499379_cover:Layout 1 5/6/11 4:00 PM Page 3 Journal of the American College of Dentists Dental Honorary Organizations Spring 2011 Volume 78 Number 1 499379_cover:Layout 1 5/6/11 4:00 PM Page ii Journal of the American College of Dentists A publication advancing excellence, ethics, professionalism, Mission and leadership in dentistry he Journal of the American College of Dentists shall identify and place The Journal of the American College of before the Fellows, the profession, and other parties of interest those issues Dentists (ISSN 0002-7979) is published quarterly by the American College of T that affect dentistry and oral health. All readers should be challenged by the Dentists, Inc., 839J Quince Orchard Journal to remain informed, inquire actively, and participate in the formulation Boulevard, Gaithersburg, MD 20878-1614. of public policy and personal leadership to advance the purposes and objectives of Periodicals postage paid at Gaithersburg, MD. Copyright 2011 by the American the College. The Journal is not a political vehicle and does not intentionally promote College of Dentists. specific views at the expense of others. The views and opinions expressed herein do not necessarily represent those of the American College of Dentists or its Fellows. Postmaster–Send address changes to: Managing Editor Journal of the American College of Dentists 839J Quince Orchard Boulevard Objectives of the American College of Dentists Gaithersburg, MD 20878-1614 The 2011 subscription rate for members HE AMERICAN COLLEGE OF DENTISTS, in order to promote the highest ideals in of the American College of Dentists is $30, health care, advance the standards and efficiency of dentistry, develop good and is included in the annual membership T human relations and understanding, and extend the benefits of dental health dues. The 2011 subscription rate for non- to the greatest number, declares and adopts the following principles and ideals as members in the United States, Canada, and Mexico is $40. All other countries are $60. ways and means for the attainment of these goals. Foreign optional airmail service is an additional $10. Single-copy orders are $10. A. To urge the extension and improvement of measures for the control and prevention of oral disorders; All claims for undelivered/not received issues must be made within 90 days. If B. To encourage qualified persons to consider a career in dentistry so that dental claim is made after this time period, it will health services will be available to all, and to urge broad preparation for such not be honored. a career at all educational levels; While every effort is made by the publishers C. To encourage graduate studies and continuing educational efforts by dentists and the Editorial Board to see that no and auxiliaries; inaccurate or misleading opinions or state- ments appear in the Journal, they wish to D. To encourage, stimulate, and promote research; make it clear that the opinions expressed E. To improve the public understanding and appreciation of oral health service in the articles, correspondence, etc. herein are the responsibility of the contributor. and its importance to the optimum health of the patient; Accordingly, the publishers and the Editorial F. To encourage the free exchange of ideas and experiences in the interest of better Board and their respective employees and officers accept no liability whatsoever for service to the patient; the consequences of any such inaccurate G. To cooperate with other groups for the advancement of interprofessional or misleading opinions or statements. relationships in the interest of the public; For bibliographic references, the Journal H. To make visible to professional persons the extent of their responsibilities to is abbreviated J Am Col Dent and should the community as well as to the field of health service and to urge the acceptance be followed by the year, volume, number and page. The reference for this issue is: of them; J Am Col Dent 2011; 78 (1): 1-52. I. To encourage individuals to further these objectives, and to recognize meritorious achievements and the potential for contributions to dental science, art, education, literature, human relations, or other areas which contribute to human welfare— by conferring Fellowship in the College on those persons properly selected for such honor. 