal are those of the authors and not necessarily those of the editors, staff, officials, Board of Trustees or members of the Florida Dental Association.
EDITORIAL CONTACT INFORMATION All Today’s FDA editorial correspondence should be sent to Dr. John Paul, Today’s FDA Editor, Florida Dental Association, 545 John Knox Road, Ste 200, Tallahassee, Fla. 32303. FDA office numbers: 800.877.9922, 850. 681.3629; fax 850.681.0116; email address, fda@floridadental.org; website address, www.floridadental.org.
ADVERTISING INFORMATION For display advertising information, contact: Jill Runyan at jrunyan@floridadental.org or 800.877.9922, Ext. 7113. For career center advertising information, contact: Jessica Lauria at jlauria@floridadental.org or 800.977.9922, Ext. 7115.
Today’s FDA is a member publication of the American Association of Dental Editors and the Florida Magazine Association.
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CONTACT THE FDA OFFICE 800.877.9922 OR 850.681.3629 545 John Knox Road, Ste. 200 • Tallahassee, FL 32303
EXECUTIVE OFFICE DREW EASON, Executive Director deason@floridadental.org 850.350.7109 GREG GRUBER, Chief Operating Officer/ Chief Financial Officer ggruber@floridadental.org 850.350.7111
AUSTIN MOSER, Coordinator of Foundation Affairs amoser@floridadental.org 850.350.7161
FLORIDA DENTAL CONVENTION (FDC)
CASEY STOUTAMIRE, Director of Third Party Payer and Professional Affairs cstoutamire@floridadental.org 850.350.7202
CRISSY TALLMAN, Director of Conventions and Continuing Education ctallman@floridadental.org 850.350.7105
JUDY STONE, Leadership Affairs Manager jstone@floridadental.org 850.350.7123
ELIZABETH BASSETT, FDC Exhibits Planner ebassett@floridadental.org 850.350.7108
LIANNE BELL, Leadership Concierge lbell@floridadental.org 850.350.7114
KENLEE BRUGGEMANN, FDC Meeting Assistant kbruggemann@floridadental.org 850.350.7162
ACCOUNTING
BROOKE MARTIN, FDC Marketing Coordinator bmartin@floridadental.org 850.350.7103
JACK MOORE, Director of Accounting jmoore@floridadental.org 850.350.7118 BREANA GIBLIN, Director of Accounting bgiblin@floridadental.org 850.350.7137 LEONA BOUTWELL, Finance Services Coordinator Accounts Receivable & Foundation lboutwell@floridadental.org 850.350.7138 DEANNE FOY, Finance Services Coordinator Dues, PAC & Special Projects dfoy@floridadental.org 850.350.7165 JAMIE IDOL, Commissions Coordinator jamie.idol@fdaservices.com 850.350.7142 ALLEN JOHNSON, Accounting Manager allen.johnson@fdaservices.com 850.350.7140
JENNIFER TEDDER, FDC Program Coordinator jtedder@floridadental.org 850.350.7106
GOVERNMENTAL AFFAIRS JOE ANNE HART, Chief Legislative Officer jahart@floridadental.org 850.350.7205 ALEXANDRA ABBOUD, Governmental Affairs Liaison aabboud@floridadental.org 850.350.7204 COURTNEY THOMAS, Governmental Affairs Legislative Assistant cthomas@floridadental.org 850.350.7203
INFORMATION SYSTEMS
MITZI RYE, Fiscal Services Coordinator mrye@floridadental.org 850.350.7139
LARRY DARNELL, Director of Information Systems ldarnell@floridadental.org 850.350.7102
STEPHANIE TAYLOR, Membership Dues Coordinator staylor@floridadental.org 850.350.7119
RACHEL BURCH, Computer Support Technician rburch@floridadental.org 850.350.7153
COMMUNICATIONS AND MARKETING
MEMBER RELATIONS
JILL RUNYAN, Director of Communications jrunyan@floridadental.org 850.350.7113 LYNNE KNIGHT, Marketing Coordinator lknight@floridadental.org 850.350.7112 JESSICA LAURIA, Communications and Media Coordinator jlauria@floridadental.org 850.350.7115
FLORIDA DENTAL ASSOCIATION FOUNDATION (FDAF) R. JAI GILLUM, Director of Foundation Affairs rjaigillum@floridadental.org 850.350.7117
WWW.FLORIDADENTAL.ORG
KERRY GÓMEZ-RÍOS, Director of Member Relations krios@floridadental.org 850.350.7121 DESTINY SIMS, Member Access Coordinator dsims@floridadental.org 850.350.7100 ASHLEY MERRILL, Member Relations Coordinator amerrill@floridadental.org 850.350.7110
FDA SERVICES 800.877.7597 or 850.681.2996 545 John Knox Road, Ste. 201 Tallahassee, FL 32303 Group & Individual Health • Medicare Supplement • Life Insurance Disability Income • Long-term Care • Annuities • Professional Liability Office Package • Workers’ Compensation • Auto • Boat
SCOTT RUTHSTROM, Chief Operating Officer scott.ruthstrom@fdaservices.com 850.350.7146 CAROL GASKINS, Assistant Manager – Sales & Service carol.gaskins@fdaservices.com 850.350.7159 DEBBIE LANE, Assistant Manager – Service & Technology debbie.lane@fdaservices.com 850.350.7157 ALEX KLINE, FDAS Marketing Coordinator arey@fdaservices.com 850.350.7166 MARCIA DUTTON, Administrative Assistant marcia.dutton@fdaservices.com 850.350.7145
CARRIE MILLAR Director of Insurance Operations carrie.millar@fdaservices.com 850.350.7155
YOUR RISK EXPERTS DAN ZOTTOLI, SBCS Director of Sales — Atlantic Coast 561.791.7744 Cell: 561.601.5363 dan.zottoli@fdaservices.com DENNIS HEAD, CIC Director of Sales — Central Florida
PORSCHIE BIGGINS, North Florida Membership Services Representative pbiggins@fdaservices.com 850-350-7149 MARIA BROOKS, SFDDA Membership Services Representative maria.brooks@fdaservices.com 850.350.7144 EBONI NELSON, CFDDA Membership Services Representative eboni.nelson@fdaservices.com 850.350.7151 MELISSA STAGGERS, WCDDA Membership Services Representative melissa.staggers@fdaservices.com 850.350.7154 TESSA DANIELS, Membership Services Representative tessa.daniels@fdaservices.com 850.350.7158 LIZ RICH, Membership Services Representative liz.rich@fdaservices.com 850.350.7171
877.843.0921 (toll free) Cell: 407.927.5472 dennis.head@fdaservices.com MIKE TROUT Director of Sales — North Florida 904.249.6985 Cell: 904.254.8927 mike.trout@fdaservices.com JOSEPH PERRETTI, SBCS Director of Sales — South Florida 305.665.0455 Cell: 305.721.9196 joe.perretti@fdaservices.com RICK D’ANGELO, CIC Director of Sales — West Coast 813.475.6948 Cell: 813.267.2572 rick.dangelo@fdaservices.com
To contact an FDA Board member, use the first letter of their first name, then their last name, followed by @bot.floridadental.org. For example, Dr. John Paul: jpaul@bot.floridadental.org.
CHRISTINE TROTTO, Membership Concierge ctrotto@floridadental.org 850.350.7136
The last four digits of the telephone number are the extension for that staff member.
TODAY'S FDA JULY/AUGUST 2018
3
FDA Foundation Mission of Mercy Thank you
LEADERSHIP
FDC,* HQ* AND TTT * Hello, fellow Florida Dental Association (FDA) members! Was that a great Florida Dental Convention (FDC) we had last month, or what? We had superstar scientific speakers, more than 300 exhibitors, fun family-friendly social events and the opportunity to connect with over 7,200 of our colleagues at the beautiful Gaylord Palms Resort. Special thanks to our Team FDA members led by Ms. Crissy Tallman, FDA General Chair Dr. Bert Hughes (Central District, Gainesville), FDC Program Chair Dr. Brad Cherry (Northeast District, St. Augustine), and the entire Conventions and Continuing Education Committee for their year-round efforts to make our premier membership event a huge success. Do you know that the FDC revenue keeps your dues low? Without the income from the FDA’s annual meeting, your dues would be much higher. Mark your calendars now for next year’s FDC, June 27-29, 2019, and make plans to attend. The FDA Board of Trustees (BOT) will be there, ready to have fun while learning. I am so sure you will think FDC is a member benefit, that I will personally refund your registration fee if you don’t find FDC beneficial professionally. Congratulations to all the 2018 FDA award winners! If you haven’t attended an awards luncheon, you have been missing out on a great event to honor those who have gone above and beyond in their service to our profession. Our highest honor goes to 2018 J. Leon Schwartz Lifetime Service Award winner Dr. Jim Antoon (Central District, Rockledge)
and the 2018 FDA Dentist of the Year is Dr. Irene Marron-Tarrazzi (South Florida District, Miami). Their special tribute videos and information about all this year’s award winners can be found at floridadental.org. Check them out and let the awardees know how much you appreciate their efforts on your behalf. The FDA has been fantastically led by our outgoing president, Dr. Mike Eggnatz (South Florida District, Weston). This year has brought many challenges, some by powerful and well-funded entities, as well as wonderful opportunities brought to the BOT for consideration and ultimate action. As president, Mike has served with honor, vigor and a sense of humor that always comes at just the right time. He even dressed the part when he educated the BOT about current issues! Mike has a way of turning stressful situations into fun learning experiences. He’s been a blessing to the FDA and it’s been a privilege to serve with him. Thank you, Mike, for your leadership and friendship!
PRESIDENT’S MESSAGE JOLENE PARAMORE, DMD FDA PRESIDENT
Dr. Paramore can be reached at jparamore@ bot.floridadental.org. *KEY: FDC: Florida Dental Convention HQ: Headquarters TTT: Time, Treasure and Talents
Dr. Eggnatz led the FDA in the fight against dental therapy legislation filed by those wishing to expand the scope of practice exponentially. While those who would like to see dental therapy in Florida become law will try and try again, Dr. Eggnatz guided the FDA in the formation of strategies and tactics to defeat it in the 2018 Legislative Session. He was the FDA’s voice at the Florida Capitol and his message was clear: We do not need dental therapists, we need adequate Medicaid funding. SEE PAGE 7
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FDA - Awards Nominations
Paragon
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LEADERSHIP FROM PAGE 5
He also hosted the grand opening of the FDA’s brand-new headquarters, a multi-year process that began under past FDA Presidents Drs. Ralph Attanasi (Atlantic Coast District, Delray Beach) and Bill D’Aiuto (Central District, New Smyrna Beach). It’s important to note that there will be no dues assessment for the purchase and renovation of the FDA HQ. Years of wise investments initiated, continued and fervently protected by FDA Treasurers Drs. Jerry Harrison (Northwest District, Panama City), George Dorris (Northwest District, Shalimar), Paul Miller (West Coast District, New Port Richey) and Tim Marshall (West Coast, Spring Hill) resulted in an accumulation of sufficient reserves to pay cash for the property and the renovations. FDA Executive Director Drew Eason, FDA Chief Operation Officer and Chief Financial Officer Greg Gruber and the BOT’s Building Committee chaired by Dr. Jeff Ottley (Northwest District, Milton) worked diligently for more than three years to make our new, state-of-the-art facility wonderful for our Team FDA and affordable for the FDA. Stop by when you are in Tallahassee or check out the video tour on the FDA website. The FDA HQ is fantastic! The FDA leaders are constantly trying to protect and preserve our noble profession of dentistry. However, we cannot do it alone. Often, I hear something like, “You don’t need me, you are doing such a great job.” Well, we DO need you. We need you to stand and serve with us as one united voice. We all have various strengths and varying amounts of time, treasure and talents (TTT). If all 8,100+ of us give just a little of each of those, we will easily fulfill our mission to help members succeed. This is my ask of you, as your incoming president:
Time: v Read Today’s FDA, print or online, whichever you prefer — just please read it. You’ll find important info in every issue. Plus JP’s column. v Open your emails from the FDA and read them. Take action when asked. It’s important, or we wouldn’t ask you to act. We are not paranoid; folks ARE out to change the way dentistry is practiced.
Treasure: v Be a member of the “Tooth Party” as an FDA Political Action Committee (FDAPAC) Century Club member by giving $150 (or more) each year. A strong FDAPAC is our best legislative defense weapon — with Joe Anne Hart leading the troops! v Join the FDA Foundation’s Emerald Club to help dentists lead the search for solutions to access to care for the underserved citizens of Florida. Oral health summits hosted by the Foundation will seek to develop collaborations resulting in emergency department referral programs in three cities this year.
Talents: v Be the very best FDA dentist you can be. Seek knowledge at your local, district and FDC meetings. v Consider serving your FDA in the way your strengths would best protect and preserve your profession. I speak for all the FDA BOT members when I say we are here for you and to help members succeed. We always like to hear from you and we look forward to your input. Until next time, I remain Yours in the bond,
WWW.FLORIDADENTAL.ORG
TODAY'S FDA JULY/AUGUST 2018
7
HUMAN RELATIONS
DANGER ZONES IN EMPLOYMENT AGREEMENTS DEBORAH S. MINNIS
Ms. Minnis practices labor and employment law at Ausley McMullen, and she also represents various local government bodies. She can be reached at dminnis@ausley.com. This article is for informational purposes only and is not intended to be a substitute for professional legal advice. If you have a specific concern or need legal advice regarding your dental practice, you should contact a qualified attorney.
Congratulations! You’ve graduated, passed all the examinations and met all the requirements to be licensed as a dentist. Even better, you have an offer of employment. However, before your first day at the practice, you’re presented with an employment agreement. What now? Here is a summary of important considerations with respect to employment agreements.
Term of Employment In Florida, private employment relationships — as opposed to many government employment relationships — are generally at-will. In essence, the employment relationship can be ended at any time with or without cause, and with or without notice. This can only be changed by the execution of a written employment agreement with a defined term of employment. The term must be specifically stated. An agreement that merely sets out your annual salary is not enough. Be sure to review the agreement to determine: 1) if there is a definite term and, if so, 2) that the term stated matches any discussions/verbal agreements you had with the employer.
Termination Provisions These provisions usually set out differences, if any, between termination (for cause or without cause) and voluntary resignations. For example, many employers will provide advance
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notice to an employee when termination is without cause, but terminations for cause can be immediate.
Non-compete Provisions Most employment agreements contain noncompete provisions. Individuals accepting these provisions can be prohibited from working for another employer engaged in the same business, being a partner in a business that competes with the employer or opening his/her own business that competes with the employer, after being terminated or even voluntarily leaving employment. Non-compete provisions have both time and geographical limitations. For example, they may prohibit competition for two years and within X miles from any office operated by the former employer. Many of them also limit or totally prohibit the employee from even referring patients to other practices. If the former employer is successful in enforcing a non-compete in court, damages and attorney’s fees can be awarded against the former employee.
Non-solicitation Provisions Most employment agreements also include non-solicitation agreements. These provisions prohibit former employees from soliciting patients/clients of the former employer’s practice when the employment relationship is WWW.FLORIDADENTAL.ORG
terminated, whether voluntarily or involuntarily. Solicitation can be defined extremely broadly. For example, the provisions can prohibit the disclosure of names and addresses, etc. of the former employer’s patients. Many non-solicitation provisions also prohibit former employees from soliciting or recruiting their former co-workers. These provisions also include both time and geographical limitations. Damages and attorney’s fees can be awarded for violation of these provisions.
Malpractice Coverage Provisions Such agreements usually contain provisions discussing how payment of malpractice insurance is paid. They also may set out whether reimbursements are required from the employee if employment is ended within a certain period of time, and may include information regarding the need to pay for “tail coverage” when employment ends.
