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course the old age-old answer to is to find a mentor that that you can help to lift you and some dental societies are a great resource for that even if you don’t feel comfortable asking the guy that practices in your neighborhood for business advice you can meet people from around the country that will give you bad advicethere’s a wealth of information the majority of it is free where you can start to just surround yourself in that that business mindset and you know I my my ultimate piece of advice when I lecture to dental students sent to new dentist when it comes to getting yourself ready for that business mindset and where do you startit’s there’s no one book I would recommend it’s more of just that a mantra for yourself right it’s it’s the idea of ready fire aim which is a famous business book ready when you’re in business have an idea I’m gonna start though this recall system we’re gonna do it this way or

 

we’re going to spend some money on a marketing came in or whatever have an idea think it out but then just just do it right don’t sit there forever analyzing the most perfect way to do it because I’m telling you nine times out of ten you never end up doing it and you end up just keep doing the way you did yesterday but do the darn thing and then after that is is aim then you aim then say okay let’s pay attention to the metrics did this work that did not should be throughout the whole addition we refine it just not being afraid to fire and fail is is the key and if you can trust in that which is hard to do as I said when you’re worried about like not you know sending an endo file through the side of someone’s tooth like we’re we’re trained to want to be really careful in what we do the business mindset is very different from the clinical mindset you can fail in fact you will fail many times small and big in business and the goal is

 

 

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got an MBA or something like that and but the majority the vast majority don’t have some type of undergraduate or even maybe they haven’t even taken really any business courses what do you really say to people that you know are from that background to have that maybe you know because I do find that a lot of the younger dentists do you knowgravitate towards the clinical areas which is no natural but whenever they do make that leap from clinical to saying okay I gotta figure out some of the business stuff if I ever want to make any money in this industry how do you have them you know go from point A to B in there like because that’s a that’s a that’s a hard hard hard thing to get through well first of all you definitely don’t need an MBA to run a business or run a dental practice that’s for darn sure there are so many successful businesses in your own local community you have to think that harder to find really

successful businesses and I guarantee you the majority of them don’t have MBAs they probably weren’t even business majors in any case right not to not to take away from that education and believe me I don’t have an MBA but I’m reading MBA like books on management and all those things now and I’m really enjoying the lessons that they impart but someone that’s just beginning that journey towards ownership maybe they were like me a few years ago they were so soothing and they’re like I’m gonna start my own business but know where to startmy advice is to surround yourself with the people that know more than Isurround yourself with the CPAs but practice brokers with people that will you know people from Bank of America practice solutions or Wells Fargo or these other dental specific lenders you can surround yourself with experts who are mutually invested in you have being having a successful practice of







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print today it’s e-newsletters it’s private Facebook groups it’s live events and you know the whole gamut there so as far as the the different areas that you just discussed which one is the one that you feel like you’ve resonated the most with or you have maybe even had the most interest in being you know very shortly out of dental school when I first got out of dental school I was really focused on the clinical so my answer would have been science and tech when I first got out because you’re you know you went to a residency perhaps but you’re just busy like trying to not kill people okay you’re sure when you’re working as the dead is that that was my fear is that am I gonna do this wrong am I gonna get sued I don’t have the protection of the school anymore so rightly so I was very focused onimproving my clinical skills learning more about materials the stuff they didn’t teach you in dental school clinic right but about three

years of working for other people when I wanted to just open my own practice that’s when it started to dawn on me oh I should pay attention to systems for a recall or you know making sure that my business is profitable and that’s been a long journey and so now my answer with the practice section you know I’m really interested in in still to this day eight years into my own practice learning how to do things better and learning how to lead the team and get that buy-in to deliver a consistent experience to patients make sure that there’s an endless you know I’m not saying I know everything I need to know about clinical that’s always evolving too but I feel pretty good where I am clinically and the real challenge for me now is so every year you’re trying to you know um you know unpeel that onion of you know how to run your business better and you’re a someone who you know they’re you’d be surprised how manyoh yeah I’ve







