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to: 1. Attend to the dental needs of patients 2. Provide the materials essential to such patient’s dental needs 3. Derive and enjoy the fruits of his labor Two-fold roles of dentistry as a health care profession 1. To provide health care service 2. To make a profit as a small business Objectives of dentistry as a health care profession: 1. Provide relief of pain 2. Prevent pain 3. Maintain patient’s personal appearance 4. Help patients masticate their food 5. Assist in maintaining good oral health Criteria of dentistry as a business: 1. Operate efficiently 2. Be productive 3. Create a profit Adjunct to dental practice management guidance • Dentist must go for what is new every now and then • Creativity • Imagination • Enthusiasm • Confidence Concept of Practice Management • in its total wisdom, precisely a profession, but in its total practice, becomes a business as well Dental practice is a type of business that: • produces a product • avails on labor, materials and equipment for a price • sells its product (services) as a profit to provide the capital indispensable for operation FACTORS TO BE CONSIDERED FOR ONE’S ABODE OR DOMICIDE: 1. economic conditions in the area 2. size and population of the area
3. 4. 5. 6. 7. 8. 9. 10. 11.
real estate values recreation opportunities and climate proximity to friends and acquaintances dentist-patient ratio public transport facilities public health service opportunities church and school facilities cultural climate economic and professional status of his confreres in the area 12. social opportunities 13. customs and characteristics of the people in the chosen area success of the dental practice amidst being with other dental practitioners in the area via: 1. good planning 2. good, commendable dental services 3. excellent or at its best patient-relations 4. durability and patient FACTORS THAT MERIT THE CONSIDERATION OF A POTENTIAL VENUE OF PRACTICE 1. Urban or city proper 2. Suburban or outlying district of city or town 3. Rural 4. Office space 5. Opportunity for expansions 6. Parking facilities 7. Availability of employment or opportunities for associates 8. Availability of building 9. Room for renovation 10. Transport facilities 11. Ambiance 12. Proximity to his confreres in the area 13. Level of respect of other practitioners in the place 14. Number of novice dentists moving into the area Steps in decision making: 1. Define objectives 2. Gather data 3. Evaluate data 4. Develop alternatives 5. Calculate the risks 6. Make decision 7. Follow through Exercise an open mind and methodically research possibilities as: 1. Seeking recommendations from other copractitioners
2. 3. 4. 5.
Write for catalogues or brochures Consult supply houses for availability of dental practices Consult experts in practice Fear nothing when exercising ingenuity and creativity
As a citizen, dentist has the obligation to: • Fulfill his civic duties and obligations • Abide by the laws • Equip himself with substantial knowledge of the law governing the dental profession • Display leadership in his venue of practice
CODE OF ETHICS FOR DENTIST, DENTAL HYGIENIST AND DENTAL TECHNOLOGISTS
ARTICLE I: DUTY TO THE COMMUNITY • SECTION 1: Primary Duty o Giving his/her professional service to the best of his/her capabilities • SECTION 2: Emergency Service o Shall attend only to the conditions leading to the emergency • SECTION 3: Delegation of Service o Shall not delegate procedure, services, or operations in the mouth which require his/her personal competence as a professional • SECTION 4: Supervision of Work o Shall supervise his/her associates and his/her auxiliaries • SECTION 5: Professional Fees o Shall ascertain fees for his/her professional services taking into consideration the nature of the case, his/her expertise of the case, efforts, skulls and materials involved. • SECTION 6: Irreproachable Conduct o Shall not allow his/her name to cover up illegal acts such as misinterpretation of industrial/commercial/private establishments required by law to engage the services of a dentist • SECTION 7: Discoveries of Work
Must make available their discoveries to government regulatory laws SECTION 8: Oral Health Care Program o Shall participate in volunteer programs SECTION 9: Leadership o Shall make available to the community their skills, knowledge, and experiences, particularly in the field of specialty SECTION 10: Bioethics o Each subject must have a signed informed consent o
SECTION 11: Records Keeping o Must obtain baseline medical and dental records and must be in his/her safekeeping for at least 10 years ARTICLE II: DUTY TO THE PROFESSION • SECTION 12: Keeping Professionally Fit o Professional status rests in the degree of knowledge, skills and efficiency o 12.1 Continuing Professional Development Shall pursue continuing education programs duly accredited by the Board of Dentistry and PRC o 12.2 Continuing Professional Education Development Credits (CDEC) Complete a minimum of 60 continuing education/development credit units every 3 years prior to renewal of license o 12.3 Preceptorship Training must be done in a duly accredited school by CHED o 12.4 Specialty Group Each Specialty Society shall apply to the Board of Dentistry for accreditation o 12.5 Evidence of Professional Credentials Dentist’s school diploma, certificate of registration, professional identification
card, certificates of training residency, etc shall be displayed in his clinic or reception room SECTION 13: Duty to Report o Shall report all violations of RA 9484 SECTION 14: Professional Consultation and Referral o Shall seek consultation or make a referral whenever the welfare of the patient requires recourse to those who possess appropriate professional expertise SECTION 15: Transfer of Patients o Shall properly endorse his/her patient to another dentist with proper release of documents o 15.1 entire referral process should be properly documented and entered into the records of both dentists o 15.2 inform the previous dentist of record of the said transfer o 15.3 receiving dentist must generate his/her own record as baseline information for the treatment o 15.4 dentist shall convey his/her commitment to provide emergency dental care until such time that the patient can transfer to another dentist SECTION 16: Professional Opinion/Testimony o Shall institute corrective treatment in case of faulty management by another dentist without criticism o 16.1 Justifiable Criticism Shall report to the appropriate authority instances of gross and continual faulty treatment by another dentist 16.2 Responsible Comments Limit comments within the nature of the referral or consultation 16.3 Expert Testimony Shall limit comments to the case brought forth and avoid undue criticism to