Arbitration Provisions Many employers are including arbitration agreements in their employment agreements. Under arbitration agreements, any challenge to matters concerning employment cannot be filed in court but must be submitted to arbitration. Arbitration is a process that involves either a single individual or panel of three individuals accepting evidence and reaching a binding decision on challenges relating to employment. There is no judge or jury in an arbitration proceeding. These provisions also have been determined to be applicable to discrimination WWW.FLORIDADENTAL.ORG
complaints.
Reimbursement Requirements In many instances, employers will pay for employees to receive training, attend education classes or even pay for licensing. However, many employers have provisions in employment agreements to recoup these costs under certain circumstances. For example, many agreements will have a minimum employment time period that has to be met to cancel recoupment of costs.
Governing Law Provisions All agreements, including employment agreements, set out where and what law controls suits filed to enforce their provisions. They will generally indicate which state’s laws are to be applied and where suits to enforce the agreement can be filed. For example, a nationwide company may require that such suits be filed in the state and county where its headquarters are located. Transactions were once confirmed by simple verbal or handshake agreements. However, society has become more paper driven in general and written agreements are now the norm. The same is true for employment. The key is to be aware of what you are signing before you sign and asking questions if you are unsure.
TODAY'S FDA JULY/AUGUST 2018
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DIDYOU
BOD
?
INFORMATION ABOUT THE FLORIDA BOARD OF DENTISTRY
OPIOIDS ... GET THE FACTS!
DR. DON ILKKA FDA LIASON TO THE FLORIDA BOARD OF DENTISTRY
The Florida Department of Health has a launched an informational website providing basic information on the recent changes for prescribers and dispensers in response to the Controlled Substances Bill (HB 21)recently signed into law by the governor. With an effective date of July 1, 2018, the law attempts to address opioid abuse in the state by establishing prescribing limits, requiring continuing education on controlled substance MS. CASEY STOUTAMIRE FDA DIRECTOR OF THIRD PARTY PAYER & PROFESSIONAL AFFAIRS
prescribing, expanding required use of Florida’s Prescription Drug Monitoring Program, E-FORCSE, and more. The website provides specific information for dentists and how you will be affected by the bill, and links to other helpful resources, such as a bill information page, FAQs, an informational webinar and more. Please visit flhealthsource.gov/FloridaTakeControl to be in the know on how the Controlled Substances Bill affects you!
If you have any questions, please contact Director of Third Party Payer and Professional Affairs Casey Stoutamire, Esq. at cstoutamire@ floridadental.org or 850.350.7202, or FDA Liaison to the Florida Board of Dentistry Dr. Don Ilkka at donjilkkadds@aol.com or 352.787.4748.
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WWW.FLORIDADENTAL.ORG
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THE VALUE OF A $10 GIFT CARD
INFO BYTES
LARRY DARNELL, MBA, CAE DIRECTOR OF INFORMATION SYSTEMS
Mr. Darnell can be reached at ldarnell@floridadental.org.
In the wake of Facebook’s personal data issues, there are more things out there that we never even think twice about. What about the innocent looking email that asks you to fill out a simple survey for a $10 gift card or perhaps a chance to win a larger prize? Most people never give those a second thought. You fill out that survey and even if you use a throwaway email address (with so many free email services, you can create one that you hardly ever check and use for just such an occasion), you still provide valuable data to the company or the people who sponsored the survey. The value of your personal information is much higher than you think. There’s already so much data mining (personal data compiled into a profile about you) going on. One day my wife and I were talking about backpacks for a trip; the next day my Facebook, Twitter, Instagram and Amazon shopping feeds were flooded with ads related to backpacks. So, who gave them that information? I never Googled it. Alexa heard me and so did Siri. Talk about Big Brother listening to me! I wanted to break out the tinfoil hats and go off the grid for a while. We provide so much personal information when we use the internet, smartphones and tablets, and don’t even realize it. Facebook didn’t even have to try very hard. Several quizzes about which Kardashian you resemble and we have given up a lot of our personal information for free. So, what are we to do in the aftermath of this? Here are five things to remember: 1. Guard your personal information. There’s no need to give it away for nothing, and trust me, $10 is a bargain for your personal data. Are those $10 gift cards worth the risk?
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2. Never assume there are private communications on a public internet. Anything you put on the internet (social media, email, etc.) can and will be seen, heard and shared with others. This includes Snapchat and other sites that say they are “secure.” 3. Use all security measures that are afforded to you by the devices you use. If that means encrypted emails or a virtual private network, then use them. Be careful about using open Wi-Fi (a password isn’t required to use it). Nothing is free, and although open Wi-Fi may appear free, it could cost you greatly in the end. 4. Keep a tight rein on your personal brand. If that means regular credit bureau checks, services that monitor “risky” websites for your data or even staying off social media altogether, then do what is necessary to protect you. Once your identity is stolen, it’s nearly impossible to get it back. 5. Treat your virtual world like you would your real world. If you would not do or say something face to face, in person, then why do it in a virtual world? If a stranger showed up at your door asking a slew of questions, you’d probably slam the door in their face. On the internet, we give them what they want and more. Bonus tip: The next time you install an application on your smartphone, visit a website or use software on your computer, take a moment and read the terms and conditions that you blindly click to accept. You’ll be shocked by what you are agreeing to without even considering the consequences.
WWW.FLORIDADENTAL.ORG
FDAPAC-SUPPORTED CANDIDATES Primary Election: Aug. 28, 2018 Thanks to your Florida Dental Association Political Action Committee (FDAPAC) membership and support, FDAPAC has contributed to many candidate campaigns for the 2018 Primary Election. Without the FDAPAC membership, FDAPAC Century Club members and FDAPAC Capital Hill Club members, organized dentistry would not be as effective during the legislative session. Below is a list of FDAPAC-supported House and Senate candidates for the 2018 Primary Election.
ATLANTIC COAST DISTRICT
CENTRAL FLORIDA DISTRICT
Erin Grall, R-Vero Beach
H-54
Chuck Clemons, R-Jonesville
H-21
Tina Polsky, D-Boca Raton
H-81
Paul Renner, R-Palm Coast
H-24
MaryLynn Magar, R-Hobe Sound
H-82
Patrick Henry, D-Daytona Beach
H-26
Toby Overdorf, R-Palm City
H-83
David Santiago, R-Deltona
H-27
David Silvers, D-West Palm Beach
H-87
Bob Cortes, R-Altamonte Springs
H-30
Al Jacquet, D-West Palm Beach
H-88
Jennifer Sullivan, R-Eustis
H-31
Matt Spritz, R-Boca Raton
H-89
Bobby Olszewski, R-Orlando
H-44
Emily Slosberg, D-Delray Beach
H-91
Kamia Brown, D-Ocoee
H-45
Patricia Williams, D-Fort Lauderdale H-92
Bruce Antone, D-Orlando
H-46
Bobby DuBose, D-Fort Lauderdale
H-94
Amy Mercado, D-Orlando
H-48
Jared Moskowitz, D-Coral Springs
H-97
Carlos Guillermo Smith, D-Winter Park H-49
Evan Jenne, D-Hollywood
H-99
Rene Plasencia, R-Titusville
H-50
Shevrin Jones, D-West Park
H-101
Tyler Sirois, R-Merritt Island
H-51
Richard Stark, D-Weston
H-104
Thad Altman, R-Indialantic
H-52
Gayle Harrell, R-Stuart
S-25
Randy Fine, R-Palm Bay
H-53
Keith Perry, R-Gainesville
S-8
Dennis Baxley, R-Lady Lake
S-12
Dorothy Hukill, R-Port Orange
S-14
*Special Election
Bobby Powell, D-West Palm Beach
S-30
Lauren Book, D-Plantation
S-32
Gary Farmer, D-Fort Lauderdale
S-34
NORTHEAST DISTRICT Cord Byrd, R-Jacksonville Beach
H-11
Travis Cummings, R-Orange Park
H-18
Clay Yarborough, R-Jacksonville
H-12
Bobby Payne, R-Palatka
H-19
Tracie Davis, D-Jacksonville
H-13
Aaron Bean, R-Jacksonville
S-4
Cyndi Stevenson, R-St. Augustine
H-17
Audrey Gibson, D-Jacksonville
S-6
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FROM PAGE 13
NORTHWEST DISTRICT
WEST COAST DISTRICT
Alex Andrade, R-Gulf Breeze
H-2
Ralph Massullo, R-Beverly Hills
H-34
Jayer Williamson, R-Pace
H-3
Danny Burgess, R-Zephyrhills
H-38
Jay Trumbull, R-Panama City
H-6
Colleen Burton, R-Lakeland
H-40
Ramon Alexander, D-Tallahassee
H-8
Cary Pigman, R-Sebring
H-55
Loranne Ausley, D-Tallahassee
H-9
Sean McCoy, R-Lithia
H-57
George Gainer, R-Panama City
S-2
Jackie Toledo, R-Tampa
H-60
Shawn Harrison, R-Tampa
H-63
Jamie Grant, R-Tampa
H-64
Chris Sprowls, R-Clearwater
H-65
Chris Latvala, R-Clearwater
H-67
Ben Diamond, D-St. Petersburg
H-68
SOUTH FLORIDA DISTRICT Sharon Pritchett, D-Miami Gardens
H-102
Cedric McMinn, D-Opa Locka
H-109
Jose Oliva, R-Hialeah
H-110
Bryan Avila, R-Hialeah
H-111
Nick Duran, D-Miami
H-112
Kionne McGhee, D-Cutler Bay
H-117
Robert Asencio, D-Miami
H-118
Holly Raschein, R-Key Largo
H-120
Manny Diaz Jr., R-Hialeah
S-36
Annette Taddeo, D-Miami
S-40
Please note, those listed in purple are FDAPAC-supported candidates who were elected to office without opposition after the June 22 qualifying deadline. Their names will not appear on the election ballot. For additional information on FDAPACsupported candidates, contact the FDA Governmental Affairs Office at 850.224.1089 or gao@floridadental.org.
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Raymond Blacklidge, R-St. Petersburg H-69 Wengay Newton, D-St. Petersburg
H-70
Will Robinson, R-Bradenton
H-71
Margaret Good, D-Sarasota
H-72
Ray Rodrigues, R-Fort Myers
H-76
Dane Eagle, R-Cape Coral
H-77
Heather Fitzenhagen, R-Fort Myers
H-78
Byron Donalds, R-Naples
H-80
Bob Rommel, R-Naples
H-106
Wilton Simpson, R-New Port Richey
S-10
Ed Hooper, R-Clearwater
S-16
Dana Young, R-Tampa
S-18
Tom Lee, R-Brandon
S-20
Kelli Stargel, R-Lakeland
S-22
Ben Albritton, R-Bartow
S-26
Kathleen Passidomo, R-Naples
S-28
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LEGISLATIVE CORNER YES, YOUR VOTE DOES COUNT! Election years are busy and oftentimes, overstimulating with all the commercials and campaign ads telling you who is good and who is bad. Your mailbox is filled with brochures and pamphlets touting one candidate over another. Your phone is continuously ringing throughout the evening with robocalls of voices from people you don’t recognize. Don’t get frustrated. This is all a part of campaign season and will continue until the general elections in November. So, you may be wondering: How do you fit into this big, chaotic puzzle and how do you navigate through the maze of information? It’s easy! Do your homework on candidates running for office. Find out if they are supportive of issues you support. If they are, consider volunteering to help with their campaign. There are several ways you can help: v Write a check to support their campaign efforts. v Volunteer to make phone calls on their behalf. v Host an event at your house or office. v Put a yard sign in front of your house or your office. v VOTE!
No matter which way you choose to help the candidate you support, the most effective way you can help is to VOTE! Every vote counts — and this isn’t just a saying that sounds good, EVERY VOTE DOES COUNT. I’ve seen several candidates win or lose their election by just ONE vote. Voting is an important part of the process that places individuals in elected positions who could pass laws that could impact your daily living and even how you practice as a dentist. Don’t just sit by and watch democracy happen right in front of you — be a part of it and make your vote count!
JOE ANNE HART
Ms. Hart is the FDA chief legislative officer and can be reached at jahart@floridadental.org.
What do you need to know about the upcoming elections? v Primary election day is Tuesday, Aug. 28. There will be an early voting period for the primary election scheduled Aug. 18–25. v General election day is Tuesday, Nov. 6. There will be an early voting period for the general election scheduled from Oct. 27 – Nov. 3.
For additional information about elections in your local area, visit your supervisor of elections website at dos.elections.myflorida.com/supervisors. WWW.FLORIDADENTAL.ORG
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HOUSE OF DELEGATES
HOUSE OF DELEGATES JUNE 22-23, 2018 On June 22-23, the Florida Dental Association (FDA) House of Delegates (HOD) met at the Gaylord Palms Hotel in Orlando. The HOD discussed many issues, including the following business: FDA President Dr. Mike Eggnatz presented Dr. Cesar Sabates with the President’s Choice Award, which was not known until this time. Dr. Eggnatz also thanked all volunteers who serve on the FDA’s councils and committees for their time and commitment. In addition, he mentioned how the FDA’s membership is continuing to grow.
Report of the 17th District Trustee Dr. Sabates reported on the work being done by the ADA Board of Trustees and mentioned several issues facing the profession, including a dental benefit in Medicare, dental therapy and Federal Trade Commission actions. Dr. Sabates also recognized Drs. Ralph Attanasi, Rodrigo Romano, Don Ilkka and Jerry Bird for their service on various American Dental Association (ADA) councils and committees.
Election of Treasurer-elect Dr. Romano was elected as the new treasurer-elect and will succeed Dr. Tim Marshall in June 2019.
Report of the Newly Installed FDA President Dr. Jolene Paramore reminded everyone of the challenges ahead for the dental profession and how we need to work together. She is focused on generating new leaders and has asked members for their help in this endeavor.
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Consent Agenda and Items of New Business The HOD unanimously approved the following items of business: 1. The minutes of the January 2018 House of Delegates 2. 2017H-067 Rescission of Policy, Modification of Press Release Policy 3. 017H-068 Rescission of Policy, Local Anesthesia Guidelines for Dental Hygienists 4. 2017H-069 Rescission of Policy, Preferred Dentist Network Savings Account 5. 2017H-070 Rescission of Policy, Amendment to Reserve Fund Policy 6. 2017H-060 FDA Operating Fund FY 2018-2019 Budget 7. 2017H-056 BOT Manual Update 8. 2017H-057 HOD Manual Update 9. 2017H-063 Delegation Manual Update
RESOLVED, that the 17th District Delegation Manual be amended to include: When a component-designated delegate position or a component-designated alternate delegate position is prematurely vacated, the vacated term will be considered a complete term of service if the unexpired portion of the term is at least half of the term length. The successor, either component-designated or componentdesignated alternate, will go through the regular selection process and be elected at the next House of Delegates.
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Vacated positions of component-designated delegates and component-designated alternates who require an interim delegate, will be filled as previously stated in the manual. 10. 2017H-055 Mandatory CE for Controlled Substances
[Policy] RESOLVED, that the Florida Dental Association (FDA) support the requirement of a two-hour continuing education (CE) course on the safe and effective prescribing of controlled substances, and be it further
RESOLVED, that the FDA support requiring two-hour CE on controlled substances as part of the 30 hours requirement for licensure renewal.
11. 2017H-059 Proposed CODA Standards on Hygiene Education
RESOLVED, that the FDA oppose the CODA proposed changes to definition of terms used in Dental Hygiene Accreditation Standards and Standard 2-8d and 2-13.
Election Procedures for 17th District Delegation At-large Positions The HOD adopted the following resolution: [Policy] RESOLVED, that the FDA Bylaws, Chapter X, be and is hereby amended to add a new section 30 to read as follows: underline = addition strike-through = deletion ellipses (i.e. “dots” or “periods”) = no change SECTION 10. REPRESENTATION TO ADA HOD
Date of Next House of Delegates Meeting The next HOD meeting will be Jan. 25-26, 2019 at the Tampa Airport Marriott Hotel.