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week so I’ve been working with de for a few years and when when my predecessor Joe blaze was stepping down retiring from from the magazine I was lucky that they thought of me so it’s been a great balance so I’ll practice two or three days a week and then the rest is at home or on the road lecturing answering an endless supply of emails and phone calls and I enjoy that balance right so for the people that aren’t familiar with digital economics what what does it look at I was do for the community at large sure so dental economics has been around since 1911 it was known by the name oral hygiene at the time and it’s always had a focus on the business of dentistry on practice manager yeah there’s some stuff about products there’s some stuff about clinical but that’s really not the focus though that material is always walking us back towards where should youpurchase this decision purchased this technology for your practice

can you treat patients more efficiently it’s not just a showcase of a brilliant clinical skill so when I took over in 2014 we organized the magazine into fourdistinct pieces of content four sections the first is called macroeconomics so we look at the big sweeping changethat are affecting our profession as we know in the past 10 20 years there’s quite a lot that’s happened to our profession and it affects every single one of us the second section is practice that’s our bread and butter that’s a lot of practice management advice the third section is science and tech whereas I was mentioned before we get into a little bit of clinical a little bit of products but it’s more related to the business opportunities that it brings and then the fourth section is is money we have talked about investmentsretirements and those other kinds of financial buts by so that in a nutshell encapsulates the kind of content that we put out but of course it’s beyond just







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radiographic images we want to make sure we limit radiation exposure by using ALARA ALARA so if you’re my student please reviewthat by using good technique we want to ensure patient and operator safety again by our knowledge and by using proper technique we want to use quality assurance so that we are protecting our patients and ourselves as dental radiography operators quality assurance making sure your equipment is in proper working order your computers your sensors if you’re still using film and using automatic processors and then radiation risk management so that you evaluate your radiographic images and have discussions about techniques and how to improve or if you need to change any methods that you’re using.the dental and economics it’s afantastic publication that has a lot of really interesting ideas concepts articles things that you guys can go in and a lot of it reefer you knowciao I was

practicing dentist I graduated in 2005 did GPR 2006 and I loved dentistry but I was practicing doing the associate thing for a few years and about 2010 I started my own practice with my business partner a total startup and so that was very exciting to me I was enjoying learning the clinical as you do for a few years I was exciting excited to learn the business which I knew nothing about but after you know a couple of years I realized I don’t know if I’m having an me to practice five or six days a week for my entire career I knew at that point I loved lecturing loved writing I loved working with companies I had some early opportunities to give feedback and do consulting with with companies not with dentists I loved all of that I love travel so I started to put put it out there into the universe you know go to conferences do any lecture and gig I could that I wanted to just not practice full-time I want to practice two days a







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Dentistry we’recoming to the end now some other unprofessional conduct is that the DDS must perform or allow excuse me let me start overfor the DDS to perform or allow any treatment by any auxilary the patient must be a patient of recordand so a patient of record is where the doctor has examined the patient reviewed their medical dental history and developed a treatment plan and then the auxiliary is allowed to perform treatment nowthere’s some exceptions where a doctor can perform a preliminary exam let’s say it’s a dental emergency so maybe they want to get the image going and so the doctor can say to the auxiliary go ahead and take a radiographic image and they look at the patient’s they say what tooth is bothering you and they say ok number 12 take a PA of number 12 so that’s anexception to having a full exam by the doctor reviewing the health history although that should always be looked at

you know to make sure of the patient’s health before you know seating the patient excuse me my opinion or no exam if for specified situations that would be if let’s say in a clinical or clinic situation telehealth via the internet a a patient is excuse me a dentist is not required to review patient records if they’re going to use telehealth next some ethical practices for dental radiography now this is just in general it is not specific to the California Dental Practice Act but I believe that auxiliaries should be aware of patient selection criteria and of course since we’re following the RDA exam plan this is part of that exam plan remember that patient selection criteria is evidence-based it is no longer based on the calendar it was old practice to say everyfive years a patient must have a full mouth x-ray or every year a patient has to have bite wings that is not the case anymoreit is evidence-based do they actually need this these dental







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you are an RDA and certified in that procedure you may apply topical fluoride as a DA application of sealants provided that you are certified which would be RDA or RDAEF and those would be exempt clinical duties under the supervision of a registered dental hygienist or a registered dental hygienists in alternative practice now there’s a lot of lines here on this slide again I’mfollowing the exam RDA exam plan and so there are many areas here that if you’re my student you want to go back and review scope of practice for the DA RDA RDAEF including the duties supervision and settingswhat is the DA RDA RDEF involvement in initial patient care what is allowed for those auxiliaries with caries detection devices liners and bonding agents what can the DA RDAEF and excuse me da RDA and RDA EF do in regards to applying and activating whitening agentshave knowledge of direct and indirect restorations again as associated

with the DA RDA and RDAEF final impressions who can do that and under what supervision coronal polishing and application of pit and fissure sealants again reviewed the scope of practice review the scope of practice for the DA RDA everybody say it with me and RDAEF for endodontic periodontal procedures extra oral prosthodontic appliances and infection control procedures you also want to have knowledge or review your radiationsafety and remember that in California all persons operating dental radiography equipment must be licensed that’s what it was called prior to 1985 or currently we say certified which became the term after 1985 so everyone must have a dental radiography certificate in order to obtain radiographs also it is unprofessional conduct for the dentists to allow any person to obtain radiographic images if they are not certified or licensed so that is aiding and abetting illegal practice of







