Episode 109 – Dr. Jane Grover – The ADA’s Alternative to Dental Therapy: Community Dental Health Coordinators

On this week’s episode of RTBB Dr. Zeller interviews Dr. Jane Grover. Dr. Grover is currently the Director of Council on Access, Prevention, and Relations at the American Dental Association. Dr. Grover is the expert on the ADA’s program for Community Dental Health Coordinators. This program is a module based curriculum  intended to give members of the dental community the skills to help better navigate and coordinate the dental system for patients and dental teams. She compares the training to that acquired by community healthcare workers, crucial members of healthcare teams throughout the world. Dr. Grover believes that this program addresses access to care issues in dentistry.

Topics of discussion include:

  • Meet our guest
  • History of Community Dental Health Coordinator program
  • International use of community health workers
  • How to improve navigation and coordination of dental care
  • Stakeholders in CDHC program
  • Description of training program
  • Program currently offered to hygienists, dental assistants, and community health workers.
  • Examples of dental-medical integration
  • How to integrate CDHC’s in your community
  • Measuring success
  • Obstacles for integrating CDHC’s
  • Trainee satisfaction

 

Jane S. Grover, D.D.S., M.P.H. currently acts as the Director to the Council on Access, Prevention and Interprofessional Relations (CAPIR) in the division of Government/Public Affairs at the American Dental Association (ADA). Dr. Grover provides leadership, vision, management and coordination of the ADA’s activities in the areas of access to dental care, fluoridation and preventive activities, and integrating oral health as an essential part of overall health.

Dr. Grover most recently served as the dental director for the Center for Family Health, a federally qualified health center in Jackson, Mich. In addition, she is an adjunct faculty member of the University of Michigan School of Dentistry and Lutheran Medical Center of New York. She has been active in organized dentistry, first as a trustee of the Michigan Dental Association, and also on the ADA Strategic Planning Committee in the 1990s. She completed five years on the ADA Political Action Committee, serving 2003-2005 as chair. She served as vice-president of the ADA from October 2006 until October 2008.

Dr. Grover received her D.D.S. degree from the University of Michigan School of Dentistry and her M.P.H. degree from the University of Michigan School of Public Health.

Episode 108 – Jason Faler, MSJ, MHA – Dental Therapy and the Cost of Quality of Care: An Unbiased Perspective

Dental Therapy Part 4 – An Unbiased Perspective

On this week’s episode of Removing the Bite Block Dr. Zeller interviews Jason Faler. As the first and only non-dental guest from Season 1, Jason has no skin in the dental therapy game, making his assessments less emotional and more objective. His experience in healthcare systems across the nation have provided him with many lenses in which to view this issue.

We discuss the following topics:

  • Meet our guest

  • Ultimate motivation behind dental therapy and importance of remembering this goal during entire discussion

  • Free market

  • Student debt

  • Scope of practice vs standard of care

  • Legislation of scope of practice

  • Four elements of medical malpractice – GETTING SUED!

  • Historical case in which standard of care was redefined by the courts

  • Are mid-level providers held to the same standard as general dentists? Are general dentists held to the same standard as specialists?

  • Is the cost worth the difference in quality of care?

  • Utility in providing value of oral health to overall health and it’s economic impact

  • Working at top of license

  • The VALUE of access to care

  • Are we overtraining general dentists?

  • Jason Faler gets unblocked

Jason has worked with several healthcare delivery systems on both the east and west coasts of the United States to include Atlantic Health, Salem Health and most recently, Providence Health & Services in Portland, Oregon, most recently as the Director of Business Development in the Strategic Management Services Division.

Jason Faler has been an Adjunct Assistant Professor at Portland State University since 2007. His teaching responsibilities include courses in Healthcare Law as well as Strategic Management.  Jason holds a Bachelor of Arts in Political Science from the College of Liberal Arts at Oregon State University. He is also a graduate of Seton Hall University in South Orange, New Jersey, where he earned a Master of Healthcare Administration degree, and the Seton Hall University School of Law in Newark, New Jersey, where he earned a Master of Science in Jurisprudence with a health law concentration.  Jason is also a Fellow of the American College of Healthcare Executives.