SECTION 30. ELECTIONS FOR 17th DISTRICT DELEGATION AT-LARGE DELEGATE AND ALTERNATE DELEGATE POSITIONS Notwithstanding anything to the contrary in either these Bylaws or the 17th District Delegation Manual, elections for at-large delegate and alternate-delegate (i.e., non-componentdesignated) positions on the delegation shall be conducted using a single ballot and plurality voting. A ballot will only be counted if the number of votes cast equals the number of open positions. Those candidates who are determined to have attained a plurality of the votes on the first ballot have won the election and those who do not attain a plurality have not been elected. For purposes of this section, regardless of the number of competing candidates, “plurality” means that the top vote-getting candidates are elected even if none of them gets a majority vote. As an example, if there are 17 candidates for 10 positions, then the top 10 vote-getters are winners.
The representatives of the FDA to the HOD of the American Dental Association (referred to in this chapter as “delegation”) shall consist of voting members of the FDA who are selected to serve as delegates and alternate delegates. ADA delegation members are selected by and have authority to perform duties as governed by the delegation manual. SECTION 20. DELEGATION MANUAL …
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TODAY'S FDA JULY/AUGUST 2018
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BOD MEETING
BOARD OF DENTISTRY M E E T S I N TA L L A H A S S E E
MS. CASEY STOUTAMIRE FDA DIRECTOR OF THIRD PARTY PAYER & PROFESSIONAL AFFAIRS
If you have any questions, please contact Director of Third Party Payer and Professional Affairs Casey Stoutamire, Esq. at cstoutamire@floridadental.org or 850.350.7202. 1. See, Section 466.006(6) Florida Statutes for definitions and requirements.
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TODAY'S FDA
The Florida Board of Dentistry (BOD) met in Tallahassee on Friday, May 18. BOD members present included Dr. T.J. Tejera, chair; Dr. Naved Fatmi, vice chair; Drs. Joe Calderone, Matt Freedman, Nick Kavouklis, Claudio Miro and Nick White; Ms. Cathy Cabanzon and Ms. Angie Sissine, hygiene members; and, consumer member, Mr. Fabio Andrade. There is one consumer member position open on the board that the governor has not yet filled. This was the first meeting for Drs. Freedman and White, who were appointed to the BOD earlier this year. The Florida Dental Association (FDA) was represented by FDA BOD Liaison Dr. Don Ilkka and Director of Third Party Payer and Professional Affairs Casey Stoutamire. Other FDA members in attendance included: Drs. Andy Brown, Walter Colon, Mike Eggnatz, Dan Gesek, Rick Huot, Bernie Kahn, George Kolos, Eddie Martin, Jeff Ottley, Howard Pranikoff and Michael Ragan. FDA professional staff in attendance included FDA Executive Director Drew Eason, Chief Legislative Officer Joe Anne Hart and Governmental Affairs Liaison Alexandra Abboud.
JULY/AUGUST 2018
The BOD heard a presentation on dental therapists from Dr. Frank Catalanotto. No action was taken by the BOD on this issue. Immediately following Dr. Catalanotto’s presentation, FDA President Dr. Mike Eggnatz gave a presentation on Florida’s Action for Dental Health (FADH). Dr. Eggnatz did a great job outlining the FDA’s priorities included in FADH and his remarks were well-received by the BOD. Mr. David Flynn, BOD counsel, updated the BOD on a recent Federal Trade Commission opinion from Louisiana regarding how much supervision a regulatory board, made up of market participants (such as the BOD), must have. As a result of this opinion, Florida will tighten its active supervision of boards, made up of market participants, to include a mechanism for the state entity reviewing board actions to not only review those actions, but also have the ability to revise and/or veto them. Ms. Sissine updated the BOD on the status of the digital scanning and restorative function dental auxiliary (RFDA) proposals discussed by the Rules Committee on its May conference call. The Rules Committee is proposing WWW.FLORIDADENTAL.ORG
that the taking of digital scans or images for fabrication of final intraoral restorations or active orthodontic appliances be under direct supervision to ensure that a dentist will review the work before it is sent to the lab. Current supervision levels for wet impressions remain unchanged, even if taken digitally. The Rules Committee has been reviewing the FDA’s RFDA proposal from 2011 to allow dental hygienists and assistants to receive additional training to perform restorative functions. The Rules Committee will meet in person on Aug. 23, the day before the August BOD meeting, to discuss the proposal and then move it forward to the Hygiene Council for its review so that it can be voted upon by the full BOD at its November meeting. The BOD discussed the recent opioid legislation signed by the governor, House Bill (HB) 21, and its implications for dentistry. The Florida Medical Association (FMA), Florida Academy of Family Physicians, Florida College of Emergency Physicians and Florida Osteopathic Medical Association were approved as providers of the mandatory continuing education (CE) course on controlled substances. Both the FDA and FMA’s joint online course and in-person course held at the Florida Dental Convention has been board approved and licensees were able to fulfill their CE requirement by completing the online course. The BOD also approved rule language requiring all licensees registered with the Drug Enforcement Administration to prescribe opioids to take a two-hour CE course on opioids by Jan. 31, 2019 and at each subsequent biennium as required by HB 21. The two-hour CE requirement will be included in the 30-hour CE requirement for licensure renewal, not in addition to. Teaching permit holders also will be required to take the two-hour CE course on opioids. The BOD is working on a complete rewrite of Rule 64B5-17.0045, Standards for the Use of Controlled Substances for Treatment of Pain. There was a multi-board meeting of the boards of medicine, dentistry, nursing, osteopathic medicine, pharmacy and pediatric medicine on June 21, and draft language was developed for the BOD to review at its August meeting. The BOD discussed its citation authority for failing to check and report data to the Prescription Drug Monitoring Database (PDMP), which all prescribers of opioids must be registered to use by July 1, 2018. The BOD approved a $250
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The next BOD meeting is scheduled for Friday, Aug.24, 2018, at 7:30 a.m. EST in Tampa.
fine for failing to report controlled substance information to the PDMP and a $100 fine for failure to consult the PDMP prior to dispensing a controlled substance. There was much discussion on how the Department of Health (DOH) would monitor these violations. It was stated that the DOH will not be auditing the PDMP and that violations would most likely be discovered as part of a larger investigation on another issue. Finally, the BOD approved a motion to revise the various dental licensing applications to add a question asking if the applicant is registered with the DEA. The DOH recently established a website dedicated to the implementation of HB 21 and its impact on providers. Go to flhealthsource.gov/ FloridaTakeControl/ to visit the website. There were three disciplinary cases before the BOD: one determination of waiver and two voluntary relinquishments that dealt with fraudulently accessing opioid medications, failing to meet the minimum standard of care and Medicaid fraud. If you have not yet attended a BOD meeting, it is suggested that you take the opportunity to attend and see the work of the BOD. It is much better to be a spectator than a participant in BOD disciplinary cases.
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UPDATES FOR MEMBERS *PLEASE NOTE THAT FDA MEMBERS HAVE THEIR NAMES LISTED IN BOLD.
FDC2018 CE Certificates and Course Recordings Available From the Florida Dental Convention (FDC) committee and staff, we hope you and your team enjoyed FDC2018, “Elevate Your Game!” Go to bit.ly/ 2ugQPQU and use your registration ID to access your FDC2018 continuing education (CE) certificate(s). CE credits were awarded for attendees who stayed in the course a minimum of 50 of the 60 minutes. Please note that partial credit is not currently included in your CE certificate. Partial credit will be added to certificates by July 21. If you believe your credits are inaccurate, please contact Brooke Martin at bmartin@ floridadental.org or 850.350.7103. Full and partial credit will be reported to CE Broker no later than July 21. Purchase your FDC2018 course recordings today! You may purchase individual courses for $20 per course or all recorded courses for $199. Go to bit.ly/2m48yar to purchase your course recordings today!
Registration for the 2019 DDOH is Now Open! The 2019 Dentists’ Day on the Hill (DDOH) will take place on Tuesday, March 12, 2019, with a legislative briefing the night before at 6 p.m. on Monday, March 11. To register, please go to floridadental.org/ddoh. All registration will be processed online; no paper registration is available.
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This past legislative session, many dentists, dental students and spouses traveled to Tallahassee to advocate on behalf of organized dentistry. Our numbers impressed the legislators who were debating crucial policy issues for the dental profession during that time. Help us increase that number for 2019 and sign up for DDOH today! The FDA has a room block at the Doubletree by Hilton Tallahassee for a rate of $219 with a $15 self-parking fee or $18 valet fee. To book your room, please call 850.224.5000 and reference group code “AFD” or go to bit.ly/2KYsMxg to book your reservation today. Rooms for this event fill up quickly — so reserve your room today! Information regarding the legislative briefing on Monday, March 11 will be sent to you at a later date. If you have any questions, please contact Governmental Affairs Liaison Alexandra Abboud at 850.224.1089 or aabboud@ floridadental.org.
Storm Proof Your Practice with the Updated FDAS 2018 Hurricane Guide The 2018 Atlantic hurricane season began on June 1, and forecasters are predicting a near- or above-normal season. In Florida, we’ve seen some intense storms in the last several years, so we know it pays to be prepared. Get your dental practice ready for the 2018 Atlantic hurricane season with the updated FDA Services (FDAS)
hurricane preparedness guide, Storm Proof. This guide provides useful tips on insurance coverage, disaster planning, office preparation and digital resources that will help you keep your practice running in the event of a big storm. Go to bit.ly/2Nuuhoz to read the FDAS 2018 Hurricane Guide, Storm Proof, and make sure you’re ready for hurricane season!
Nominating a Colleague for an FDA Award is as Easy as 1-2-3! (Deadline: Aug. 31) Nominate a deserving colleague for recognition by the Florida Dental Association. It’s simple! Let’s give those who are helping the public and the profession some well-deserved recognition. Follow these three simple steps, and in just three minutes — your nomination is complete! 1. Visit: bit.ly/2zKVgtg to go to the nomination form. 2. Read the brief description for each award. 3. Enter in your nominee information and click “Send Nomination.” It’s that simple! But don’t wait — the deadline for nominations is Aug. 31.
WWW.FLORIDADENTAL.ORG
American Association of Women Dentists Annual Conference The American Association of Women Dentists is holding their annual conference, “Proper Positioning: Align Yourself for Success!” Oct. 5-6, 2018 in Savannah, Ga. Join other female dental colleagues from around the country to network, collaborate, grow and refresh. This dynamic continuing education (CE) conference provides 12 hours of CE, and you can expect a high level of personalization and focus on the real needs of women in dentistry. For more information go to aawd.org.
AHCA Announces the Award of Dental Contracts Under the Statewide Medicaid Managed Care Program The Agency for Health Care Administration (AHCA) announced its intent to award contracts to Liberty, MCNA and DentaQuest to provide dental services under the Statewide Medicaid Managed Care (SMMC) program. The dental plans will each provide services statewide. The plans have committed to provide an array of added dental benefits to all
adult Medicaid dental plan enrollees, and children will continue to receive all medically necessary dental services. This includes additional diagnostic, preventive and periodontics services, and other benefits specifically targeted for pregnant women, all provided at no additional cost to the state. Liberty, MCNA and DentaQuest will take the lead on the provision of dental services, including the dental expanded benefits, when the new plans roll out according to the schedule below. In addition, the dental plans have committed to allowing individuals transitioning to their plan to be able to keep their current dental provider for longer if this new program causes them to have to switch to a different dental provider. The plans also have agreed to enter into agreements with all the other SMMC plans (Managed Medical Assistance Program[MMA] and long-term care) to ensure coordination of benefits between all plans participating in the SMMC program to ensure recipients can smoothly navigate between the different program components. The contracts awarded earlier this year to health plans to provide MMA and long-term care services and the contracts for dental services will be implemented concurrently using a
In Memoriam The FDA honors the memory and passing of the following members:
Bill L. McClanahan Winter Park Died: 5/4/18 Age: 86
Jerry L. Reynolds Tampa Died: 6/23/18 Age: 83
phased schedule beginning on Dec. 1, 2018. The phased rollout schedule is below. I f you have additional questions, you may contact FDA Director of Third Party Payer and Professional Affairs Casey Stoutamire, Esq. at 850.350.7202 or cstoutamire@floridadental.org.
The Association of Retiring Dentists Makes Transition from Full-time Practice Easier One of the most frequent questions the Association of Retiring Dentists (ARD) hears when talking with dentists contemplating retirement is, “What am I going to do?” It’s well-established that volunteering and serving others is a key component of happiness and longevity. The ARD is encouraging membership (currently free) for those dentists wanting to create a smooth transition and at the same time help others.
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UPDATES FOR MEMBERS FROM PAGE 21
The ARD is hoping to have enough members in each state to help in volunteer clinics or do short-term or per diem work for colleagues who may suddenly become disabled. There also are other part-time opportunities for dentists to earn additional income, which also allows a dentist to stay connected to the profession. The ARD plans to expand opportunities for both paid and volunteer positions, and will notify members when these opportunities arise. Membership is open to dentists of all ages because the ARD believes that preparing for retirement should begin very early in one’s career and not only when one approaches age 65. To join, please go to retiringdentists.com/register.
Welcome New FDA Members These dentists recently joined the FDA. Their membership allows them to develop a strong network of fellow professionals who understand the day-to-day triumphs and tribulations of practicing dentistry.
Kaleb Harp, Jensen Beach
Nicholas Shuff, Gainesville
Kshitij Kapoor, Lake Worth
Michael Singh, Orlando
Isarelys Lazo Quintana, Miami
Louis Traci, Orlando
Christine Marijanovic, Vero Beach
Christopher Varela, Winter Springs
Josie Nguyen, Fort Lauderdale
Cole Waggener, Merritt Island
Manoj Patel, Lake Worth
Stephanie Waggener, Rockledge
Tanmya Ravi, Boynton Beach Elizabeth Valme, Port St Lucie
Central Florida District Dental Association
Jessica Gindele, Fernandina Beach
Monique Alves, Sanford
Javier Maldonado, Jacksonville
Anne Boehling, Gainesville
Anthony Massaro, Jacksonville
Ashley Canales Carmona, Kissimmee
Jason Ouellette, St. Augustine
Michelle Charles, Orlando
Komal Relan, Jacksonville
Lourdes Cruz Andujar, Oviedo
Brent Sears, Jacksonville
Milena Diaz Prieto, Winter Springs
Kevin Snyder, Jacksonville
Rasha Fatima, Orlando
Andrew Steadman, Jacksonville
Gary Gibson, Oviedo
Northwest District Dental Association
Carolina Londono, Orlando
Jay Arnold, Milton
Matthew Lopez, Kissimmee
Brandon Meckelberg, Tallahassee
Timothy Luong, Deltona
Sahar Rafiq, Crestview
Meghann Lussier, Orlando
Jefferey Strickland, Pensacola
Thomas McPherson, Gulf Breeze
Ronald Willis, Tallahassee
Joseph Mejia, Orlando Monica Minjares, Winter Park
Miguelina Arocha, Miramar
Atila Miranda, Altamonte Springs
Jenna Bryan, Okeechobee
Lorenzo Miranda-Velez, Clermont
Mildred Collazo, Tamarac
Girija Naidu, Windermere
Fatemeh Gholami, Weston
Anhtuan Nguyen, Orlando
Peter Habashy, Palm Beach Gardens
Chuong Nguyen, Apopka
Mallory Hackbarth, Boca Raton
Joymarie Saavedra, Lake Mary
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Pauline Le, Jacksonville
Nhon Hoang, Orlando
Atlantic Coast District Dental Association
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Northeast District Dental Association
South Florida District Dental Association Ricardo Carrillo, Hollywood Katherine De Armas, Miami Dhunia Dopazo Alonso, Hialeah Martin Drubi, North Miami Beach Silvia Dumois-Gonzalez, Miami Patricia Fornes, Miami WWW.FLORIDADENTAL.ORG
Bianca Gonzalez, South Miami Ronald Jarquin, Miami Philippe Jean, Sunrise
UPDATES FOR MEMBERS
Vanessa Lebron, Hialeah Gardens Clara Llodra, Key West
Kayla Cicchella, Sarasota
Javier Martinez, Aventura
Edward Cronauer, Riverview
Claudio Miro, Miami
Bao Tran Dao, New Port Richey
Omar Morell, Miami
Martha Ducatel, Brandon
Sandra Oilar, Weston
Princess Elhosary, Lutz
Adriana Rodriguez, Miami
Luis Fonseca, Naples
Jose Vazquez Llana, Miami
Andrew Frey, Fort Myers
West Coast District Dental Association Barron Banks, Temple Terrace Ahmad Bhatti, Lakeland Anna Carlow, Sarasota
Haidy Hanna, Lutz Kylen Hughes, Seminole Yassamin Lenzi, Fort Myers Sophia Mazanitis, Clearwater Brantley McCarty, Venice Adarsh Mehta, Oldsmar
THE FDA WELL-BEING COMMITTEE OFFERS YOU CONFIDENTIAL, PROFESSIONAL ASSISTANCE Alcoholism and drug addiction can touch any of us. ADA statistics have shown that almost 20 percent of all dentists will have problems with drugs or alcohol sometime during their careers! The FDA Well-Being Committee is a group of dental professionals with personal experience with these problems who can give complete confidential assistance to members of the profession, their staff and spouses.
