American Student Dental Association
Western Regional Meeting
Chicago, Illinois
October 29, 2010
LEADERSHIP FOR THE
DECADE AHEAD
Arthur A. Dugoni, D.D.S., M.S.D.
Dean Emeritus
Professor of Orthodontics
Senior Executive for Development
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CHALLENGES FOR
LEADERSHIP IN THE
DECADE AHEAD
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LEADERSHIP
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LEADERSHIP
“To every man there comes in his life that special moment
when he is figuratively tapped on the shoulder and
offered that chance to do a very special thing, unique to
him, and fitted to his talents.
What a tragedy if that moment finds him unprepared or
unqualified for that work.”
- Winston Churchill
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LEADERSHIP
Shakespeare said in Twelfth Night
“Some are born great,
others achieve greatness,
and others have greatness thrust upon them.”
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LEADERSHIP
Leadership matters
Leadership is important
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LEADERSHIP
Common Characteristics:
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
Capacity for Hard Work

Ability to Inspire Respect

Caring Attitude

Good Judgment

Highly Developed Communication Skills
LEADERSHIP
Leaders must be seen to be UP
UP Front
UP to date
UP to their jobs
UP early in the morning
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LEADERSHIP –
Dugoni’s Five
Be there
Be there on time
Be involved
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s
Be disciplined
Be balanced
LEADERSHIP
My Style
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
Communication at every level

Meetings
– Individual
– Groups

Hybrid Organizational Table
LEADERSHIP
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
Natural born leaders is a myth

An art and science you can learn

Desire

Respect people

Liberate and empower people

Remove barriers
LEADERSHIP - Decision Making



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Never assume a
responsibility you can
delegate
Steven B. Sample
“Contrarian Leadership”
“Artful” procrastination

Listening skills

Help people succeed

Protect your people

Grow people
LEADERSHIP
Demonstrate
Integrity
Enthusiasm
Fairness
Optimism
Trust
Honesty
Drive
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LEADERSHIP
“What you are speaks so loudly I can
hardly hear what you are saying.”
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LEADERSHIP
Successful Leaders
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
Know what they want

Why they want it

Leaders just don’t do things right, they do the
right thing (Fairness)

Power corrupts
LEADERSHIP
“The ability to lead and direct change is
the most significant management skill
needed today.”



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Lead people – manage things
Shared vision
Effective leadership teams
LEADERSHIP
Focus on the Future
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
Skilled planners

Innovative

Take risks

Learn from mistakes
LEADERSHIP
“Neutron Jack”
“Saul on the Road to Damascus”
“Winning” – Jack Welch
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LEADERSHIP
Successful Executives
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
Use Six Styles

Exact Science

Seamlessly
– Musician
– Golf Pro

Complete Mystery

Daniel Goleman
“Emotional Intelligence”
LEADERSHIP – Coercive Style

Demand immediate compliance

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“DO WHAT I TELL YOU”

Kills new ideas

Negative impact

Least effective
LEADERSHIP – Authoritative Style

Mobilizes people toward a vision

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“COME WITH ME”

Change catalyst

Impact - Positive
LEADERSHIP – Affiliative Style

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“PEOPLE COME FIRST”

Emotional bonds

Loyalty

Belonging

Powerful results with authoritative style
LEADERSHIP – Democratic Style

Forges consensus


“WHAT DO YOU THINK?”
Positive Impact
But Results In:



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Endless meetings
Consensus – Illusive
When?
“When you come to a fork in the road, take it”
- Yogi Berra
LEADERSHIP – Pace Setting Style




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High standards
 “DO AS I DO – NOW!”
Overwhelming
Expert sets the rules
Negative results
LEADERSHIP – Coaching Style




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Develops people
Empathy
 “TRY THIS”
Excels at delegating
Instruction and feedback
LEADERSHIP – Coaching Style




“I BELIEVE IN YOU” - - -
Positive results
Used the least – Why?
Powerful tool
“Ninety percent of the game is half mental”
- Yogi Berra
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LEADERSHIP
MASTER THESE FOUR
1.
Authoritative
3.
Affiliative
2.
Democratic
4.
Coaching
•Jim Collins – “Good to Great”
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LEADERSHIP
Leadership is a world of



Passion
Vision – what needs to be done
Courage – to do it
One of the greatest tragedies in our world is all the
people who hate their work or merely tolerate it!

