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2010
House of Delegates
Addendum Materials
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Table of Contents
Table of Contents .....................................................................................................2
Resolution Index Summary .....................................................................................4
AGD Wireless Intranet Access Instructions..........................................................7
Resolution 111 Clarification....................................................................................8
Resolution 112 ..........................................................................................................9
Resolution 113 ........................................................................................................12
Resolution 114 ........................................................................................................14
Resolution 115 ........................................................................................................16
Resolution 116 ........................................................................................................19
Reference Committee on Administration, Image & Membership ....................22
R101 - LCC Forum Comments .............................................................................32
R102 - LCC Forum Comments .............................................................................33
R103 - LCC Forum Comments .............................................................................37
R104 - LCC Forum Comments .............................................................................38
R105 - LCC Forum Comments .............................................................................39
R106 - LCC Forum Comments .............................................................................40
R107 - LCC Forum Comments .............................................................................41
R108 - LCC Forum Comments .............................................................................42
R109 - LCC Forum Comments .............................................................................43
R110 - LCC Forum Comments .............................................................................44
R111 - LCC Forum Comments .............................................................................45
R112 - LCC Forum Comments .............................................................................47
Resolution 301 Clarification..................................................................................48
Resolution 301a ......................................................................................................49
Resolution 301b ......................................................................................................58
Resolution 307 Updated .........................................................................................61
Resolution 308 Updated .........................................................................................73
Reference Committee on Advocacy & Other Priorities .....................................76
R301 - LCC Forum Comments .............................................................................87
R302 - LCC Forum Comments .............................................................................88
R303 - LCC Forum Comments .............................................................................89
R304 - LCC Forum Comments .............................................................................90
R305 - LCC Forum Comments .............................................................................91
R306 - LCC Forum Comments .............................................................................92
R307 - LCC Forum Comments .............................................................................93
R308 - LCC Forum Comments .............................................................................96
R314 from 2009 - LCC Forum Comments ..........................................................97
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R314R from 2009 - LCC Forum Comments .......................................................98
R320 from 2009 - LCC Forum Comments ..........................................................99
PAC Task Force - LCC Forum Comments .......................................................100
Reference Committee on Continuing Education ..............................................101
R201 - LCC Forum Comments ...........................................................................104
R202 - LCC Forum Comments ...........................................................................105
R203 - LCC Forum Comments ...........................................................................106
R204 - LCC Forum Comments ...........................................................................107
Town Hall Meeting...............................................................................................109
How Mid-Level Dental Providers Will Affect the Profession ..........................110
AGD letters sent to Congress ..............................................................................118
2010 Constituent Presidents and Executives .....................................................120
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Updated 6-30-10
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Resolution Index Summary
Prepared by Erin Berggren, CAE, Jennifer Goler, W. Mark Donald, DMD,
MAGD, AGD Speaker of the House and Linda Edgar DDS, MEd, MAGD, AGD
Secretary
Resolution #
Brief Description
101
104
Amend policy by striking the ‘For Prior
Members’ clause.
Amend the Bylaws to clarify definition of
Affiliate Membership.
Amend the Bylaws to include language for
Advocacy, Investments and Emergency Funds.
Rescind policy on PIO guidelines.
105
Rescind policy on support for PIOs.
106
Rescind policy on trustee allotment.
107
Amend policy on dues waiver guidelines and
rescind old policy.
Rescind part time practitioner language in
Bylaws and amend policy on dues waiver
application.
Amend policy so Membership Council
manages membership status change and dues
waiver process and amend Bylaws accordingly.
Amend the Bylaws accordingly to merge
Regions 15 and 16.
Approve the AGD Strategic Plan.
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103
108
109
110
111
112
113
Amend the Delegate Mileage Reimbursement
policy to always be equal to the IRS
reimbursement rate.
Establish a policy for Full Time Faculty Dues
to be set at 50% of the Full Dues amount paid
Ref. Comm.
Assignment
Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
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202
by Active Member.
Amend the dues structure for Newly Graduated
Dentists to change it from 25% for the first
year after graduation to zero dues for the first
year after graduation and increases over a 5
year period to full dues in the 5th year.
Amend the schedule of the HOD to one that
does not require a delegate to take more than 2
days out of their practice between M-F to
volunteer to lead their association.
Rescind policy on separating the HOD from the
annual meeting and establish a new policy.
Approve the 2011 budget with Net Income of
Operations of $0 and a capital budget of
$154,250.
Amend the Fellowship Award Guidelines to
include a waiting period to verify membership
status.
Amend the Bylaws by striking the ‘Self
Assessment Committee’.
203
Rescind policy on Dental School Alliance for
AGD CE Program.
204
Rescind and replace policies on CE recording.
301
Amend the Rules of Procedure for Conducting
the Reference Committee Hearings and
Business of the Academy of General Dentistry.
Resolution 301a will be the housekeeping
resolution with 1.a. and 1.d. removed from the
original resolution 301.
Resolution 301b will be the resolution with the
policy change 1.a. and 1.d from the original
resolution 301.
Amend the Bylaws regarding RD and trustee
term limits.
301a
301b
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Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
Admin/Image/Mem
2:30 – 4:00 pm
Continuing
Education
4:00 – 5:30 pm
Continuing
Education
4:00 – 5:30 pm
Continuing
Education
4:00 – 5:30 pm
Continuing
Education
4:00 – 5:30 pm
Advocacy/Other
Priorities
3:30 - 5:00 pm
Advocacy/Other
Priorities
3:30 - 5:00 pm
Advocacy/Other
Priorities
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303
Amend the Bylaws by striking the
‘Professional Relations Council’.
304
Rescind policy on development of courses in
expanded duties.
305
Amend policy on dental practice utilization of
auxiliaries.
306
Rescind and replace policies on dental
materials and products.
307
Re-affirm the Workforce Policies with a yes or
no vote.
Approve support of education on, and the
performance of Botox and cosmetic dermal
filler procedures, where not in conflict with
state law or regulation.
314 from
This resolution is from the 2009 HOD to
2009
establish a federal Political Action Committee
(PAC)
314R from
This resolution is from the 2009 HOD and
2009
refers resolution 314 to a task force with the
request that a report be submitted to the 2010
HOD.
320 from
This resolution is from the 2009 HOD to
2009
establish a federal Political Action Committee
(PAC)
PAC Task
This report is the findings of the task force
Force Report created in resolution 314R.
308
3:30 - 5:00 pm
Advocacy/Other
Priorities
3:30 - 5:00 pm
Advocacy/Other
Priorities
3:30 - 5:00 pm
Advocacy/Other
Priorities
3:30 - 5:00 pm
Advocacy/Other
Priorities
3:30 - 5:00 pm
Advocacy/Other
Priorities
3:30 - 5:00 pm
Advocacy/Other
Priorities
3:30 - 5:00 pm
Advocacy/Other
Priorities
3:30 - 5:00 pm
Advocacy/Other
Priorities
3:30 - 5:00 pm
Advocacy/Other
Priorities
3:30 - 5:00 pm
Advocacy/Other
Priorities
3:30 - 5:00 pm
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AGD Wireless Intranet Access Instructions
Use your wireless software to connect to network name/SSID: AGD
Once connected open your browser and type http:// agdhod.agd.org in the address
bar and click on Go.
Please Note: you must use a Mozilla compatible browser such as Internet Explorer,
Firefox or Netscape. Connection does not connect to the internet, just the House
Of Delegates Intranet site.
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Resolution 111 Clarification
As one can discover by reading the material in Resolution 111, this strategic plan
as presented in Resolution 111 has gone through a year of brainstorming, vetting,
critiquing, and planning by delegates, council and committees, Regional Directors,
Division Coordinators, the Board of Trustees, and staff. As many leaders and
agencies as possible have had the opportunity to give input and direction to the
strategic plan. It is our hope that the 2010 delegates would study the plan as
presented and render a decision verses attempting to accomplish strategic planning
by making amendments to the plan during the House of Delegates.
After consultation with our Executive Director, Chuck Macfarlane, we have
instructed staff to record the comments and recommendations that are made during
the reference committee hearing from the delegates relative to desired changes to
the plan. These comments and recommendations will be placed in consideration as
an agenda item during our next Board of Trustees meeting.
We hope that ensuring the Board has a process for giving careful thought and
consideration to your suggestions will allow us to avoid either word smithing the
document or making major changes without the due diligence to fully evaluate
inclusion in the plan.
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*Note: Resolution 112 was approved on the June 2, 2010 Board conference call
which is why it was not in the HOD Manual.
Resolution 112
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“Resolved that Policy 96:56-H-7 be amended so it reads:
96:56-H-7 If an individual travels by automobile, an allowance based on the
prevailing IRS rate set by the Board (presently $.31 per mile) may be given
providing the total cost does not exceed the fare designated by the AGD's
official air carrier to travel to and from the meeting.”
AIRJ10#03 - Amend House Policy 96:56-H-7 Delegate Mileage
Reimbursement
Prepared by: Erin Berggren, Director, Governance & Strategic Initiatives
Date of Report: May 19, 2010
Staff Resources: 30 minutes staff time to review HOD policy manual and
complete report.
Total Financial Cost: Minimal
Budget Ramifications: Minimal
Action/Timeline: Recorded vote at the 2010 House of Delegates.
BOARD RECOMMENDS ADOPTION
Y – Boryc, Brown, Cole, Comisi, Cordero, Donald, Edgar, Elias, Gamble, Garrett,
Hartup, Harvan, Heyamoto, Jones, Kanter, Knowlton, Mancuso, Meredith,
Sherwin, Smith, Thompson
A – Cooley, Ghareeb, Harunani, Sherwood
N/A – Halpern
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Introduction:
During a review of the HOD policy manual it was realized that the mileage
allowance stated in policy 96:56-H-7 is not up to date. Amending the language as
proposed would update the policy and insure its accuracy no matter what the
prevailing IRS rate may be at a given time.
Necessary Information:
The IRS has changed the mileage reimbursement rates on an annual basis for the
past few years. Amending the policy to the ‘prevailing IRS rate’ would minimize
any future confusion.
What We Don’t Know:
N/A
Pros and Cons:
Pros:
Keeping the House of Delegates Policy Manual up to date is a good business
practice.
Cons:
None identified.
How it Fits into the Strategic Plan:
Goal#5: AGD will operate more efficiently and cost effectively with engaged,
capable volunteers at every level.
How it Fits into the Market Research:
This issue is not addressed in the market research.
Does this conflict with the Constitution and Bylaws, an AGD HOD Policy or
Board Policy? If yes, please provide the conflict and how you propose to
resolve it: If passed, the HOD policy manual will be updated.
Responsible Staff Liaison & AGD Member:
Erin Berggren, CAE, Director, Governance & Strategic Initiatives
312-440-4313 – p
erin.berggren@agd.org
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Bradley Neal, Director, Finance
312-440-4315
bradley.neal@agd.org
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*Note: Resolution 113 was submitted by Region 11 after the HOD Manual was
distributed.
Resolution 113
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“Resolved, that Full Time Faculty Dues for AGD be 50% of the Full Dues
amount paid by Active Member.”
Full Time Faculty Dues for AGD be 50% of the Full Dues amount paid by
Active Member.
Prepared by: Guy M. Hanson, DDS, MAGD, Regional Director, Region
11Oregon AGD
Date of Report: June 24, 2010
Staff Resources: Minimal
Total Financial Cost: Minimal
Budget Ramifications: A budget increase is anticipated due to anticipated
increased faculty membership and retention.
Action/Timeline:
Implementation at the close of the HOD 2010
Resolved:
Region 11 recommends the following:
“Be it Resolved, that Full Time Faculty Dues for AGD be 50% of the Full
Dues amount paid by Active Member.”
Necessary Information:
Background: Oregon polled many of the members who dropped their membership
in 2009. Several faculty members dropped membership because of the cost and
the difficulty with recording hours for teaching. If the organization wants to
recruit more students having faculty that are AGD members engaged in our
mission is a big help with recruitment and retention of students.
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What We Don’t Know:
 If reasons faculty do not join or renew are true or merely excuses
Pros and Cons:
Pros:
 Increased faculty membership and retention
 Increased member loyalty
 Increased exposure at dental schools
 Potential to increase student membership
Cons:
 None
Responsible Staff Liaison & AGD member:
Membership Council Chair
Membership Department Headquarters
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*Note: Resolution 114 was submitted by Region 11 after the HOD Manual was
distributed.
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Resolution 114
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“Resolved, that the dues structure for Newly Graduated Dentists be changed
from 25% for the first year after graduation to zero dues for the first year
after graduation and increases over a 5 year period to full dues in the 5th
year.”
Membership Dues for New dentists 5 years out of dental school
Prepared by: Guy M. Hanson, DDS, MAGD, Regional Director, Region 11
Oregon AGD
Date of Report: June 24, 2010
Staff Resources: Minimal
Total Financial Cost: Minimal
Budget Ramifications: A budget increase is anticipated due to anticipated
increased new dentist conversion to Active Membership and retention
Action/Timeline:
Implementation next fiscal year
Resolved:
Region 11 recommends the following:
“Resolved, that the dues structure for Newly Graduated Dentists be changed
from 25% for the first year after graduation to zero dues for the first year
after graduation and increases over a 5 year period to full dues in the 5th
year.”
Necessary Information:
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Background: Our board has discussed this on many occasions that the ADA dues
structure is a bit more inviting to new members right out after graduation in that
the first year is free and graduates to full dues by year 5. AGD Dues are 25% the
first year and graduate to full dues paying by the 4th year. Our more recent grads
on our board feel this may increase student member conversation thus increase
conversion of student member to active member.
What We Don’t Know:
 Whether or not new dentists will continue to not renew after graduation
Pros and Cons:
Pros:
 Increased new dentist membership and retention
 Increased member loyalty
Cons:
 None
Responsible Staff Liaison & AGD member:
 Membership Council Chair
 Membership Department Headquarters
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*Note: Resolution 115 was submitted by Region 11 after the HOD Manual was
distributed.
Resolution 115
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“Resolved, that the HOD vote to change the schedule of the HOD to one that
does not require a delegate to take more than 2 days out of their practice
between M-F to volunteer to lead their association.”
Reschedule the House of Delegates Meeting
Prepared by: Guy M. Hanson, DDS, MAGD, Regional Director, Region 11;
Kimberly Wright, DMD, FAGD, Delegate, Oregon AGD
Date of Report: June 23, 2010
Staff Resources: Region 11 is submitting this Resolution believing that, if passed,
it will be staff neutral or actually reduce the amount of staff resources utilized for
the AGD House of Delegates Meetings
Total Financial Cost: The total cost budgeted for the HOD meeting and travel
expenses are $317,000 in 2010 and $348,000 in 2011. This cost should stay
relatively the same. Any cost resulting from a contract change could be evaluated
by the Annual Meetings Council.
Budget Ramifications: A budget surplus should be created by more delegates
attending the Scientific Session
Action/Timeline: As soon as current contractual obligations allow (2012, 2013?)
Resolved:
“Be it Resolved, that the HOD vote to change the schedule of the HOD to one
that does not require a delegate to take more than 2 days out of their practice
between M-F to volunteer to lead their association.”
Introduction:
Background:
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1. We have always tried to have a mix of delegates represent our region; some
experienced and some newer professionals just entering the profession. This
in our opinion keeps new ideas flowing and possibly gets newer dentists
interested in serving at a national level.
2. With the current structure of our HOD the HOD starts on Tues and ends
Thurs thus requiring a dentist to take the entire week off work to participate
with travel time.
3. This year it has been very difficult to entice our younger board members into
taking basically a week out of their practice to volunteer to lead our
association.
4. Region XI would like to see a change in this ASAP.
5. The intent of this most recent schedule change by the House several years
ago was to allow the dentists who participate in the House to be able to
participate in CE. Having to spend 1 week away from home we believe is
showing to be detrimental to this goal.
6. The number of attendees also affects the desire of exhibitors to come to the
meeting and fewer delegates may be able to stay through the entire week for
financial reasons. This year the number of attendees is down
What We Don’t Know:
 We don’t know if the current format will be financially profitable for the
AGD this year.
 How soon this change could be implemented with the existing contracts
signed.
 How costly this could be for the AGD. It is the hope that this would not be
inordinately expensive to the AGD to modify the contracts.
 How this will affect attendance at the HOD meeting as well as the Annual
Meeting
Pros and Cons:
Pros:
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Member friendly, less time out of the office for Delegates
More attendees at the meeting which the vendors will appreciate.
More attendees for the hotels
Delegates will be present onsite during the Convocation and Awardees
parties
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Cons:
 Do not know financial impact
 Makes it more difficult for Delegates to obtain CE
 Don’t know how this would affect the ability to negotiate contracts in the
future
Does this conflict with the Constitution and Bylaws, an AGD HOD Policy or
Board Policy
 No
Responsible Staff Liaison & AGD member:
Appropriate Governance and Meeting Planning Staff
Annual Meetings Chair
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*Note: Resolution 116 was submitted by Region 20 after the HOD Manual was
distributed.
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Resolution 116
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“Resolved, that the AGD House of Delegates rescinds it’s previously passed
policy, 2007:309R1-H-6, to separate the AGD HOD and the Annual Meeting.
This policy will be implemented at the earliest opportunity and should ensure
that the cost to rescind the policy will not be prohibitive to the AGD. The
AGD Annual Meeting staff is directed to work with the venues already
contracted for upcoming Annual Meetings to negotiate the best possible deal
for the AGD, in order to make it possible for Delegates to spend less time out
of their offices and still attend the HOD and the Annual Meeting.”
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Rescind Policy 2007:309R1-H-6 to separate the AGD House of Delegates from
the Annual Meeting
Prepared by: Roderick Shaw, III, DMD, MAGD, President, Florida Academy of
General Dentistry
Date of Report: June 24, 2010
Staff Resources: The Florida AGD is submitting this Resolution believing that, if
passed, it will be staff neutral or actually reduce the amount of staff resources
utilized for the AGD House of Delegates Meetings
Total Financial Cost: The total cost budgeted for the HOD meeting and travel
expenses are $317,000 in 2010 and $348,000 in 2011. This cost should stay
relatively the same. Any cost resulting from a contract change could be evaluated
by the Annual Meetings Council.
Budget Ramifications: It could be determined by the Annual Meetings Council,
in conjunction with the FLAGD meetings staff, if the expense to change a
scheduled event would be prohibitive.
Action/Timeline: Implemented at the earliest opportunity
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Resolved:
The Florida Academy of General Dentistry recommends the following:
“Resolved, that the AGD House of Delegates rescinds it’s previously passed
policy to separate the AGD HOD and the Annual Meeting. This policy will be
implemented at the earliest opportunity and should ensure that the cost to
rescind the policy will not be prohibitive to the AGD. The AGD Annual
Meeting staff is directed to work with the venues already contracted for
upcoming Annual Meetings to negotiate the best possible deal for the AGD, in
order to make it possible for Delegates to spend less time out of their offices
and still attend the HOD and the Annual Meeting.”
Introduction:
The Florida AGD believes that a combined Annual Meeting and House of
Delegates meeting will be more member-friendly to the delegates by requiring less
time out of their offices. The earliest opportunity infers changing already existing
scheduled conventions, providing the cost of such a contract change would not be
financially deleterious to the AGD. We believe the current format is excessively
expensive for the delegates personally and potentially the AGD in addition.
Utilizing the current format for the House of Delegates followed by the Annual
Meeting, the AGD may see a significant drop in attendance and/or income at the
Annual Meeting as many delegates may choose to travel home immediately
following the HOD.
What We Don’t Know:
 We don’t know if the current format will be financially profitable for the
AGD this year.
 How soon this change could be implemented with the existing contracts
signed.
 How costly this could be for the AGD. It is the hope that this would not be
inordinately expensive to the AGD to modify the contracts.
 How this will affect attendance at the HOD meeting as well as the Annual
Meeting.
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Pros and Cons:
Pros:
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Member friendly, less time out of the office for Delegates
More attendees at the meeting which the vendors will appreciate.