defame or discredit the other • SECTION 17: Performance of Obligations o Shall perform in good faith and with due diligence all his/her obligations arising from agreements with patients or with other persons so as not to undermine the prestige of the profession • SECTION 18: Testimonials o Shall consider the dignity of the dental profession before providing professional opinion or endorsement of professional and/or proprietary products and techniques o Shall not give direct testimonials or endorsements of products for the delivery of dental care ARTICLE III: PRACTICE MANAGEMENT • SECTION 19: Building a Dental Practice o Make practice known in a manner befitting a professional o 19.1 FAIR Means to Build Professional Practice Only use fair means to gain professional advancement Not injure the opportunities of other dental practitioners o 19.2 Title of Practice Shall only use the term “clinic” or “office” o 19.3 Soliciting of Patients Shall not solicit patients personally or employ his/her patients, agents, or agencies to solicit patients for him/her Offering “promotional rates” shall not be allowed SECTION 20: Authorized Advertising o 20.1 Signages Shall be as decent and dignifies as possible and shall conform with the regulations of the local government code
Shall state the nature of the dental practice including name of dentist and clinic hours o 20.2 Use of Professional Titles and Degrees Use only the usual titles and academic degrees in connection with his/her name or signature o 20.3 Professional Stationery Identify his/herself only by cards, letterheads, and announcements Professional cards Telephone and other directories Electronically generated communications • SECTION 21: Announcement o Use newspaper announcement only when: Opening a new clinic Change in location Alteration in character of the practice o Posted within 30 days from the date of opening ARTICLE IV: MEMBERSHIP IN THE DENTAL ASSOCIATION • SECTION 22: Membership and Financial Support o Active members of PDA • SECTION 23: Judicial Committee o any provision may be resolved by the Judicial Committee of the Chapter • SECTION 24: Sanctions ARTICLE V: SEPARABILITY, REPEALING, EFFECTIVITY CLAUSES • SECTION 25: Separability Clause • SECTION 26: Repealing Clause • SECTION 27: Effectivity Clause Activities that promote service: • Maintaining regularly scheduled office hours • Providing for emergency care during the doctor’s absence • Maintaining the appointment schedule without delays • Practicing quality care • Recognizing a patient’s right to choice
• • • • • • • • • • • • •
Informing patients of alternative treatment plans Allaying fears Assigning only legally delegable duties to qualified staff Seeking staff input in decision making Encouraging an environment of caring Updating procedural techniques, equipment, and office décor regularly Maintain office equipment Maintaining professional skills routinely Operating safety Maintaining quality assurance Attending risk management seminars Participating in community services Being genuine and honest
Patient’s freedom from apprehension or pain 7. Patient education 8. Resultant comfort 9. Appearance and function of the result 10. Best treatment care 11. Mode of delivery FEES MUST BE CHARGED TO: • Pay for the costs of operating a business • Provide personal income DENTIST IS A PROSPECTIVE PAYEE TO A FAILURE:
Service was done bonne foi (in good faith) Service was performed o a basis wellfounded on a normal procedure
DENTAL PRACTICE PLANNING BY WILLAM H. HOWARD • Preventive measures, good service, and timely and high-quality treatment • This can be achieved by : 1. Provide maximum quality service 2. Readiness to seek advice of others 3. Program of continuing education via professional meetings 4. High-quality staff of employees 5. Careful management of financial affairs 6. Education of patients CLINICAL JUDGEMENT – a result of the sum total of our education, the immediate problems to be solved, consideration of all factors relevant t the problem, our individual experience and individual ability DISAGREEMENTS – Apt to happen in all professions. Dentists may develop different treatment plans for the same patient DISAGREEABLE PATIENTS – ask the patient politely to seek dental care elsewhere OBJECTIVE OF DENTAL SERVICE – to produce high-quality professional service ELEMENTS OR INGREDIENTS OF DENTAL SERVICE 1. Skill/responsibility of the practitioner 2. Timeliness of and need for the treatment 3. Expected fee 4. Effectively and efficiency of the treatment 5. Accessibility and promptness of practitioner
DEVELOPING A PHILOSPHY FOR MODERN DENTAL PRACTICE: • Have definite practice goals to aim for • Understand himself, his relationship in society, and the important role he plays in the lives of others
• • • • •
Well qualified, knowledgeable, and always seeking more information and broader understanding of basic concepts Constantly keep abreast of modern research and learn how to convert these developments into practical use for his patient Learn to produce his dental care and treatments in an efficient and comfortable manner Face the fact that it is essential to have some knowledge of business, business methods, and economics Must learn to communicate with his patients and develop a deep understanding of people and their problems Take part in civic activities and become far more active Participate ore in general activities outside of dentistry
BASIC KINDS OF PRACTICE 1. Individual (solo) practice 2. Expense-sharing solo (separate) relationships 3. Partnerships 4. Group practice 5. Employer-employee relationships (associateship)
6. 7. 8. OTHER 1. 2. 3.
Independent contractor relationships Multi-located practice Part-time practice
PRACTICES BESIDES PRIVATE PRACTICE: MILITARY DENTAL SERVICE PUBLIC HEALTH DENTAL EDUCATION 4. GRADUATE STUDY & RESEARCH 5. HERITAGE PRACTICE
-Rosette Go 121310
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