Jason is a field grade commissioned officer in the Reserve Component of the US Army where he has served since 1999, including service in support of combat operations in Southwest Asia and the Horn of Africa.  Among his awards and decorations are the Combat Action Badge and the Bronze Star Medal.

In addition to healthcare, Professor Faler maintains an interest in Middle Eastern and International Affairs and Policy. He speaks Arabic and studied at the American University in Cairo (Egypt) in 1999 and 2003.

In 2008, Jason founded The Checkpoint One Foundation, a not-for-profit, charitable organization benefiting Iraqi and Afghan nationals who face threats in their homeland as a result of their assistance to US and coalition entities since 2001.  In 2009, he was nominated by Senator Ron Wyden (D-OR), and was named a finalist for the Above and Beyond Citizen Honors Award, administered by the National Medal of Honor Society.  Jason and the Foundation have been featured by numerous national and international media outlets, and have been commended on the floor of the United States Senate.

Degrees:

Master of Science in Jurisprudence (MSJ), Health Law, The Seton Hall University School of Law, Newark, NJ
Master of Healthcare Administration (MHA), Seton Hall University, South Orange, NJ
Bachelor of Arts (BA), Political Science, Oregon State University, Corvallis, OR

Episode 107 – Future Supply of Dentists and Whether They Plan to be Self-employed – Dr. Amardeep Bains – Dental Therapy Part 3

On this week’s episode of Removing the Bite Block Dr. Caroline Zeller discusses future dental trends with her long time friend and colleague, Dr. Amardeep Bains. This episode fits nicely in the Dental Therapy Series, by discussing how the future supply of dentists might affect dental workforce models like Dental Therapy. Dr. Bains and Zeller also discuss trends in self-employed versus employed dentists and whether this trend exists in the rest of healthcare. Topics discussed in this episode include:

  • Meeting Dr. Bains
  • Statistics on self-employed versus employed dentists
  • Future trends towards corporate dentistry
  • How an employed dental workforce affects access to care
  • Responsibility of dental corporations to increase access
  • Future supply of dentists
  • How changes in gender composition of dentists will affect amount of dentistry provided
  • Changes in dental demand
  • How changes in age of retirement changes supply of dentist
  • How supply of dentists does not equate to adequacy of dental workforce
  • What future supply of dentists means for dental therapy
  • Why female dentists provide more care to the underserved than male dentists
  • Statistics on males versus females in specialties

Dr. Amardeep Bains is a dentist based in Sacramento, California. Dr. Bains graduated as a dentist from King’s College London, University of London in 2009 following which he worked in private practice in England as well as an Oral Surgery Senior House Officer with University College Hospitals, Eastman Dental Hospital and Great Ormond Street Hospital in London, United Kingdom. He attained the Membership of the Joint Dental Faculties at the Royal College of Surgeons of England in 2011. Dr. Bains worked as a dental healthcare consultant in the United Kingdom before relocating to Australia where he worked as a dentist serving both private and community patients in a variety of different clinical settings. Dr. Bains completed his D.M.D. at Tufts University School of Dental Medicine in Boston, MA after which he pursued a General Practice Residency at Oregon Health and Science University in Portland, Oregon. Following his GPR residency, Dr. Bains has worked with community dentistry, in the public health sector and privately in Beverly Hills, CA. Dr. Bains has lectured at the UCLA GPR Program as well as for the State of California. Dr. Bains has lectured at the UCLA GPR Program as well as for the State of California and continues to play an active role within organized dentistry.