FDA Well-Being Committee
For more information and/or help, contact Dr. Barton Blumberg anonymously at 352-446-7910. (Private Cell #)
Jesspreet Parmar, Naples Ashley Rini, Fort Myers Jose Ruiz, Lithia Jennine Santeiro, Ruskin Mujib Shuayb, Spring Hill Alexsandro Spinuso, Seminole Leydy Toribio Fabelo, Bradenton Sherwood West, Sarasota Thomas Yoon, Lakewood Ranch Gregory Zollo, Seminole
PROBLEMS
WITH DRUGS OR ALCOHOL? WWW.FLORIDADENTAL.ORG
TODAY'S FDA JULY/AUGUST 2018
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FDA SERVICES & CROWN SAVINGS SOLUTIONS A
D
G
B
E
H
C
F
I
PRACTICE GROWTH
ENTER MARKET
2 1
GROW
FDA2 Services Crown Savings Solutions
R N H F E
M
P
J G D
O
C
K
B
A Start or Purchase a Practice
Q
Increase
1
F
M
C
D Increase Sales, Gain Market Share
Expand Products & Services
Grow Customer Base
PRODUCT OFFERINGS:
•
Malpractice Insurance E
• Retirement Ready Mortgage I
• Practice Sales and Acquisition A
•
Tribute Plan Benefits E
• Insurance Credentialing J
• Patient Care Financing B
•
Dental Supplies F
•
• Electronic Dental Claims C
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Debt Collection G
• Car Purchase Incentives L
• Patient Communication D
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Practice Software H
• Website Development M
K
MEMBERSHIP WORKING FOR YOU J
M
P
K
N
Q
L
O
R
MATURE
5
B
4
C
3
Succession Planning
Manage Profits
A I 2
TRANSITION
A
Sell Practice
Succession Streamline Cash Management
3 F
I
G
K
J
L
N
Q
O
E
Wind Down
4 5
P
TIME
• Payment Processing N
• Disability Insurance
• Payroll Processing O
• Life Insurance 2
• Shipping P
• Long-Term Care Insurance 3
• Business Credit Card Q
• Whole Life Insurance 4
• Workers’ Comp. Insurance R
• Annuities 5
1
QUESTIONS? CONTACT US TO LEARN MORE. 800.877.7597 | www.fdaservices.com CrownSavings@FDAServices.com
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VOLUNTEERS
THE FDA SAYS, “THANK YOU!“ OUTGOING 2017-2018 COUNCIL/COMMITTEE VOLUNTEERS The Florida Dental Association (FDA) would like to thank each of our council and committee members who have completed their terms with the groups listed below. Many of them are returning to continue their service with other FDA leadership groups.
Governmental Action Committee
s Mr. Ross Grant, Student Rep. – LECOM
s Dr. Mike Eggnatz – SFDDA
Council on Membership
The FDA appreciates your time and dedication for serving in this capacity.
s Dr. Beatriz Terry, Consultant – SFDDA
Committee on Conventions & CE
s Dr. Suzi Thiems-Heflin – CFDDA
s Dr. John Cordoba, BOT Liaison – CFDDA s Dr. Jolene Paramore – NWDDA s Dr. Tricia Hess – NWDDA s Dr. Rodrigo Romano, CFA Liaison – SFDDA s Ms. Michelle Dulgar, Student Advisor – LECOM
Council on Ethics, Bylaws & Judicial Affairs s Ms. Brittney Gallaher, Student Rep. – LECOM s Ms. Christine Adams, Student Rep. – UF s Ms. Anushka Prabhu, Student Rep. – Nova
Council on Financial Affairs s Dr. Jolene Paramore, BOT Liaison – NWDDA s Dr. Linda Niessen – ACDDA
s Dr. Zack Kalarickal, Consultant – WCDDA s Dr. Ethan Pansick, Consultant –ACDDA s Dr. Rick Stevenson, Consultant – NEDDA
FDAS
s Dr. Chris Naglieri, Student Advisor – Nova s Dr. Sable Muntean, Student Advisor – LECOM s Dr. Michelle Bargfrede, Student Advisor – UF
Council on Dental Benefits & Care s Dr. Linda Trotter – NEDDA s Dr. Joe Sarasola – ACDDA s Dr. Erin Shiveler – NWDDA s Dr. Carlos Sanchez – SFDDA s Dr. Jeannette Peña-Hall, BOT Liaison – SFDDA s Mr. Rachit Patel, Student Rep. – UF s Ms. Cara Frink, Student Rep. – LECOM s Ms. Caitlin Wild, Student Rep. – Nova
s Ms. Joanna Borissova, Student Rep. – UF
s Dr. Craig Oldham, Chair – WCDDA s Dr. Susan Byrne, Vice Chair – NWDDA s Dr. Michael DeLucia – NEDDA s Ms. Priscilla Sosa, ASDA President – LECOM s Ms. Emily Tan, Student Rep. – UFCD s Dr. Chris Naglieri, Student Rep. – Nova
Council on the New Dentist s Dr. Mike Starr, Chair – ACDDA s Dr. Irene Marron-Tarrazzi, BOT Liaison – SFDDA s Dr. Sable Muntean, Student Rep. – LECOM s Ms. Aria Sharma, ASDA Past President – UFCD s Mr. Kyle Humphrey, ASDA Past President – LECOM s Ms. Caitlin Wild, ASDA Past President – Nova
Leadership Development Committee s Dr. Suzi Thiems-Heflin – CFDDA s Dr. Bill D’Aiuto – CFDDA s Dr. Mike Starr – ACDDA
Council on Dental Education & Licensure
s Dr. Eddie Martin – NWDDA
s Dr. Jeff Albert – ACDDA
s Mr. Mike DiSanto, Student Rep. – Nova
s Dr. Azru Ersoy – NWDDA
s Ms. Brandi Dinh, Student Rep. – UFCD
s Dr. Barry Setzer, BOT Liaison – NEDDA s Mr. Matt Munro, Student Rep. – Nova
s Ms. Melissa Jaramillo, Student Rep. – LECOM
Florida Delegation to the ADA s Dr. Rick Huot – ACDDA
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NEW FDA MEMBER BENEFIT! FDA Career Center
careers.floridadental.org
FDA - Career Center
Job Seekers
FREE and confidential résumé postings email notifications when new jobs Automatic match your criteria Save up to 100 jobs to a folder in your account Upload up to five career-related documents Access to our diverse suite of career resources
Employers
Targeted advertising exposure Easy online job listing management Résumé search included with job posting email notifications when job Automatic seekers match your criteria Member discounts available
Mentorship WHAT IS THE FDA MENTORSHIP PROGRAM? The Florida Dental Association (FDA) Mentorship Program was developed by the FDA Council on the New Dentist as a resource to help dental students gain a practical and professional perspective of dentistry from established member dentists in an effort to facilitate the transition from dental student to practicing dentist.
WHO PARTICIPATES? The mentors are member dentists from the FDA who volunteer their time and experience to provide professional guidance to dental students. All member dentists are encouraged to participate as mentors. A select number of dental students (depending on the number of mentors available) from each of the three Florida dental schools: LECOM, Nova and UFCD will be able to participate as protégés.
HOW CAN I BECOME MENTOR? Volunteering is easy! Complete and submit a profile by visiting careers.floridadental.org/ementor. For additional information, please contact Kerry Gómez-Ríos at membership@floridadental.org.
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BECOME A MENTOR
PAY IT FORWARD BY BECOMING A MENTOR TODAY!
BY KERRY GÓMEZ-RÍOS DIRECTOR OF MEMBER RELATIONS
Ms. Gómez-Ríos can be reached at krios@floridadental.org.
Over the last year, the Florida Dental Association (FDA) Council on the New Dentist’s Mentorship Program has recruited close to 40 member-dentist mentors with the ability to accept close to 100 D4 protégés. The new online FDA Career Center provides the platform for mentors and protégés to connect. Interested mentors can sign up by creating an account at careers.floridadental.org/ementor. If you are a D4 at LECOM, Nova or UFCD and would like to become a protégé, please email fda@floridadental.org. Spots are limited! Since there are three times the amount of Class of 2019 dental students in Florida than there are protégé spots, consider volunteering today and join your
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colleagues below who have already made the commitment to mentor. Thank you to the following FDA members for signing up to mentor! Dr. John Aylmer Dr. Andrew Brown Dr. Susan Byrne Dr. Mark Civin Dr. Stephen Cochran Dr. Marcos Díaz Dr. Glenn DiBartolomeo Dr. Lee Friedel Dr. Marta Gainza Dr. James Gibney Dr. Karen Glerum Dr. C.J. Henley Dr. Kara Hourdas Dr. Alana Humberson Dr. Zack Kalarickal Dr. Mark Limosani Dr. Irene Marron-Tarrazzi
Dr. Clayton McEntire Dr. Hugh Miller Dr. Enrique Muller Dr. Robin Nguyen Dr. Rodolfo Olmos Dr. Jeff Ottley Dr. Andrea Parsons Dr. John Paul Dr. Robert Pellosie Dr. Daysy Pinero Dr. Paul Rodeghero Dr. Carlos Sanchez Dr. Terry Soule Dr. Michael Starr Dr. Craig Sterling Dr. Rick Stevenson Dr. Mariana Velazquez Dr. William Wang Dr. Rebecca Warnken Dr. Lauren Widmer
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FDA/FMA Opioid Prescribing Course
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NEW DENTAL PRACTICE CHECKLIST FOR FLORIDA DENTISTS Requirements can vary from state to state and from city to city. Please note that some links have been shortened using Bitly, but will still take you to the correct website.
REGULATIONS
LICENSES
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STATE DENTAL LICENSE ANESTHESIA & ANALGESIA PERMIT (IF NEEDED) Florida Board of Dentistry: floridasdentistry.gov
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X-RAY REGISTRATION Florida Department of Health: bit.ly/2JNuhkF
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CONTROLLED SUBSTANCE LICENSE
WASTE MANAGEMENT (CHECK STATE & LOCAL LAWS) Best Management Practice for Amalgam Waste: bit.ly/2sIzShz
Drug Enforcement Administration: bit.ly/2fTpB9Z
☐ ASSOCIATIONS
✓ ☐
JOIN LOCAL, STATE & NATIONAL DENTAL ASSOCIATIONS • ada.org • floridadental.org • floridadental.org/about-us/components THANK YOU FOR YOUR MEMBERSHIP!
HEALTH INSURANCE PORTABILITY & ACCOUNTABILITY ACT • HIPAA Privacy and Security: bit.ly/2Gwu2GB • Florida and HIPAA-compliance forms: bit.ly/2sRETFz
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NATIONAL PROVIDER IDENTIFICATION National Plan and Provider Enumeration System: nppes.cms.hhs.gov
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CITY OR VILLAGE OCCUPANCY PERMIT
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BUILDING PERMIT Contact your county and municipal governments for regulations related to opening a dental practice.
INFECTION CONTROL & OSHA
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INFECTION CONTROL
REQUIREMENTS
EMPLOYEES
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Centers for Disease Control and Prevention: cdc.gov/vaccines/index.html
Centers for Disease Control and Prevention: cdc.gov/niosh/topics/dentistry
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JOB SAFETY & HEALTH PROTECTION
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• Practical Guide to Effective Infection Control: bit.ly/ 2kQU0KN • OSHA: osha.gov
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OSHA COMPLIANCE
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TAXES
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AMERICAN WITH DISABILITIES ACT ada.gov
SUPPLIES & EQUIPMENT
IRS TAXPAYER IDENTIFICATION NUMBER bit.ly/1RR42Sy
FEDERAL & STATE LABOR LAW POSTERS bit.ly/2LMhdJp
IRS Small Business and Self-employed Tax Center: bit.ly/2HAk5XG
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EMPLOYMENT ELIGIBILITY (I-9 FORMS) bit.ly/2j7A5Ii
bit.ly/2sXQ0Mr
FEDERAL
HIRE STAFF FDA Career Center: careers.floridadental.org
☐ ☐
EMPLOYEE POLICIES The ADA Practical Guide to Creating an Employee Office Manual: bit.ly/2JFtSgT
• ADA and OSHA: bit.ly/2oRivcr • ADA Regulatory Compliance Manual: bit.ly/ 2sRWAUH
STATE DEPARTMENT OF REVENUE
VACCINES & IMMUNIZATIONS
☐
FDASUPPLIES.COM FDASupplies.com leverages the group buying power of more than 8,000 FDA members to generate amazing savings on dental supplies.
INSURANCE FDA Services (FDAS) can handle all your insurance needs. With experts in dental practices for more than 29 years, FDAS puts your interests first because they work for you — our member dentists. For more information, go to fdaservices.com.
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FDAS offers a 25 percent dividend plan with The Zenith: bit.ly/2sYULoY
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PROFESSIONAL LIABILITY
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FDAS offers small group and individual health insurance options: bit.ly/2HEcx6b
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COMMERCIAL UMBRELLA LIABILITY Provides coverage in the event of a catastrophic liability loss in excess of underlying policy limits.
This is the fastest growing risk for the dentists. FDAS recommends at least $250 worth of coverage per patient record.
HEALTH INSURANCE
DENTAL OFFICE POLICY FDAS works with the top office insurance carriers to find the best coverage at the best price for your practice: bit.ly/2sNmVns
The only FDA-endorsed professional liability provider is The Doctors Company: bit.ly/2nEswr6
CYBER LIABILITY
WORKERS’ COMPENSATION
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EMPLOYMENT PRACTICES LIABILITY Responds to allegations of wrongful termination, failure to promote, harassment or discrimination. This is a must-have for all dental offices.
OFFICE OVERHEAD Protection to continue business operations should you become disabled: bit.ly/2sZ9osp
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DISABILITY INSURANCE Coverage to protect your loss of income due to a disability. FDAS’ carriers offer an own-occupation definition: bit.ly/2sZ9osp
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LIFE INSURANCE Protect the practice, protect the family or replace the income derived from a key employee: bit.ly/ 2HFpXPa
Sources: ADA Center for Professional Success and FDA Services
For an online version with active links, go to floridadental.org/ practicechecklist.
ADS
The Doctors Company
The Doctors Company
STUDENT MEMBERSHIP
YOUR DENTAL FUTURE AWAITS!
BY ASHLEY MERRILL FDA MEMBER RELATIONS COORDINATOR
Ms. Merrill is the FDA member relations coordinator and can be reached at amerrill@floridadental.org or 850.350.7110.
If you didn’t know that as a student — provided you’ve paid American Student Dental Association (ASDA) dues — you’re already a member of the Florida Dental Association (FDA), you’re not alone. Better yet, many dental school graduates don’t know that once they’ve completed dental school, regardless of their status with ASDA, their membership will automatically transfer into the American Dental Association (ADA) and the appropriate state and local dental associatons, regardless of what path they choose to use their dental credentials.
