As of now, you must be able to tell what kind of guy I am. I take what happens to me everyday and laugh about it. I am very passionate about dentistry and doing what I do better. I love what I do but am wired a certain way.
I practice dentistry and HOPE someone else it taking care of my advocacy issues. That is why I love being a part of the AGD.
I have never been very political. But thank goodness some are. Some dentists are just wired to do advocacy.
There is some really scary crap going on around us and Mark (not really a ghost writer if you know his name) has some really good points.
At the end if you feel like commenting do so and we can have a discussion (especially if you have an opposing comment).
Ps. I told you I was going to talk about consent forms but I thought this blog takes some precedent.
So here it is...
Change is always happening around us – sometimes good, sometimes not. Some changes we have to accept but others we can resist and fight against.
I sense a change in the practice of general dentistry. The change I am sensing in the practice of general dentistry is not natural. It is also not good for the practice of general dentistry. As a matter of fact, I think it is an attack on the practice of general dentistry. This change will transform the practice of dentistry as we know it today. If this transformation takes place, I believe the practice of dentistry will no longer be the esteemed profession that it is today. You may be asking yourself, “What is he talking about?”
Consider the trends; in 2004, the American Dental Hygienist’s Association (ADHA) House of Delegates passed a resolution for a mid-level provider to diagnose and treat dental disease. At their recent winter meeting, the ADHA Board of Trustees adopted the Competencies for the Advanced Dental Hygiene Practitioner (ADHP). Their Web site says “The ADHP model has been created by ADHA as an answer to the oral health crisis in America.” In the summer of 2006, the ADHP language was in the U. S. Congressional Committee Report, S. Rep. 109-103, which accompanied a bill making appropriations for the Departments of Labor, Health and Human Services, and Education and related agencies. The report “encouraged HRSA to explore development of an advanced dental hygiene practitioner... which prepares the dental hygienist to provide diagnostic, preventive, restorative and therapeutic services directly to the public in rural and underserved areas.” Now, the Minnesota legislature is seriously considering expanding the scope of the dental hygienists on the ADHP model that would allow the mid-level provider to perform extractions and restorations without the supervision of the dentist. Also this year, Senate Bill 2723 has been introduced and has language for an Allied Dental Health Professional. The most recent attack came from the American Dental Association in an editorial in JADA entitled Lessons Learned: Implications for workforce. The editorial basically asked the profession to embrace the mid-level provider and that the dental education community was in the “driver’s seat” to bring about this change in the profession.
These trends should cause most private-practice general dentists in America to take notice and be concerned. Change is always occurring around us – sometimes the change is good, sometimes not. I know this issue can be debated because some, even AGD members, feel it is time to have a mid-level provider that will diagnose and treat dental disease with less training and education than a dentist. The mid level provider will not affect the practice of any dental educator or dental specialist. It will only affect the practice of general dentistry. AGD President, Dr. Vinny Mahyer, wrote a letter to the editor in response to this editorial. I am very appreciative of Dr. Mayher’s quick and pointed response, but I want to carry it somewhat deeper. What are your thoughts about these trends – I’ll share some more of my own on Friday but I am interested to hear what you think.
Okay, to me this is some heavy deep stuff. Usually, when someone starts with the committee report section 109-103, I check out.
Today I stuck with it.
Is anyone lost?
Does everyone know what the mid level provider is?
Does everyone understand the crux of this argument?
The benefit to the blog is you can comment anonymously.
Okay so you have lots to comment on...
Give Mark you opinion so he feels wanted.
Talk to you later,