More attendees for the hotels
Delegates will be present onsite during the Convocation and Awardees
parties
Cons:
 Do not know financial impact
 Makes it more difficult for Delegates to obtain CE
 Don’t know how this would affect the ability to negotiate contracts in the
future
Responsible Staff Liaison & Council/Committee Chair:
Annual Meeting Chair
Officers of AGD
Staff that supports these functions.
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Reports to be reviewed by the
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Reference Committee on Administration, Image &
Membership
Reference Committee on Administration,
Image & Membership
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Tuesday, July 6, 2010
2:30 p.m. – 4:00 p.m.
Hilton New Orleans Riverside, Versailles Ballroom
John W. Portwood, DDS, MAGD
Neil J. Gajjar, DDS, MAGD
Seung-hee Rhee, DDS, FAGD
Christine M. Saad, DDS
Derrick J. Veneman, DDS
Melvin K. Pierson, DDS, FAGD
Connie L. White, DDS, FAGD
Cynthia E. Sherwood, DDS, FAGD
John T. Sherwin, DDS, FAGD
Chair
Member
Member
Member
Member
Consultant
Consultant
Spokesperson
Spokesperson
The full AIRs are available for review in the HOD Manual.
Resolution 101
"Resolved, that HOD policy 96:45-H-7 is amended by striking the ‘For Prior
Members’ clause.
For Prior Members:
An individual whose membership has lapsed may be provided the opportunity
to pay back dues for the years lapsed, on an individual basis upon
consideration of the Membership Council."
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Resolution 102
"Resolved, that the Bylaws be amended at Chapter I, line 475, so that they
read:
4. Affiliate members shall be entitled to all of the rights and privileges of
an active general dentist member, except the right to vote or hold office
in the AGD or its constituents. the following benefits of membership:
access to the Members Only section of the AGD Web site, Affiliate rate
registration at the AGD Annual Meeting & Exhibits, continuing
education courses paid at the member rate and inclusion on the AGD’s
mailing list for publications. Affiliate members may serve as advisors on
councils and committees at all levels of the organization.
5. Affiliate members may not vote or hold office in the AGD or its
constituents. Affiliates may not earn Fellowship, Mastership or Lifelong
Learning and Service Recognition (LLSR), and the AGD will not
maintain CE tracking or AGD Licensing or Award transcripts for these
members.”
Resolution 103
“Resolved, that the Bylaws be amended at Chapter XVII, line 2426, so that
they read:
Section 3. Investment Fund: The Investment Fund consists of the Reserve
and Project accounts and shall consist of all funds invested by the AGD.
Access to this Investment Fund will require the Treasurer’s and President’s
signatures and approval by a 3/4 vote of the Board. Funds shall be withdrawn
first from the Project Account and then the Reserve Account should this
become necessary.
Section 4. Emergency Fund: The Emergency Fund consists of $100,000 (in
2004 dollars) plus accrued interest and is not to be utilized unless an
emergency has caused the operations account to fall below acceptable levels.
Access to the Emergency Fund will require both the Treasurer’s and
President’s signatures.
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Section 5. Advocacy Fund: The Advocacy Fund shall consist of all funds
contributed to the AGD Advocacy Fund. The Board shall have sole discretion
on distribution of funds.”
Resolution 104
"Resolved, that HOD policy 84:22-H-7 be rescinded.
84:22-H-7 "Resolved, that constituent Public Information Officers should be
charged with helping the AGD accomplish the following purposes:
1. To identify the AGD as an organization dedicated to improving the health
and welfare of the public through continuing dental education.
2. To raise the public's dental consciousness and increase the demand for
dental services; and
3. To identify to the public those dentists who are members of the AGD
subject to individual state laws and ethical guidelines."
Resolution 105
"Resolved, that HOD policy 84:23-H-7 be rescinded.
84:23-H-7 "Resolved, that the AGD support constituent Public Information
Officers by providing the following program of support services:
1. An expanded and re-organized Presentations manual will be provided,
including more complete information on how to meet their responsibilities
and how to organize activities in each area, with updates on the manual to be
distributed on a monthly basis.
2.
A series of 'canned' presentations, speeches, programs, etc., for local
activities will be prepared by staff and will be made available upon request.
3.
A quarterly 'clip book' will be prepared by National Office staff which
will be distributed to all PIOs, serving as a record/recognition of each PIO's
efforts and as motivation to others.
4.
Public Information Council members will be assigned a list of PIOs and
will be responsible for initiating and maintaining personal contact.
5.
A workshop for constituent Public Information Officers will be offered
in conjunction with the annual meeting of the Public Information Council
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which will allow participants to learn techniques which will enhance their
efforts on behalf of the AGD;
6.
Public service announcements, both shelf copy recorded messages and
live copy scripts of varying lengths will be made available for purchase; and
7.
A staff-produced newsletter to assist constituent Public Information
Officers in becoming more effective."
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Resolution 106
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“Resolved, that HOD policy 90:34-H-7 be rescinded.
Resolved, that each of the 20 Trustees be authorized to spend up to, but no
more than, $1,500 of AGD funds for the following activities relating to his/her
duties as a National Officer:
1. Actual expenses in visiting the constituent academies within his/her region.
If an automobile is used in traveling to the constituents, the Trustee is to be
reimbursed at a rate determined by the Board for all individuals functioning
on AGD business.
2. The cost of communicating with officers and various members of the
constituent academies, including:
a. The cost of stationery
b. Postage
c. Stenographic charges
d. Printing costs
e. Long distance telephone calls
f. The cost of attending any meeting of the officers of the constituent
academies within the region or a caucus of delegates held prior to the Annual
Meeting.
3. Communications with the national organization relating to his/her function
as a Trustee, including:
a. Long distance telephone calls
b. Stenographic help in typing reports
c. Postage costsand be it furtherResolved, that each Trustee be required
to submit an itemization of expenses to the Executive Director prior to
September 15 of each year."
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Resolution 107
"Resolved, that HOD policy 85:33-H-7 be amended as follows:
Resolved, that the Membership Council use the following guidelines for the
purpose of considering granting waivers of dues for hardship financial
reasons for one year periods of time.
These guidelines apply toward a member who has suffered a catastrophic
property and/or financial loss due to a federally declared natural disaster;
local natural disaster, fire, accident, or other catastrophe. Any member who
has received a grant from the American Dental Association's Disaster Relief
Fund, may apply for and receive a waiver of dues for the year in which the
disaster occurred, which qualified him/her for the ADA grant; and
All other dues waiver requests outside the above and total disability, must be
submitted in writing along with a statement of assets and liabilities and copies
of the member's last federal income tax return, and other pertinent
information, including but not limited to, medical records and welfare
information, for review and disposition by the full Membership Council. To
maintain confidentiality of this material, the Executive Director shall delete
any reference to identifying information before the material is reviewed by the
Membership Council and see that it is returned to the sender within 30 days
of final review by the Council."
And be it further:
"Resolved that HOD policy 94:13-H-7 be rescinded:
"Resolved, that a member of the AGD demonstrating they have a waiver of
dues for financial hardship granted by the ADA, CDA or NDA in a given year
be granted the same AGD waiver without further proof of hardship."
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Resolution 108
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"Resolved, that Article X, Chapter III, Section 1, Subsection G, of the AGD
Bylaws be rescinded.
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G: Part-time Practitioners:
Dues for part-time practitioners will be one half of active member dues.
And be it further:
"Resolved, that Policy 2006:19R-H-7 be amended as follows:
Resolved, that policy 98:15-H-7 be rescinded and that the Council on
Membership modify the dues waiver application to allow members with
permanent disability to not have to re-apply annually., and be it further
Resolved, that the Council on Membership be additionally directed to include
the following clause, “Active General Dentist members engaged in the dental
profession less than 15 hours per week” be added to the dues waiver
application.
Resolution 109
“Resolved, that HOD policy 83:29-H-7 be amended as follows:
Resolved, that the Membership Council or its designated agent be granted the
authority to determine whether an individual should be granted a waiver of
dues for other than total disability, and be it further
Resolved, that the Membership Council develop guidelines for approving
requests for waiver of dues, and be it further
Resolved, that these guidelines be adopted by the Board before any such dues
waivers are granted, and be it further
Resolved, that all future waivers of dues shall fall within these guidelines, and
be it further
Resolved, that the Council on Constitution and Bylaws and Judicial
Procedures be asked to reword the duties of the Membership Council to make
it clear that the Membership Council does have the authority to grant waivers
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of dues in extenuating circumstances subject to guidelines adopted by the
Board."
And be it further:
"Resolved that the Bylaws be amended at Chapter IV, line 744, so that they
read:
Total Disability:
A member of this the AGD who is totally disabled and who is unable to
engage in the duties of the dental profession and who is a member in good
standing at the time total disability was incurred shall be exempt from the
payment of dues and shall be in good standing during the period of total
disability.
1. A totally disabled member may apply for a dues waiver by:
a.
Submitting to this the AGD Headquarters through his or her
constituent AGD a signed physician’s statement, signed by a physician,
attesting total disability; and
b.
A dues waiver application through the Membership Council his
or her constituent AGD attesting to his or her total disability and to the
constituent's willingness to grant a similar waiver of dues.
2. During the period of exemption from dues, further verification of
disability may be requested by the AGD.s
And be it further:
"Resolved that the Bylaws be amended at Chapter II, line 770, so that they
read:
Leave of Absence
1. A member in good standing who has temporarily left the practice of
dentistry for reasons including, but not limited to family leave, family
tragedy, or personal health problems, for at least six (6) months and
intends to be out of the practice of dentistry for at least one (1) year may
be granted a leave of absence subject to approval by the Membership
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Council the receipt of a form signed by the constituent AGD indicating
that the constituent had granted the request.
Resolution 110
“Resolved, that the Bylaws be amended at Chapter VII, line 912, so that it
reads:
The constituent AGD’s shall be organized into twenty nineteen (20) (19)
regions. And be it further,
Resolved, that the Bylaws be amended at Chapter VII, line 966, so that it
reads:
15-16) Eastern Canada: Ontario, Quebec, and the Atlantic Provinces. The
Atlantic Provinces shall consist of members in the provinces of Nova Scotia,
Prince Edward Island, New Brunswick, Labrador and Newfoundland
Central Canada: Ontario
16) Western Canada: Manitoba, Saskatchewan, Alberta, British Columbia,
Yukon, Nunavit and Northwest Territories. And be it further,
Resolved, that the Bylaws be amended at Chapter X, line 1538, so that it
reads:
Each region will have a regional director., with the exception of Region 15-16,
which will have two (2) regional directors. And be it further,
Resolved, that the Bylaws be amended at Chapter XI, line 1653, so that it
reads:
The executive director shall be employed by an affirmative vote of fifteen (15)
fourteen (14) of the twenty-eight seven (28) (27) voting members of the Board.
And be it further,
Resolved, that the Bylaws be amended at Chapter XII, line 1698, so that it
reads:
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The Board shall consist of twenty- eight seven (28) (27) active members,
including twenty nineteen (20) (19) Trustees (all of whom must continually
practice in the region), the seven (7) elected officers (president,
president-elect, vice president, secretary, treasurer, speaker of the House of
Delegates, and editor) and the immediate past president. And be it further,
Resolved, that the Bylaws be amended at Chapter XII, line 1732, so that it
reads:
Passage of resolutions by e-mail, mail, or fax ballots requires a unanimous
vote of all twenty- eight seven (28) (27) members of the Board. And be it
further,
Resolved, that the HOD policy 2008:105R-H-7 be amended as follows:
Each of the 20 19 trustees be allotted $2,000 and adjusted annually thereafter
up to CPI as determined by the budgetary process effective July 21, 2008
(start of 2008/2009 governance year), of AGD funds for the following activities
relating to his or her duties as an AGD trustee: And be it further,
Resolved, that the Speaker of the House be authorized to editorially amend
the Bylaws relative to any non-substantive references to the number of
regions, trustees, etc., not previously identified herein.”
Resolution 111
“Resolved, that the AGD Strategic Plan be approved effective January 1,
2011, and be it further,
Resolved, that policy 2005:4R-H-7 be rescinded, effective December 31, 2010.
2005:4R-H-7 Resolved, that the Academy of General Dentistry’s ‘AGD2010
Strategic Plan’ become the goals and objectives for the AGD. “
Resolution 112
“Resolved that Policy 96:56-H-7 be amended so it reads:
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96:56-H-7 If an individual travels by automobile, an allowance based on the
prevailing IRS rate set by the Board (presently $.31 per mile) may be given
providing the total cost does not exceed the fare designated by the AGD's
official air carrier to travel to and from the meeting.”
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Resolution 150
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“Resolved, that the 2011 budget with Net Income of Operations of $0 and a
capital budget of $154,250 be approved”
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R101 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Administration, Image & Membership
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Resolution 101
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Edited: 5/17/2010 10:51 AM
ErinB_AGD
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Resolution 101 - Amend policy by striking the ‘For Prior Members’
clause
Review Resolution 101 Use 'Reply' button to comment or ask questions
about this resolution.
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R102 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Administration, Image & Membership
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Resolution 102
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Edited: 5/17/2010 10:51 AM
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{4005B543-2931-
ErinB_AGD
Resolution 102 - Amend the Bylaws to clarify definition of Affiliate
Membership
Review Resolution 102 Use 'Reply' button to comment or ask questions
about this resolution.
Posted: 6/4/2010 9:14 PM
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Hello Erin,
Opening these resolutions one by one is not only cumbersome but time
consuming as well. Can we open all resolutions at once?
Thanks,
S_Shamoon
Dr. Shamoon
Show Quoted Messages
Posted: 6/7/2010 8:19 AM
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Hi Dr. Shamoon,
ErinB_AGD
The full HOD manuals began to ship from HQ late last week so you
should be receiving your CD-Rom in the mail very soon. Also, it'll be
posted online this week. When you open the full HOD manual you'll be
able to view all the resolutions in one document like you are requesting.
We posted the resolutions to the LCC individually in an effort to keep
the questions pertaining to each resolution organized. Thanks for the
feedback. It'll be helpful for future uses of the LCC.
-Erin
Show Quoted Messages
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Posted: 6/22/2010 5:05 PM
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Hello, I'm the Delegate from Montana. I have the attached thoughts and
will present the attached amendment to Resolution 102. (I'm hoping that
my attempt at the attachment works, but just in case, I'll copy and paste
the information below also. I'm new to this.) I have put all of the
'amendments' in italics including the strikethrough of resolution text.
I'm very interested in dialogue on this issue. As the Montana AGD
President, I need to be able to use every capable volunteer. I don't see
these changes in the opportunities for service from Affiliate members
creating any comprimise of the laudable goal of maintaining
administration of the AGD by General Dentists.
Please scroll down for the amendment text.
Sincerely,
Tim
lawhorndds@fullcaredental.com
TIMOTHYL_846
Amendment to Resolution 102
Rationale:
1. An Affiliate member with sufficient standing, among members of
an AGD Constituent, to be elected into office or seated on a
Council or Committee will have shown considerable dedication
to the AGD and the Constituent.
2. It can be challenging to find capable persons willing to serve
volunteer organizations. Why eliminate Affiliate members from
consideration?
3. This amendment excludes Chairperson of Councils and
Committees and the offices of President, President Elect, and
Vice President from those seats and offices that can be held by
Affiliate members, thus assuring that AGD Constituents continue
to be administered by General Dentists.
4. This amendment restricts the voting rights of Affiliate members
to those necessary for fulfillment of the responsibilities of the
office held.
5. All other intentions of the Resolution are retained.
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4.
Affiliate members shall be entitled
to all of the rights and privileges of an
active general dentist member, except
the right to vote or hold office in the
AGD or its constituents. the following
benefits of membership: access to the
Members Only section of the AGD Web
site, Affiliate rate registration at the
AGD Annual Meeting & Exhibits,
continuing education courses paid at the
member rate and inclusion on the
AGD’s mailing list for publications.
Affiliate members may serve as advisors
on councils and committees at all levels of
the organization.
5. Affiliate members may serve as
advisors on councils and committees at all
levels of the organization, may serve as
non-Chair members of AGD Constituent
councils and committees, and may hold
office, other than the offices of President,
President Elect, and Vice President,
within AGD Constituents. Affiliate
members may vote to the extent required
to fulfill the responsibilities of the AGD
Constituent office, within the constraints
of the AGD Constituent Bylaws. Voting by
Affiliate members is restricted to voting
required in the conduct of the
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responsibilities of the AGD Constituent
office and does not include votes within
the General Assembly of members of AGD
Constituents. Affiliate members may not
vote or hold office in the AGD. or its
constituents. Affiliates may not earn
Fellowship, Mastership or Lifelong
Learning and Service Recognition
(LLSR), and the AGD will not maintain
CE tracking or AGD Licensing or
Award transcripts for these members.”
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R103 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Administration, Image & Membership
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Resolution 103
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Edited: 5/17/2010 10:52 AM
ErinB_AGD
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Resolution 103 - Amend the Bylaws to include language for
Advocacy, Investments and Emergency Funds
Review Resolution 103 Use 'Reply' button to comment or ask questions
about this resolution.
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R104 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Administration, Image & Membership
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Resolution 104
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Edited: 5/17/2010 10:52 AM
ErinB_AGD
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Resolution 104 - Rescind policy on PIO guidelines
Review Resolution 104 Use 'Reply' button to comment or ask questions
about this resolution.
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R105 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Administration, Image & Membership
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Resolution 105
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Edited: 5/17/2010 10:52 AM
ErinB_AGD
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Resolution 105 - Rescind policy on support for PIOs
Review Resolution 105 Use 'Reply' button to comment or ask questions
about this resolution.
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R106 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Administration, Image & Membership
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Resolution 106
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Edited: 5/17/2010 10:53 AM
ErinB_AGD
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Resolution 106 - Rescind policy on trustee allotment
Review Resolution 106 Use 'Reply' button to comment or ask questions
about this resolution.
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R107 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Administration, Image & Membership
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Resolution 107
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Edited: 5/17/2010 10:53 AM
ErinB_AGD
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Resolution 107 - Amend policy on dues waiver guidelines and
rescind old policy
Review Resolution 107 Use 'Reply' button to comment or ask questions
about this resolution.
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R108 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Administration, Image & Membership
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Resolution 108
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Edited: 5/17/2010 10:53 AM
ErinB_AGD
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Resolution 108 - Rescind part time practitioner language in Bylaws
and amend policy on dues waiver application
Review Resolution 108 Use 'Reply' button to comment or ask questions
about this resolution.
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R109 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Administration, Image & Membership
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Resolution 109
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Edited: 5/17/2010 10:54 AM
ErinB_AGD
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Resolution 109 - Amend policy on membership status change and
dues waiver process and amend Bylaws
Review Resolution 109 Use 'Reply' button to comment or ask questions
about this resolution.
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R110 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Administration, Image & Membership
4
Resolution 110
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Edited: 5/17/2010 10:54 AM
ErinB_AGD
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Resolution 110 - Amend the Bylaws to merge Regions 15 and 16
Review Resolution 110 Use 'Reply' button to comment or ask questions
about this resolution.
Edited: June 29, 2010 12:31 PM
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Resolution 110 - Amend the Bylaws to merge Regions 15 and 16
Darryl Tkachyk
My 1st comment is in regards to resolution 110. I am opposed to this
and feel that once region 16(western canada) is taken over by
eastern Canada(region 15) the west will never achieve its
independency from the east. I further oppose that region 15 will
have the power to oversee all the funds for western Canada. This will
prevent them from needed resources to grow the
area. Geographically it will further alienate the west from growing its
own leaders due to the location of region 15 being in Ontario. This
would be like people from Seattle or Salt Lake city having to travel to
Detroit for a board meeting.