Benefits as a Dental Student You don’t have to wait until you’ve completed dental school to take advantage of the FDA and ADA member benefits. I’ve highlighted some benefits that are listed in the ADA’s Guide, “We Can Help: 10 Reassuring Ways That ADA Has Your Back,” which can be found at bit. ly/2zKMGe7.
n Preparing for the licensure exam: Visit ada. org/understandinglicensure for resources to help you prepare. n Debt management: As an ADA/FDA member, you are entitled to an additional 0.25 percent student loan refinancing rate reduction. Visit student.drbank.com/ada for details. n Stay covered: Through Great-West Financial, take advantage of ADA student termlife and disability insurance at low rates. Visit insurance.ada.org for more information.
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Other dental student member benefits:
n Dental students register for the Florida Dental Convention for free and gain access to FREE courses. n Explore the many job opportunities that your career has to offer by signing up in the FDA Career Center! Gain access to resources such as resume writing, career coaching and reference checking. Visit the FDA Career Center at careers.floridadental. org. Additional resources can be found on the ADA for Dental Students website, which can be found at bit.ly/2uGuoES.
What’s Next? If you’ve completed a national signing day application as a D4 and will be practicing, residing or completing a graduate/resident program in Florida, you will automatically become a member of the FDA, ADA and one of Florida’s six local district dental associations. If you haven’t, fill out an application online at floridadental.org/member-center/join-us, or call us at 800.877.9922.
It’s FREE! Once you graduate dental school, your membership dues are paid for on behalf of your colleagues for the remainder of that calendar year. You also won’t owe any dues for your first full calendar year after completing your dental education. That’s access to the ADA, FDA and
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local benefits at an average membership dues savings amount of $1,196!
Dues as a Recent Graduate We understand that after dental school you may have increasing student debt and won’t necessarily be able to afford the full dues amount. The ADA (in conjunction with the FDA and local districts) have created the graduated dues program to ease you into paying dues. The chart below will give you some insight into the average amount you can expect to pay each year after you’ve completed your dental education* and taken advantage of the no dues offer. 1st Year: FREE – 100% paid for by colleagues 2nd Year: 25% of full dues owed, 75% paid for by colleagues 3rd Year: 50% of full dues owed, 50% paid for by colleagues
You don’t have to wait until after you’ve completed dental school to take advantage of the FDA and ADA member benefits.
4th Year: 75% of full dues owed, 25% paid for by colleagues *If you are completing a residency/graduate program, you will pay only $55 each year of your program as part of the recent graduate dues structure, and will pay the listed dues above after you’ve completed your program.
Benefits as a Recent Graduate All the benefits that are available to you as a dental student apply and carry over into your tripartite membership once you’ve graduated dental school. To get the most of your membership after dental school, be sure to visit ada.org/new dentist or floridadental.org/member-center and take advantage of many resources that guide you into the next steps of your career!
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EVEN BETTER WORKERS’ COMP SAVINGS FOR YOUR PRACTICE
DIVIDEND INCREASE! Practices with an annual Workers’ Compensation premium of $500 or more are now eligible (down from $1,000)! Available for dental offices that meet the following requirements: 1. Annual Workers’ Compensation Premium of $500 or more 2. Claims-free the past three years (current year plus two prior years)
The carrier will immediately apply a 25 percent dividend of your earned annual premium to all new and existing policies that meet the program guidelines starting July 1, 2018.
GET A QUOTE ONLINE AT bit.ly/quotewc.
25%
DIVIDEND
FDA Services The Zenith
The Doctors Company
ASDA PRESIDENTS
LET'S MEET YOUR 2018/2019 ASDA PRESIDENTS LECOM PRISCILLA SOSA LECOM SCHOOL OF DENTAL MEDICINE, CLASS OF 2020
My involvement with the American Student Dental Association (ASDA) at my school, Lake Erie College of Osteopathic Medicine (LECOM), began when former president and first delegate, Sable Muntean, introduced me to the organization. Her passion, dedication and enthusiasm influenced me to help and get involved with the association. She made a huge impact on our chapter and I knew I wanted to learn more. My first ASDA meeting was the National Leadership Conference in Chicago during my first year of dental school. This conference opened my eyes to what ASDA really means to a dental student. It was during this conference that I most definitely was diagnosed with the “ASDA Fever” that everyone was expressing. I networked and met many student leaders from around the country who share the same values as I do. From this opportunity forward, I knew I wanted to be a part of ASDA and I told Sable that one day I would be president and make her proud. Look at me today! I’m extremely thankful for what Sable, our former president, and immediate past president, Kyle Humphrey, have done to make LECOM ASDA what it is today. I hope to continue the growth of our chapter and make our school an immense success in the dental world. I am excited to start the new year with my executive board, which includes a vice president, secretary, membership officer, treasurer and the chair for our
newsletter, The Composite. As president, I will oversee the officer positions, which are distributed amongst eight committees. Each member of our executive board will spearhead two committees. With eight committees within our chapter, there are many ways our members can get involved. This past year, we have encouraged each of our officers to serve as an event coordinator, allowing each student member from that committee the opportunity to take a small leadership role. We host many events such as “Dinner and Dentistry” meetings, kayaking social events, an annual vendor fair, a loupes fair, Give Kids A Smile and much more. We encourage all of our students to get involved and take on a greater responsibility. I believe that these experiences can change a student’s perspective and help them gain the confidence to be a leader. Another important aspect of ASDA is the simultaneous memberships in the American Dental Association (ADA) and Florida Dental Association (FDA). These memberships allow members to attend conferences, including the annual Florida Dental Convention in June. This conference is a wonderful way to meet new students from other schools, network with practicing dentists, and learn about the new technology and advances in dentistry. Through my involvement and leadership roles in ASDA, I have learned to have faith in others and work better as a team. Growing as a leader, I’ve realized that everyone has something of value to offer and I am always willing to listen to the opinions of those around me. Most importantly, I feel blessed and grateful for the opportunities that ASDA has given me. As this year progresses, I hope to grow exponentially and gain knowledge, wisdom and new relationships. I believe that ASDA offers extraordinary opportunities to all students, and I look forward to working hard and making sure everyone gets “ASDA Fever.” Ms. Sosa can be reached at PSosa39086@dmd.lecom.edu.
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NOVA ALI EDRISI NOVA SOUTHEASTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, CLASS OF 2020
“Summer” comes from the Old English name for the season “sumor,” which originates from the Proto-Indo-European root “sam,” meaning summer. “Sam” is a variant of the Proto-Indo-European root “sem,” meaning “together/ one.” Summer is a uniquely energizing season when the longer days allow for exactly that — coming together with not only friends and family, but also reconnecting with ourselves. Whether it means taking a contemplative walk in nature, playing some beach volleyball or relaxing under the sun getting lost in a good book, each of us find our own personal way to connect with the warmth and freedom of the day. My name is Ali Edrisi, and I’m a third-year dental student at Nova Southeastern University College of Dental Medicine, Class of 2020. For me, this summer is already one for the books, as I’m just now beginning to schedule my very first patients. Along with finally getting the chance to put the knowledge I’ve gained about dentistry into practice, I’m greatly honored and excited to be the incoming president of the Nova’s ASDA chapter. This organization gives a tremendous amount of support to its members through community, education and services, and I couldn’t be more proud and happy to give my support and leadership in return. Academia aside, I’ve been traveling a lot this summer, first back home to visit family in Texas, and then to California where I experienced the magic of the redwood forest and Napa Valley wine country. Luckily, being back in Davie, Fla. now doesn’t mean the fun is over! I’m also a huge soccer fan and was counting the minutes before the FIFA World Cup. Later this summer, one big goal I have is to get my scuba diving certification. Fort Lauderdale is the only place in the continental U.S. where people can dive on a living coral reef — one of the many reasons why living here in South Florida is a great decision. Otherwise, my favorite hobbies are reading and photography.
Besides the much-appreciated leisure time, this summer will be a productive and exciting transition for dental students. Each class faces new challenges, with underclassmen getting a handle on the rigorous science courses and numerous simulation lab projects, and upperclassmen becoming comfortable caring for patients in clinic as well as making plans for the future (apparently, there is a life after dental school). Another major priority is building our ASDA chapter this upcoming year. Our e-board is working hard to organize new events and fun activities for students to get more involved. Currently, a big focus is to provide a friendly and inviting environment for the incoming Class of 2022, paving a smooth transition path while educating them about all the great things the FDA and ASDA have to offer. ASDA Week, lunch and learns, community outreach opportunities, national conventions, Give Kids A Smile, Florida Mission of Mercy and international missions are just a handful of events that are in the works. Overall, our student body strikes a fine balance between work and play. Summer is the time for celebration, unity and some good old vitamin D. That being said, as the future faces of health care, we work hard year-round to meet our goals and prepare ourselves for the next steps in becoming your future dentists. Nova has earned the reputation of having top-notch faculty and teaching clinics, giving our patients a range of services and providers to meet their needs. We plan to keep this reputation alive with our enduring focus, professionalism and passion for care. Mr. Edrisi is the ASDA president-elect and can be reached at ae667@mynsu. nova.edu.
UF RJ GONZALEZ UNIVERSITY OF FLORIDA COLLEGE OF DENTISTRY, CLASS OF 2020
My involvement in ASDA began as a pre-dental student at the University of Central Florida (UCF). In 2013, I joined the Pre-Dental Student Association (PDSA) at UCF, and that was one of the best decisions I’ve made. As a member, and eventually the vice president of PDSA, I learned about the differSEE PAGE 45
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Officite
ASDA PRESIDENTS FROM PAGE 43
ent specialties, became an on-the-job trained dental assistant through various volunteering opportunities, learned about the issues in dentistry, and gained invaluable leadership experience and knowledge about organized dentistry. These experiences influenced my decision to get involved with the University of Florida College of Dentistry’s (UFCD) ASDA chapter from the moment I was accepted. In my first year of dental school, I was chosen as the D1 liaison for ASDA, where I relayed ASDA events and information to my class. In my second year, I was chosen to be a part of the Sponsorship Committee and the Business Symposium director. These positions allowed me to grow as a leader and gain experience to ultimately run for ASDA president in my third year. Being the 2018-2019 UF ASDA president is an honor and a privilege, and I’m excited to bring a new perspective to improve and revive some of the many events we host throughout the year. As president, I oversee 53 officers and directors, which are distributed amongst seven committees. Each member of our executive board — which includes the president, vice president of professionalism, vice president of ongoing events, vice president of communications, treasurer, director of organizational support and national conference director — spearheads one committee. As the Special Events Committee chair, I will oversee some of our chapter’s larger events, such as Mighty Molar, which is a traditional class competition field day; the Business Symposium, where our members learn about the business of dentistry; and, our ASDA Gala, just to name a few. With seven committees in our chapter, there are many ways ASDA members can get involved. We encourage each of our officers to form subcommittees of their own. This allows other student members the opportunity to take on smaller leadership roles, such as making decorations for special events, setting up for our large events or communicating with guest speakers.
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Volunteering at some of our special events is another way for students to partake in our chapter activities as well as take on an active role. For example, many of our student members served as tour guides and panel speakers during our annual Pre-Dental Day. Over the last year, our chapter did a great job of increasing attendance and funding for our students at ASDA’s three national conferences — the National Leadership Conference, Annual Session, and the ADA Dentist and Student Lobby Day. I plan to continue to increase our chapter’s national involvement, and created the national conference director position this year to help us organize and plan for these events. I also plan to increase our chapter’s community service involvement by combining forces with another organization to plan a Give Kids A Smile event in Gainesville, along with other events throughout the year. Another initiative is to create a wellness committee to provide our members with information and events to stay healthy physically and mentally throughout their four years of dental school. Finally, I plan to revive the Dental Discussion Series, where we will invite speakers from both political parties to discuss and debate current issues in dentistry, including access to dental care and mid-level providers, to make our members aware of these issues and build interest in advocacy. With these ideas and plans in mind, I’m excited for what this year has in store. I have no doubt that this position will help me grow as a person and as a leader, and I hope to gain lifelong friends and relationships through this experience. I wholeheartedly believe that ASDA offers extraordinary opportunities to students — a lot of which is made possible with the help of the FDA. I look forward to an exciting year ahead and to continue the great relationship between the FDA and UF ASDA. Mr. Gonzalez can be reached at RGonzalez@dental.ufl.edu.
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GIVING BACK
SUPER
SEALANT SATURDAY
DR. STEPHEN OBENG
Dr. Obeng is a co-founder of Super Sealant Saturday and is a general dentist in Ormond Beach. He can be reached at obengs24@yahoo.com.
Growing up in Trinidad and Tobago, dental care wasn’t readily accessible to our community. If someone had a cavity or dental pain, there were barriers like travel time and high cost of care. As a result, I experienced dental problems of my own. Once I moved to the United States, access to dental care — although better — still had its limitations. I hoped that someday I’d have the voice and the ability to help address this no matter how small my contribution may be. I hoped to help those in need and educate them about prevention and things they can do to improve their oral health. Community outreach is important to me and I always strived to help those in need. Once I enrolled in dental school at the University of Florida College of Dentistry (UFCD), I was elected to the position of community service coordinator for the Class of 2016. In this position, I worked with the Department of Community Dentistry and the Head Start program to create a “fluoride day.” In this program, we applied fluoride to at-risk children. The impact was meaningful, but I felt there was more that I could do to help. I contacted local charities in hopes of combining our efforts and resources to start a dental prevention program
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at UFCD. This was just the beginning. The responses from the charities were favorable and the groundwork was laid for what would later become Super Sealant Saturday, UFCD’s Dental Prevention and Education Day. A few months later my classmate, Patrick Fitzgerald, came to me with the desire to start a philanthropy. Some may call it fate, but that same year, Patrick was the lead for an annual social event DR. PATRICK FITZGERALD CO-FOUNDER OF SUPER that was meant to SEALANT SATURDAY fundraise for the Class of 2016. This event, “The Dental Woodser,” raised enough money that a portion of the proceeds was donated to help fund Super Sealant Saturday. From Patrick’s efforts and the Class of 2016’s generous contributions, we had the financial momentum to include sealants in our Dental Prevention and Education Day. Once our finances were in order, the next SEE PAGE 49 WWW.FLORIDADENTAL.ORG
1.
2.
3.
There is a saying, “It takes a village to raise a child,� and Super Sealant Saturday is our child. Together, we have made possible what seemed impossible.
4.
