Medical Forum / General / Dentistry / September 2007
referring patients to specialists
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dacconverter - 16 Sep 2007 02:48 GMT To those here that are practicing general dentistry, don't you feel that you're losing out on experience and revenue from having to refer out certain procedures? Patients often seem to dislike the hassle of seeing specialists, as they charge even higher fees. And I rarely even get appreciation from specialists.
Recently, through much CE-hunting in dental magazines, I've learned of some sources that can train general dentists to do orthodontics and implant placements. There are even mini-residencies on IV sedation and treatment of bony impactions.
Altogether, with weekly traveling and lodging expenses added onto tuition, these courses will cost me over $50k.
Any feedback? Any experienced dentists here want to comment?
Steven Fawks - 16 Sep 2007 03:22 GMT > Any feedback? Any experienced dentists here want to comment? After reading your first post....no.
Steve
Simplicio - 16 Sep 2007 05:48 GMT > > Any feedback? Any experienced dentists here want to comment? > > After reading your first post....no. > > Steve because he's not part of the buddy system? Because he dared to mention dangers in the dental office? Because he thinks for himself? The hubris... Why not just say nothing at all if you don't want to reply. You sir, have/are saving American Dentistry from this nonconformist.
Amatus Cremona - 16 Sep 2007 15:19 GMT Because he sounds like a person hunting for information to support a law suit. If he/she is hunting for background on a law suit, let him/her pay for the professional opinion. If the OP is a fresh dentist asking legitimate questions,,,,,,,,,,, let him/her explain and we will be happy to help.
>> > Any feedback? Any experienced dentists here want to comment? >> [quoted text clipped - 6 lines] > hubris... Why not just say nothing at all if you don't want to reply. > You sir, have/are saving American Dentistry from this nonconformist. Steven Bornfeld - 16 Sep 2007 17:18 GMT > Because he sounds like a person hunting for information to support a law > suit. If he/she is hunting for background on a law suit, let him/her pay for > the professional opinion. If the OP is a fresh dentist asking legitimate > questions,,,,,,,,,,, let him/her explain and we will be happy to help. I figure this is a dental student or young dentist. If it's a malpractice attorney, well, he/she isn't ready.
Steve
>>>> Any feedback? Any experienced dentists here want to comment? >>> After reading your first post....no. [quoted text clipped - 4 lines] >> hubris... Why not just say nothing at all if you don't want to reply. >> You sir, have/are saving American Dentistry from this nonconformist. Simplicio - 16 Sep 2007 20:51 GMT > Because he sounds like a person hunting for information to support a law > suit. If he/she is hunting for background on a law suit, let him/her pay for > the professional opinion. If the OP is a fresh dentist asking legitimate > questions,,,,,,,,,,, let him/her explain and we will be happy to help. I thought Fawks meant "first post" as in the post about medicaid patients. I could be wrong, but as a non-dentist I do not get that impression. I believe any medical opinions in a lawsuit would have to given by a court recognized expert witness.
dacconverter - 17 Sep 2007 01:00 GMT > Because he sounds like a person hunting for information to support a law > suit. If he/she is hunting for background on a law suit, let him/her pay for > the professional opinion. If the OP is a fresh dentist asking legitimate > questions,,,,,,,,,,, let him/her explain and we will be happy to help. What is it that makes me sound like a legal worker?
I'm a general dentist practicing in the mid-atlantic region of the US. Like I mentioned earlier, there seems to be a plethora of CE courses ( I recall an ortho series that is worth up to 80 credit hours ) that appear to offer GPs the ability to do specialty procedures.
Most of you here appear to be generalists as well, and I'm sure you can sympathize with one's loss in revenue in procedure referrals and stigma from dental specialists.
Some of these CE courses are very expensive and require regular traveling/lodging. I just wanted to solicit some feedback on these types of CE.
The Webby - 17 Sep 2007 02:54 GMT > > Because he sounds like a person hunting for information to support a law > > suit. If he/she is hunting for background on a law suit, let him/her pay for [quoted text clipped - 15 lines] > traveling/lodging. I just wanted to solicit some feedback on these > types of CE. Most of the regulars, if not all, know who each other is and how to reach each other offline. Is this a good thing, in your opinion?
Webby
The Webby - 17 Sep 2007 06:34 GMT In article <tmjiatroepidemic-A5369D.18543916092007@news.phx.highwinds-media.com>,
> Most of the regulars, if not all, know who each other is and how to > reach each other offline. Is this a good thing, in your opinion? > > Webby ... how to reach each other offline *or* by email. And there are some who have been around for a long time who are simply unavailable to most, if not all.
That is a more complete thought along the lines of what I intended.
Webby
Simplicio - 17 Sep 2007 08:06 GMT > And there are some > who have been around for a long time who are simply unavailable to most, > if not all.
> Webby Interesting, that meets the official definition of a ghost. Remember ghosts are available to some, like psychics and people with those special meters, but not all....
Amatus Cremona - 17 Sep 2007 15:18 GMT I have even been to Webby's house (as well as Henry's) :-)
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> In article > <tmjiatroepidemic-A5369D.18543916092007@news.phx.highwinds-media.com>, [quoted text clipped - 11 lines] > > Webby The Webby - 17 Sep 2007 16:28 GMT > I have even been to Webby's house (as well as Henry's) :-) Indeed you have!!!! :-)))
Webby
> > In article > > <tmjiatroepidemic-A5369D.18543916092007@news.phx.highwinds-media.com>, [quoted text clipped - 11 lines] > > > > Webby Newbie - 17 Sep 2007 16:45 GMT >I have even been to Webby's house (as well as Henry's) :-) And I have been to AC's cabin in Montana !
Amatus Cremona - 17 Sep 2007 15:17 GMT Dear Dac....
I refer out implant surgery (I will restore them once the OMFS says they are ready), any patient who needs to be sedated and most orthodontics (99.9%). I do not wish to stock the variety of implant fixtures, tools and attachments,,,,, plus the variety of grafting materials and equipment for concentrated platelet rich plasma. In order to do as good a job as the local OMFS does, I would have a fortune invested in "stuff" sitting around here that would not get used much. Much easier on the entire world for me to let the local OMFS do it. I have three OMFS (same office) who do my implant surgery. They do a "perfect" job for me. These cases go in GREAT. Why would I want to sacrifice quality on these?
Ortho??????????? There is one guy local to me who is so good that I would have to return to school for 2-3 years to do cases at the same level of quality as he does. If I cannot do a procedure as well as the specialist, I do not deserve to do the procedure.
Sedation?????????/ I don't want the hassle.
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>> Because he sounds like a person hunting for information to support a law >> suit. If he/she is hunting for background on a law suit, let him/her pay [quoted text clipped - 16 lines] > traveling/lodging. I just wanted to solicit some feedback on these > types of CE.
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