December 2015 Volunteering Internationally Temporary Clinic Sterilization Ethical Considerations Risk Management Journacalifornia DENTAL ASSOCIATION

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December 2015 Volunteering Internationally Temporary Clinic Sterilization Ethical Considerations Risk Management Journacalifornia DENTAL ASSOCIATION December 2015 Volunteering Internationally Temporary Clinic Sterilization Ethical Considerations Risk Management JournaCALIFORNIA DENTAL ASSOCIATION Volunteerism Within Dentistry Kenneth G. Wallis, DDS You are not a policy number. You are also not a sales goal or market segment. You are a dentist. And we are The Dentists Insurance Company, TDIC, where business is about doing what’s best for you, our policyholders. Here, you receive the respect and care deserving of a member of your profession. You have access to an in-house claims team, razor-sharp legal team and industry-leading resources to manage risk. Why go to such lengths? Because with us, protecting dentists is all that matters. ® Protecting dentists. It’s all we do. 800.733.0633 | tdicsolutions.com | CA Insurance Lic. #0652783 Dec. 2015 CDA JOURNAL, VOL 43, Nº12 DEPARTMENTS 698 The Associate Editor/One Step Forward 701 Letters to the Editor 704 Thank You to Journal Reviewers 705 Impressions 741 RM Matters/Strategies for a Team Approach to Risk Management 745 Regulatory Compliance/Calling, Texting or Emailing Patients? Know the Rules 749 Periscope 750 Tech Trends 752 Article Index 705 FEATURES 712 Volunteerism Within Dentistry An introduction to the issue. Kenneth G. Wallis, DDS 715 Why Volunteerism Works This article examines some current theories on what motivates people to volunteer. Kim V. Engelmann, DMin 717 Volunteerism: Everyone Wins Dental professionals should consider using their unique talents and expertise to help those who live with dental pain and infection and have no means of accessing care. Russell I. Webb, DDS 720 We Make a Life by What We Give The article focuses on the dental students of today, their introduction to volunteerism during their dental education and the future of the profession. Craig S. Yarborough, DDS, MBA 723 Volunteering Internationally: Why, Where and How To be effective, oral health volunteers need to understand and prepare for the challenges of working overseas. David E. Frost, DDS, MS, and Nancy A. Kelly, MHS CONTINUES ON 697 DECEMBER 2015 695 CDA JOURNAL, VOL 43, Nº12 Volume 43, Number 12 JournaCALIFORNIA DENTAL ASSOCIATION December 2015 CDA Classifieds. Free postings. published by the Editorial Upcoming Topics Letters to the Editor California Kerry K. Carney, DDS, CDE January/Silver Diamine www.editorialmanager. EDITOR-IN-CHIEF Priceless results. Dental Association February/Oral Cancer com/jcaldentassoc 1201 K St., 14th Floor [email protected] March/Integrated Health Sacramento, CA 95814 Ruchi K. Sahota, DDS, CDE Systems Subscriptions 800.232.7645 ASSOCIATE EDITOR Subscriptions are available cda.org Advertising only to active members of Brian K. Shue, DDS, CDE Doug Brown the Association. The CDA Offi cers ASSOCIATE EDITOR ADVERTISING SALES subscription rate is $18 and Kenneth G. Wallis, DDS [email protected] is included in membership PRESIDENT Kenneth G. Wallis, DDS 916.554.7312 dues. Nonmembers can GUEST EDITOR [email protected] view the publication online at cda.org/journal. Permission and Clelan G. Ehrler, DDS Andrea LaMattina PRESIDENT-ELECT PUBLICATIONS SPECIALIST Reprints Manage your subscription [email protected] Andrea LaMattina online: go to cda.org, log in Blake Ellington PUBLICATIONS SPECIALIST and update any changes to TECH TRENDS EDITOR Natasha A. Lee, DDS [email protected] your mailing information. VICE PRESIDENT 916.554.5950 Email questions or other [email protected] Courtney Grant changes to membership@ COMMUNICATIONS Manuscript cda.org. R. Del Brunner, DDS SPECIALIST SECRETARY Submissions [email protected] Jack F. Conley, DDS www.editorialmanager. EDITOR EMERITUS com/jcaldentassoc Kevin M. Keating, DDS, MS TREASURER Robert E. Horseman, DDS HUMORIST EMERITUS [email protected] CDA classifiedsclassifieds workwork harder to Stay Connected cda.org/journal bbringring you resuresults.lts. SeSellinglling a practice Craig S. Yarborough, DDS, Production MBA SPEAKER OF THE HOUSE Val B. Mina or a piece ooff equipment? Now you SENIOR GRAPHIC DESIGNER [email protected] can include photos to help buyers Walter G. Weber, DDS Randi Taylor Go Digital cda.org/apps see the potential. IMMEDIATE PAST PRESIDENT SENIOR GRAPHIC DESIGNER Look for this symbol, noting additional video [email protected] Celina Miranda content in the ePub version of the Journal. And if you’re hiring, candidates GRAPHIC DESIGNER anywhere can apply right from Management Peter A. DuBois the site. Looking for a job? You can EXECUTIVE DIRECTOR Journal of the California Dental Association (ISSN 1043–2256) is published monthly by the post that, too. And the best part— Jennifer George California Dental Association, 1201 K St., 14th Floor, Sacramento, CA 95814, 916.554.5950. it’s free to all CDA members. CHIEF MARKETING OFFICER Periodicals postage paid at Sacramento, Calif. Postmaster: Send address changes to Journal of the California Dental Association, P.O. Box 13749, Sacramento, CA 