FDA Foundation - Mission of Mercy Stats
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step was to enlist the help of the Department of Community Dentistry. Drs. Elizabeth Lense and Micaela Gibbs, and Ms. Kelly Raulerson were instrumental in creating our blueprint for Super Sealant Saturday. Their passion for helping others is evident in their work ethic and compassionate nature. We concluded that although the dental school has a sealant program at a handful of elementary schools, there are many schools left out of this initiative. So, with the help of Drs. Lense and Gibbs and Ms. Raulerson, we identified the schools and communities in Alachua County that were below the poverty line. This helped refine our outreach efforts and included underserved communities of low socio-economic status, which was a priority to me. After countless meetings with the UFCD dean of clinical affairs, clinical administration staff and Community Dentistry, we could reserve the clinical space and auxiliary personnel needed make Super Sealant Saturday possible. This all started with a dream, and now it was becoming real. There was still much work to be done, but every positive impact on a community once started out as a small idea — a simple desire for change. And our idea, Super Sealant Saturday, was planned for April 11, 2015. It was a success for everyone involved. This philanthropy would be the first of its kind at UFCD. It’s the first philanthropy day started by UFCD students and run by the UFCD community — faculty, staff and students alike. Everyone came together as a family to support this cause. The outpouring support was humbling and wonderful to see from my fellow colleagues. The event ran from 8 a.m.-4 p.m., serving children aged 6-17. Parents were greeted at the UFCD entrance and lead to the triage room, where board certified dentists would plan treatment based on each child’s needs. The parents were given diagnostic paperwork, which outlined all the dental needs for their child. If those needs were beyond sealants and prophylactic cleanings, Community Dentistry provided “safety net” forms, which referred parents to low-cost clinics in their community for treatment that was not offered at Super Sealant Saturday. After triage, parents and their children were escorted to an oral hygiene presentation room. Through a fun and interactive program, parents and children were educated on general dental health and preventive dentistry. Our presentations explained to parents what sealants are and how they help children and adolescents. WWW.FLORIDADENTAL.ORG
Following the educational presentation, the children and their parents were taken to the clinics, where the children received prophylactic cleanings and sealants were placed. All sealants were checked by UFCD faculty or licensed dentists who volunteered their time to help our cause. The final stop was a career room where they could speak to a dental assistant, hygienist or a dentist about dentistry as a career and how to get involved. We hoped to inspire young minds, just as we’ve all been inspired by dentistry at some point in our lives. In its inaugural year, Super Sealant Saturday offered sealants to 71 children. In 2016, 160 children were treated, and last year that number increased to more than 200 children. There is a saying, “It takes a village to raise a child,” and Super Sealant Saturday is our child. Together, we have made possible what seemed impossible. With the help of my co-founder, Dr. Patrick Fitzgerald, and Drs. Gibbs and Lense, Ms. Raulerson and the entire UFCD community, we planted a tree that will flourish and grow over the years to come. I plan to continue to help mentor the future generations of Super Sealant Saturday leaders. My sincerest wish is for this philanthropy to exist and grow in the future by addressing access to care with preventive dentistry and education. I’d like to acknowledge past and present Super Sealant Saturday leaders, the Dental Ambassadors, Grad Cup, Smiley Gators, Class of 2016 E-board, Karen Rhodenizer, Community Dentistry and UFCD for all their efforts every year with Super Sealant Saturday. I am so proud to return to my alma mater each year to watch our philanthropy grow and flourish. I’d also like to acknowledge Midwestern University College of Dental Medicine-Arizona, as they have a Super Sealant Saturday. We drew inspiration from their event, but no affiliations exist.
Photos: 1. Welcome to Super Sealant Saturday! 2. Faculty oversee dental students 3. Dr. Stephen Obeng working with dental students. 4. Super Sealant volunteers take time for a group photo. Photo credits: UFCD Communication Director Karen Rhodenizer
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BUSINESS OF DENTISTRY
WHAT I WISH I LEARNED IN DENTAL SCHOOL As a business owner for the past 10 years and a practicing dentist for 20, I often contemplate why dental school didn’t prepare me for the “business of dentistry.” I’d like to convey some pearls of wisdom I learned both from trial and error, and from mentors over the years: hire good people, build relationships, make business binders, find like-minded colleagues, SAVE for the future as early as possible and use some guidelines when deciding how you want to begin in this fantastic career.
BY DR. JEFF OTTLEY
Dr. Ottley is on the FDA Board of Trustees and the Florida Delegation to the American Dental Association. He has a general dental practice in Milton, Fla. and can be reached at jottley@ bot.floridadental.org.
Hire good people! I cannot emphasize this point enough — the team that surrounds you will influence your daily practice dramatically. Create a team of genuinely happy, friendly and intelligent people. They will become well-trained, highly skilled team members through continuing education and clinical guidance from the dentist. However, you cannot teach kindness and integrity. Develop a great relationship with an accountant, a lab tech for crowns and bridges, and a good denture lab. Surround yourself with great people; their support is invaluable. Build relationships with your patients. This means treating each patient encounter with compassion and care, giving each patient your best skill, care and judgement. Always focus on the patients’ well-being and NOT on the financial gains to the practice. Provide the best treatment — you are a capable and knowledgeable dentist. Do this and you will reap the benefits of a successful practice. Make business binders. You are going to pay a ton of taxes and premiums for a multitude of insurance policies. Keep a log in a business binder to record all these transactions and when they occur annually. As a business owner, you will realize every level of government will want a piece of the pie. Missing a payment or being late is never good. Examples of taxes include: local, state, federal, tangible, corporate, employment, unemployment and sales tax, just to name a few. Likewise, insurance policies will not look kindly on missed payments, regardless of whether they send you a reminder or not. So, keep these recorded as well: liability, overhead, disability, office comprehensive protection, workers’ comp, life and medical. Managing to keep all these expenses and obligations on time and current can be a drag and keep you away from the operatory — which is where we all really want to be — but it is absolutely necessary. Discover your practice philosophy, and find mentors and colleagues who can give guidance and advice along your path to a successful practice. Having a mentor allows you to bounce ideas and questions off another supportive professional who has the experience and history to garner knowledge. Never stop learning and seek out educators who have tried, failed and succeeded. Someone else’s failures can be the best education. Joining organizations like the American
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Dental Association and Florida Dental Association can be an excellent source for mentors and like-minded friends. Start saving for retirement as early as possible. Even during the times of heavy debt, find some money to invest in an IRA or office 401K. As an example, I saved $30 a month by bringing my lunch from home versus eating out. Investing early in life allows for the value to grow with time. Time is the most valuable principle in investing for retirement. Practice where you want to live. Dentists who work in rural areas do just as well as dentists in urban areas and large cities, often with a lower cost of living.
Transitioning from Student to Dentist Ok, now for the nuts and bolts for transitioning from student to practicing dentist. The following are some of my suggestions for D4 students to use when preparing to enter the REAL WORLD. When you begin, ask yourself:
l How do I want to practice? m Do I want to own a practice, work in
public health, become an educator, join the Armed Forces or be an employee dentist?
l If you want to own: m When do I want to own — right away
or in a few years?
m Do I want to practice in a group or be
a solo practitioner?
l If you decide to go out on your own: m Do you buy or start from scratch? If you decide to begin on your own after graduation and purchase a practice, this is what you need to know:
l What is the annual gross production/collection ratio of the practice? It should be 85-99 percent if it’s a healthy practice. No one is perfect! WWW.FLORIDADENTAL.ORG
l How many new patients per month? This could vary based on the practice type; however, as a new dentist, two per day of work is a good start.
l What is the number of active patients? This is a good indication of a healthy practice with good hygiene retention. Ideally, 1,800–1,900 patients per dentist in the practice.
l What is the monthly collection average? How has that changed over the last three to five years? This can vary from area to area and is a good indicator for the practice. Is the practice growing, declining or staying the same?
l What is the overhead percentage annually? Practice overhead is an indicator of the efficiency of the practice. This can range from 50 to nearly 80 percent. The lower the percentage, the more efficient the practice.
l When was the last practice value analysis completed, and what were the results? This will give the buyer a true sense of the value of the practice and includes much of the info previously discussed.
l Will the seller stay on during the transition, and do you want the seller to stay? Each circumstance is different and should be evaluated for best results. If it’s beneficial to keep the seller on for mentoring, introductions and his/her business knowledge, then set an exit plan of six months to two years. SEE PAGE 52 TODAY'S FDA
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BUSINESS OF DENTISTRY FROM PAGE 51
If being an associate is your first venture into dentistry, you need to know all the above plus these additional questions:
l Is the practice ready for an associate? Does it have a large enough facility, large enough new patient pool, large enough existing patient pool?
l Is there adequate staffing, supplies and equipment? Who is responsible for providing these? l Is the practice’s technology updated, and can the practice software expand to handle the increased workload? l Is this practice producing enough and busy enough to bring on an associate? l How will you be compensated? Have a contract agreement, and makes sure it clearly states this. l How long will you be an associate? Do you want to buy in or buy out the owner? l How will patients be assigned or shared? Who covers emergency after-hours calls, and when? When starting a practice on your own from scratch, a new dentist needs to ask these questions before beginning:
l Is the area I want to practice where I want to live? This is important for obvious reasons, but most importantly, a significant investment will be needed to begin a practice, and you do not want to do this more than once.
l Is the area growing? Can it support another dentist? l Do I rent or purchase my facility? There are advantages to both, so ask an accountant which works best for you. l Do I start small or build large for future growth? l Where do I get funding and how much do I need? Banks are ready and willing to loan you money for a practice. Ask your accountant for advice on how much is needed to build out a practice ready for business, it’s generally $500K. As a D4, the future is bright, and the greatness of a long and fruitful career is at your fingertips. Take some time to prepare, find a mentor, professor or your own childhood dentist, and obtain the advice needed to kickstart your professional life. Focus on the important aspects of practicing dentistry. Surround yourself with good people, build relationships, never stop learning, join an organization, find a mentor and then become one yourself. Start saving for retirement early — time is on your side. Find a way to serve your community, especially those in need of your services. Always set aside time in your life for fun, spiritual engagement and family — it’s NOT all about work.
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AS LIFE EVENTS OCCUR, don’t forget to notify the FDA of any changes to your contact information. READY TO RETIRE or have questions about your membership status? Contact the FDA Member Relations department to learn about retired membership or eligibility for other membership incentives.
CALL OR EMAIL the FDA at 800.877.9922 or fda@floridadental.org. * Florida-licensed dentists must notify the Florida BOD with any new information. Go to floridasdentistry.gov or call 850.488.0595.
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FDA SERVICES
WHAT IS THE FDA ADVANTAGE? BENEFITS AND PROGRAMS OF FDA SERVICES I’m often asked about the different benefits and programs that FDA Services (FDAS) offers. The conversation goes, “The FDA should offer XYZ to their members.” My answer usually is, “We do.” However, with so many emails, ads in Today’s FDA and booths at the Florida Dental Convention (FDC), it’s hard for new graduates and new members to learn about each program. Here are ways we are helping members succeed.
What is FDAS? n We are a full-service agency that offers dentists a complete insurance portfolio designed for their dental practices. BY CARRIE MILLAR, FDA SERVICES DIRECTOR OF INSURANCE OPERATIONS
Ms. Millar can be reached at 850.350.7155 or carrie.millar@ fdaservices.com.
n FDAS runs the FDA Crowns Savings program that includes discounted services for FDA members.
Who is FDAS? n Our board is made up of 11 member-dentists and three student advisors who vet all programs we endorse. n We have five directors of sales located across the state who can visit your office and offer complete risk management. n There are 15 staff members at the FDA headquarters to assist with all your service needs.
FDAS directors of sales and board members
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WWW.FLORIDADENTAL.ORG
FDAS Contribution to FDA Dues Reduction $1,600,569 contributed to the FDA in 2016-2017
Why FDAS? n All products and services offered by FDAS are vetted by our board of directors. n We are here to be your advocate with insurance carriers — to get you the best service and coverage at the most competitive rates.
Highlights for This Year! Workers’ Compensation: We are now able offer a 25 percent dividend program with The Zenith for all dental offices that are three years loss-free and have a minimum premium of at least $500 (formerly $1,000).
Saves each FDA member about
$224
on dues
New Mortgage Program: FDAS negotiated a member mortgage program with INOVA Federal. This program offers exclusive benefits on retirement-ready mortgage options, no closing cost home equity options, vacation home financing and much more. The Doctors Company Tribute Plan Reaches $7 Million Earmarked for Florida Dentists: This unrivaled financial benefit offered by The Doctors Company to all malpractice insurance holders now has more than $7 million reserved just for Florida dentists!
CYBER ATTACK ON MEMBERS Many members have notified the Florida Dental Association (FDA) that they have received spam email indicating that a complaint against them has been initiated from the following email address: reportmydr.org. Additionally, the FDA reached out to the Florida Board of Dentistry (BOD) to confirm that this is NOT an official complaint by the BOD and should be deleted. If you received an email from this email address indicating a complaint has been filed, it is NOT an official complaint and should be deleted. Members who are insured with The Doctors Company automatically have $50,000 in cyberliability coverage included in their professional liability policy. They can call The Doctors Company directly at 888.619.7729 to discuss the attack and any additional resources needed.
WWW.FLORIDADENTAL.ORG
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FDA - Top 5 Legal Resources
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3. WWW.FLORIDADENTAL.ORG
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UF EDUCATION PROGRAM
UF SUMMER HEALTH PROFESSIONS EDUCATION PROGRAM On May 23, a group of University of Florida Summer Health Professions Education Program (UF SHPEP) students who are focusing on a future in dentistry gathered in the UF College of Dentistry (UFCD) Simulation Lab to learn how to do restorations during the second week of the six-week program hosted on the UF campus. Two D4 students, Olga Saniukovich and Byron Amador, coordinated and delivered an Introduction to Dental Anatomy workshop held in the sim lab. Then, with assistance from several D2 students and faculty members, Drs. Venita Sposetti and Olga Luaces, the 20 SHPEP students in the dental track spent the afternoon learning about dental anatomy. This was followed by hands-on activities creating tooth structures from wax and simulating tooth-colored restorations on plastic teeth, similar to activities dental students learn in their first-year dental curriculum. UF SHPEP is beginning its second year following an award from the Robert Wood Johnson Foundation, and matching funds/support from all six health science center colleges and the executive vice president’s Office of Research and Education. SHPEP allows 80 underrepresented and minority pre-health students from across the country to attend an immersive experience to learn more about careers in dentistry, medicine, nursing, pharmacy,
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public health and health professions, physician assistant studies and veterinary medicine. The program, led at UF by dentistry faculty, launched in May 2017; the second session began on May 14, 2018. “While talent is evenly distributed in our world, opportunity is not. Programs like UF SHPEP provide individuals a chance to see a path for their future that might not otherwise be evident to them. It doesn’t clear that path, of course, because hard work and dedication are the most important components for success in health care education, but it does show them the way, and I am so proud that our college plays such a pivotal role in that step,” said UFCD Dean Dr. Isabel Garcia. Students visit UF for six weeks and participate in a wide variety of activities, including a white coat ceremony, head and neck tumor panel, disaster response training, StrengthsQuest inventory, Health Career Development and Professionalism Workshop, and “Closer Look” events in participating colleges and programs. The 2018 cohort includes 79 students (47 female, 32 male) representing 14 states and 16 colleges/universities. Of those, 51 identify as Black/African-American; three Afro-Latina; 20 as Hispanic/Latino; four as Native American; one as Asian-Latino.
UF SHPEP students learn how to do restorations.
For more information on UF SHPEP, go to bit.ly/2stjkuq. WWW.FLORIDADENTAL.ORG
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2018 FLORIDA DENTAL CONVENTION 62
The 2018 Florida Dental Convention, “Elevate Your Game,” was held June 21-23 at the Gaylord Palms Resort & Convention Center in Orlando. There were 7,201 dental professionals, including more than 1,700 Florida Dental Association (FDA) members, who came together for abundant learning, networking and buying opportunities. This year featured more than 120 courses ranging from live patient courses, hands-on workshops and miniresidencies to the mandatory opioid course and motivational keynote sessions. The Exhibit Hall thrived each day with attendees learning about the latest technologies and buying products from 300+ leading dental companies. Each day was concluded with an exciting family-friendly social event. On Thursday, attendees jammed out to their favorite hits with Howl2Go Dueling Pianos. On Friday afternoon, FDA members honored their fellow colleagues at the annual Awards Luncheon, including Dentist of the Year, Dr. Irene MarronTarrazzi, and J. Leon Schwartz Lifetime Service Award recipient, Dr. James Antoon, surrounded by cohorts, family and friends. On Friday night, attendees jumped back in time to the 1980s at “80s Flashback!” with live music, arcade games and entertainment for all ages. The event was a hit! Each year, FDC is an unforgettable event, and 2018 was no exception! Plan to join us for FDC2019, “The Power of the Complete Team,” on June 27-29. FDC2019 will feature “Dawson Seminar 1: Functional Occlusion from TMJ to Smile Design” at a low cost for dentists and team members! Call 407.586.2000 to reserve your hotel room at the Gaylord Palms today!