I see the problem being lack of leadership in the west. If more
efforts are taken to have PACE approved courses in the west
the membership will see a direct benefit of becoming a leader. I don't
really understand any benefits this resolution will have because the
eliminated Trustee savings will be offset by an increased proposed
cost to the single trustee who will need to oversee all of Canada(the
second largest country in the world). I feel this is an underhanded
way to give controll of all of the AGD in Canada to region15 (Eastern
Canada). Respectfully,
Darryl Tkachyk DDS, Region 13 Delegate
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R111 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Administration, Image & Membership
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Resolution 111
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Posted: 5/22/2010 2:27 PM
Coach
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The link to review this resolution does not exist. Would you please fix it
so that it may be reviewed. Thank you.
John Kokai, DDS, MAGD
RD, Region 3
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Edited: 5/24/2010 1:55 PM
ErinB_AGD
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Resolution 111 - Approve AGD Strategic Plan
Review Resolution 111 Use 'Reply' button to comment or ask questions
about this resolution.
Posted: 5/24/2010 1:56 PM
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Thanks Dr. Kokai. Resolution 111 is now available to be reviewed.
ErinB_AGD
Show Quoted Messages
Posted: 6/18/2010 11:04 AM
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What is in the Strategic Plan 2011 is fine. I am concerned about what has
been left out!
S_Dubowsky
Show Quoted Messages
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R112 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Administration, Image & Membership
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Resolution 112
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Started: 6/7/2010 9:27 AM
ErinB_AGD
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Resolution 112 - Amend policy on Delegate mileage reimbursement
Review Resolution 112. Use 'Reply' buttom to comment or ask
questions about this resolution.
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Resolution 301 Clarification
Resolution 301 Clarification
In an effort to bring clarity and efficiency to the 2010 HOD, the Speaker has
reviewed Resolution 301. The substitutive matter of Resolution 301 is the change
in 1.a and 1.d from one week to three weeks. The remainder of the resolution is
merely housekeeping changes and clean-up of old policy that the HOD has
rescinded or placed in another policy document. Therefore, Resolution 301 will be
separated into two resolutions: one containing the house cleaning and one
containing the clauses dealing with the substitutive part of the resolution, which is
the actually policy change for the delegate to consider. Resolution 301a will be the
housekeeping resolution with 1.a. and 1.d. removed. Resolution 301b will be the
resolution with the policy change 1.a. and 1.d. After 301a and 301b are considered,
the two resolutions will be merged to form one policy statement as before. The
final product will be Resolution 301.
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Resolution 301a
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Resolved, that the “Rules of Procedure for Conducting The Reference Committee
Hearings and Business of the Academy of General Dentistry’s House of
Delegates” be amended as follows:
1. The House of Delegates (HOD) will consider business introduced only in
one of the following ways:
a.
b. An appropriate resolution emanating from a meeting of the Board of
Trustees (Board);
c. Resolutions emanating from any report of an officer, council or
committee;
d.
e. A resolution submitted in writing and introduced on the floor of a session
of the House of Delegates HOD with the unanimous consent of the
House HOD. Such a resolution requires approval by two-thirds of the
delegates present and voting. Reference Committee recommendations
are not, however, deemed new business.
2. In keeping with the Constitution and Bylaws of the AGDcademy, no
amendment may be made to either the Constitution or the Bylaws unless it
has been published to the members at least thirty (30) days in advance of
the Aannual Meeting session of the HOD on the AGD Web site and links to
the proposed changes will be headlined thereon. If such is the case, the
Constitution may be amended by an affirmative vote of at least two-thirds
of the certified delegate members present and voting at the Aannual
Meeting session of the HOD, and the Bylaws may be amended by an
affirmative vote of two-thirds (2/3) of the delegates present and voting.
3. The Speaker of the House, in consultation with the Executive Director,
shall make a recommendation to the Board at the regular meeting held
before the Aannual Meeting session of the HOD of how the annual reports
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and resolutions are to be divided among three Reference Committees. All
delegates will be strongly encouraged to review all resolutions.
4. The President shall designate five delegates and two non-voting
consultants who need not be delegates to serve on each Reference
Committee. Members serving on current councils and committees of the
organization may not serve on the Reference Committee if that Reference
Committee is going to review a report from a council or committee on
which the member is currently serving. The two non-voting consultants
may, of course, have served on councils or committees whose reports are
being reviewed by that Reference Committee.
5. Reference Committee hearings are open to all members of the
AGDcademy. At the appropriate time each member may express his/her
opinion on a given subject being heard by that Reference Committee.
a. The Chairperson of the Reference Committee shall preside at the
Reference Committee hearing. He/she shall be seated with his/her four
committee members, a maximum of two consultants, and designated staff
from the AGDcademy 's central headquarters office at a table in the front
of the hearing room.
b. The Chairperson of the Reference Committee may limit the length of
time each member is allowed to speak, but may not prevent any member
from speaking at least once on a given subject. Once debate has been
limited by the Chairperson, it shall apply to all future speakers in that
particular Reference Committee on that topic.
c. No resolutions may be introduced in the Reference Committee hearing.
d. The purpose of the Reference Committee hearing is only to receive
information and opinions. No votes may be taken in the hearing on any
resolution.
e. All Reference Committees must remain in session for a minimum of 90
minutes or until all attendees have left the room so that delegates may
present their views before all of the Reference Committees.
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6. Immediately after the hearing, the five members of the Reference
Committee and the Committee's consultants shall deliberate in executive
session and make a recommendation to the AGDcademy on each item of
business assigned to it. No item of business may be omitted. The
Reference Committee may recommend that a resolution be adopted,
rejected, amended, referred to committee, or postponed definitely. An
amendment may take the form of a substitute resolution. However, the
substitute resolution must be completely germane to the original
resolution. After the executive session, the report of the Reference
Committee shall be prepared by the Chairperson with the assistance of
staff from the AGDcademy 's central headquarters office.
7. At the appropriate time, the presiding officer shall request that each
Reference Committee Chairperson deliver his/her report to the House of
Delegates HOD. The Chairperson shall move for appropriate action on
each recommendation or substitute resolution from the Reference
Committee and identify a member of the Reference Committee as the
seconder of the motion. At this time, an amendment to the resolution may
be offered from the floor. The amendment must receive a second before it
can be discussed. A vote on the main motion or resolution will occur after
the membership has reached a decision on each amendment which has
been duly proposed. No motions to postpone indefinitely will be
permitted.
a. Only those sections of the Constitution and Bylaws which have been
published to the membership at least thirty (30) days prior to the Aannual
Meeting session of the HOD are subject to amendment. It will be the
presiding officer's duty to determine whether a proposed amendment to
such a resolution is completely germane to the question. If the proposed
amendment is not
germane to the particular section of the Constitution and Bylaws under
scrutiny, it will be his/her duty to rule the amendment out of order and
request that it be appropriately introduced at next year's Aannual Meeting
session of the HOD.
b. The President shall appoint a parliamentarian to assist and advise the
Speaker of the House in running an orderly meeting in keeping with these
Rules of Procedure. All questions not covered by the AGDcademy 's
Constitution and Bylaws or these Rules of Procedure shall be governed
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by Sturgis Standard Code of Parliamentary Procedure. A copy of this
code shall be maintained by the parliamentarian for reference.
8. Only duly certified delegates or alternate delegates who have been
elevated to delegate status may vote or move resolutions on the floor of
the House of Delegates HOD. However, any of the following individuals
may address the House of Delegates HOD after they are recognized by the
presiding officer:
a. All delegates;
b. All AGDcademy officers who are members of the Executive Committee;
c. All Council or Committee chairpersons;
d. All AGDcademy Past Presidents;
e. The Executive Staff of the AGDcademy;
f. All members of the Board who have not otherwise been elected
delegates (such Board members may be seated with their Constituent
AGDcademy delegations on the floor of the House of Delegates HOD).
g. The President of the American Board of General Dentistry or a duly
appointed member of the American Board may have access to the floor,
but may address the House only if an issue concerns the American
Board.
h. All Regional Directors who have not otherwise been elected delegates
(such Regional Directors may be seated with their constituent academy
delegation on the floor of the House of Delegates HOD
The President of the AGD Foundation may have access to the floor, but
may address the House HOD only if an issue concerns the Foundation.
j.Any AGD member may have access to the floor of the House of
Delegates HOD in order to give a nominating speech for a candidate in a
contested election.
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9. The procedure with regard to handling of nominations at the Opening First
Session of the House of Delegates HOD for both AGDcademy offices and
for positions on the American Board of General Dentistry shall be:
a. The AGDcademy 's Secretary shall announce any petitions received at
least 60 days prior to the Opening First Session of the House of
Delegates HOD on behalf of candidates running for AGDcademy of
General Dentistry office at the Aannual Meeting session of the HOD. No
petition will be honored that is received more than one year in advance of
the Aannual Meeting session of the HOD in which the election takes
place.
b. The Immediate Past President shall advise the House of Delegates of the
selections made by the full Board for any vacancies on the American
Board of General Dentistry. The Secretary shall announce any petitions
received at least 60 days in advance of the Opening Session of the House
of Delegates on behalf of any candidates running for the American Board
of General Dentistry.
c. Credentials of all candidates nominated to Academy of General Dentistry
office or to the American Board of General Dentistry shall be published
to the members of the House of Delegates at least three weeks prior to the
start of the Annual Meeting.
d. A nominating speech of no longer than two (2) minutes will be made on
behalf of each candidate. There shall be no seconding speeches. Instead,
each candidate for AGD office shall be allowed
to address the House of Delegates for no longer than five (5) minutes.
e. Candidates who are unopposed will be declared elected by the presiding
officer at the Opening Session. Contested elections shall be conducted at
the conclusion of the regional caucuses. To be declared elected, a
candidate must have received a majority of the votes cast. In the absence
of a majority, a second ballot shall be held between the two (2)
candidates receiving the highest number of votes on the first ballot. A
petitioned candidate for the American Board of General Dentistry will be
running against all three of the candidates proposed by the Academy's
Board. Each member of the House of Delegates will be given as many
votes as there are positions to be filled on the American Board of General
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Dentistry, but delegates may not vote for any one candidate more than
once. Run-off elections among those candidates who have not yet
received a majority of the votes cast shall be between the two candidates
who got the highest number of votes on the first ballot. If there is a tie
involving more than two of the top candidates, then the House will
continue to vote until the tie is broken.
10. The Credentials and Elections Chairperson shall work with staff to post
the results of the election in the meeting registration or other appropriate
area. The results will specify only one winner and not the vote totals.
Each candidate is permitted to name an observer on his or her behalf to
view the official counting of ballots undertaken by the Committee on
Credentials and Elections. Anyone observing the counting of the ballots
must hold these results in confidence until such time as the results have
been posted.
11. Council and Committee Chairpersons shall sit in the front row of the
House of Delegates HOD with the appropriate staff when resolutions
from their agencies of the AGDcademy are being considered. If a
Council or Committee Chairperson is not in attendance at the Aannual
Meeting session of the HOD, the President may designate another
member of the Council or Committee as a substitute. The Speaker of the
House shall recognize such individuals in proper sequence when it is
obvious that they need to provide input to the House HOD on any
proposed change affecting their areas of jurisdiction.
12. Constituent Executives, officially listed in the Constituent Officers List,
may sit with their delegations on the floor of the House HOD, but no
constituent may seat more than one officially-listed executive.
AIRW10#01 - Changes to the Rules of Procedure for the HOD
Prepared by: W. Mark Donald, DMD, MAGD and Linda Edgar, DDS, MAGD
Date of Report: October 20, 2009
Financial Cost: None
Staff Resources: None
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Action/Timeline: Recorded vote at 2010 House of Delegates.
BOARD RECOMMENDS ADOPTION
Y – Boryc, Brown, Cole, Comisi, Cooley, Cordero, Elias, Garrett, Ghareeb,
Hartup, Harvan, Heyamoto, Jones, Kanter, Knowlton, Mancuso, Meredith,
Sherwin, Sherwood, Smith, Thompson, Winland
a - Donald, Edgar
A –Gamble, Harunani
N/A – Halpern
Introduction:
The entire Rules of Procedure document was reviewed and several updates were
identified.
Necessary Information:
It is recommended by both Dr. Mark Donald and Dr. Linda Edgar that the Rules of
Procedure for the AGD be changed so that the following items are updated:
3: To encourage delegates to thoroughly review all resolutions.
8. g and 9. and 9. b: Housekeeping item: Remove due to the fact that the HOD
voted that the ABGD would be separated from the governance of the AGD. (HOD
Policy 2007:310-H-6).
9.c and d. and e.: Housekeeping item: Remove due to the fact that updated
language was approved in the Election Guidelines. (HOD Policy 2009:304-H-7).
Various instances of editorial updates to adhere to AGD’s Style Guide include:
Updating ‘Academy’ to ‘AGD’
Updating ‘Annual Meeting’ to ‘annual session of the HOD’
Updating ‘central’ office to ‘headquarters’ office.
Updating ‘executive director’ to ‘Executive Director’
Updating ‘House’ to ‘HOD’
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Updating ‘Opening Session’ to ‘First Session’
What We Don’t Know:
If delegates will thoroughly review the resolutions.
If the AGD and ABGD will embark upon another relationship in the future.
What We Know:
Spring Board Meeting Dates: May 12-14, 2011 St. Louis, MO, Tentative Board
Dates: April 19-21, 2012 location TBD and April 4-6, 2013 location TBD.
Staff can not change the dates of the HOD for 2012 and 2013 because of existing
contracts.
How it fits into AGD2010:
5. AGD will operate more efficiently and cost effectively with engaged,
capable volunteers at every level.
How it Fits into the Market Research:
There is no market research to support this resolution.
Does this conflict with the Constitution and Bylaws, an AGD HOD Policy or
Board Policy?
As stated above, the Rules of Procedure will be amended.
Responsible Staff Liaison & AGD member:
Linda Edgar, DDS, MEd. MAGD, AGD Secretary
206-940-6112 (cell)
253-838-9410 (Fax)
drledgar@earthlink.net
W. Mark Donald, DMD, MAGD, AGD Speaker of the House
662-773-8304 (office)
662-779-0667 (fax)
Mdonald@Telepak.net
Dan Buksa, JD, CAE
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312-440-4328 (office)
312-440-0559 (fax)
Daniel.Buksa@agd.org
Erin Berggren, CAE
312-440-4313 (office)
312-335-3438 (fax)
Erin.Berggren@agd.org
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Resolved, that the “Rules of Procedure for Conducting The Reference Committee
Hearings and Business of the Academy of General Dentistry’s House of
Delegates” be amended as follows:
1. The House of Delegates (HOD) will consider business introduced only in
one of the following ways:
a. A resolution submitted on a petition signed by 25 or more active
members at least one three weeks prior to the Aannual Meeting session
of the HOD and directed to the eExecutive dDirector;
d. A resolution introduced by any Constituent AGDcademy or any certified
delegate providing that the resolution has been received by the
AGDcademy 's Executive Director at least one three weeks prior to the
Opening First Session of the House of Delegates HOD at the Aannual
Meeting session of the HOD;
AIRW10#01 - Changes to the Rules of Procedure for the HOD
Prepared by: W. Mark Donald, DMD, MAGD and Linda Edgar, DDS, MAGD
Date of Report: October 20, 2009
Financial Cost: None
Staff Resources: None
Action/Timeline: Recorded vote at 2010 House of Delegates.
BOARD RECOMMENDS ADOPTION
Y – Boryc, Brown, Cole, Comisi, Cooley, Cordero, Elias, Garrett, Ghareeb,
Hartup, Harvan, Heyamoto, Jones, Kanter, Knowlton, Mancuso, Meredith,
Sherwin, Sherwood, Smith, Thompson, Winland
a - Donald, Edgar
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A –Gamble, Harunani
N/A – Halpern
Introduction:
At the 2009 House of Delegates there were many resolutions submitted to
delegates the week prior to the meeting. When Dr. Donald and Dr. Edgar visited
the caucuses at the 2009 HOD they received complaints regarding the problem of
last minute resolutions. While the receipt of these resolutions complied with the
current rules of procedure it was apparent that the delegates were frustrated with
the lack of preparation time to make the proper decisions for the AGD.
Necessary Information:
It is recommended by both Dr. Mark Donald and Dr. Linda Edgar that the Rules of
Procedure for the AGD be changed so that the following items are updated:
1. a. and d: To require new materials that are to be considered by the HOD be
received no later than three (3) weeks prior to the first day of the HOD. This
change should allow the materials to be sent to the delegates at least 10 days before
the beginning of the HOD.
What We Don’t Know:
If the caucuses will be able to meet and discuss the resolutions with the new
deadline.
If delegates will thoroughly review the resolutions.
If the AGD and ABGD will embark upon another relationship in the future.
What We Know:
Spring Board Meeting Dates: May 12-14, 2011 St. Louis, MO, Tentative Board
Dates: April 19-21, 2012 location TBD and April 4-6, 2013 location TBD.
The 2011 HOD meeting (the first meeting for this to take effect if passed) will
accommodate the three (3) week deadline to the start of the HOD requirement
because the HOD meeting is at the end of July.
Staff can not change the dates of the HOD for 2012 and 2013 because of existing
contracts.
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The Governance Staff will need to plan the meeting dates accordingly in the future
to allow this to happen.
This change should decrease the frustrations that many delegates had at the 2009
meeting when they received many new resolutions at the HOD and did not have
time to properly prepare in order to make the best decisions for the members.
How it fits into AGD2010:
5. AGD will operate more efficiently and cost effectively with engaged,
capable volunteers at every level.
How it Fits into the Market Research:
There is no market research to support this resolution.
Does this conflict with the Constitution and Bylaws, an AGD HOD Policy or
Board Policy?
As stated above, the Rules of Procedure will be amended.
Responsible Staff Liaison & AGD member:
Linda Edgar, DDS, MEd. MAGD, AGD Secretary
206-940-6112 (cell)
253-838-9410 (Fax)
drledgar@earthlink.net
W. Mark Donald, DMD, MAGD, AGD Speaker of the House
662-773-8304 (office)
662-779-0667 (fax)
Mdonald@Telepak.net
Dan Buksa, JD, CAE
312-440-4328 (office)
312-440-0559 (fax)
Daniel.Buksa@agd.org
Erin Berggren, CAE
312-440-4313 (office)
312-335-3438 (fax)
Erin.Berggren@agd.org
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Resolution 307 Updated
“The AGD Speaker of the House has determined that a vote at both the AGD
Board and AGD HOD will be solely on re-affirming the policies; that is,
amendments will be ruled out of order. The action to be taken is to vote yes or no
on re-affirming these current policies.”
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“Resolved, that the AGD re-affirms its existing workforce policies:
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*After reviewing the minutes of the Spring 2010 Board meeting, it was noted
Advanced Dental Hygiene Practitioner Position Statement
2008:322-H-7 “Resolved, that the AGD adopt the Position Statement on the
Advanced Dental Hygiene Practitioner (ADHP) Concept.”
Courses in expanded duties for
75:35-H-10 “Resolved, that the AGD recommend the development of courses
in expanded duties for dental auxiliaries to provide needed training to comply
with the individual state laws, and be it further
Resolved, that this recommendation be forwarded to the ADA House of
Delegates.”
that the Board directed that 75:35-H-10 be deleted from the workforce
resolution. When considering the workforce resolution, Resolution 307, please
disregard 75:35-H-10.
W. Mark Donald, DMD, MAGD, Speaker
Dental team concept
86:30-H-7 “Resolved, that the Academy of General Dentistry supports the
dental team concept as the best approach to providing the public with quality
comprehensive dental care, and firmly supports direct supervision of the
practice of dental hygiene, and be it further
Resolved, that this policy be conveyed to the American Dental Association, the
American Dental Hygienists Association, and state and provincial boards of
dental examiners, and be it further
Resolved, that Policy 85:25-H-7 be rescinded."
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Duties which will not perform to be defined
73:23-H-10 “Resolved, that those states permitting expanded duties by dental
auxiliaries define those duties which dental auxiliaries will not be permitted to
perform in compliance with individual state dental practice acts."
Perform under direct supervision of general dentist
73:24-H-10 “Resolved, that all duties performed by any dental auxiliary must
be done under the direction and control of the dentist and that he
or she be directly responsible for the actions of his or her auxiliaries
performing those duties."