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Steven Covey – 7 Habits / 8th Habit
LEADERSHIP
If you don’t love what you do, you will never
go the extra mile, work the extra hour or
dream up the new idea.
“Never work a day in your life” – Confucius

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“This is the best day of my life”
LEADERSHIP
TAKE CUSTODY OF YOUR OWN LIFE
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
Eat more ice cream

Know the color of your kids’ eyes

Smell the salt water on an ocean breeze

Life is not a dress rehearsal
NEW RULES FOR MANAGEMENT
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New Rules
Old Rules
1. Agile is best;
Being big can bite you
Big dogs own the
street
2. Find a niche;
Create something new
Be number one or
number two in your
market
NEW RULES FOR MANAGEMENT
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New Rules
Old Rules
3. Customer is king
Shareholders rule
4. Look out, not inward
Be lean and mean
5. Hire passionate people
Rank your players;
Go with the As
NEW RULES FOR MANAGEMENT
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New Rules
Old Rules
6. Hire a courageous
CEO
Hire a charismatic
CEO
7. Admire my soul
Admire my might
THIS IS THE
END OF THE
STORY…
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THE DENTAL PROFESSION AND
DENTAL EDUCATION NOW
AND IN THE FUTURE
LEADERSHIP MATTERS
DENTAL EDUCATION – OUR LEGACY – OUR FUTURE
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

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I will not talk about...
I would like to share some thoughts with you
regarding our profession and dental education and
leadership
I am privileged to be part of a great profession for
more than 60 years and 28 years as Dean and
Professor of Orthodontics
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
We are privileged to be part of a great profession
and a future that is brighter and more rewarding
than ever

Why? The dental profession always puts the patient
first - high degree of ethics and professionalism by
practitioners - leadership, vision, and planning

Results - We have obtained and received the
accolades of our patients and society in general
OUR PROFESSION
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POSITIVES include:
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–
New materials and technology
–
Awesome results of advances in science, research, and
education
–
Lasers - bonding - antimicrobials - immunomodulators new pharmaceuticals - veneers/cosmetic dentistry
–
Rotary endodontics and instrumentation
–
Implants, Invisalign
–
DNA, cloning, stem cell research
–
ETC.
DEMOGRAPHIC POSITIVES
–
–
–
–
–
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6,300 (1975) → 1st yr students 4,600 (2006)
58 to 60 dentists per 100,000 to currently 53 dentist
practitioners per 100,000 patients
High increases in the population; immigration;
increasing child births; etc.
We solved the problems of the 80s when we over
produced dentists for this country’s needs
Q - Do we have enough dentists and allied health
professionals for the decade ahead?
WHAT ARE THE
DARKER SIDES?
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Oral Health in America:
A Report of the Surgeon General
Department of Health and Human Services
U.S. Public Health, 2000
David Satcher MD, PhD
Surgeon General
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“What amounts to a ‘silent epidemic’ of oral disease
is affecting our most vulnerable citizens poor children, the elderly, and many members
of racial and ethnic minority groups.”
(US General Accounting Office 2000)
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ACCESS TO CARE
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
Over 108 million children and adults lack dental
insurance, which is over 2.5 times the number who
lack medical insurance.

Access to care makes a difference. A complex set
of factors underlies access to care and includes the
need to have an informed public and
policymakers, and resources to pay and reimburse
for the care.

Among other factors, the availability of insurance
increases care.
ACCESS TO CARE
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
100 million Americans without access to
fluoridated water

30,000 oral cancer patients diagnosed per year
with 8,000 deaths

Increasing unmet caries needs of children; aging
population with medical concerns, etc.

High on the radar screen of legislators
MANPOWER CONCERNS




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Increasing population
Decreasing number of graduates
Retirement of aging professionals
More DDS retirees per year than graduates
ROLE OF ALLIED HEALTH
PROFESSIONALS