TODAY'S FDA
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FDC2018 RECAP
FDC2018 RECAP
COMPLEAT DENTISTRY
3 TYPES OF PROBLEMS After a few years of practicing dentistry, I came to realize that our patients present with three types of problems: 1. The patient knows there’s a problem and wants it fixed. 2. The patient knows there’s a problem and doesn’t want it fixed. DR. EDWARD HOPWOOD
Dr. Hopwood is restorative dentist in Clearwater and can be reached at edwardhopwood@gmail.com.
Compleat dentistry is a slower-paced, deliberate style of dentistry, espoused by Pankey, Dawson and so many others, in which the dentist knows the patient well, knows the work, knows their own abilities and limitations, and uses this knowledge to take care of the patients who trust them with their care. The world will change, but the principles of compleat dentistry will remain the foundation of an exceptional practice. The spelling is an homage to Isaak Walton, whose book, “The Compleat Angler,” was about so much more than fishing.
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3. The patient doesn’t know there’s a problem.
Type 1 Type 1 problems are easy. The best example is acute pulpitis: It hurts, they know it hurts and they want it to stop hurting. We simply need to make a diagnosis, make sure we have the right tooth and render treatment. In his fantastic book, “The Seven Habits of Highly Effective People,” Steven Covey would describe this as an urgent and important problem. But, those who have read Covey’s book will recognize that the most effective people are able to work on the problems that are important but not urgent. That’s where the second two categories of problems come into play. If we want to be effective as dentists, then we need to work hard to solve those problems, and we all know that if we don’t, then they will become important and urgent.
Type 2 In Type 2 problems, the patient knows it’s a problem and doesn’t want it fixed. Those problems are a little bit more difficult. A great example is a 6-mm periodontal pocket. The
JULY/AUGUST 2018
patient knows it’s swollen and red, it bleeds when they brush, it occasionally aches, but it’s “not that big a deal” and “sometimes it gets better on its own.” An inexperienced clinician will respond to Type 2 problems by simply regurgitating all the information they can in a misguided attempt to educate the patient. I remember telling some of my poor patients about pocket progression and facultative anaerobes, and demonstrating bone loss on a radiograph. (I try not to do this anymore, but sometimes I can’t help myself.) Unloading a pile of information on a patient’s lap never moves them to fix the problem. There are multiple approaches to solving Type 2 problems, but I think they all break down to allowing the patients to understand how important the problem is to them, then providing a solution they find appealing once they fully recognize the importance. In the example of the 6-mm perio pocket, it’s helpful to explain why the area is swollen and what it means to that patient, then plot out a course of correction with goals that should be met. As the course of correction is followed, the patient will come to appreciate the efforts being made and value the return to health. Sometimes, this just takes time. Sometimes a patient mistakes a Type 1 problem for a Type 2 problem. The conversation goes like this: Dr.: “Mr. Smith, do you know that there is pus coming out of your gums?” Mr. Smith: “It doesn’t hurt.”
WWW.FLORIDADENTAL.ORG
Dr.: (handing the patient a mirror) “Watch, when I push here, pus comes out here.” Mr. Smith: “That never bothered me.” Those situations require alerting the patient to the enormity of the situation and addressing it immediately, much like, “Mr. Smith, do you know that your house is on fire?” But, more often, Type 2 problems are subtler and simply require time for the patient to recognize what it means to have that particular problem.
Type 3 Type 3 problems are where the patient doesn’t even know there is a problem — and these are the most difficult of all. With these problems, we notice the signs, but the symptoms have not developed yet. A great example is a CR/MIP slide, which can be corrected with equilibration. Dr. Pete Dawson said it perfectly when he explained that the patient needs to own the problem. But, ownership of a problem that they never knew existed … well, that takes time. Time to present the problem, time to allow the patient to own the problem and time for the patient to process what it means to them — then time to allow them to ask for a solution. The most effective clinicians work to solve Type 3 problems. After learning Dr. Dawson’s teachings on compleat dentistry, one of my biggest struggles was implementing what I learned. You see, I began to recognize the signs and I knew what the appropriate treatment was, but I didn’t do a good enough job getting my patients to recognize the problem. And they can’t own it unless they know it is a problem. That’s when everything changed with my comprehensive exams. I no longer tried to explain the solution during the exam. This freed me up to just gather the information. If the patient asks questions, I simply explain what I’m finding. The solution will come later. So, for example, if I push on the lateral pterygoid and the patient’s eyes squint in pain, then I simply record the findings. If they ask, I explain that the muscle is tender from overload, just like a muscle that had been lifting weights would
WWW.FLORIDADENTAL.ORG
The best time to present the solution is when the patient asks for it. That’s how you know the patient owns the problem — they’re asking for the solution.
be tender to the touch. If, later in the exam, I notice that there is excessive wear, I will note it. Only when I review the findings from the exam (which I like to do at a separate visit), do I tie the sore muscle to the excess wear on the teeth (and only if I believe they are related). I try not to present the solution when I review the findings. The best time to present the solution is when the patient asks for it. That’s how you know the patient owns the problem — they’re asking for the solution. It’s transitioned to an important and urgent problem, and they’re ready to have it fixed. However, the patient isn’t the only one who needs to be educated. We need to continue our own education because the nuances of Type 3 problems are far beyond the scope of an average dental school curriculum. I’m forever indebted to the wonderful mentors and organizations who have helped me in my journey. Certainly, it would be easier to build a practice based on reacting to Type 1 problems, but it wouldn’t be nearly as fulfilling.
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BY DRS. ABDULAZIZ BANASSER*, REKHA REDDY*, INDRANEEL BHATTACHARYYA, DONALD M. COHEN AND NADIM M. ISLAM
A 72-year-old Caucasian female presented to Dr. Cindy Greene of BGW Dental group in Gainesville, Ga. with a threemonth history of a bluish swelling on the right side of her lower lip (Fig. 1). The swelling measured 1 cm in greatest diameter. The patient reported that the swelling was not painful, but was bothersome. Furthermore, she stated that it would get bigger and rupture. The patient’s medical history is significant for diabetes, arthritis, anemia, lupus and severe xerostomia. Her medications include Prozac, omeprazole, losartan, baby aspirin, Lasix, Primidone, Evista, furosemide, Vitosa and antibiotic prophylaxis with amoxicillin for a knee replacement. She denies a history of smoking and drinking.
Fig. 1: Clinical image of the patient’s lower lip swelling.
While excising the lesion, the clinician reported that a “duct” popped out. However, the patient started bleeding excessively and later developed a hematoma at the surgical site. The biopsied specimen was submitted to the University of Florida College of Dentistry Oral Pathology Biopsy Service for microscopic evaluation. Microscopic examination revealed a large luminal space lined with a thick-walled structure that was completely supported by fibrous connective tissue (Fig. 2). The supporting connective tissue was unremarkable, and accessory salivary glands exhibiting changes due to inflammation were noted.
Question: Based on the given history, the clinical image and the histology provided, what is the most likely diagnosis?
Fig. 2: Histology demonstrating a thick-walled artery.
A. Mucocele B. Fibroma C. Pleomorphic Adenoma D. Mucoepidermoid Carcinoma E. Caliber-persistent Artery WWW.FLORIDADENTAL.ORG
SEE PAGE 70 TODAY'S FDA JULY/AUGUST 2018
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DIAGNOSTICS FROM PAGE 69
Diagnostic Discussion A. Mucocele Incorrect, but a good choice given the clinical presentation. A mucocele is a common entity that develops as a result of accumulation of spilled mucin in surrounding soft tissue after the rupture of a salivary gland duct. Similar to our case, it most commonly affects the lower lip. Also similar to our case, many patients relate a history of a recurrent swelling that periodically may rupture. Although mucoceles have been reported over a wide age range, they most commonly affect children and young adults. This is in contrast to our patient, who is in her early 70s. B. Fibroma Incorrect, but good guess! A fibroma is a common reactive lesion seen in trauma-prone areas, such as the lips. It most commonly affects older adults around the sixth decade. Additionally, it affects females twice as often as males. Although both of these statistics are consistent with our patient’s age and gender, the microscopic interpretation is not similar. Microscopically, fibromas appear as a nodular, collagenized mass of fibrous connective tissue exhibiting hyperkeratotic epithelium and atrophy of rete ridges due to the mass beneath it. C. Pleomorphic Adenoma Incorrect, but a good differential. A pleomorphic adenoma is a benign tumor of salivary glands. It’s the most common salivary gland neoplasm. The age range is widespread, but it usually affects middle-aged adults between the third and sixth decades of life. It presents clinically as a slow-growing, painless mass. It mostly affects the parotid gland, but it can account for 41 percent of minor salivary gland tumors. However, when present in labial minor salivary glands, pleomorphic adenomas involve the upper lip in 87 percent of cases and the lower lip in only 13 percent of cases.
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D. Mucoepidermoid Carcinoma Incorrect, but an important entity to include in the differential diagnosis of a lower lip swelling. Mucoepidermoid carcinoma is the most common salivary gland malignancy. It occurs fairly evenly over a wide age range. The parotid gland is the most common site of occurrence, but minor salivary glands constitute the second most commonly affected site. It comprises 23 percent of all malignancies affecting minor salivary glands. Minor gland tumors can appear as asymptomatic swellings, which are sometimes fluctuant with a blue or red color that can be mistaken clinically for a mucocele. Although the palate is the most commonly affected minor salivary gland site, mucoepidermoid carcinoma is the most common salivary tumor in the lower lip, floor of the mouth, tongue and retromolar pad. E. Caliber-persistent Artery Correct! Great job! Caliber-persistent artery is a common vascular abnormality. It’s often seen in older adults and presents clinically as an asymptomatic, bluish, elevation on the upper or lower lips. Microscopically, the lesion shows a thickwalled artery that is located beneath the mucosal surface (Fig. 2). The main concern for patients and caregivers is to exclude cancer. An important fact to keep in mind when excising this lesion is the possibility of heavy arterial bleeding. The clinician should be prepared with local hemostatic measures to control bleeding when removing this lesion.
Useful references: Cataldo E, Mosadomi A. Mucoceles of the oral mucous membrane. Arch Otolaryngol. 1970;91(4):360–365. Gonsalves WC, Chi AC, Neville BW. Common oral lesions: Part II. Masses and neoplasia. Am Fam Physician. 2007;75(4):509–512. Jones AV, Craig GT, Speight PM, Franklin CD. The range and demographics of salivary gland tumours diagnosed in a UK population. Oral Oncol. 2008;44(4):407–417.
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DIAGNOSTICS Friedrich RE, Li L, Knop J, Giese M, Schmelzle R. Pleomorphic adenoma of the salivary glands: analysis of 94 patients. Anticancer Res. 2005;25(3A):1703–1705.
Drs. Bhattacharyya, Cohen and Islam and can be reached at oralpath@dental. ufl.edu.
Auclair PL, Goode RK, Ellis GL. Mucoepidermoid carcinoma of intraoral salivary glands. Cancer. 1992;69(8):2021–2030.
Conflict of Interest Disclosure: None reported for Drs. Cohen, Islam and Bhattacharyya.
Howell JB, Freeman RG. The potential peril from caliber-persistent arteries of the lips. J Am Acad Dermatol. 2002;46(2):256-259.
DR. BHATTACHARYYA
Diagnostic Discussion is contributed by UFCD professors, Drs. Indraneel Bhattacharyya, Don Cohen and Nadim Islam, who provide insight and feedback on common, important, new and challenging oral diseases. The dental professors operate a large, multi-state biopsy service. The column’s case studies originate from the more than 12,000 specimens the service receives every year from all over the United States.