Recruitment strategies
91:48-H-7 “Resolved, that the Academy of General Dentistry believes that its
individual members can make a significant contribution to resolving the
dental auxiliary shortage by attempting to recruit potential dental team
personnel, and be it further
Resolved, that the AGD play a key role in solving the dental auxiliary
shortage by:
1. Encouraging AGD members to recruit dental auxiliaries each year, using
materials provided by the ADA.
2. Educating AGD members to properly manage dental auxiliaries through:
a. a request that the AGD editor publish an appropriate article in
Impact.
b. a request that the Council on Annual Meetings and International
Conferences establish a course on this subject
c. Suggesting to the AGD Foundation to offer an appropriate practice
management course showing dentists how to properly manage and therefore
retain dental auxiliaries.
d. Asking AGD constituents to publish appropriate articles on this
subject, tailored to local needs."
AIRS10#37 - Re-affirm AGD’s Workforce Policies
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Prepared by: Daniel J. Buksa, JD, CAE, Associate Executive Director, Public
Affairs
Date of Report: May 3, 2010
Staff Resources: $50; ½ hour to write this report.
Total Financial Cost: $50; staff time.
Budget Ramifications: $0
Action/Timeline: Recorded vote at 2010 House of Delegates.
BOARD RECOMMENDS ADOPTION
Y – Boryc, Brown, Cole, Comisi, Cooley, Cordero, Donald, Edgar, Elias, Gamble,
Garrett, Hartup, Harunani, Harvan, Heyamoto, Jones, Kanter, Knowlton,
Mancuso, Meredith, Sherwin, Sherwood, Smith
a – Winland
A - Ghareeb, Thompson
N/A – Halpern
Introduction:
The status of the traditional dental workforce model is under unprecedented
challenge, especially by non-professional providers and governmental entitites. At
the 2009 American Dental Association House of Delegates, four ADA resolutions
along with ADA Board Report 8 proposed to significantly alter ADA policy on the
workforce. Those resolutions and report were referred to the ADA Council on
Dental Practice. It appears that the ADA Council on Dental Practice will now
endorse those changes. AGD, by policy cannot endorse these changes and is
obligated to oppose them, through the actions of its Professional Relations Council,
at the ADA HOD.
Since the AGD’s policies are old, the AGD LGA and Dental Practice Councils
were asked to review the policies and determine whether any updating was needed.
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The councils concluded that the policies remain valid. The AGD Board concurred
with this assessment.
The AGD Speaker of the House has determined that a vote at both the AGD Board
and AGD HOD will be solely on re-affirming the policies; that is, amendments
will be ruled out of order.
Necessary Information:
 The AGD Board voted unanimously to re-affirm these policies.
 Drs. Mike Bromberg, Chair of LGA, Joe Battaglia, Chair of Dental Practice,
Vinny Mayher, Chair of Professional Relations, Sue Bishop, Division
Coordinator, Mark Donald, Speaker of the House, Howard Gamble, Vice
President, and Dave Halpern, President, have reviewed and approved this
report.
 The ADHP Position Paper is specifically worded as follows:
Introduction
In 2001, Oral Health in America: A Report of the Surgeon General unveiled
a maldistribution in access to dental care across socioeconomic geographies.
The Academy of General Dentistry (AGD) is dedicated not only to
correcting the maldistribution in access to dental care, but furthermore, to
providing non-discriminatory access to quality dental care.
In 2003, the AGD was the first dental professional organization to enter into
a Memorandum of Understanding (MOU) with the U.S. Department of
Health and Human Services (HHS) in an effort aimed at eliminating oral
health disparities, increasing the public’s understanding of oral health issues,
and expanding access to and utilization of dental care services. Other
federal health agencies signing the MOU included the Centers for Disease
Control and Prevention (CDC), the Office of Public Health and Science, the
Health Resources and Services Administration (HRSA), the Indian Health
Service (IHS), and the National Institutes of Health’s (NIH) National
Institute for Dental and Craniofacial Research (NIDCR).
In its endeavor to eliminate oral health disparities, the AGD has engaged in
federal lobbying and state advocacy efforts to support Medicaid and SCHIP
programs, and funding thereof. Additionally, the AGD has supported the
funding of Title VII dental residency programs. Further, the AGD has
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promoted patient education, and worked to eliminate impediments to
competitive payment by third party payers, include Medicaid contractors, to
dentists serving socio-economically disadvantaged populations. Moreover,
the AGD encourages its approximately 35,000 members and all general
dentists to volunteer their services to needy persons through programs such
as Donated Dental Services and Give Kids a Smile. Further, AGD
volunteers participate through the Special Olympics provider directory to
provide services to persons with intellectual disabilities.
The thread that ties all of the AGD’s endeavors on access to care, and
constructs the very fabric of the AGD’s belief, is that underserved and needy
populations deserve the same quality of dental care as all Americans.
Simply stated, reserving a lower quality of care for those facing depressed or
oppressed socioeconomic conditions creates a separate and unequal standard
to which the underserved are undeserved.
Advanced Dental Hygiene Practitioner (ADHP)
What is an ADHP?
The ADHP, a concept developed by the American Dental Hygienists’
Association (ADHA), is one of numerous concepts for midlevel dental
workforce models which have been introduced as solutions to the challenge
of offsetting the maldistribution in access to care. According to the ADHA’s
Draft Competencies for the Advanced Dental Hygiene Practitioner (“Draft
Competencies”), released in June 2007:
The ADHP is proposed as a cost-effective response to the oral health crisis.
The ADHP will work in partnership with dentists to advance the oral health
of patients. This new practitioner will provide diagnostic, preventative,
therapeutic and restorative services to the underserved public in a variety of
settings and will refer those in need to dentists and other healthcare
providers. P.6.
How does the ADHP differ from other allied dental models?
While the ADHP may work in partnership with dentists, the ADHP concept
is designed for independent practice. Unlike alternative allied dental
models, such as Alaska’s dental health aide therapists (DHAT) and the
American Dental Association’s (ADA) proposed community dental health
coordinator (CDHC), an ADHP may work without direct, indirect, or
general supervision by a dentist, and without any standing orders or dentist
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review. That is, the ADHP may fall completely outside the scope of the
dental team concept.
However, what appear to be simple fillings or simple extractions may
become complicated. For example, a simple filling may open into the nerve
of a tooth, presenting an opportunity for the development of an abscess,
which, if improperly treated, may become life-threatening. Without the
immediate availability and resources of a dental team, the ADHP may be
unable to avail himself or herself of the expertise and services of a dentist
within the appropriate timeframe to provide the patient with the necessary
care.
According to AGD policy, “the AGD supports the dental team concept as
the best approach to providing the public with quality comprehensive dental
care.” Dentistry, unlike medicine, has its focus on preventative care. The
dental team concept provides the patient with a dental home for continuity of
comprehensive care with a focus on prevention and treatment to mitigate the
need for critical care.
On the other hand, ADHP’s will likely find it less economically feasible to
maintain an independent practice without a dentist in the more underserved
areas. These underserved areas may include remote rural areas or areas with
high indigent populations who are most in need of dental care but least able
to pay for it. The dental team concept, with the dentist in direct or indirect
supervision of the practice, provides the hygienist with the economic
protection and freedom to expand his or her practice to serve the needs of
low-income populations through expanded services such as the provision of
hygiene education and case management services (especially in the public
health setting). Further, the team concept provides the accessibility to the
knowledge and resources needed to address complications and compromised
systemic health conditions that often plague the indigent and presently
underserved.
Additionally, the ADHA’s Draft ADHP Competencies note that independent
ADHPs would establish collaborative relationships with dentists and their
dental teams, including traditional hygienists, and further, would refer their
patient to the dentists as they deem appropriate. However, given the finding
that there may be a maldistribution of dentists in underserved areas, access
to opportunities for aforementioned collaboration and referral may meet the
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same challenge as the patients’ access to quality care itself. That is, without
dentist supervision through a dental team concept, the independent midlevel
provider may only serve the patient as an intermediary of time and money
lost, not of care gained.
How does an ADHP differ from a dentist?
Without any dentist supervision or oversight, the ADHP purports to offer
comprehensive oral health care in an independent setting except where the
ADHP deems that referral to a dentist is needed. As noted above, the
comprehensive oral health care purports to include diagnostic, surgical, and
irreversible restorative services. In fact, the ADHA’s Draft Competencies
cite an excerpt of the ADEA report, Unleashing the Potential, which reads,
“the dental hygienist can substitute for the dentist where there is none.” P. 7.
Given that the unsupervised practice of an ADHP would mirror that of a
dentist in the services provided, inclusive of diagnoses and irreversible
procedures that are presently reserved for dentists, one must examine
whether the education and training of the ADHP meets the minimal
competencies required of the dentist in the performance of the same
procedures.
The ADHA proposes an ADHP master’s degree curriculum to provide the
hygienist with the competency required to provide diagnostic, therapeutic,
preventative, and restorative services. However, notwithstanding that there
is currently no Commission on Dental Accreditation (CODA) approved
ADHP master’s degree program, dental school curricula designed to
graduate DDS recipients are structured only to meet the minimum standards
for competency in dentistry as set by ADEA for CODA accreditation.
Competency achieved through graduate dental education toward a DDS or
DMD degree sets the floor, and not the ceiling, for the practice of clinical
dentistry. If these are the minimum standards, anything less could not
render a practitioner competent to perform dentistry.
Therefore, an ADHP master’s degree curriculum, regardless of CODA
accreditation, cannot meet the minimum standards of competence to provide
dentistry, especially diagnostic and irreversible dentistry, unless the ADHP
master’s degree curriculum were to adopt the prerequisites of dental school
entry and meet or exceed the competencies achieved through dental school.
That is, the ADHP master’s degree candidate would essentially have to earn
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a dentist’s degree to qualify as a practitioner of the aforementioned dental
procedures.
Since the educational framework proposed by the ADHA is intended to fall
short of comprehensive dental school curricula, the quality of care provided
by an ADHP would fall short of the minimal competency required of a
dentist. One could argue that the benefit of competent care in dentistry is
already a commodity only available to those who can afford it, and that
those who cannot afford it presently get nothing. However, it is the AGD’s
position that those who cannot afford dental care nonetheless deserve the
same quality and competence of care as all.
Further, provision of a lesser quality of care to poorer populations conveys
the illusion of care to the patient who might believe that the intermediate
patchwork of a midlevel provider is sufficient while in fact clinical care by a
dentist is required. Notwithstanding the inherent injustice in providing
lesser quality (and potentially unsafe) care to more needy patients, one must
also consider that disadvantaged populations have often neglected their
dental health for years, thereby causing complications not as readily
prevalent in the more advantaged communities. Further, lower quality
patchwork dentistry, without the benefit of dentist supervision or a dental
team home, may conceal underlying medical concerns and undermine
dentistry and healthcare’s growing effort to address dentistry as a doorway
for prevention of numerous systemic ailments.
How does the ADHP differ from advanced nurse practitioners?
The ADHA draws upon the advanced nurse practitioner model as setting
precedent for the ADHP model. However, the ADHP and advanced nurse
practitioner differ fundamentally in the models in which they practice, or
intend to practice.
The dental concept and medical concept are vastly different. In the medical
concept, the patient’s first contact is just the “point of entry.” Rich with
diagnostic codes, the medical model focuses on a first diagnosis at the
patient’s “point of entry,” and often a second or third diagnosis based upon
the direction of referral. Therefore, in the medical model, the first diagnosis,
regardless of by whom, merely opens the gateway to further evaluation, and
need not disturb subsequent diagnosis or continuity of care
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On the other hand, dentistry has served its patients quite well through a
“dental team concept,” rather than a “point of entry” concept. The dental
team concept serves the function of dentistry and patients’ access to care
with its focus not merely on diagnosis of dental diseases, but rather, on
prevention and continuity of care through treatment. That is, in dentistry,
the “point of entry” is the point of prevention and treatment, and not just a
segue, thereby saving time and cost.
Further, treatment by a dental team varies within acceptable standards of
care based upon the assessments, competencies and preferred methodologies
of the core dentist. Therefore, fragmentation of diagnosis or preliminary
treatment shall not only fragment the dental team concept and dentistry’s
holistic view of treatment, but also access to consistent quality care. That is,
care shall be rendered discontinuous.
Therefore, while one can appreciate the medical model’s efforts at a solution
to access to care with the adaptation of the nurse practitioner, a similar
model would likely have the opposite effect in dentistry; that is, it would
disrupt continuity of care and access to quality of care for patient
populations.
Access to Quality Care, In Summary
Defining the challenge in providing access to quality care is the first step to
addressing the challenge. Access to quality care has two components:
access and quality. Quality is necessary to ensure patient safety.
Accessibility without quality echoes the “something is better than nothing”
approach to care. However, this approach serves only injustice, and not the
public need. A court of law does not provide an indigent defendant with a
paralegal if he or she cannot afford an attorney. Likewise, accessibility in
dentistry is meaningless without equivalent quality care.
Creation of the ADHP concept offers a divergence from the goal of access to
quality care. The additional education required under the ADHP model
provides students who might otherwise pursue a DDS or DMD with an
avenue to spend time and money to earn a title that signifies the ability to
provide a quality of care that falls short of the minimum competence
required to practice dentistry, especially as related to diagnosis and
irreversible procedures. Further, without the minimal education of a dentist,
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the ADHP may compromise the safety of the patient, and raise questions of
assignment of liability.
Additionally, an ADA study1 revealed that, when provided the opportunity
to practice independently to serve the needy, the overhead of maintaining a
practice drives independent midlevel practitioners away from underserved
areas. Presuming that the pilot study serves as a microcosm, the ADHP
concept would fail to provide any indigent care, even that which falls short
of the minimal standards of quality and safety. On the other hand, if the
ADA study does not serve as a just microcosm, the practice of dentistry by
one who has not attained the minimal qualifications of a dentist would
nonetheless fall short of said minimal standards.
Given that dentistry, unlike medicine, has a focus on prevention and
treatment, and is therefore best served by a point-of-service approach, the
AGD supports the dental team concept as the best methodology to providing
quality comprehensive care to all patients. The AGD also recognizes socioeconomic divisions in the maldistribution in access to care. However, the
AGD understands that underserved populations are at the greatest risk for
oral and systemic disease, at the greatest need for high-quality
comprehensive dental care and continuity of care, and therefore, least served
by intermediate patchwork that may mask the recognition of a need for
comprehensive care.
As stated above, the AGD is a leading proponent of making the dental team
concept, with dentist supervision, accessible as a cornerstone of quality
comprehensive care for underserved populations. The AGD has worked
vigorously with state and federal agencies, dental schools, and other avenues
to promote public funding, volunteerism, and loan forgiveness for dental
students working in underserved areas, among numerous other efforts.
However, the ADHP concept offers a diversion of focus, direction, and
resources from these efforts, and an opportunity for separate and unequal
care, if any, for populations that deserve the same quality as all Americans.
What We Don’t Know:
1
Brown, L.J., House, D.R., & Nash, K.D. The Economic Aspects of Private Unsupervised Hygiene Practice and Its
Impact on Access to Care. Dental Health Policy Analysis Series. American Dental Association, 2005.
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 We don’t know how these policies, employed by AGD’s Professional
Relations Committee, will be received by the ADA HOD, nor what effect
they will have in ensuring that a favorable and consistent position with
AGD’s policies are adopted by the ADA.
Pros and Cons:
Pros:
 By reaffirming AGD’s existing workforce policies, AGD is stepping up to
represent the interests of the profession and be the voice of general dentistry.
Cons:
 AGD’s opposition will effectively place it within the orbit of the “Austin
Group” and part of the on-going civil war within the ADA.
How it Fits into the Strategic Plan:
Goal # 1: AGD will be the recognized voice of general dentistry.
Objective 1.4: Increase effective collaboration between AGD and other dental
organizations, health professions, and the public on issues of
concern to the general dentist.
How it Fits into the Market Research:
1. AGD must differentiate itself from the ADA in a positive and dynamic
way.
2. The following three goals/mission/brands were identified as drivers to
join an organization:
 Voice of the general dentist.
 An advocate for general dentists.
Members
1. Members identified the following three goal/mission/brands most often
as the AGD:
 The voice of the general dentist.
 An advocate for general dentists.
Does this conflict with the Constitution and Bylaws, an AGD HOD Policy or
Board Policy? If yes, please provide the conflict and how you propose to
resolve it:
 No
Responsible Staff Liaison & AGD member:
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Vincent C. Mayher, Jr., DMD, MAGD
Chair, Professional Relations Council
856. 429.0404 – p
vmayher@aol.com
Daniel Buksa, JD, CAE
Associate Executive Director, Public Affairs
312.440.4328 – p
daniel.buksa@agd.org
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Resolution 308 Updated
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“Resolved, that the AGD supports general dentists receiving education on,
and the performance of Botox and cosmetic dermal filler procedures, where
not in conflict with state law or regulation.”
Prepared by: Region 5
Date of Report: May 5, 2010
Staff Resources: Minimal
Total Financial Cost: Minimal
Budget Ramifications: None
Action/Timeline: Recorded vote at the 2010 House of Delegates.
REGION 5 UNANIMOUSLY RECOMMENDS ADOPTION
Introduction:
The AGD already has broad policy on the subject and Region 5 felt it is important that
the AGD have a more focused policy on the subject of Botox.
Necessary Information:
 Examples of modalities requiring additional education would be the use of
Botox, dermal fillers, lasers, CEREC, implant placement and restoration,
among others.
 The Texas AGD HOD adopted the following background and position
statements:
Background Statement:
Botulinum toxin is a medication and a neurotoxic protein produced by the
bacterium Clostridium botulinum. It is FDA-approved and is used
extensively in medical practice in minute doses to treat muscle spasms and
cosmetically to remove wrinkles, frown lines, and brow furrows. Botulinum
toxin is sold commercially under the brand names Botox, BTXA, Dysport,
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Myobloc, Neurobloc, and Xeomin, for the treatment of muscle spasms,
while Botox Cosmetic and Vistabel are sold for cosmetic treatment.
In dentistry, botox is used primarily in the treatment of craniomandibular
joint disfunction, bruxism, and to improve lip drape and function as they
relate to veneer placement and orthodontic treatment.
Position Statement:
Therefore be it resolved that the [Texas] Academy of General Dentistry
supports the necessary use of Botox by all dentists trained in its use.
 Region 5 has added the following supporting statement:
Region 5 believes Botox Cosmetic and Dermal fillers are treatments which
have a definite place in dentistry. Both of these services are used in the perioral area and there is no one better qualified than the dentist to treat this
area. Only a dentist has the advanced knowledge of all smile components
including smile line, lip fullness and lip placement with respect to the
dentition.
As one example, Botox is an accepted modality of treatment for the “gummy
smile.” Should dentists eschew the use of Botox we would in effect be
referring these patients to professionals outside of the dental realm (MD’s
and RN’s) for a dental problem that we are uniquely qualified to treat.
The general dentist, by training, is more than qualified to learn these
techniques and incorporate them into their practices. Currently, many less
educated practitioners legally administering these products around the
country, including estheticians, cosmetologists and nurses.
If the AGD truly wants to position itself as an advocate for the general
dentist then this issue is one which mandates full support and assistance.
What We Don’t Know:
 We do not know if the policy will have any actual use or effect on the advocacy
and educational efforts of the AGD.
Pros and Cons:
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Pros:
 The AGD has long-been the beacon of education, including continuing
education, for general dentists; the recommended policy further bolsters that
position.
Cons:
 The proposed policy may garner an adverse response from both pro-Botox and
anti-Botox constituents of the HOD.
How it Fits into the Strategic Plan:
ADVOCACY / REPRESENTATION
Goal # 1: AGD will be the recognized voice of general dentistry.
Objective 1.1: Increase the advocacy for issues of interest to general dentists to
legislators, regulators, and third party payers.
How it Fits into the Market Research:
H&S Market Research - Members
3. Members identified the following three goal/mission/brands most often as the
AGD:
 The voice of the general dentist.