499379:jacd 5/6/11 4:30 PM Page 1 Editor David W. Chambers, EdM, MBA, PhD Dental Honorary Organizations Managing Editor 4 American College of Dentists: An Overview Stephen A. Ralls, DDS, EdD, MSD Stephen A. Ralls, DDS, EdD, MSD, FACD Editorial Board 12 International College of Dentists—USA Section: A Brief History, 1934–2011 Laura Bishop, PhD Richard G. Shaffer, DDS, and Richard J. Galeone, DDS, FACD Susan Bishop, DDS Herb Borsuk, DDS 16 The Academy of Dentistry International Marcia Boyd, DDS Robert L. Ramus, DDS Fred Bremner, DMD 19 Omicron Kappa Upsilon: A Historical and Current Perspective Kerry Carney, DDS Theresa Gonzales, DMD, MS, MSS Jon B Suzuki, DDS, PhD, MBA, FACD William Leffler, DDS, JD Michael Meru, DDS Peter Meyerhof, PhD, DDS Kirk Norbo, DDS Martha S. Phillips Manuscript Marcia Pyle, DDS Cherlyn Sheets, DDS 24 Dental Students Choosing Licensure Path Give More Consideration to Philip E. Smith, DMD Career Flexibility Rather Than Ethical Dilemmas Jim Willey, DDS Heather J. Conrad, DMD, MS, and Eric A. Mills, DMD Design & Production Annette Krammer, Forty-two Pacific, Inc. Correspondence relating to the Journal should be addressed to: Issues in Dental Ethics Managing Editor Journal of the American College of Dentists 33 A Case of Collegial Communication and a Patient Who Does Not Pay 839J Quince Orchard Boulevard Bruce Peltier, PhD, MBA, FACD, Alvin Rosenblum, DDS, FACD, Gaithersburg, MD 20878-1614 Muriel J. Bebeau, PhD, FACD, and Anne Koerber, DDS, PhD Business office of the Journal of the American College of Dentists: Tel. (301) 977-3223 Fax. (301) 977-3330 Departments Officers Thomas F. Winkler III, President Patricia L. Blanton, President-elect 2 From the Editor W. Scott Waugh, Vice President Great Readers Jerome B. Miller, Treasurer Thomas J. Wickliffe, Past President 44 Leadership Decision Making Regents Thomas J. Connolly, Regency 1 Robert A. Shekitka, Regency 2 Geraldine M. Ferris, Regency 3 Robert L. Wanker, Regency 4 Bert W. Oettmeier, Jr., Regency 5 Cover photograph: Symbols of Professional Excellence. Carl L. Sebelius, Jr., Regency 6 ©2011 MBPPHOTO, INC., istockphoto.com. Logos provided by organizations. Steven D. Chan, Regency 7 All rights reserved. R. Terry Grubb, Regency 8 Kenneth L. Kalkwarf, At Large Linda C. Niessen, At Large Eugene Sekiguchi, At Large Richard C. Vinci, At Large Lawrence P. Garetto, ASDE Liaison 499379:jacd 5/6/11 4:30 PM Page 2 Editorial From the Editor Great Readers hirteen years ago, the ACD convo- get up out of the chair and put down the cation speaker was publisher Knight book, report, or newspaper or navigate Good readers are those TKiplinger (see his remarks in the away from the Internet screen. whose lives are changed winter 1997 issue). As the platform party If you want to be a great communi- assembled off stage, he remarked that cator, there are two essential skills: in meaningful ways when he had enjoyed my JACD essay on the taking information in and getting it out. they get up out of the “clean desk.” He noted that I had refer- The first may be more important. Art enced Barbara Hemphill’s book Taming Dugoni, past president of the ADA and chair and put down the the Office Tiger, a Kiplinger publication. most other dental organizations, is a book, report, or newspaper We almost missed our entrance cue talk- great reader. Just one testimony to his ing about finding good writers, picking awesome readerness came years ago from or navigate away from topics, and deciding what to say when an ADA staffer. She said, “Dr. Dugoni is the Internet screen. turning down an inadequate manuscript. a dream to work with. He actually reads Finally, I just had to make the obvious the reports before the meetings.” remark, “I am wonderfully surprised Is that a characteristic shared by all that you would come across my paper.” persons of responsibility in organized Here is the priceless free gift he gave me: dentistry? That is what I set out to deter- “All editors are great readers.” mine at the 2009 Hawaii meeting of the I have heard of great writers, and I American Association of Dental Editors. know quite a few folks who aspire to be As a speaker, I presented a series of 16 at least adequate. But a great reader? PowerPoint shots of the headlines or That implies that reading is a skill, that titles and first few paragraphs of articles mastery requires years of time and and ads appearing in the previous year effort, and even that some people are not in the Journal of the American Dental actually very good at it. Initially I held Association and The ADA News. The the common view that good readers editors in the audience rated each turn pages more quickly than the rest in terms of their personal interest in the of us or can answer more questions topic generally and their recollection of correctly about the material. Really, having seen or read the piece. The audi- good readers are those whose lives are ence noted the last four digits of their changed in meaningful ways when they social security numbers on the papers and passed them in. Then “Devious Dave” went through the same 16 PowerPoints and asked the audience to take a multiple- choice test on each using a sheet distrib- uted for that purpose. The questions were straightforward, such as “Was Dr. Löe 2 2011 Volume 78, Number 1 499379:jacd 5/6/11 4:30 PM Page 3 Editorial honored for his work in research, concrete examples of what worked.