Episode 106 – Dental Therapy Part 2 – Founding and Current Director of the Minnesota Dental Therapy Program – Dr. Karl Self

In Part 2 of the Dental Therapy Series Dr. Zeller interviews Dr. Karl Self, the founding and current director of the University of Minnesota Dental Therapy Program. Dr. Self has spent most of his life in Minnesota, developing a thorough understanding of the access issues for Minnesotans. He is an expert in the dental therapy model and believes it is the best available solution for meeting unmet dental needs in his state. Dr. Zeller and Dr. Self discuss the following issues:

  • Defining access to care

  • Health literacy

  • Minnesota’s access problems

  • Reimbursement rates

  • Implementing dental therapy into the University of Minnesota School of Dentistry

  • Dentists in Minnesota opposing the dental therapy model

  • Standard of Care

  • Where dental therapists can practice

  • Dental therapists taking jobs from dentists

  • Measuring success in dental therapy

  • Response to Dr. Robert Roda’s editorial

  • Organized dentistry opposing dental therapy

  • Teaching dental therapy and dental students side by side

  • Advise for dental students

Dr Self earned his DDS degree from the University of Minnesota’s School of Dentistry, and a MBA from the University of Minnesota’s Carlson School of Management. During his professional career he has been engaged in a variety of dental practice types including private practice and large group practice, yet he has spent most of his professional life in a community clinic. Other professional roles include a consultant for the Department of Human Services’ Medical Assistance program, the director of Diversity and Inclusivity for the School of Nursing, and executive director of a Federally Qualified Healthcare Center in Minneapolis. Dr Self serves on the board of a number of non-profit dental focused organizations and has been involved in improving oral healthcare in Africa.

Episode 105 – Dental Therapy Part 1 – Arizona Dental Association President Opposes Dental Therapy

On this week’s episode of Removing the Bite Block Dr. Zeller interviews president of the Arizona Dental Association, Dr. Robert Roda. Dr. Roda is an endodontist in Scottsdale, AZ. In April of 2018 Dr. Roda wrote an editorial that was published in the ADA news titled, “MyView: State’s Failed Dental Therapy Experiment”. At this time the state of Arizona was considering the licensing of dental therapists. In an attempt to block this bill, Dr. Roda describes his view on how, “…Dental therapists are a distraction. They solve nothing.” He also states that the Minnesota dental therapy model, “…is really nothing more than a few people standing around waving sparklers.” Dr. Zeller and Dr. Roda discuss this editorial, along with some of the following topics:

  • Dr. Roda’s idea for Quality Assurance permits
  • How the dental community responded to his editorial
  • How some patients simple make “bad decisions”
  • The power of interactive study clubs
  • The Pew Foundation
  • Defining “success” when providing access to care
  • Zombies
  • Getting more involved in organized dentistry

Dr. Roda received his BS in Biology (1977) and DDS degrees (1981) at Dalhousie University in Halifax, Canada and practiced as a general dentist in Nova Scotia for 10 years. He earned his MS in Oral Biology and Certificate of Specialty in Endodontics at Baylor College of Dentistry in Dallas in 1993 and became a Diplomate of the American Board of Endodontics in 1998.

Dr. Roda is a Past President of the American Association of Endodontists and the current President-Elect of the Arizona Dental Association. He is an Endodontic Consultant to the Arizona State Board of Dental Examiners, Visiting Lecturer in the Endodontic Department at the Arizona School of Dentistry and Oral Health, and Associate Editor of the Journal of Endodontics . He is a member of the American Dental Association (ADA), American Association of Endodontists (AAE), the Canadian Acadamy of Endodontics, and the Central Arizona Dental Society (CADS).

A link to his editorial published in the ADA News about the Minnesota Dental Therapy Model can be found here.

Banner image featuring Dr. Marko Vujicic

Episode 104 – Dr. Marko Vujicic Part 2 – Chief Economist of the ADA Talks Future Dental Trends

In this week’s episode of Removing the Bite Block, Dr. Zeller interviews Chief Economist of the ADA, Dr. Marko Vujicic. They discuss his controversial guest editorial in the March 2018 JADA including many other controversial topics. Dr. Vujicic describes how he believes we approaching an era where major changes will be happening in our profession. He supports expanding dental care in government funded programs, tying reimbursement partially to patient outcomes, and developing an oral health measurement system so that we can better treat and improve the health of our patients.