 An advocate for general dentists.
 Greater consumer awareness and image-building.
Does this conflict with the Constitution and Bylaws, an AGD HOD Policy or
Board Policy? If yes, please provide the conflict and how you propose to
resolve it: No
Responsible AGD member:
George R Shepley, DDS, MAGD, Regional Director, Region 5
410.889.7100 – p
410.889.7111 – f
gshepley@comcast.net
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Reports to be reviewed by the
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Reference Committee on Advocacy & Other
Priorities
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Tuesday, July 6, 2010
3:00 p.m. – 4:30 p.m.
Hilton New Orleans Riverside, Jefferson Ballroom
Scott S. Hansen, DMD, FAGD
Douglas O. Beischel, DDS
Alfred J. Certosimo. DMD, MAGD, ABGD
Robert Margolin, DDS, FAGD
Brittany L. Thome, DMD
Joseph A. Battaglia, DMD, FAGD
Myron J. Bromberg, DDS
Gary E. Heyamoto, DDS, MAGD
Ralph A. Cooley, DDS, FAGD
Chair
Member
Member
Member
Member
Consultant
Consultant
Spokesperson
Spokesperson
The full AIRs are available for review in the HOD Manual.
Resolution 301
Resolved, that the “Rules of Procedure for Conducting The Reference Committee
Hearings and Business of the Academy of General Dentistry’s House of
Delegates” be amended as follows:
1. The House of Delegates (HOD) will consider business introduced only in
one of the following ways:
a. A resolution submitted on a petition signed by 25 or more active
members at least one three weeks prior to the Aannual Meeting session
of the HOD and directed to the eExecutive dDirector;
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b. An appropriate resolution emanating from a meeting of the Board of
Trustees (Board);
c. Resolutions emanating from any report of an officer, council or
committee;
d. A resolution introduced by any Constituent AGDcademy or any certified
delegate providing that the resolution has been received by the
AGDcademy 's Executive Director at least one three weeks prior to the
Opening First Session of the House of Delegates HOD at the Aannual
Meeting session of the HOD;
e. A resolution submitted in writing and introduced on the floor of a session
of the House of Delegates HOD with the unanimous consent of the
House HOD. Such a resolution requires approval by two-thirds of the
delegates present and voting. Reference Committee recommendations
are not, however, deemed new business.
2. In keeping with the Constitution and Bylaws of the AGDcademy, no
amendment may be made to either the Constitution or the Bylaws unless it
has been published to the members at least thirty (30) days in advance of
the Aannual Meeting session of the HOD on the AGD Web site and links to
the proposed changes will be headlined thereon. If such is the case, the
Constitution may be amended by an affirmative vote of at least two-thirds
of the certified delegate members present and voting at the Aannual Meeting
session of the HOD, and the Bylaws may be amended by an
affirmative vote of two-thirds (2/3) of the delegates present and voting.
3. The Speaker of the House, in consultation with the Executive Director,
shall make a recommendation to the Board at the regular meeting held
before the Aannual Meeting session of the HOD of how the annual reports
and resolutions are to be divided among three Reference Committees. All
delegates will be strongly encouraged to review all resolutions.
4. The President shall designate five delegates and two non-voting
consultants who need not be delegates to serve on each Reference
Committee. Members serving on current councils and committees of the
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organization may not serve on the Reference Committee if that Reference
Committee is going to review a report from a council or committee on
which the member is currently serving. The two non-voting consultants
may, of course, have served on councils or committees whose reports are
being reviewed by that Reference Committee.
5. Reference Committee hearings are open to all members of the
AGDcademy. At the appropriate time each member may express his/her
opinion on a given subject being heard by that Reference Committee.
a. The Chairperson of the Reference Committee shall preside at the
Reference Committee hearing. He/she shall be seated with his/her four
committee members, a maximum of two consultants, and designated staff
from the AGDcademy 's central headquarters office at a table in the front
of the hearing room.
b. The Chairperson of the Reference Committee may limit the length of
time each member is allowed to speak, but may not prevent any member
from speaking at least once on a given subject. Once debate has been
limited by the Chairperson, it shall apply to all future speakers in that
particular Reference Committee on that topic.
c. No resolutions may be introduced in the Reference Committee hearing.
d. The purpose of the Reference Committee hearing is only to receive
information and opinions. No votes may be taken in the hearing on any
resolution.
e. All Reference Committees must remain in session for a minimum of 90
minutes or until all attendees have left the room so that delegates may
present their views before all of the Reference Committees.
6. Immediately after the hearing, the five members of the Reference
Committee and the Committee's consultants shall deliberate in executive
session and make a recommendation to the AGDcademy on each item of
business assigned to it. No item of business may be omitted. The
Reference Committee may recommend that a resolution be adopted, rejected,
amended, referred to committee, or postponed definitely. An amendment
may take the form of a substitute resolution. However, the substitute
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resolution must be completely germane to the original resolution. After
the executive session, the report of the Reference Committee shall be
prepared by the Chairperson with the assistance of staff from the
AGDcademy 's central headquarters office.
7. At the appropriate time, the presiding officer shall request that each
Reference Committee Chairperson deliver his/her report to the House of
Delegates HOD. The Chairperson shall move for appropriate action on
each recommendation or substitute resolution from the Reference
Committee and identify a member of the Reference Committee as the
seconder of the motion. At this time, an amendment to the resolution may
be offered from the floor. The amendment must receive a second before it
can be discussed. A vote on the main motion or resolution will occur after
the membership has reached a decision on each amendment which has
been duly proposed. No motions to postpone indefinitely will be
permitted.
a. Only those sections of the Constitution and Bylaws which have been
published to the membership at least thirty (30) days prior to the Aannual
Meeting session of the HOD are subject to amendment. It will be the
presiding officer's duty to determine whether a proposed amendment to
such a resolution is completely germane to the question. If the proposed
amendment is not
germane to the particular section of the Constitution and Bylaws under
scrutiny, it will be his/her duty to rule the amendment out of order and
request that it be appropriately introduced at next year's Aannual Meeting
session of the HOD.
b. The President shall appoint a parliamentarian to assist and advise the
Speaker of the House in running an orderly meeting in keeping with these
Rules of Procedure. All questions not covered by the AGDcademy 's
Constitution and Bylaws or these Rules of Procedure shall be governed
by Sturgis Standard Code of Parliamentary Procedure. A copy of this
code shall be maintained by the parliamentarian for reference.
8. Only duly certified delegates or alternate delegates who have been
elevated to delegate status may vote or move resolutions on the floor of
the House of Delegates HOD. However, any of the following individuals
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may address the House of Delegates HOD after they are recognized by the
presiding officer:
a. All delegates;
b. All AGDcademy officers who are members of the Executive Committee;
c. All Council or Committee chairpersons;
d. All AGDcademy Past Presidents;
e. The Executive Staff of the AGDcademy;
f. All members of the Board who have not otherwise been elected
delegates (such Board members may be seated with their Constituent
AGDcademy delegations on the floor of the House of Delegates HOD).
g. The President of the American Board of General Dentistry or a duly
appointed member of the American Board may have access to the floor,
but may address the House only if an issue concerns the American
Board.
h. All Regional Directors who have not otherwise been elected delegates
(such Regional Directors may be seated with their constituent academy
delegation on the floor of the House of Delegates HOD
The President of the AGD Foundation may have access to the floor, but
may address the House HOD only if an issue concerns the Foundation.
j.Any AGD member may have access to the floor of the House of
Delegates HOD in order to give a nominating speech for a candidate in a
contested election.
9. The procedure with regard to handling of nominations at the Opening First
Session of the House of Delegates HOD for both AGDcademy offices and
for positions on the American Board of General Dentistry shall be:
a. The AGDcademy 's Secretary shall announce any petitions received at
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least 60 days prior to the Opening First Session of the House of
Delegates
HOD on behalf of candidates running for AGDcademy of General
Dentistry office at the Aannual Meeting session of the HOD. No petition
will be honored that is received more than one year in advance of the
Aannual Meeting session of the HOD in which the election takes place.
b. The Immediate Past President shall advise the House of Delegates of the
selections made by the full Board for any vacancies on the American
Board of General Dentistry. The Secretary shall announce any petitions
received at least 60 days in advance of the Opening Session of the House
of Delegates on behalf of any candidates running for the American Board
of General Dentistry.
c. Credentials of all candidates nominated to Academy of General Dentistry
office or to the American Board of General Dentistry shall be published
to the members of the House of Delegates at least three weeks prior to the
start of the Annual Meeting.
d. A nominating speech of no longer than two (2) minutes will be made on
behalf of each candidate. There shall be no seconding speeches. Instead,
each candidate for AGD office shall be allowed
to address the House of Delegates for no longer than five (5) minutes.
e. Candidates who are unopposed will be declared elected by the presiding
officer at the Opening Session. Contested elections shall be conducted at
the conclusion of the regional caucuses. To be declared elected, a
candidate must have received a majority of the votes cast. In the absence
of a majority, a second ballot shall be held between the two (2)
candidates receiving the highest number of votes on the first ballot. A
petitioned candidate for the American Board of General Dentistry will be
running against all three of the candidates proposed by the Academy's
Board. Each member of the House of Delegates will be given as many
votes as there are positions to be filled on the American Board of General
Dentistry, but delegates may not vote for any one candidate more than
once. Run-off elections among those candidates who have not yet
received a majority of the votes cast shall be between the two candidates
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who got the highest number of votes on the first ballot. If there is a tie involving
more than two of the top candidates, then the House will continue to vote
until the tie is broken.
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“Resolved, that the Bylaws be amended at Chapter X, line 1544, so that it
reads:
10. The Credentials and Elections Chairperson shall work with staff to post
the results of the election in the meeting registration or other appropriate
area.
The results will specify only one winner and not the vote totals. Each
candidate is permitted to name an observer on his or her behalf to view
the official counting of ballots undertaken by the Committee on
Credentials and Elections. Anyone observing the counting of the ballots
must hold these results in confidence until such time as the results have
been posted.
11. Council and Committee Chairpersons shall sit in the front row of the
House of Delegates HOD with the appropriate staff when resolutions
from their agencies of the AGDcademy are being considered. If a
Council or Committee Chairperson is not in attendance at the Aannual
Meeting session of the HOD, the President may designate another
member of the Council or Committee as a substitute. The Speaker of the
House shall recognize such individuals in proper sequence when it is
obvious that they need to provide input to the House HOD on any
proposed change affecting their areas of jurisdiction.
12. Constituent Executives, officially listed in the Constituent Officers List,
may sit with their delegations on the floor of the House HOD, but no
constituent may seat more than one officially-listed executive.
Resolution 302
The term of office of the regional director shall be for three (3) years.
Regional directors shall be limited to two (2) terms of three (3) years each.
Fulfilling any unexpired term shall be deemed a term of three (3) years unless
the period served is one year or less of an unexpired term. For the purposes of
this Bylaws provision, a year is considered a governance year, which ends
upon conclusion of the annual session of the House of Delegates. When a
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regional director serves one year or less of an unexpired term, that regional
director shall be allowed to serve with a maximum service of seven (7) years.
Notwithstanding the forgoing, a partial term completed prior to July 21, 2008
shall not be counted as a full term. And be it further,
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“Resolved, that the Bylaws be amended at Chapter XIII, Section 2 (D) 5 by
striking line 2160
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“Resolved, that HOD Policy 75:35-H-10 be rescinded.”
Resolved, that the Bylaws be amended at Chapter XII, line 1830, so that it
reads:
C. No trustee shall be permitted to serve more than two (2) three (3) year
terms. Fulfilling any unexpired term shall be deemed a term of three (3) years
unless the period served is one year or less of an unexpired term. For the
purposes of this Bylaws provision, a year is considered a governance year,
which ends upon conclusion of the annual session of the House of Delegates.
When a trustee serves one year or less of an unexpired term, that trustee shall
be allowed to serve with a maximum service of seven (7) years.
Notwithstanding the forgoing, a partial term completed prior to July 21, 2008
shall not be counted as a full term.”
Resolution 303
“5. Professional Relations Council”
Resolution 304
“Resolved, that the AGD recommend the development of courses in expanded
duties for dental auxiliaries to provide needed training to comply with the
individual state laws, and be it further
Resolved, that this recommendation be forwarded to the ADA House of
Delegates.”
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“Resolved, that HOD policy 74:13-H-11 be amended so that it reads:
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“Resolved, that HOD Policy 99:36-H-7 and HOD Policy 2002:25-H-7 be
rescinded:
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74:13-H-11 Resolved, that final decisions related to dental practice and
utilization of dental auxiliaries rest with the state society and the
state board of dentistry, and be it further”
Resolution 306
99:36-H-7 “Resolved, that the AGD be directed to oppose any efforts to ban
the use of those products, materials, and/or medications for use in
the dental office unless significant documented scientific evidence
exists to support such a ban.”
2002:25-H-7 Resolved, the AGD take action to ensure that safe and effective
dental materials are approved for use in government-funded dental
care programs.
And be it further,
Resolved, that the AGD take appropriate action when necessary to ensure
that safe and effective dental materials, products, and/or medications remain
approved for use in oral healthcare.”
Resolution 307
“The AGD Speaker of the House has determined that a vote at both the AGD
Board and AGD HOD will be solely on re-affirming the policies; that is,
amendments will be ruled out of order. The action to be taken is to vote yes or no
on re-affirming these current policies.”
“Resolved, that the AGD re-affirms its existing workforce policies:
Advanced Dental Hygiene Practitioner Position Statement
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2008:322-H-7 “Resolved, that the AGD adopt the Position Statement on the
Advanced Dental Hygiene Practitioner (ADHP) Concept.”
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*After reviewing the minutes of the Spring 2010 Board meeting, it was noted
Courses in expanded duties for
75:35-H-10 “Resolved, that the AGD recommend the development of courses
in expanded duties for dental auxiliaries to provide needed training to comply
with the individual state laws, and be it further
Resolved, that this recommendation be forwarded to the ADA House of
Delegates.”
that the Board directed that 75:35-H-10 be deleted from the workforce
resolution. When considering the workforce resolution, Resolution 307, please
disregard 75:35-H-10.
W. Mark Donald, DMD, MAGD, Speaker
Dental team concept
86:30-H-7 “Resolved, that the Academy of General Dentistry supports the
dental team concept as the best approach to providing the public with quality
comprehensive dental care, and firmly supports direct supervision of the
practice of dental hygiene, and be it further
Resolved, that this policy be conveyed to the American Dental Association, the
American Dental Hygienists Association, and state and provincial boards of
dental examiners, and be it further
Resolved, that Policy 85:25-H-7 be rescinded."
Duties which will not perform to be defined
73:23-H-10 “Resolved, that those states permitting expanded duties by dental
auxiliaries define those duties which dental auxiliaries will not be permitted to
perform in compliance with individual state dental practice acts."
Perform under direct supervision of general dentist
73:24-H-10 “Resolved, that all duties performed by any dental auxiliary must
be done under the direction and control of the dentist and that he
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or she be directly responsible for the actions of his or her auxiliaries
performing those duties."
Recruitment strategies
91:48-H-7 “Resolved, that the Academy of General Dentistry believes that its
individual members can make a significant contribution to resolving the
dental auxiliary shortage by attempting to recruit potential dental team
personnel, and be it further
Resolved, that the AGD play a key role in solving the dental auxiliary
shortage by:
1. Encouraging AGD members to recruit dental auxiliaries each year, using
materials provided by the ADA.
2. Educating AGD members to properly manage dental auxiliaries through:
a. a request that the AGD editor publish an appropriate article in
Impact.
b. a request that the Council on Annual Meetings and International
Conferences establish a course on this subject
c. Suggesting to the AGD Foundation to offer an appropriate practice
management course showing dentists how to properly manage and therefore
retain dental auxiliaries.
d. Asking AGD constituents to publish appropriate articles on this
subject, tailored to local needs."
Resolution 308
“Resolved, that the AGD supports general dentists receiving education on,
and the performance of Botox and cosmetic dermal filler procedures, where
not in conflict with state law or regulation.”
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R301 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Advocacy & Other Priorities
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Resolution 301
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Edited: 5/17/2010 10:56 AM
ErinB_AGD
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Resolution 301 - Amend the Rules of Procedure for Conducting the
Reference Committee Hearings
Review Resolution 301 Use 'Reply' button to comment or ask questions
about this resolution.
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R302 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Advocacy & Other Priorities
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Resolution 302
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Edited: 5/17/2010 10:56 AM
ErinB_AGD
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Resolution 302 - Amend the Bylaws regarding RD and trustee term
limits
Review Resolution 302 Use 'Reply' button to comment or ask questions
about this resolution.
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R303 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Advocacy & Other Priorities
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Resolution 303
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Edited: 5/17/2010 10:57 AM
ErinB_AGD
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Resolution 303 - Amend the Bylaws by striking the ‘Professional
Relations Council’
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about this resolution.
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R304 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Advocacy & Other Priorities
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Resolution 304
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Edited: 5/17/2010 10:57 AM
ErinB_AGD
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Resolution 304 - Rescind policy on development of courses in
expanded duties
Review Resolution 304 Use 'Reply' button to comment or ask questions
about this resolution.
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R305 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Advocacy & Other Priorities
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Resolution 305
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Edited: 5/17/2010 10:57 AM
ErinB_AGD
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Resolution 305 - Amend policy on dental practice utilization of
auxiliaries
Review Resolution 305 Use 'Reply' button to comment or ask questions
about this resolution.
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R306 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Advocacy & Other Priorities
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Resolution 306
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Edited: 5/17/2010 10:58 AM
ErinB_AGD
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Resolution 306 - Rescind and replace policies on dental materials
and products
Review Resolution 306 Use 'Reply' button to comment or ask questions
about this resolution.
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R307 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Advocacy & Other Priorities
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Resolution 307
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Edited: 5/18/2010 8:08 AM
ErinB_AGD
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Resolution 307 - Re-affirm the Workforce Policies
Review Resolution 307 Use 'Reply' button to comment or ask questions
about this resolution.
Posted: 5/31/2010 2:25 PM
D_Bogan
Reply
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I certainly support the policies stated in this resolution. However, I think
the item referring to the Dental Team should be stronger than it is
currently stated. I understand that no amendments will be accepted, but
I'd have liked it to go on and include that the team is headed by a
licensed dentist, that license being held in the state in which the practice
operates. I know the implication is there, but I'd be more comfortable if
it were stated more explicitly. The dental team concept with a dentist as
the head of the team is under attack in a number of states, and our
commitment to oppose these attacks needs to be firm and unambiguous.
Doug Bogan
RD, Region 18
Show Quoted Messages
Posted: 6/10/2010 1:40 PM
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What does the following statement mean?
Cons:
G_Hanson
AGD’s opposition will effectively place it within the
orbit of the “Austin Group” and part of the on-going
civil war within the ADA.
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Posted: 6/14/2010 8:19 AM
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Dear Dr. Hanson,
It is AGD's understanding that there are two differing positions amongst
ADA leadership on the issue of workforce and the components which of
is made. One supports the traditional workforce model where the
licensed dentist is the leader of the dental team, while the other, either
wants to change that traditional model, for a variety of different reasons.
DanB_AGD
As you know, AGD's Action Item Report protocols dictate that
perceived negatives "cons" be listed with each AIR. The statement
which you questioned is merely that - a perception of what could happen
should the HOD adopt the AIR in question. The essence of that
perception is that if there are two sides to a position or conflict within
another organization, and AGD adopts a position which would
essentially conform to the position of one of the aforementioned sides,
then a secondary perception could reasonbly be inferred that AGD is
taking sides. However, not everyone might conclude that to be a
negative. To reiterate, it is merely a perception of what could happen.
Hope this helps.
Sincerely,
Dan Buksa
Show Quoted Messages
Posted: 6/14/2010 8:34 AM
G_Hanson
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Thanks DanI still have no idea of who/what the "Austin Group" is.
I also believe that it is improper for AGD to announce that ADA is
involved in a civil war in a resolution.
How does AGD "orbit" anything?