DR. COHEN
The Florida Dental Association 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. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp. *Residents in Oral and Maxillofacial Pathology University of Florida College of Dentistry
Clinicians are invited to submit cases from their own practices. Cases may be used in the “Diagnostic Discussion,” with credit given to the submitter. DR. ISLAM
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Endodontist-Supplement your Schedule in Ocala! Christie Dental is a multispecialty group practice, founded in 1999. Since our founding, we’ve used our core values of fiscal, social, and ethical excellence to guide us. Today, our group is a PPO/Fee for Service dental group practice with 16 locations serving communities across central Florida. We are interested in speaking with Endodontists to join our team one day a week. This is a great opportunity to supplement your schedule. Our specialists enjoy a built-in referral system from our general dentists. We are firm believers that the practice of dentistry must always be based on the doctor-patient partnership. That means that our behavior must demonstrate a conviction of honesty and the utmost integrity. Dentists are given full clinical autonomy so they can work with patients in choosing the best course of action for treatment and prevention. Social responsibility is one of Christie Dental’s core values. Whether it is partnering with the Brevard County Schools Supply Zone, participating in the Making Strides against Breast Cancer Walk, sponsoring the local little league team, or being involved with Reach Out and Read book drives, we are proud to support the Marion, Brevard and Osceola communities. DDS/DMD/BDS, Certificate in Endodontics, FL State Dental License or eligibility. kateanderson@ amdpi.com. Endodontist-Melbourne Supplement your Schedule! Christie Dental is a multispecialty group practice, founded in 1999. Since our founding, we’ve used our core values of fiscal, social, and ethical excellence to guide us. Today, our group is a PPO/Fee for Service dental group practice with 16 locations serving communities across central Florida. We are interested in speaking with Endodontists to join our team one day a week in Melbourne. This is a great opportunity to supplement your schedule. We are firm believers that the practice of dentistry must always be based on the doctor-patient partnership. That means that our behavior must demonstrate a conviction of honesty and the utmost integrity. Dentists are given full clinical autonomy so they can work with patients in choosing the best course of action for treatment and prevention. Social responsibility is one of Christie Dental’s core values. Whether it is partnering with the Brevard County Schools Supply Zone, participating in the Making Strides against Breast Cancer Walk, sponsoring the local little league team, or being involved with Reach Out and Read book drives, we are proud to support the Marion, Brevard and Osceola communities. DDS/DMD/BDS, Certificate in Endodontics, FL
State Dental License or Eligibility. kateanderson@ amdpi.com. Endodontist Wanted. Endodontist OPPORTUNITY! 25+ year, multi-doctor, privately owned family practice seeking a highly motivated and high character Endodontist to help treat our great patients and work with a wonderful and experienced team. With nearly 2,000 5-Star reviews, join a successful practice and jump right in to a strong schedule with over 100 new patients a month waiting for quality, comprehensive care. Enjoy a high percentage based compensation and an already established patient base. Please forward CV to Holly Strempel at hollymdmg@gmail.com. Experienced Dentist (Full-Time) - E. Palm Harbor, FL (Pinellas County). Dr. Amrita Wheeley is seeking a seasoned, talented General Dentist 4 Days/Week (no Saturdays) to lead our established dental practice in (east) Palm Harbor, FL! Office Details: Single Doctor Practice: 3410 E Lake Rd Palm Harbor, FL 34685 (Pinellas County); Located in a Desirable Area near the Beach and in a Top “A” Rated Local School System! Seeking a 2-4 year (Preferred) Experienced General Dentist with Strong Focus on Quality Patient Care; Fully-Digital Practice w/Intraoral Camera; Experienced Office Staff (+15 years in office) including an Outstanding Office Manager! Office Growth Potential. High Compensation Opportunity: Strong Six Figure Annual Amount vs. Percent of Production. Benefits/Perks: Full Benefits Offered – Healthcare & Dental Benefits, 401K, Short Term/Long Term Disability, Time Off; Practice Leadership: Clinical Freedom and Treatment Autonomy; Patient Focus: Established and Growing Patient Foundation; Partnership Model – Doctor Care Path/Investment Opportunities; Malpractice Coverage Assistance; Paid ADA & State Society Dues; Continued Education Reimbursement/Support. For more information, please contact: Hannan Ayad| Doctor Recruiter | Great Expressions Dental Centers phone 248598-7256 |Ext. 71178| fax 248-430-5528 | web www.greatexpressions.com. Must have a DDS/ DMD from an accredited University and active/ clear State Dental Board license. Instructor, Dental Programs – Search Reopened New Port Richey Campus. Pasco-Hernando State College (PHSC) is accepting applications for full-time, faculty. Anticipated Start date: August 14, 2018. DUTY DAYS: 162 (2 semesters) Duty Days and salary will be determined at hire date. Salary range is $41,144 - $57,052.80 (for two terms): the maximum salary is based
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on a doctorate education level and 8 years of verifiable full-time professional work experience and/or full-time teaching experience. Previous applicants need not re-apply. New applicants must APPLY ONLINE at www.phsc. edu/jobs. ALL SUPPLEMENTAL/ADDITIONAL APPLICATION MATERIAL MUST BE UPLOADED VIA THE ONLINE APPLICATION SYSTEM. The supplemental/additional application materials required are: (1) cover letter, (2) current resume, (3) copy of transcripts, (4) Educational Philosophy Statement (Edu Phil), (5) copy of license, (6) DD-214 (if claiming Veterans’ Preference), and must be uploaded and attached to the online application. The application review process can be initiated with the copies of transcripts; however, official transcripts must be received before the interview. Have official transcripts sent to the Human Resources Office (address below). Pasco-Hernando State College, Attn: Human Resources Office (Job #0723), 10230 Ridge Road, New Port Richey, FL 34654. ALL APPLICANTS MUST SUBMIT AN ONLINE APPLICATION, COVER LETTER, RESUME, TRANSCRIPTS, EDUCATIONAL PHILOSOPHY STATEMENT, LICENSE AND VETERANS’ PREFERENCE DOCUMENTATION (IF APPLICABLE). No other submitted materials will qualify you to be considered for this position. For help with online applications, call 727-816-3169 or 727-816-3425. THE COLLEGE IS CLOSED FRIDAYS THROUGH AUGUST 10. EOE/ADA Compliance - Website: www.phsc.edu/jobs. Required: DDS, DMD, or Registered Dental Hygienist degree from a regionally accredited institution; current license to practice dentistry in the US; and a minimum of two (2) years clinical experience; must be able to work a split schedule; satisfactory criminal history background check. Applicants who claim a right of Veteran’s Preference must upload documentation of eligibility and attach it to their online application. Preferred: Postsecondary teaching experience. Endodontist, Tampa Bay Area. General practice is seeking a part-time Endodontist. Locations on Florida’s West Coast include Clearwater, Largo, St. Petersburg, and Bradenton. Established in 1981. No capitation. Send CV to CorpOffice@ FloridaDentalCenters.com, fax: (727) 445-8382 or call: (723) 461-9149. General Dentist- Bradenton, FL -- Full Time/Sign On Bonus/Student Loan Assistance! If you’re looking to make your professional mark on a community, this is your chance. Build valuable relationships with patients and get involved with the greater community of Bradenton, FL while
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providing top-notch dental care. Our talented and dedicated support team will work alongside you to help ensure your success. You’ll enjoy the following: Base salary with performance incentives to earn more; Sign-on bonus of $5000; Student loan repayment assistance program; Relocation package; Full time benefits include CE allowance, professional liability, 401K and group health/wellness plans; Practice 4-5 days per week with family friendly days/hours. Candidates must be licensed to practice in the State of Florida with no board reprimands or issues and have a valid DEA license. www.dental-partners. com, abrooker@dental-partners.com. Dentist Opportunity- Zephyrhills, FL. Are you a talented, licensed General Dentist seeking a full-time opportunity? Come lead a terrific dental team in our beautiful Zephyrhills Dental Practice! Office Details: Single Doctor Practice: 7950 Gall Boulevard Zephyrhills, FL 33541, located in the Zephyr Commons Shopping Centers; Current Provider Relocating; Seeking a 2-5 year (Preferred) Experienced General Dentist with Strong Focus on Quality Patient Care; Digital Practice With 4 Operatories; 2 Dental Assistants and 1 Hygienist (all full-time). High Compensation Opportunity: Strong Six Figure Annual Amount vs. Percent of Production. Benefits/Perks: Full Benefits Offered – Healthcare & Dental Benefits, 401K, Short Term/Long Term Disability, Time Off; Practice Leadership: Clinical Freedom and Treatment Autonomy; Patient Focus: Established and Growing Patient Foundation; Partnership Model – Doctor Care Path/Investment Opportunities; Malpractice Coverage Assistance; Paid ADA & State Society Dues; Continued Education Reimbursement/Support. For more information, please contact: Hannan Ayad| Doctor Recruiter | Great Expressions Dental Centers phone 248598-7256 |Ext. 71178| fax 248-430-5528 | web www.greatexpressions.com. Must have a DDS/ DMD from an accredited University and active/ clear State Dental Board license. Lead Dentist ($55-75k Monthly Production) Belleaire Bluffs, FL Are you a talented, Pinellas County, FL licensed General Dentist seeking a full-time opportunity? Come lead a terrific dental team in our standalone, beautiful Bellaire Bluffs, FL practice! Office Details: Single Doctor Practice: 2938 West Bay Drive Belleair Bluffs, FL 33770 off of West Bay Drive and located just 3 miles from the beach! Current Provider Relocating; Seeking a 2-5 year (Preferred) Experienced General Dentist with Strong Focus on Quality Patient Care; Fully-Digital Practice With 3
Operatories; 2 Dental Assistants and 1 Hygienist (all full-time); Provider Averages $65,000+ in Production/Monthly. High Compensation Opportunity: Strong Six Figure Annual Amount vs. Percent of Production. Benefits/Perks: Full Benefits Offered – Healthcare & Dental Benefits, 401K, Short Term/Long Term Disability, Time Off; Practice Leadership: Clinical Freedom and Treatment Autonomy; Patient Focus: Established and Growing Patient Foundation; Partnership Model – Doctor Care Path/Investment Opportunities; Malpractice Coverage Assistance; Paid ADA & State Society Dues; Continued Education Reimbursement/Support. For more information, please contact: Hannan Ayad| Doctor Recruiter | Great Expressions Dental Centers phone 248-598-7256 |Ext. 71178| fax 248-4305528 | web www.greatexpressions.com. Must have a DDS/DMD from an accredited University and active State Dental Board license. Pediatric Dentist -Tampa, FL. Available Summer 2018. Position availability -- Summer 2018. Private Pediatric dental practice - Non-corporate. Two office locations in the Tampa bay area. One office has 8 chairs and is 5 days a week. 2nd office has 6 chairs and is a couple of days per week, with potential for growth. The ideal candidate I am seeking is full time, 5 days per week and will work both offices. PPO insurance and fee-for-service patients in both practices, no government plans or HMO plans. High-income potential, can easily clear $300,000 in the first year with our compensation structure. Both offices have digital radiographs and digital charting. In office IV-sedation provided on a regular basis with a certified Pediatric Anesthesiologist group. Fully trained and certified pediatric dental staff in place. Orthodontic treatment is provided in both locations by an orthodontist in our practice. Full autonomy over treatment plans. Position is available starting Summer of 2018. Must have a current Florida dental license, previous experience in private practice is preferred but not necessary. Must be a certified pediatric dentist. Candidate should have excellent communication skills and enjoy a fast pace, fun work environment. We are now interviewing qualified candidates, if interested please email current CV to: sugarbugdude@gmail.com. We look forward to speaking further about this amazing opportunity with you.
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Associate Opportunity. Well established long standing private practice in Orange Park Florida offering a mentored path from associate to partnership to ownership over a mutually agreeable flexible time frame. Email CV/Resume to gacdmd@bellsouth.net. Florida Dental License, Experience Preferred, CV/Resume, References. Dental Assisting Instructors Needed Innovative part-time (adjunct) professors of Dental Assisting who are dedicated to student success are needed at Florida State College at Jacksonville. We are a progressive, four-year state college offering associate and bachelor degrees. Courses are taught in modern classrooms, online, or a hybrid blend of both. Requirements: Hold at least a baccalaureate degree from a regionally accredited institution; Certificate in Expanded Functions; Have 3 years of work experience as a dental assistant; Hold a current certified dental assistant certification; Be a Florida dental radiographer or able to obtain a Florida radiographers certification within six months of employment. Interested candidates must submit a Florida State College at Jacksonville online application and attach unofficial copies of student transcripts at https://jobs.fscj.edu. Please refer to Job Opening ID: 2017223. Dentist Positions Available. Need an Associate? Need a Job? Please call Melanie Aranda 561310-0599 or e-mail: melanie.aranda@doctorschoice.com or website: doctors-choice.com. General Dentist- Palm Bay. The General Dentist that joins our team will be responsible for performing dental examinations and treatment in a collaborative, patient centric practice environment. Continuing education and leadership development opportunities are available and encouraged for this role. Excellent communication skills are required to maintain our group’s mission of providing the highest quality of patient service, and asserting our position as a provider of choice in the communities we serve. Job Duties: Examine, diagnose, prescribe, and carry out (or direct others in carrying out) oral health care services that are in the best interest of the patient; Contribute towards a team oriented and collegiate environment by working
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with other clinical and non-clinical staff members as necessary; Uphold the policy, protocol, and procedures which are in compliance with the most current accepted professional standards; Improving your clinical skills and acumen through participation in continuing education and training opportunities (continuing education support is available); Participate in various community outreach initiatives as necessary. At Christie Dental, we are firm believers that the practice of dentistry must always be based on the doctor-patient partnership. That means that our behavior must demonstrate a conviction of honesty and the utmost integrity. If you’re someone who is passionate about providing quality care, and driven by opportunities for leadership and continued learning – Christie Dental may be the perfect fit for you to grow your career. kateanderson@amdpi.com. General Dentist -- Spring Hill, FL Part Time. If you’re looking to make your professional mark on a community, this is your chance. Build valuable relationships with patients and get involved with the greater community of Spring Hill, FL while providing top-notch dental care. Our talented and dedicated support team will work alongside you to help ensure your success. You’ll enjoy the following: Base salary with performance incentives to earn more; Sign-on bonus of $3000; Practice part time, 1-2 days per week with family friendly days/hours (Fridays and one other day if desired); Part time benefits package to include 401K and CE allowance. Apply via this posting or send resume to abrooker@ dental-partners.com, www.dental-partners. com. Candidates must be licensed to practice in the State of Florida with no board reprimands or issues and have a valid DEA license. Prefer 3+ years of general dentistry experience with the ability to perform molar endodontics and implants. General Dentist Opening - South Florida and Orlando Markets. Looking for an opportunity with a successful and growing company? Sage Dental currently has opportunities for qualified General Dentists & Specialists at our South and Central Florida practices. Sage Dental offers you: Excellent Earning Potential – Sage Dental operates more efficiently and we share the results with our doctors through a higher compensation model; Ability to Focus on Patient Care – By delegating all the management and administrative stresses to us, our doctors can focus on providing the best patient care possible; State-of-the-Art Facilities – Our dentists enjoy working in state-of-the-art
facilities with the latest dental technology and equipment; Quality of Life – Since you don’t have to worry about insurance claims, payroll, staffing, accounting and marketing, you have the time to enjoy everything Florida life has to offer, including our many golf courses and beautiful beaches. If you are ready to take the next step in your career as a General Dentist or Specialist and want a position with excellent earning potential, Sage Dental has what you are looking for. Apply today! Contact: Bradford Cabibi - Doctor Recruitment Email: bcabibi@ mysagedental.com; careers@mysagedental.com website: http://www.mysagedental.com; https:// www.mysagedental.com/career-opportunities/. Phone: 561-999-9650 Ext. 6146, Fax: 561-5262576. Florida Dental License. NOTES: Additional Salary Information: Highly Competitive. General dentist needed Tallahassee, Florida General Dentist Tallahassee, Florida. High quality private dental practice seeking a full-time associate. Our three doctors have an excellent practice with an exceptional staff and state of the art equipment. We are seeking a doctor with experience in all phases of dentistry. Our mission is to provide the highest quality care for each patient. Our professional staff is dedicated to our philosophy of quality care and team work. We do not participate in capitation plans. The doctors are experienced in all phases of general dentistry with an emphasis on implant placement and restoration and aesthetic procedures. They will provide an excellent mentorship opportunity. We are located in beautiful Tallahassee Florida. Tallahassee has a plethora of cultural opportunities with two major universities and a very large community college. It is located a short distance to the Gulf of Mexico. We offer benefits including health, professional liability and disability insurance. We also provide a 401k plan. We pay your continuing education expenses and professional dues. Please fax or mail your resume to: (850)386-8181; Drs. Chichetti, Torgerson and Hartley, 1305 Thomaswood Drive, Tallahassee, Florida 32308. Tallahasseedentists.net. General Dentist with current Florida License, Experience preferred but will consider recent graduate who is a team player. Must be available for 4.5-day workweek.
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Quick Email Tips 5 to Keep You Out of Trouble 1.
Never assume that an email is from whom it says it is from. Email can be — and is — easily “spoofed.” A spoof is an email that looks like it came from someone you likely know.
2.
Never blindly click links in any email. No matter if it is from someone you know, your bank, Apple, UPS, FedEx or even your system administrator, you can hover over the link and likely see it is not what it seems to be. If you have a question, call the person or use a separate method to communicate with a company to verify before taking any action. Attachments also can be corrupted, so be extremely cautious of those as well.
3.
Never send information like passwords, your Social Security number, bank information or any other personal data via email. You don’t know who sees it on the other end and potentially while in transit. Unencrypted email is easy to access, even without your email being hacked. Suffice it to say, your email can be “overheard” — similar to someone standing at your door while you are on the phone.
4.
Be extremely cautious when using “Reply All” and forwarding email strings. There may be conversations in the thread that others don’t need to see or may be proprietary. It also may have unintended consequences for other users who use “Reply All” back and didn’t notice all the people on the email.
5.
Often, email can carry a certain tone even if you didn’t mean for it to, so take great consideration before clicking send. It is the same as what you say out loud — once it’s out there, you can’t take it back — and in electronic form, it lives forever.
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OFF THE CUSP
WHAT IS BEST IN LIFE? There was a time in college when I got a regular laugh quoting Arnold Schwarzenegger when he was asked, “Conan, What is best in life?” * I’m older now and I have found that being able to provide some comfort and at times joy is what is best in life and I quote a different movie, ”I have a very special set of skills.”
JOHN PAUL, DMD DR. PAUL IS THE EDITOR OF TODAY’S FDA. HE CAN BE REACHED AT JPAUL@BOT. FLORIDADENTAL.ORG.
Fortunately for my patients, Liam Neeson and I don’t share the exact same set of skills. Dentistry definitely colors my life and at times dictates what I notice going on around me that others might not be prepared for. If you ask my children what I do, they will tell you that Daddy goes to hotels and he is in a meeting. If the hotel has a cool pool, they know they get to come along. Such was the case for this year’s Florida Dental Convention. The Gaylord Palms definitely has a cool pool and you can surf in place. It also was the time that my eldest chose to lose a tooth and there was some concern over whether the Tooth Fairy would know we were not at home. Stellar dad that I am, I assured her, that as a dentist I had the Tooth Fairy on speed dial and she would know which pillow her tooth was under. I considered calling FDA Board member, Steve Zuknick to come over wearing his tooth fairy costume, a la Dwayne the Rock Johnson, but decided that might be over the top. Gifted with being a dentist and blessed with an amazing wife, we were prepared — even though the whole family was sleeping in the same room. I stayed up late and when all were sound asleep, I sneaked up to the bed, removed the tooth from its pillow and inserted it into the keep this forever vault. I replaced the tooth with a gold doubloon (a Sacagawea $1 coin; I’m lucky my child has yet to acquire an understanding of money). Then I spread fairy glitter, heart and star shaped confetti, on the bed cover and toddled my own self off to sleep. What is best in life? My daughter had forgotten all about the lost tooth when she awoke at dark thirty the next day. She piddled around waking everyone else and when the light came on she saw the glitter and squealed, diving under the pillow for her prize. That is what is best in life. *Google it, it’s on YouTube, probably not as funny now as it was to me 30 years ago.
JOHN PAUL, DMD EDITOR, TODAY'S FDA
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