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
New Zealand and Canadian nurse models being
resurrected
Concerns of Alaska and the Indian Nation with respect
to dental care in remote areas
Medical doctors and RNs providing fluoride varnishes
and sealants to patients
Expanded duties for registered dental assistants and
registered dental hygienists being reevaluated and
challenged
Minnesota Challenge
Resident population (in millions)
U.S. Resident Population Projection:
2000-2050
450
419.8
400
350
300
282.1
250
2000
2010
2020
Source: U.S. Bureau of the Census, 2004, U.S. Interim Projections.
2030
2040
2050
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Professionally Active Dentists per
100,000 U.S. Population: 1976 - 2020
61
60.2
59
57
55.0
55
53
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50.7
49
47
45
1976
1982
1987
1992
Actual
1994
2000
2005
2010
2015
2020
Projected
Source: American Dental Association, Survey Center, Dental Workforce Model 2001-2025
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National Health and Dental Service
Expenditures: 1980 - 2001
$1,424.5
$699.4
$65.6
$31.6
4.5%*
1990
4.6%*
1992
1993
1994
1995
National Health Expenditures
1996
1997
1998
1999
2000
2001
Dental Service Expenditures
* Dental Expenditures as a Percent of Total Health Expenditures
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Distribution of Public and Private
U.S. Dental Schools as of 2004
Public Dental Schools
Private Dental Schools
Puerto Rico
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NEW SCHOOLS ON THE HORIZON

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

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Las Vegas, Nevada (opened)
Miami, Florida (Nova) (opened)
Mesa, Arizona (Arizona School of Dentistry and Oral
Health) (opened)
Hawaii
Virginia
Utah
North Carolina (Greenville)
California (Pomona) (San Diego)
Arizona (Glendale – will open 2008)
CLOSED SCHOOLS







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Georgetown
Loyola (Chicago)
Washington University (St. Louis)
Fairleigh Dickinson
Oral Roberts
Loyola (New Orleans)
Northwestern
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LICENSURE
ISSUES
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LICENSURE
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
Freedom of movement concerns

ADA and AADE - Part III National Board
examination – WREB, ADEA

California Dental Association Task Force on
Licensure Reform

CDA House of Delegates Resolutions

New York - PGY-I model (mandatory)
LICENSURE
 My
vision and dreams
– Licensure AT graduation
–

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Licensure by credential (specialists)
Dental Board Initiatives
– Enforcement
– Continued competency
STUDENT DEBT
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TRENDS IN DENTAL
EDUCATION
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DENTAL EDUCATION CRISIS
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
Aging facilities

Aging professoriate

400 unfilled positions (Nationally)

Widening discrepancy between income of
educator and clinicians, and especially specialists
DENTAL EDUCATION CRISIS
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
Dismal annual giving record to dental schools
generally by the profession

Lack of endowments at dental schools

Escalating cost of education

Increasing indebtedness of students

Disengaged alumni
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AMERICAN DENTAL ASSOCIATION
FOUNDATION






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$1 billion campaign for education
Past history - 1988 challenge (future prediction of
crisis)
Why now? It is here!
ADA Board of Trustees support
ADA Foundation Directors support
Planning stage
 2003: ADA Foundation examined goal
 Goal too large for single organization
 “We must all work together!”
 2004: ADAF formed 45-member Task Force
 December 2005: ADA and ADAF approved
Task Force’s implementation plan
 Launched – July 2006
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Purpose
1. Raise awareness for the
challenges facing dental
education
2. Promote culture of
philanthropy
3. Deliver a call to action
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• 51 dental schools
• 56 dental organizations
• 2 donor partners
• Partner list growing
• Will seek to work collaboratively
• First benchmark –
collectively generate more
than $500 million by end of
December 2014
• Generate more than
$1 Billion by end of 2029
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Partners will:
1. Implement their own
fundraising programs
2. Set their own goals
3. Raise their own funds
4. Utilize/distribute funds
5. Report amount raised
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What is missing?
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How Can You Help?
- Be a champion – tell others!
- Support one or more of the partners by
making a major contribution or pledge!
- Volunteer with one or more of the
partnering organizations…get involved!
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CHALLENGES
SUPPORT DENTAL EDUCATION
AND DENTAL SCHOOLS
 Create
endowments
 Support annual giving
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ENDOWMENTS
Endowments build great universities
Endowments will build great dental schools
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CONCLUSION - THE FUTURE (?)
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
We are privileged to be part of a great profession.

How great the future of the profession will be
is dependent upon you and your commitment,
your compassion, and your generosity.
DENTAL EDUCATION – OUR
LEGACY – OUR FUTURE
“You ain’t seen
nothing, yet”
- Arthur A. Dugoni
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THE FUTURE
IF NOT YOU, THEN WHO?
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Together
we can make
a difference
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