The wording is very poor and confusing to someone that is not an ADA
insider, let alone an ADA member.
Guy
Show Quoted Messages
Posted: 6/14/2010 8:40 AM
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Dr. Hanson,
DanB_AGD
The "Austin Group" is one of the informal groups within the ADA
which is taking positions on the issue, in this case, the maintenance of
the traditional workforce model. You may wish to contact one of your
colleagues from Texas for additional information about this group, as
AGD has no input or relationship to it.
Dan
Show Quoted Messages
Posted: 6/22/2010 10:45 PM
G_Hanson
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Region 11 delegates have requested the full documentation for the
policies that are being re-affirmed. I too, would like to see them as some
were passed when I was in Junior High School, and little has remained
constant in the world since that time.
It seems appropriate that we view the items that we are being asked to
strongly support.
Please post them on the LCC for our viewing.
Thanks.
Guy
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R308 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Advocacy & Other Priorities
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Resolution 308
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Edited: 5/17/2010 10:58 AM
ErinB_AGD
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Resolution 308 - Approve support for Botox and cosmetic dermal
filler procedures not in conflict with state law or regs
Review Resolution 308 Use 'Reply' button to comment or ask questions
about this resolution.
Posted: 6/18/2010 11:03 AM
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This resolution should be worded into a much more broad context so it
won't become obsolete in a few years.
S_Dubowsky
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R314 from 2009 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Advocacy & Other Priorities
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Resolution 314 from 2009
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Edited: 6/9/2010 10:08 AM
ErinB_AGD
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Resolution 314 From 2009 HOD
Review Resolution 314 from the 2009 HOD. Use 'Reply' button to
comment or ask questions about this resolution.
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R314R from 2009 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Advocacy & Other Priorities
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Resolution 314R from 2009
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Edited: 6/9/2010 10:09 AM
ErinB_AGD
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Resolution 314R from the 2009 HOD
Review Resolution 314R from the 2009 HOD. Use 'Reply' button to
comment or ask questions about this resolution.
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R320 from 2009 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Advocacy & Other Priorities
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Resolution 320 from 2009
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Edited: 6/9/2010 10:09 AM
ErinB_AGD
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Resolution 320 From 2009 HOD
Review Resolution 314 from the 2009 HOD. Use 'Reply' button to
comment or ask questions about this resolution.
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PAC Task Force - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Advocacy & Other Priorities
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PAC Task Force Report
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Started: 6/9/2010 10:03 AM
ErinB_AGD
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AGD Political Action Committee Task Force Report to 2010 HOD
Review the PAC Task Force report. Use 'Reply' button to comment or
ask questions about this resolution.
Posted: 6/10/2010 5:43 PM
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Does the recent Supreme Court decision allowing corporate political
contributions impact the usefulness of a PAC? Can AGD make the same
contributions without forming a PAC?
G_Hanson
Show Quoted Messages
Posted: 6/11/2010 9:00 AM
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Dear Dr. Hanson,
DanB_AGD
AGD is incorporated as a 501 (c) 6 not-for-profit organization under the
Internal Revenue Service Code, and as such, is explicitly prohibited
under law from making political contributions. AGD cannot make any
political contributions, only a PAC can, if that is the direction of the
HOD. The recent Citizens United case which you cite has no bearing on
AGD.
Sincerely,
Daniel Buksa, JD, CAE
Associate Executive Director, Public Affairs
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Reports to be reviewed by the
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Reference Committee on Continuing
Education
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Tuesday, July 6, 2010
3:30 p.m. – 5:00 p.m.
Hilton New Orleans Riverside, Napoleon Ballroom
Daniel F. Martel, DDS, MAGD
Janet A. Delorey-Lytle, DDS, MAGD, ABGD
Otice Z. Helmer, DDS, MAGD
Harvey Levy, DMD, MAGD
Robert H. Melton, DDS, MAGD
Bruce L. Cassis, DDS, MAGD
Mark I. Malterud, DDS, MAGD
Patricia K. Meredith, DDS, MS, FAGD
Kenneth D. Garrett, DDS, MAGD
Chair
Member
Member
Member
Member
Consultant
Consultant
Spokesperson
Spokesperson
The full AIRs are available for review in the HOD Manual.
Resolution 201
“Resolved, that the Fellowship Award Guidelines be amended as follows:
Fellowship Requirements
4. Successful completion of the Fellowship Examination. The exam may be
taken at any time after joining the AGD but Any dentist joining the AGD
after February 2010 be subject to a 90-day waiting period prior to applying
for or sitting for the Fellowship Exam in order to verify their membership
status. The application must be completed prior to December 31 deadline
for Fellowship applications.”
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Resolution 202
“Resolved, that Bylaws be amended at Chapter XIII by striking line 2139:
“a.
Self Assessment Committee”
Resolution 203
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“Resolved, that HOD policy 82:36-H-7 be rescinded.
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“Resolved that HOD policy 76:48-H-11 and HOD policy 2001:33-H-8 be
rescinded
"Resolved, that AGD's constituents be strongly encouraged to work closely
with the dental schools and other institutional CDE program providers in
their areas in development of specific CDE courses designed to meet the needs
of their members."
Resolution 204
76:48-H-11 – “ Resolved, that no AGD credit whatsoever be awarded for
courses taken before the AGD member has received his basic dental degree,
and be it further
Resolved, that the Academy of General Dentistry strongly urges all providers
of continuing education to make continuing education courses available to the
pre-doctoral student at reduced or no fee."
2001:33-H-8 – “Resolved, that upon establishing active or associate
membership in the AGD, Glidepath members may be eligible to apply up to
25 hours of continuing dental education credit toward Fellowship earned
outside the dental school curriculum during the senior year of dental school
while participating in the Glidepath program.”
And be it further,
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“Resolved, that AGD student members may earn unlimited PACE-CERP CE
as lecture credit only within the parameters of the Fellowship and Mastership
guidelines.”
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R201 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Continuing Education
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Resolution 201
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Edited: 5/17/2010 10:55 AM
ErinB_AGD
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Resolution 201 - Amend the Fellowship Award Guidelines to include
a waiting period to verify membership status
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R202 - LCC Forum Comments
AGD Delegates LCC Forum Comments
Reference Committee on Continuing Education
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Resolution 202
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ErinB_AGD
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Resolution 202 - Amend the Bylaws by striking the ‘Self
Assessment Committee’
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R203 - LCC Forum Comments
AGD Delegates LCC Forum Comments
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Resolution 203 - Rescind policy on Dental School Alliance for AGD
CE Program
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Resolution 204 - Rescind and replace policies on CE recording
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Posted: 5/19/2010 12:29 PM
WILLIAMK_968
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I feel that AGD should track CE for student members who attend
PACE/CERP approved programs. However, I don't feel comfortable
allowing unlimited CE accumulation for dental students. Most students
probably won't submit much CE, but conversely they also attend CE for
free or no cost and can not really practice what they learn in the course
sinde they are constrained by their dental school clinic policies.
Therefore there is limited benefit to students to attending large numbers
of CE courses since they are not in a position to immediately put into
practice what they learn nor may they fully understand the material
presented since they lack clinical experience.
I believe a good compromise may be to track CE for students up to a
certain amount prior to dental school graduation. Perhaps 25 credits is a
good number to apply to fellowship prior to graduation.
Show Quoted Messages
Posted: 6/15/2010 2:21 PM
ddmd
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I think the value suggested here is a valid one and there's an additional
value to recording continuing education credits for dental student
members - it demonstrates the value of joining the AGD as full members
after dental school, either as residents or as practitioners and it
potentially opens dental students up to the possibilities of Fellowship,
Mastership, and Lifelong Learning, since they can see the AGD
transcript.
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I managed to begin my AGD membership near the end of my dental
school years (UMDNJ 91-95) and have subsequently managed to use my
AGD transcript as a 'facilitator' for me to seek Fellowship (2005) and
Mastership (this year).
David K
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Hilton Level 1
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DHAT’s, CDHC’s, ADHA’s & IMP’s: What is this all about?
8:15 -9:00
1. Executive Summary of the issue – “what is it all about?”
2. Definition of terms – Identifying the alphabet soup of providers
3. Status update – what states have instituted what programs
-Alaska, Minnesota, Connecticut, others
4. Involvement of PEW, Kellogg and Macy
5. Actions by various groups on the issue
6. Why should gp’s (and pediatric dentists) care about maintaining the
traditional workforce model?
7. Conclusion and Q&A (if time allows)
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Is General
Dentistry Dead?
How Mid-Level Dental Providers Will Affect the Profession
By Eric K. Curtis, DDS, MA, MAGD
An internist friend of mine is predicting the demise
of his profession. “Primary-care medicine,” he says,
“will be dead in five years.” The reasons involve a
complex, long-simmering stew of government
machinations and shrinking third-party
reimbursements, which threaten to squeeze the
already-dwindling supply of American general
internists, pediatricians, and family practitioners out
of a job. The internist acknowledges that there will
be mid-level providers to take his place. “I’m not
going to be able to afford to practice,” he says. “My
job will be to watch over six PAs and make sure
they each see 40 patients a day.” He foresees an
increasingly scrambled health care structure in
which nurses and physician assistants refer patients
directly to secondary- and tertiary-care providers.
“The system is upside down for primary-care
doctors,” he says, some of whom now make less
than some PAs. But he believes that the biggest
losers in this brave new medical world are the
patients, who face increasing costs and fragmented,
overall lower quality care. “I look forward to the
day,” he says, “that a nurse practitioner operates on
President Obama.”
My friend is not alone in his worry: A 2006
position paper by the American College of
Physicians, “The Impending Collapse of Primary
Care Medicine and Its Implications for the State of
the Nation’s Health Care,” begins: “Primary care,
the backbone of the nation’s health care system, is
at grave risk of collapse due to a dysfunctional
financing and delivery system.” The potential
failure of general medicine is an alarming
development. But there’s another one that might
make you squirm even more: General dentistry
could be next.
The death of dentistry foretold
Is general dentistry a dead profession walking?
Many fear that dentistry, the first specialty of
medicine but also its historical outcast, is finally
going the way of primary care medicine, poised to
sink with a sigh into a mire of competing providers.
If the public’s next physician will be a nurse or a
physician assistant (PA), then its next dentist may
well be a dental hygienist, or a dental therapist, or
even a desperate internist. “The train has left the
station,” writes dental coach Marc B. Cooper, DDS,
president and CEO of The Mastery Company in
Ashland, Ore., in the online article “Mid-Level
Dental Providers and You.” The arrival of nondentists to perform extractions and fillings, he
declares, is no longer an experiment, but a fait
accompli: “Most private practitioners will perceive
it as a threat to their survival. It won’t matter. It’s
going to happen.”
Bryan C. Edgar, DDS, MAGD, of Federal Way,
Wash., chair of the American Dental Association
(ADA) Commission on Dental Accreditation,
likewise warns that the future has arrived. “The idea
of a competing provider of dental services is very
alarming to most of the profession,” he says. “I am
from a state where we view the reality of an
independent mid-level as something that will
happen, whether we like it or not.”
Some believe that dentistry as now practiced
will indeed soon be gone. Public attitudes are
primed and grievances loaded. In the popular
imagination, it is said that general dentists, whose
average income approaches that of primary care
physicians, make too much money. Dentists charge
too much, a situation rendered all the more visible
by the fact that most third-party plans pay only a
portion of the total fees. Dentists also are perceived
as standoffish, even selfish, rarely playing ball with
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Medicaid and its state analogs, and never with
Medicare. They don’t work on Fridays and avoid
practicing where people really need them, such as in
community clinics and small towns. What’s more,
their work, although technical, is essentially easy.
At least one university president has suggested that
dentists ought to be trained in community colleges.
So, the thinking goes, let someone who can deliver
the care easier and cheaper—and, to scratch below
the surface, more sympathetically—go ahead. The
specialists will still be there to do the hard stuff.
General dentistry certainly will not die
immediately among mid-level providers, but its
traditional activities—and identity—may well be
altered. Richard W. Dycus, DDS, MAGD,
Cookeville, Tenn., past chair of the Academy of
General Dentistry’s (AGD) Legislative and
Government Affairs Council and current member of
the Dental Practice Council, describes the resulting
shift in focus that my internist friend dreads. “When
the federal government is involved,” he says,
“seventy percent of a practitioner’s time will be
spent on administrative tasks.”
Dr. Cooper tells his dentist clients to embrace
the inevitable change by preparing to become
practice administrators rather than constantly
bending over the chair themselves. Educators
suggest that dentists may need to incorporate some
part of the MBA model into their professional
training. Richard J. Simonsen, DDS, MS, founding
dean of Midwestern University College of Dental
Medicine–Arizona, identifies another change in
emphasis: “Dentists will spend more time in
diagnosis.”
Conflicting perceptions of
access to care
A February 2010 paper published by the Pew
Center on the States (“The Cost of Delay: State
Policies Fail One in Five Children”) declares, “A
‘simple cavity’ can snowball into a lifetime of
challenges.” But the Pew Center estimates that more
than 10 percent of the nation’s population “has no
reasonable expectation of being able to find a
dentist.” (In some states, it says, that figure rises to
one-third of the general population.) Concentrating
its interest on kids, Pew identifies three causative
factors in “the national crisis of poor dental health
and lack of access to care”: lack of widespread
sealants and fluoridation; lack of dentists willing to
treat Medicaid-enrolled children; and its own
conclusion that “in some communities, there are
simply not enough dentists to provide care.” The
Pew Center’s fourfold solution includes two
preventive measures—more widespread schoolbased sealant programs and community water
fluoridation—and two proposals to increase
treatment: Medicaid improvements that would
enable and motivate more dentists to treat lowincome kids, and “innovative workforce models that
expand the number of qualified dental providers,
including medical personnel, hygienists and new
primary care dental professionals, who can provide
care when dentists are unavailable.”
Such calls for mid-level dental providers clearly
mark a response to social demand. “Society has
gotten the word out,” says Kenneth L. Kalkwarf,
DDS, MS, dean of the University of Texas Health
Science Center at San Antonio Dental School.
“People would like improved access to oral health
care, and they would like the cost of care to be more
reasonable.”
Dr. Dycus agrees. “Health care reform of all
kinds,” he says, “is happening because the public
could not get the care it wanted at the price it
wanted.” The perfect price point, of course, is none
at all. “The American public believes health care
should be free,” Dr. Dycus says, explaining that
external payment mechanisms during the past
decades have lulled and confused policy holders.
For example, 1970s-era laws allowing third-party
payer checks to be assigned directly to dentists
yielded an important unintended consequence:
Patients nowadays don’t understand the costs of
care.
Some argue that the push for mid-level
providers reflects not just dentistry’s failings but its
faults. Dentists have focused on individual practice
growth through more expensive services, virtually
ignoring the public health problems of restricted
wider access to dental care. In a newsletter article,
“Can’t Get There from Here: The Futile Attempt to
Resolve the Access Issue” (available at
www.masteryofpractice.com), Dr. Cooper observes
that within the context of private-practice dentistry,
dentists are acculturated to “doing highly technical
work to restore health and beauty to patients who
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can pay for it.” In this world, access really is not an
issue. Because the perfectionist, one-on-one culture
of private practice is so single-minded, dentists
consider alternative providers—from denturists to
independent registered dental assistants to foreigntrained dentists—to be not just competitors, but
hacks. At the same time, dentists fail to recognize
the inadequacies of volunteerism, efforts akin to
pouring individual buckets of water into a burning
building.
Dr. Dycus counters that dentistry is not narrow,
but rather, realistically focused. Regardless of their
proponents’ good intentions, care-stretching
medical models such as mid-level providers simply
won’t work for dentistry—which is, for the most
part, surgery rather than medicine. “Legislators
think dental mid-level providers will be like
nurses,” he says, “but dental practice is much more
complicated than writing a prescription.” Mid-levels
also may contribute to tiered treatment inequities
with the mid-level provider seeing patients from
cut-rate plans, while the dentist sees the “good”
patients. What’s more, mid-level providers don’t
provide a “dental home.” “They are pain- and
urgent care-focused,” Dr. Dycus says, “not
prevention-focused. That’s why the ADA is
experimenting with an alternative community dental
health coordinator [CDHC] model. Prevention is the
key to controlling caries and periodontal disease.”
Dr. Dycus contends, in fact, that mid-level
providers don’t even benefit medicine, where
efficiency has declined as a result in two key
respects. The first is timeliness of care: “When
people go to PAs and nurse practitioners first,” he
says, “diseases don’t get treated as soon.” The
second is cost control: “MDs make less, and midlevels make more, and costs just rise and rise.”
All this, Dr. Dycus contends, sidesteps the
underlying reality: Mid-level providers are simply
not needed. First, they are too limited in scope to
solve the access issue. No mid-level will be able to
provide definitive, final care. Second, in most
circumstances, the problem is not that dentistry is
unavailable, but that it is underutilized. Because
dentists have become much more efficient than old
delivery models recognize, the traditional dentistpatient ratios are inaccurate. “The dental office
capacity we have now is sufficient,” Dr. Dycus
says, “and existing capacity, including better use of
expanded-function dental assistants, could be
expanded more inexpensively, safely, and
efficiently than creating a new position.” Increased
utilization of dental services increases, he says, is a
function of not only population growth, but of oral
health literacy, financial incentives, and mandated
care. In any case, the existing workforce is
sufficiently elastic: “We can give care at a lower fee
as long as the fee covers overhead.”
The players: Who stands to gain from
mid-level providers?
Regardless of dentists’ existing capacity, other
parties see opportunities—and profits—in
developing mid-level providers. Large group clinics
and HMO-centered practices may employ midlevels to leverage their facilities. State dental
practice acts typically allow physicians to practice
dentistry, so primary-care MDs and DOs—even
emergency rooms and urgent care centers—could
hire dental mid-levels to supplement income.
Insurance companies also may anticipate a possible
profit center as the presence of more providers
encourages more potential plan enrollees. Hygienist
groups hope to use the mid-level position as a
springboard to expand scope of practice or move
toward independent practice.
Dental educators also may have a vested interest
in training mid-levels. The University of Minnesota,
for example, educates non-dentist dental therapists
by following an advanced dental hygiene
practitioner model, while the University of
California, Los Angeles—according to recent
changes in California law—now trains expandedfunction registered dental assistants to place
restorations. Yet understanding that a non-dental,
school-based alternative exists for each of these
mid-level directions, as well—Metropolitan State
University in Minnesota and Sacramento City
College in California—could turn even doubting
dentists into philosophers. “Isn’t dental education
best accomplished in a dental school?” asks
Midwestern’s Dr. Simonsen. Midwestern University
investigated the development of, but is not
pursuing, a mid-level training program.
Dental education is again a growth industry,
albeit one with results more modest than practicing
dentists might expect. According to a 2009 article in
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the Journal of Dental Education, “The Impact of
New Dental Schools on the Dental Workforce
Through 2022,” authors David Guthrie, Richard W.
Valachovic, DMD, MPH, and L. Jackson Brown,
DDS, PhD, describe how, following a spate of
dental school closures between 1986 and 2001,
three new dental schools opened between 1997 and
2003, and eight more are in various stages of
development over the next decade. By 2022, 8,233
new dental graduates will have joined the U.S.
workforce, adding about three dentists per 100,000
people. The authors conclude that this jump in new
dentists likely will result in a stable dentist-topopulation ratio, but not one that by itself will
noticeably increase access to care for low-income or
rural populations.
While some interested entities are simply
opportunists looking to cash in on a trend, the direct
catalysts for the creation of mid-level providers are
institutions further removed from dentistry. “What
makes this a very complex issue,” says Dr. Edgar,
“are the dynamics of various groups outside our
profession wishing to push their ‘solution’ to
access.” He identifies two such groups in
particular—state legislatures and non-profit
charitable foundations. “We all know that the
economics of dentistry will not allow an
independent mid-level provider to solve the access
problem without some meaningful funding, such as
increases in Medicaid rates or tax incentives,” he
says. Any increase in access to care requires
funding, and lawmakers nowadays are suspicious of
handing over the cash to dentists. “The legislatures
are beginning to view our scope issues as turf
protection rather than public protection,” Dr. Edgar
says. Certain foundations, for their part, are flexing
their money muscles as change agents. The Pew
paper calling for development of mid-level
providers identifies three philanthropies networked
in that intent: the Pew Center, the DentaQuest
Foundation, and the W.K. Kellogg Foundation.