To view Dr. Zeller’s deconstruction of the dental community’s response to Dr. Vujicic’s editorial, click here.

banner photo for episode 104 part one. Dr. Zeller's response to Dr. Marko Vujicic article.

Episode 104 – Dr. Marko Vujicic Part 1 – ‘The Dental System is Stuck and Here is What to Do About it’

This episode is the first of two parts. Dr. Caroline Zeller discusses what she believes to be the most influential piece of dental literature, of the past year. In Dr. Marko Vujicic’s guest editorial from the March 2018 JADA he states that  the current dental system is stuck, and how he believes it should change. It is a very disruptive piece. This episode is short, but contains a lot of crucial information for the dental community. In Part 2, Dr. Zeller interviews Dr. Vujicic about this piece and many other controversial topics.

Dr. Vujicic is currently the Chief Economist and Vice President of the American Dental Association.

Episode 103 – Dr. Marcia Brand – The Future of the Dental Delivery Model and Advocating for Oral Health

Dr. Zeller and Dr. Marcia Brand discuss where they believe dentistry is going, and how that will look entirely different than many expect. They also discuss the utility in an integrated healthcare model and those that support and hinder change. Finally, Dr. Brand describes how the dental community can best advocate for oral health to their state and federal lawmakers.
Marcia K. Brand, Ph.D. is a Senior Advisor to the Dentaquest Foundation and the Executive Director of the National Interprofessional Initiative on Oral Health. She has held a number of leadership positions in the Federal government and academics and currently serves as a consultant and advisor on matters related to access to oral and rural health care.  From 2009 until 2015, Dr. Brand was the Deputy Administrator of the Health Resources and Services Administration (HRSA), an Agency within the US Department of Health and Human Services that works to fill in the gaps for people who live outside the economic and medical mainstream.  The Agency uses its $10 billion annual budget to expand access to quality health care in partnership with health care providers and health professions training programs.   She held other leadership positions within HRSA, including associate administrator for the Bureau of Health professions and the Federal Office of Rural Health Policy.  Brand worked in the US Senate as a legislative assistant, and held academic appointments in the dental hygiene departments at Thomas Jefferson University and Old Dominion University.  She earned a doctoral degree in higher education from the University of Pennsylvania, and both master’s and bachelor’s degrees in dental hygiene from Old Dominion University.

Episode 102 – Dr. Anthony Palatta – The Future of Dental Education and Fear of Change

In the next episode Dr. Anthony Palatta discusses his project aimed at adapting to the changes facing dental education.

 

Dr. Anthony Palatta is the Chief Learning Officer at the American Dental Education Association (ADEA) in Washington, DC. where he leads and implements strategic initiatives designed to improve teaching and learning, support curriculum innovation, support the use of effective curriculum assessment tools, and promote the use of technology in teaching.

Previously, Dr. Palatta was the Assistant Dean for Student Affairs and Academic Support at New York University, College of Dentistry. He received his DDS from New York University College of Dentistry (NYUCD), after which he performed clinical dentistry both in private practice and in a community hospital setting. He joined his dental alma mater, NYUCD in 1992 as a clinical associate professor. His interest in his student’s personal and professional development led to him instituting the Office for Student Retention at NYUCD in 1999 where he served as the director. In 2006, Dr. Palatta was named Assistant Dean for Student Affairs and Admissions, also at NYUCD. In addition to his administrative duties, Dr. Palatta co-wrote and taught cultural awareness programming for dental students.

 

Episode 101 – Meet the Host and Understand the Inspiration

Meet Your Host –

In the first episode of the Removing the Bite Block podcast, you’ll meet host Caroline Zeller, hear about the inspiration for starting the podcast, Caroline’s background and why she’s on a mission to improve dental care and the dental industry. Let’s get excited!