95853. Cathy Mudge The California Dental Association holds the copyright for all articles and artwork published All of these features are designed to VICE PRESIDENT herein. The Journal of the California Dental Association is published under the supervision of PUBLIC AFFAIRS help you get the results you need, CDA’s editorial staff . Neither the editorial staff , the editor, nor the association are responsible for any expression of opinion or statement of fact, all of which are published solely on the authority faster than ever. Check it out for Alicia Malaby of the author whose name is indicated. The association reserves the right to illustrate, reduce, COMMUNICATIONS revise or reject any manuscript submitted. Articles are considered for publication on condition yourself at cda.org/classifieds. DIRECTOR that they are contributed solely to the Journal. Copyright 2015 by the California Dental Association. All rights reserved. 696 DECEMBER 2015 Dec. 2015 CDA JOURNAL, VOL 43, Nº12 CONTINUED FROM 695 728 International Volunteer Dentistry: A Basic Primer This article provides information on available trips and what supplies to bring along. Jean L. Creasey, DDS 731 Sterilization for Large Volunteer Temporary Clinics This article explores many of the specific steps an organization can take to ensure a safe care environment for patients and a safe working environment for volunteers. Eve Cuny, MS 735 Ethical Considerations in Volunteer Dental Care This paper is a starting point for the discussion of the ethical concerns connected with volunteer dental events. Robert D. Stevenson, DDS 738 Analyze Risks Before Volunteering Volunteering has many rewards, but it is important for dentists to understand the risks that volunteering can pose. TDIC Risk Management Staff Free eDelivery subscriptions. Available for iPad, iPhone, Android or Kindle Fire. Check it out at cda.org/apps DECEMBER 2015 697 Assoc.Editor Editor CDA JOURNAL, VOL 43, Nº12 One Step Forward Brian K. Shue, DDS, CDE While visiting South Africa, H. Jack Geiger, MD, observed a unique health care system. It inspired him, along with The California Primary Care Association others from Tufts University, to take a reports one out of seven Californians step forward. They obtained a federal research and demonstration project seeks care at a health center. grant and established the Columbia Point Community Health Center in Boston and the Delta Health Center in Mound Bayou, Miss.1 These clinics care clinics or rural health centers. 22,873,243 patients across the country were not just any doctors’ offi ces, but An HC is called an FQHC look-alike in 2014, an increase of 22 percent something never seen before in the if it operates like an HC, but doesn’t from the 18,753,858 patients seen in United States. The year was 1965. receive a Section 330 federal grant. 2009. In 2014, HCs provided care to And they had created the nation’s According to HRSA, there are 4,780,507 dental patients, an even fi rst-ever community health centers. now more than 1,300 health center larger increase of 39 percent from the Since then, this health care model organizations that operate more than 3,438,340 dental patients seen in 2009.3 has successfully met public health 9,000 service delivery sites in the U.S. California’s 151 HC systems needs across the country for 50 years. and its territories. HCs provide care for provided care to 3,729,214 patients Health centers (HCs) are defi ned almost 23 million patients annually — in 2014, an increase of 33.8 percent by the U.S. Department of Health that is about one out of 15 people. The from 2009, when 2,786,350 patients Resources Services Administration California Primary Care Association were seen by California’s 118 HCs. In (HRSA) as “nonprofi t private or public reports one out of seven Californians 2014, California’s HCs provided dental entities that serve designated medically seeks care at an HC, our state’s patient care to 738,384 patients, an increase underserved populations/areas or special makeup at HCs is 63 percent female of 61 percent from the 458,644 dental medically underserved populations and 37 percent male, and there are patients treated in 2009. In 2014, comprised of migrant and seasonal 1,100 licensed clinic sites in California: California had a 16.3 percent share of farmworkers, the homeless or residents 657 FQHC sites, 349 community clinics all HC patients across the nation and of public housing.” HCs “provide and free sites, 24 rural health centers 19.8 percent of all dental HC patients. all required primary, preventive and and 70 FQHC look-alike sites.2 The recent data shows the racial enabling health services,” including As of 2013, the National categories of California’s HC patients preventive dental services, either Association of Community Health are 60.9 percent Hispanic/Latino, 8.8 directly or with a referral system. Centers reported 80 percent of the percent Black/African American, 8.7 HCs receive Section 330 federal country’s FQHCs provide dental percent Asian, 1 percent American grants, and in turn, the HC patients services on site or with contracted Indian/Alaskan Native and 0.8 percent are eligible to receive a “sliding-fee” providers.
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