Threat or opportunity? Responding to
mid-level providers
Dentists, deeply conflicted about the existence and
role of mid-level providers, also are divided in their
response. Dr. Dycus says, “One camp wants to draw
a line in the sand, dig deeper moats, and build
higher walls. The other side, citing the argument
that you’re either at the table or on the menu, says
that we have to be on board with the concept, or the
government will impose something on us without
our input.” What dentists on either side can’t afford
to do is ignore the situation. “If we don’t stand up,
no one will,” Dr. Dycus says. “The AGD needs to
be clear that demand can be met using the existing
structure of auxiliaries more efficiently. Expanded
function dental assistants could perform reversible
procedures such as placing restorations.”
“A lot of people can do certain dental
procedures cheaper than dentists,” Dr. Kalkwarf
says, “including dental assistants, hygienists,
denturists, and dental students. It’s a matter of who
is in control.” Dr. Edgar agrees that dentist control
is crucial. “We need to push as hard as we can to
retain supervision over these new providers and
make them truly ‘team members,’” he says. “We
need to maintain a credible peer-to-peer
accreditation process of any educational system that
trains these individuals.” Dr. Simonsen sees the
Minnesota programs as accomplishing that aim:
“They are putting the mid-level under the license of
the dentist, which leaves the dentist in total
control.”
Mark I. Malterud, DDS, MAGD, of St. Paul,
Minn., past president of the Minnesota AGD, says
that once the mid-level law was passed in his state,
dentists were obligated to support it. He says, “Even
though we don’t believe that there is a need for a
dental therapist and that the impact will remain
minimal for quite some time, we wanted to be sure
that the training and testing of these paraprofessionals would be adequate and that they
would also be able to join into a team concept so
that the patients receive the quality of care that they
deserve.”
The first question for any proposed change in
dentistry is how the public will fare. “A selfinterested point of view has no place in determining
what’s best for the public,” says Dr. Simonsen. The
priorities, Dr. Kalkwarf reminds, must proceed in
this order: “What is good for society comes first,
then what is good for patients, and finally, what is
good for self.”
Dr. Malterud sees potential advantages to
society in a mid-level provider. “There are
situations,” he says, “where rural access clinics with
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a heavy load of patients may benefit from this, too,
as long as it is within a team concept.” But he also
worries about the risks. “In a non-team
environment,” he says, “I see the potential for the
general public to actually be open to injury. There
are so many inter-operational diagnostic situations
that come up that move a ‘simple’ procedure to
another category outside the mid-level’s scope of
practice. If a mid-level provider is functioning
outside the dental team, resolution of such situations
cannot be completed safely.”
In “The Disappearing Dentist,” a segment of
Slate magazine’s 2009 five-part analysis, “The
American Way of Dentistry,” writer June Thomas
calls not just for more dentists, but for more general
dentists, to improve access to care. “Just as in
medicine,” she writes, “there are too many
specialists and too few general practitioners.”
Thomas reports that in the 1980s, about 20 percent
of dental graduates pursued specialty programs; by
the turn of the 21st century, the figure was closer to
one-third.
Dr. Malterud thinks that help from a few midlevel associates might free up those general dentists
to perform more effectively. “Working in a team
concept can facilitate delegation of duties that
would allow the lead dentist to provide higher levels
of care and accomplish more difficult procedures,”
he says. “This can open up avenues of education for
the general dentist to get advanced training to help
more patients with more complex cases.”
Dr. Edgar also thinks the mid-levels could
provide an unexpected boon to general dentistry.
“In some other countries that have dental therapists,
dental education programs have been expanded to
train dentists in more complex patient care,” he
says. “The same could happen here.”
The future of dentistry:
Where will we be in 10 years?
Neither planners nor pundits can predict to what
extent the public’s unmet dental-care needs actually
translate into demand. “Access to care is a multifaceted problem that needs to be addressed on many
fronts and on several levels,” says Dr. Simonsen,
noting that mid-level providers represent only one
of many approaches. Dr. Kalkwarf suggests that the
survival of mid-level dental practitioners, much less
their widespread entrenchment, is not assured.
“There are a lot of pieces in play,” he says.
“Because mid-levels are trained less, they may be
able provide care less expensively. It sounds good
in theory, but the marketplace may direct something
else.”
The mid-level concept is amorphous. Potential
mid-level providers include a cumbersome
assortment of health-care figures encompassing a
broad range of training, from dental assistants to
supervised or independent dental hygienists, to
dental therapists of either undergraduate or
graduate-school status, to nurses, to primary care
physicians. It is largely untested. And it is
fragmented. “This is a fifty-state issue,” Dr. Dycus
says, “one that will be fought state by state. Midlevel dental care is not a national issue per se,
because dental practice acts and insurance rules are
different in each state.” What’s more, there is no
guarantee that mid-level providers, any more than
dentists, will end up working with the underserved
populations as legislatures and foundations
envision.
While Dr. Simonsen characterizes the
acceptance of mid-level providers as potentially
“painful” to dentists, Dr. Edgar minimizes the
threat. “I don’t believe that dental therapists as they
currently exist will kill general practice,” he says.
“Mid-levels are constrained by both the narrow
scope of treatment procedures allowed and the
limited populations that they are able to treat.
Dentists will remain the leader of the team.”
Dr. Kalkwarf also believes that reports of the
death of dentistry have been greatly exaggerated.
He describes a study in the 1970s that predicted
there would be no future need for endodontists or
pediatric dentists. Instead, he says, “Those
specialties evolved, broadened their scope, and they
have continued to be successful.”
General dentistry itself has been written off
before. In 1984, Forbes magazine published an
article, “What’s Good for America Isn’t Necessarily
Good for the Dentists,” which announced the end of
the profession. As fluoride cut the decay rate in
half—cavities, Forbes declared, “are going the way
of polio and smallpox”—and dental schools
pumped out too many graduates, fees and incomes
would fall. Dentists would work on salary, and the
profession would dramatically contract, attracting
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less qualified students who would lower overall
standards of care.
Obviously, dentistry didn’t die. It didn’t even
contract. In 1999, David Plotz wrote a Slate essay,
“Defining Decay Down: Why Dentists Still Exist,”
concluding that dentists prospered in the face of
predicted extinction because they evolved. They
made dental visits more pleasant, advanced their
skills in esthetics and implants, and changed patient
attitudes. “Americans under age sixty believe
keeping all their teeth is an entitlement,” Plotz
observed. “The transformation of American
dentistry… is … a case study in how a profession
can work itself out of a job and still prosper.”
Many observers believe general dentists will
again figure out a way to thrive in the face of midlevel challenges. “While the details may evolve and
may not be all chairside, smart dentists can develop
themselves a quite satisfying career,” Dr. Kalkwarf
says. Dr. Edgar sees dentistry’s future adaptability
as being based firmly in education. “What I do in
practice is very different from many of my
colleagues because of the educational opportunities
that the AGD has offered me,” he says.
“When I was in dental school 30 years ago,”
says Dr. Malterud, “a lecturer on the future of
dentistry predicted the rise of a new level of
practitioner that he termed a ‘super-generalist.’ I
have kept that in mind and used it as a target for my
education. I believe that many of our AGD
members are positioned to become super generalists
already by achieving their Mastership in the AGD.”
Regardless of the future of mid-level providers, Dr.
Malterud contends, AGD super-generalists are
poised to flourish. Dr. Edgar agrees: “I see
comprehensive general dentistry in ten years
thriving beyond our current expectations.”
The mid-level challenge places dentistry at a
crossroad. “We can either get in control of our
profession and find models to provide greater
access to care,” Dr. Kalkwarf says, “or we can keep
doing what we have been doing and see the erosion
of the profession.” The profession’s movement as it
approaches the puzzle of mid-level provider feels
something like that of the International Space
Station circling earth. Some worry that dentistry is
plummeting. Others have faith it can remain aloft,
safely, usefully and indefinitely. It’s important to
realize that a freefall and an orbit are the same
thing. In orbit, however, the craft is also moving
forward. The difference is control.
Published with permission by the Academy of General Dentistry.
© Copyright 2010 by the Academy of General Dentistry. All rights reserved.
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25 Proposals for Increasing Access to Dental Care
Without a Mid-Level Provider
1. Extend the period over which student loans
are forgiven to 10 years without tax
liabilities for the amount forgiven in any
year;
2. Provide tax credits for establishing and
operating a dental practice in an underserved
area;
3. Offer scholarships to dental students in
exchange for committing to serve in an
underserved area;
4. Increase funding of and statutory support for
expanded loan repayment programs (LRPs);
5. Provide federal loan guarantees and/or
grants for the purchase of dental equipment
and materials;
6. Increase appropriations for funding an
increase in the number of dentists serving in
the National Health Service Corps and other
federal programs, such as the Indian Health
Service (IHS), programs serving other
disadvantaged populations and U.S.
Department of Health and Human Services
(HHS)-wide loan repayment authorities;
7. Actively recruit applicants for dental schools
from underserved areas;
8. Assure funding for Title VII general practice
residency (GPR) and pediatric dentistry
residencies;
9. Take steps to facilitate effective compliance
with government-funded dental care
programs to achieve optimum oral health
outcomes for indigent populations:
a. Raise Medicaid fees to at least the 75th
percentile of dentists’ actual fees;
b. Eliminate extraneous paperwork;
c. Facilitate e-filing;
d. Simplify Medicaid rules;
e. Mandate prompt reimbursement;
f. Educate Medicaid officials regarding the
unique nature of dentistry;
g. Provide block federal grants to states for
innovative programs;
h. Require mandatory annual dental
examinations for children entering
school (analogous to immunizations) to
determine their oral health status;
i. Encourage culturally competent
education of patients in proper oral
hygiene and in the importance of
keeping scheduled appointments;
j. Utilize case management to ensure that
the patients are brought to the dental
office; and
k. Increase general dentists’ understanding
of the benefits of treating indigent
populations.
10. Establish alternative oral health care
delivery service units;
11. Provide exams for one-year-old children as
part of the recommendations for new
mothers to facilitate
12. Provide oral health care, education, and
preventive programs in schools;
13. Arrange for transportation to and from care
centers; and
14. Solicit volunteer participation from the
private sector to staff the centers.
15. Encourage private organizations, such as
Donated Dental Services (DDS), fraternal
organizations and religious groups, to
establish and provide service;
16. Provide mobile and portable dental units to
service the underserved and indigent of all
age groups;
17. Identify educational resources for dentists
on how to provide care to pediatric and
special needs patients and increase AGD
dentist participation;
18. Provide information to dentists and their
staffs on cultural diversity issues which will
help them reduce or eliminate barriers to
clear communication and enhance
understanding of treatment and treatment
options;
19. Pursue development of a comprehensive
oral health education component for public
schools’ health curricula in addition to
providing editorial and consultative services
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to primary and secondary school textbook
publishers;
20. Increase the supply of dental assistants and
dental hygienists to engage in prevention
efforts within the dental team;
21. Expand the role of auxiliaries within the
dental team that includes a dentist or is
under the direct supervision of a dentist;
22. Eliminate barriers and expand the role that
retired dentists can play in providing service
to indigent populations;
23. Strengthen alliances with the American
Dental Education Association (ADEA) and
other professional organizations such as the
Association of State and Territorial Health
Officials (ASTHO), the Association of State
and Territorial Dental Directors (ASTDD),
the National Association of Local Boards of
Health (NALBOH) and the National
Association of County & City Health
Officials (NACCHO);
24. Lobby for and support efforts at building the
public health infrastructure by using and
leveraging funds that are available for uses
other than oral health; and
25. Increase funding for fluoride monitoring and
surveillance programs, as well as for the
development and promotion of a new
fluoride infrastructure.
Source: AGD White Paper on Increasing Access to and Utilization of Oral Health Care Services, 2009
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AGD letters sent to Congress
Addendum to list included in HOD
manual
June 3, 2010
In May, the AGD cosigned a letter
with its partners in the organized
dentistry community to Sec. Sebelius
and the Chair and Ranking
Republican of the House and Senate
Appropriations Committees urging
them to fund several of the oral health
provisions in the health care reform
bill. Since then, several groups
contacted the ADA asking to be
added to the letters, so the letters were
updated and re-sent to the Hill.
June 10, 2010
Under Dr. Halpern's signature, the
AGD wrote a letter responding to the
Department of Health and Human
Services “Notice of Intent to Form a
Negotiated Rulemaking Committee”
to establish a comprehensive
methodology and criteria for
Designation of Medically
Underserved Populations (MUPs) and
Primary Care Health Professional
Shortage Areas (HPSAs) (75 FR
26167). While the AGD broadly
supported the initiative because of its
attempt to improve upon the flawed
methodologies by which MUPs and
HPSAs are designated under current
practice, the AGD is disappointed that
dental HPSAs will not be considered
under this negotiated rulemaking
(NR).
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June 14, 2010
Under Drs. Halpern and Bromberg's
signatures, sent a letter to
Congressmen Alder, Simpson and
Broun thanking them for their
steadfast efforts to delay
implementation of the Red Flags
regulations and, ultimately, to
statutorily exempt health care
providers with 20 or fewer employees
from the definition of “creditor” as it
applies to Red Flags.
June 14, 2010
AGD signed onto a coalition letter to
ask senators to support a provision in
the American Jobs and Closing
Loopholes Act (H.R. 4213) that
would extend the federal medical
assistance percentage (FMAP)
enhancement to states through June
30, 2011. The funding included in
last year’s American Recovery and
Reinvestment Act (ARRA) allowed
states to continue to provide vital
health care services to enrollees.
June 15, 2010
AGD signed onto coalition letter
supporting HR 5364, the Special Care
Dentistry Act, which would require
states to provide a limited menu of
dental services to the aged, blind and
disabled. “Aged, blind and disabled”
is a defined term under the Social
Security Act so the request is for a
limited population and a limited list of
procedures that would be
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reimbursable under the Act. Further,
the bill would require a 100% FMAP,
thus avoiding the charge of ‘unfunded
mandate” on the states.
June 15, 2010
Letter to the New Brunswick Dental
Society (NBDS) about its request for
additional verification of continuing
education (CE) credits earned through
self-instruction courses by dentists
licensed in its province from Dr.
Halpern that provided background
information regarding on AGD's SelfInstruction program.
June 15, 2010
AGD signed onto coalition letter of
support for the “Small Business
Paperwork Mandate Elimination
Act”, H.R. 5141, which would repeal
the provision of the Patient Protection
and Affordable Care Act (section
9006) that greatly expands the
conditions under which businesses are
required to file 1099 tax forms.
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June 18, 2010
Pending legislation, the CARES Act
(H.R. 1339/S. 1235) seeks to make
changes to ERISA, the Public Health
Service Act and the Internal Revenue
Code to set an immediate, national
standard requiring insurers to cover
treatment for persons age 21 and
under with congenital deformities
including craniofacial anomalies like
cleft lip and palate. The CARES Act
was included in the House health
reform bill, but ultimately was not
included in PPACA. As a possible
alternative to enacting the CARES
Act to provide such coverage, the
AGD signed onto a coalition letter of
support for Rep. McCarthy and Sen.
Landrieu's plan to ask the Department
of Health and Human Services to
make coverage for reconstructive
surgeries to treat children’s
deformities an essential benefit under
PPACA.
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2010 Constituent Presidents and Executives
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REGION 1
Connecticut, Maine, Massachusetts
New Hampshire, Rhode Island,
Vermont
Eric J. Levine, DMD, FAGD
President - Connecticut
231 Farmington Ave
Farmington, CT 06032-1915
E-mail: ejldmd@gmail.com
Start Date: 1/1/2003
End Date: 3/31/2011
Jay R. Wietecha, DMD, FAGD
President - Maine
98 Silver Street
Waterville, ME 04901-5935
E-mail: jaywiete@hotmail.com
Start Date: 3/7/2009
End Date: 3/7/2011
James M. Phelan, DMD, MAGD
President - Massachusetts
3 Howarth Avenue
Attleboro, MA 02703-5926
E-mail: jphelandmd@cox.net
Start Date: 10/2/2008
End Date: 10/1/2010
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Anne B. Filler, DMD, FAGD
President - New Hampshire
56 Heritage Hill Road
Windham, NH 03087-1816
E-mail: abfiller@comcast.net
Start Date: 1/1/2003
End Date: 1/31/2011
H. Michael Sefranek, DMD, MAGD
President - Rhode Island
338 County Road, Suite B
Barrington, RI 02806-2429
E-mail: mike@smilesdr.com
Start Date: 9/25/2007
End Date: 9/30/2010
Bettina D. Laidley, DMD, FAGD
President - Vermont
165 Dorset Street
South Burlington, VT 05403-6251
E-mail: drlaidley@gmail.com
Start Date: 3/1/2010
End Date: 3/1/2011
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REGION 2
New York
Steven Eichberg
Executive Director - New York
222 Mamaroneck Avenue, Suite PH
White Plains, NY 10605-1303
E-mail: eichs@nysagd.org
Start Date: 1/1/2003
End Date: 5/14/2011
Janice K. Pliszczak, DDS, MS, MBA,
MAGD
President - New York
4525 West Seneca Turnpike
Syracuse, NY 13215-9785
E-mail: janicep@twcny.rr.com
Start Date: 5/2/2009
End Date: 5/14/2010
REGION 3
Pennsylvania
April Hutcheson
Executive Director - Pennsylvania
1125 Windsor Road
Mechanicsburg, PA 17050-6601
E-mail: ahutcheson@comcast.net
Start Date: 5/4/2008
End Date: 4/30/2011
Natalie A. Amann, DDS, MAGD
President - Pennsylvania
491 Allendale Road, Suite 203
King of Prussia, PA 19406-1431
E-mail: natalieamann@comcast.net
Start Date: 5/1/2010
End Date: 4/30/2011
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REGION 4
New Jersey
Felicia Conte
Executive Director - New Jersey
182 Szymanski Drive
Spotswood, NJ 08884-1071
E-mail: contenjagd@yahoo.com
Start Date: 1/8/2009
End Date: 6/30/2010
Jeffrey C. Linfante, DMD, FAGD
President - New Jersey
15 Peachtree Road
Oakhurst, NJ 07755-1009
E-mail: jeffreyl@mac.com
Start Date: 5/13/2009
End Date: 6/30/2010
REGION 5
Delaware, District of Columbia,
Maryland, Virginia
Jeffrey M. Cole, DDS, MBA, FAGD
Executive Director - Delaware
2396 Limestone Road
Wilmington, DE 19808-4127
E-mail: jmcoledds@aol.com
Start Date: 7/10/2007
End Date: 7/31/2011
Thomas E. Jenkins, DMD, FAGD
President - Delaware
2323 Pennsylvania Avenue, Suite LL
Wilmington, DE 19806-1332
E-mail: drtej@aol.com
Start Date: 7/31/2009
End Date: 7/30/2011
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John W. Drumm, DMD
President - District of Columbia
3301 New Mexico Avenue NW
Suite 230
Washington, DC 20016-3614
E-mail: drjohndrumm@aol.com
Start Date: 4/1/2008
End Date: 4/1/2011
Jennifer L. Hartinger
Executive Secretary - Maryland
2240 West Greenleaf Drive
Frederick, MD 21702
E-mail: jenhartinger@hotmail.com
Start Date: 8/1/2007
End Date: 7/31/2010
Denison E. Byrne, DDS, MAGD
Executive Director - Maryland
1104 Kenilworth Drive, Suite 102
Baltimore, MD 21204-3104
E-mail: dennybyrne1@gmail.com
Start Date: 8/1/2009
End Date: 7/31/2010
Charles A. Doring, DDS, FAGD
President - Maryland
11400 Rockville Pike, Suite 509
Rockville, MD 20852-3024
E-mail: cdoring@comcast.net
Start Date: 8/1/2009
End Date: 7/31/2010
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Victoria Fahrenkrog
Executive Secretary - Virginia
989 Laurel Glen
Charlottesville, VA 22903-7806
E-mail: vagdmail@aol.com
Start Date: 1/26/2010
End Date: 11/1/2011
Pamela K. Stover, DDS
President - Virginia
1522B Insurance Lane
Charlottesville, VA 22911-7229
E-mail: stoverdds@yahoo.com
Start Date: 11/7/2009
End Date: 11/1/2010
REGION 6
Kentucky, Missouri, Tennessee,
West Virginia
Paula L. Collins, DMD
President - Kentucky
501 South Preston Street
University Louisville
Louisville, KY 40292-0001
E-mail: plcoll01@gwise.