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administering anesthesia other duties that are particular to the orthodontic assistant permit holder or the dental sedation assistant permit holder or certainly out of our scope of practice for duties that are for the registered dental hygienist so you do want to review that in the dental practice act slide presentations also review the supervision some of the duties are under general supervision and some are under direct supervision then we have conditional duties and conditional duties arecertain duties or procedures that can be performed after having special certifications in those duties so one would be an ultrasonic scaler certification which can only be used in orthodontic treatment to remove cement supragingivally from teeth so again the ultrasonic scaler certification is only used in orthodontic treatment to remove supragingival cement on the teeth another conditional duty would be any orthodontic duties or

duties of the dental sedation assistant that are permitted by the legal scope of practice for the RDA also the DA and the RDA so those are conditional you don’t have to have a OA a or a DSA permit to perform certain duties so you have to be knowledgeable about what those duties are the application of pit and fissure sealants you do have to have certification special certification to place pit and fissure sealants exempt clinical duties exempt clinical duties are duties or procedures that can be performed under the supervision of a registered dental hygienist or registered dental hygienist inalternative practice and they are limited so if you are working with a registered dental hygienist may be in or a registered dental hygienist in alternative practice you are allowed to perform extraoral duties under their supervision and basic supportive procedures such as oral evacuationor rinsing you may perform coronal polishing if







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office or a dentist or an auxiliary for unprofessional conduct and they request records then the office must provide those records within 15 days failure to report to the Dental Board indictments charges convictions or no contests either felony or misdemeanor so anyone holding a dental license in California the dentist’s the RDA the RDAEF the RDH the RDHAP if they have any type of indictments charges or convictions whether it’s a felony or a misdemeanor they must report it to the dental board and very typical this includes a DUI you must report it to the dental boardso not only will it affect your driver’s license but it’ll affect your dental license so please think before you partake value to report any disciplinary action by other professional licensing agencies state or federal agencies or the U.S. military so if you’ve had disciplinary action you must report it to the State Board also these last two reporting convictions charges

indictments and failure to report disciplinary actions if you’re applying for licensure in California whether you’re a dental student applying for the RDA or the RDAEF or the permits and even on a national level they will ask you on those applications have you ever been convicted or currently involved with indictments charges convictions either felony or misdemeanor and you need to be an ethical person and check if indeed that is your situation check yes they may ask for documentation even if someone told you oh that has been you don’t have a record you still need to answer truthfully in those applicationsprocedures or known in California as duties for the DA RDA and RDAEF you want to review the scope of practice for those auxiliaries which are allowable duties or procedures and illegal duties illegal duties are mostly the duties of the dentist like cutting tissue whether it’s hard or softprescribing medication







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that the topics could have been grouped a little better but again I want to follow the exam plan for the students so failure to use a fail-safe machine for nitrous oxide oxygen administration most all machines I would say all machines have a fail-safe mechanism and the failsafe mechanism is where you can only administer oxygen at a minimum level of 3 milliliters and that’s the failsafe part of the machine engaging in dentistry with an expired license that is unprofessional conduct unethical and illegal and you want to review about license renewal so very important to keep your license currentfailure to follow infection control guidelines by the dental by the board meaning the Dental Board so in California there are several pages ofinfection control guidelines that offices must follow in the state of Californiacontinuing with unprofessional conduct the utilization by a licensed dentist of an auxiliary who does not

possess a current valid license or permit at the time of employment I think that’s been covered the dentist or even if it is delegated to an office manager in hiring auxiliaries who say yes I’m an RDA which is a licensed dental auxiliary or an RDAEF or I am register registered dental hygienist all in the state of California it really is their responsibility to investigate to look up the current that the licensure for that person before they actually start working on patients and that can easily be done through the Dental Board website you can look up the license forauxiliaries and the dentist prescribing dispensing or furnishing drugs or devices so that is illegal for anyone except the dentist to prescribe dispense or furnish drugs or devices to patients failure to provide the board within 15 days as requested excuse me failure to provide recordswithin 15 days as requested by the Dental Board so if the Dental Board is investigating an







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