louisville.edu
Start Date: 1/9/2009
End Date: 1/8/2011
Dawn R. McCausland
Executive Secretary - Missouri
2440 S Brentwood Boulevard
St. Louis, MO 63144-2321
E-mail: dawn@kochanandcompany.
com
Start Date: 5/1/2005
End Date: 4/30/2011
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Connie L. White, DDS, FAGD
President - Missouri
650 East 25th Street
UMKC School of Dentistry
Kansas City, MO 64108-2716
E-mail: Whiteco@umkc.edu
Start Date: 7/1/2009
End Date: 4/30/2011
Ernest N. Oyler, Jr., DDS, MAGD
President - Tennessee
115 Interstate Drive NW
Cleveland, TN 37312-2642
E-mail: toothfixers@yahoo.com
Start Date: 8/21/2008
End Date: 8/20/2010
Gregory Briscoe, DDS
President - West Virginia
P. O. Box 13485
Charleston, WV 25360-0485
E-mail: briscoe1951@gmail.com
Start Date: 3/15/2007
End Date: 3/31/2011
REGION 7
Indiana, Ohio
Shannon Gossett-Webb
Executive Secretary - Indiana
1331 Middleham Lane
Beech Grove, IN 46107-3314
E-mail: indianaagd@yahoo.com
Start Date: 1/1/2007
End Date: 8/1/2010
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Michael A. Gordon, DDS, MAGD
President - Indiana
829 Main Street
Schererville, IN 46375-1100
E-mail: magdds@sbcglobal.net
Start Date: 8/1/2009
End Date: 8/1/2010
Heidi Drollinger
Executive Secretary - Ohio
10 West Main Street
P. O. Box 25
Seville, OH 44273-8851
E-mail: ghdroll@aol.com
Start Date: 1/1/2003
End Date: 9/30/2010
Robert B. Barsan, DDS, FAGD
President - Ohio
330 Stow Avenue
Cuyahoga Falls, OH 44221-2516
E-mail: nt2thdk@yahoo.com
Start Date: 10/1/2008
End Date: 9/30/2010
REGION 8
Illinois
Deb Noordhoff
Executive Secretary - Illinois
25367A Georgetown Road
Lanark, IL 61046-8703
E-mail: noordhoff@frontiernet.net
Start Date: 9/7/2004
End Date: 12/31/2010
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Betty A. Haberkamp, DDS, MAGD
President - Illinois
2323 Randall Road
Carpentersville, IL 60110-3448
E-mail: doctooth@mac.com
Start Date: 1/1/2010
End Date: 12/31/2010
REGION 9
Michigan, Wisconsin
Leonard R. Machi, DDS, FAGD
President - Wisconsin
12217 West North Avenue
Wauwatosa, WI 53226-2056
E-mail: lenwiagd@gmail.com
Start Date: 1/1/2010
End Date: 1/31/2012
Anthony R. Bielkie, DDS, FAGD
President - Michigan
51725 Van Dyke Avenue
Shelby Township, MI 48316-4451
E-mail: anthonybielkie@gmail.com
Start Date: 3/13/2010
End Date: 3/13/2011
REGION 10
Iowa, Minnesota, Nebraska, North
Dakota, South Dakota
Valerie Preston
Executive Director - Iowa
133 Brentwood Drive NE
Cedar Rapids, IA 52402-1505
E-mail: valerie.preston@mchsi.com
Start Date: 1/1/2003
End Date: 6/30/2010
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Ted J. Murray, DDS, MAGD
President - Iowa
4200 Asbury Road
Dubuque, IA 52002-2892
E-mail: tedm102063@aol.com
Start Date: 7/1/2009
End Date: 6/30/2010
Kristin Erickson
Executive Director - Minnesota
6929 Indiana Avenue N
Brooklyn Center, MN 55429-1314
E-mail: kristin.mnagd@yahoo.com
Start Date: 7/31/2009
End Date: 12/31/2010
Paul K. Zollinger, DDS
President - Minnesota
2142 Arcade Street
Maplewood, MN 55109-2572
E-mail: drz@afdental.us
Start Date: 1/1/2009
End Date: 12/31/2010
Julie Berger
Executive Director - Nebraska
7041 South 38th Street, #128
Lincoln, NE 68516-5729
E-mail: jberger5@neb.rr.com
Start Date: 1/1/2003
End Date: 6/30/2011
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Kevin C. Low, DDS
President - Nebraska
P. O. Box 468
246 Vincent Avenue
Chappell, NE 69129-0468
E-mail: lenny2351_69129@
yahoo.com
Start Date: 6/30/2009
End Date: 6/30/2011
Colleen J. Hofer, DDS, FAGD
President - North Dakota
P. O. Box 250
Velva, ND 58790-0250
E-mail: dentgirl@msn.com
Start Date: 7/1/2009
End Date: 12/31/2010
Brenda Goeden
Executive Secretary - South Dakota
P. O. Box 1194
SDDA
Pierre, SD 57501-1194
E-mail: brenda@sddental.org
Start Date: 10/1/2005
End Date: 11/15/2010
Jeffrey M. Feiock, DDS
President - South Dakota
6301 South Minnesota Avenue
Suite 100
Sioux Falls, SD 57108-2529
E-mail: jeff@sensationalsmiles4u.
com
Start Date: 11/16/2006
End Date: 11/15/2010
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REGION 11
Alaska, Idaho, Montana, Oregon,
Washington
Dan Kiley, DDS, FAGD
President - Alaska
4050 Lake Otis Parkway, Suite 100
Anchorage, AK 99508-5220
E-mail: admin@drdankiley.net
Start Date: 5/23/2009
End Date: 8/1/2010
Dennis J. Garpetti, DDS
President - Idaho
13108 West Persimmon Lane
Boise, ID 83713-1986
E-mail: drgarpetti@
lifesmilesdds.com
Start Date: 5/15/2008
End Date: 12/31/2011
Timothy M. Lawhorn, DDS
President - Montana
690 SW Higgins Avenue, Suite E
Missoula, MT 59803-1433
E-mail:
lawhorndds@fullcaredental.com
Start Date: 3/1/2010
End Date: 3/1/2012
Bernie Taylor, CAE
Executive Director - Oregon
1730 SW Harbor Way, Unit 502
Portland, OR 97201-5127
E-mail: oragd@comcast.net
Start Date: 1/1/2003
End Date: 10/1/2010
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S. Shane Samy, DMD, FAGD
President - Oregon
2233 Willamette Street, Suite D
Eugene, OR 97405-2890
E-mail: samydmd@aol.com
Start Date: 10/1/2009
End Date: 10/1/2010
Valerie Bartoli, CDA
Executive Director - Washington
32114 1st Avenue S, Suite 200
Federal Way, WA 98003-5760
E-mail: valbartoli@comcast.net
Start Date: 1/1/2003
End Date: 1/25/2011
David A. Keller, DDS, MAGD,
ABGD
President - Washington
9409 NE 84th Court
Vancouver, WA 98662-3208
E-mail: kellerd@interdent.com
Start Date: 9/30/2009
End Date: 9/30/2010
REGION 12
Arkansas, Kansas, Louisiana,
Mississippi, Oklahoma
Tracy T. Windham, DDS, FAGD
President - Arkansas
5500 West Markham Street
Little Rock, AR 72205-3412
E-mail: dentark1@aol.com
Start Date: 7/29/2008
End Date: 7/31/2010
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Richard D. Crowder, DDS
President - Kansas
14922 West 87th Street Parkway
Lenexa, KS 66215-4159
E-mail: drc@crowderfamilydentistry.
com
Start Date: 6/1/2009
End Date: 9/30/2010
Melissa Kogler
Administrative Assistant - Louisiana
38303 Welsh Drive
Prairieville, LA 70769-3848
E-mail: mkogler@eatel.net
Start Date: 8/11/2008
End Date: 12/31/2010
Brenda Descant
Executive Director - Louisiana
9069 Siegen Lane
Baton Rouge, LA 70810-1951
E-mail: lagd@earthlink.net
Start Date: 1/1/2003
End Date: 12/31/2010
Kay Jordan, DDS, FAGD
President - Louisiana
677 Barataria Boulevard
Marrero, LA 70072-1835
E-mail: kayjordan@cox.net
Start Date: 1/1/2009
End Date: 12/31/2010
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Mark D. Williams, DMD, FAGD
President - Mississippi
1216 23rd Avenue
Meridian, MS 39301-4019
E-mail: markwilliamsdmd@
bellsouth.net
Start Date: 6/1/2009
End Date: 8/1/2011
Patricia L. Webb
Executive Director - Oklahoma
5 Augusta Lane
Holiday Island, AR 72631-5202
E-mail: plweb@cox.net
Start Date: 2/25/2005
End Date: 2/1/2011
Robert H. Melton, DDS, MAGD
President - Oklahoma
P. O. Box 712
Drumright, OK 74030-0712
E-mail: kmelton723@aol.com
Start Date: 2/6/2009
End Date: 2/1/2011
REGION 13
California
Lynn Peterson, CAE
Executive Director - California
2063 Main Street, PMB 418
Oakley, CA 94561-3302
E-mail: tree32@comcast.net
Start Date: 1/1/2005
End Date: 1/15/2011
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William N. Langstaff, DDS, FAGD,
DICOI
President - California
17871 Santiago Boulevard, Suite 228
Villa Park, CA 92861-4129
E-mail: wefloss@mac.com
Start Date: 1/16/2010
End Date: 1/15/2011
REGION 14
Arizona, Colorado, Hawaii,
Nevada, New Mexico, Utah,
Wyoming
Corrina Sprenger
Executive Secretary - Arizona
P. O. Box 54640
Phoenix, AZ 85078-4640
E-mail: arizonaagd@cox.net
Start Date: 9/12/2006
End Date: 3/31/2011
Ronald D. Giordan, DDS, MAGD
Executive Director - Arizona
605 North 161st Avenue
Goodyear, AZ 85338-2306
E-mail: ronaldgiordandds@msn.com
Start Date: 1/1/2007
End Date: 3/31/2011
Michael J. Bricker, DDS, MAGD
President - Arizona
1000 Willow Creek Road, Suite E
Prescott, AZ 86301-1645
E-mail: docbricker@hotmail.com
Start Date: 3/27/2009
End Date: 3/31/2011
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Christopher R. Sprout, DDS
President - Colorado
3377 Blake Street, Suite 203
Denver, CO 80205-2460
E-mail: crsprout@hotmail.com
Start Date: 7/31/2008
End Date: 7/31/2010
Mitchell A. Chun, DMD
Executive Director - Hawaii
P. O. Box 246
Kailua, HI 96734-0246
E-mail: mitchellchun@hotmail.com
Start Date: 1/1/2003
End Date: 12/31/2010
Russell K. Tasaka, DMD
President - Hawaii
3221 Waialae Avenue, Suite 376
Honolulu, HI 96816-5845
E-mail: wekepueo@aol.com
Start Date: 1/1/2006
End Date: 12/31/2010
Jason L. Champagne, DDS
President - Nevada
735 Sparks Boulevard
Sparks, NV 89434-7930
E-mail: jchampagne@
champagnedental.com
Start Date: 6/1/2008
End Date: 5/31/2010
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Stephen E. Hubbert, DDS, FAGD
President - New Mexico
8501 Candelaria Road NE, Suite E3
Albuquerque, NM 87112-1032
E-mail: hubbertstephene@qwest.net
Start Date: 8/1/2007
End Date: 11/1/2010
Kenneth R. Dibble, DDS
President - Utah
908 Riparian Drive
Draper. UT 84020-8541
E-mail: buster_dibble@msn.com
Start Date: 10/1/2009
End Date: 9/30/2010
Nektarios A. Bouzis, DDS, FAGD
President - Wyoming
708 West 8th Street
Gillette, WY 82716-4109
E-mail: wyodds@wyinet.com
Start Date: 9/7/2005
End Date: 9/1/2010
REGION 15
Atlantic Provinces , Ontario,
Quebec
Kenneth V. MacDonald, DDS
President - Atlantic Provinces AGD
2 Pinewood Drive
St. Stephen, NB
E3L 1K5
E-mail: kvmacd@nbnet.nb.ca
Start Date: 11/29/2004
End Date: 12/31/2010
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Amit Kapur, CPA, CFA
Executive Director - Ontario
87 Glazebrook Crescent
Cambridge, ON
N1T 2H8
E-mail: amitkapur00@hotmail.com
Start Date: 4/17/2006
End Date: 1/1/2011
Sanjay Uppal, DDS
President - Ontario
900 Jamieson Parkway, Unit 3
Cambridge, ON
N3C 4N6
E-mail: sanjayuppal@yahoo.com
Start Date: 2/23/2010
End Date: 1/31/2011
Lena Terjanian, DMD, FAGD
President - Quebec
1255 Laird Boulevard, Suite 153
Montreal, QC
H3P 2T1
E-mail: drlenaterjanian@yahoo.ca
Start Date: 1/1/2003
End Date: 1/31/2011
REGION 16
Alberta, British Columbia
Trey L. Petty, DDS, FAGD
President - Alberta
110-2210 2nd Street SW
Calgary, AB
T2S 3C3
E-mail: trey.petty@gmail.com
Start Date: 4/11/2008
End Date: 4/30/2011
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Hank W. Klein, DMD
President - British Columbia
777 Hornby Street, Suite 850
Vancouver, BC
V6Z 1S4
E-mail: drhank@shaw.ca
Start Date: 4/3/2007
End Date: 4/2/2011
REGION 17
Air Force, Army, Navy, Public
Health, Veterans Administration
John W. Klish, DDS, FAGD, ABGD
Executive Secretary - Federal
Services
8005 East Brookridge Drive
Middletown, MD 21769-8123
E-mail: klishdds@comcast.net
Start Date: 1/1/2003
End Date: 7/31/2011
Michael N. Wajdowicz, DDS,
MAGD, ABGD
President - Air Force
25675 Overlook Parkway, #3805
San Antonio, TX 78260-2534
E-mail: michael.wajdowicz@
lackland.af.mil
Start Date: 7/13/2009
End Date: 7/31/2010
Dianne D. Pannes, DDS, MAGD,
ABGD
President - Army
92-1088 Olani Street, #1
Kapolei, HI 96707-4208
E-mail: dianne.pannes@us.army.mil
Start Date: 8/1/2009
End Date: 7/31/2010
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Janet A. Delorey-Lytle, DDS,
MAGD, ABGD
President - Navy
6772 Indian Cove Road
Twentynine Palms, CA 92277-6517
E-mail: janet.delorey-lytle@
med.navy.mil
Start Date: 7/21/2008
End Date: 7/12/2010
Daniel J. Hickey, DMD, MAGD
President - Public Health
601 Macassar Drive
Pittsburgh, PA 15236-2762
E-mail: Daniel.Hickey1@dhs.gov
Start Date: 7/13/2009
End Date: 6/30/2011
Kim C. Culbertson, DDS, FAGD
President - Veterans Administration
503 Columbus Court
Smyrna, TN 37167-6366
E-mail: honey_k@comcast.net
Start Date: 7/15/2009
End Date: 7/31/2010
REGION 18
Texas
Amy Knitt
Administrative Assistant - Texas
409 West Main Street
Round Rock, TX 78664-5831
E-mail: amy@tagd.org
Start Date: 9/13/2007
End Date: 9/30/2010
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Connie Sonnier, CAE
Executive Director - Texas
409 West Main Street
Round Rock, TX 78664-5831
E-mail: connie@tagd.org
Start Date: 10/3/2003
End Date: 9/30/2010
Dan P. McCauley, DDS, FAGD
President - Texas
1603 North Jefferson Avenue
Mt. Pleasant, TX 75455-2329
E-mail: drdansmu@hotmail.com
Start Date: 9/29/2009
End Date: 9/30/2010
REGION 19
Alabama, Georgia, North Carolina,
South Carolina
Angie Gilliver
Executive Secretary - Alabama
2723 Elberta Street
Northport, AL 35475-4926
E-mail: Angie4alagd@bellsouth.net
Start Date: 7/1/2007
End Date: 9/1/2010
Howard R. Gamble, DMD, FAGD
Executive Director - Alabama
1009 South Jackson Highway
P. O. Box 956
Sheffield, AL 35660-5760
E-mail: hrgamble@bellsouth.net
Start Date: 9/1/2009
End Date: 8/31/2010
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Milton E. Essig, DMD
President - Alabama
1919 7th Avenue S, #514
Birmingham, AL 35294-0001
E-mail: messig1914@yahoo.com
Start Date: 9/1/2009
End Date: 9/1/2010
Michelle Crider
Executive Secretary - Georgia
2711 Irvin Way, Suite 111
Decatur, GA 30030-1724
E-mail: michelle@jlh-consulting.com
Start Date: 8/29/2006
End Date: 7/11/2010
Laura Faye
Executive Secretary - Georgia
2711 Irvin Way, Suite 111
Decatur, GA 30030-1724
E-mail: laura@jlh-consulting.com
Start Date: 3/1/2007
End Date: 7/11/2010
Lasa Joiner
Executive Director - Georgia
2711 Irvin Way, Suite 111
Decatur, GA 30030-1724
E-mail: lasaj@jlh-consulting.com
Start Date: 8/29/2006
End Date: 7/11/2010
Thomas J. Price, DDS, MAGD
President - Georgia
755 Commerce Drive, Suite 513
Decatur, GA 30030-2618
E-mail: drtjp@bellsouth.net
Start Date: 7/12/2009
End Date: 7/11/2010
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Elizabeth Trevathan
Executive Director - North Carolina
537 North Gurney Street
Burlington, NC 27215-4819
E-mail: etncagd@gmail.com
Start Date: 1/1/2003
End Date: 2/12/2012
Glenn B. Miller, DDS, FAGD
President - North Carolina
1944 Hendersonville Road, Suite B2
Asheville, NC 28803-2795
E-mail: milzooster@gmail.com
Start Date: 2/20/2010
End Date: 2/12/2011
Cindy S. Ott
Executive Director - South Carolina
1195 St. Matthews Road
PMB 313
Orangeburg, SC 29115-3417
E-mail: medmanage@ntinet.com
Start Date: 1/1/2003
End Date: 7/1/2010
Strother E. Murdoch, DMD, MAGD
President - South Carolina
1562 Constitution Boulevard, #103
Rock Hill, SC 29732-3540
E-mail: semurdoch@
comporium.net
Start Date: 7/1/2009
End Date: 7/1/2010
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REGION 20
Florida, Puerto Rico, Virgin Islands
Rosie A. Small
Executive Director - Florida
2380 NW 12th Street
Delray Beach, FL 33445-1349
E-mail: rosiesmall@aol.com
Start Date: 12/27/2005
End Date: 10/31/2010
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Aldo L. Miranda-Collazo, DMD
President - Puerto Rico
249 Calle Las Marias Urb Hyde Park
San Juan, PR 00927-4224
E-mail: gala@coqui.net
Start Date: 2/29/2008
End Date: 2/28/2011
Roderick K. Shaw, III, DMD, MAGD
President - Florida
255 NE Duval Avenue
Madison, FL 32340-2542
E-mail: rkshaw@embarqmail.com
Start Date: 11/1/2009
End Date: 10/31/2010
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