5. September - October

Thoughts From the President

Some years ago, General Mark W. Clark said, “All nations seek it constantly because it is the key to greatness, sometimes to survival—the electric and the elusive quality known as leadership.”

Where does juvenile delinquency begin? In the leaderless families!

Where do slums fester? In leaderless cities!

Which armies falter? Which political parties fail?

The answers to all of these is poorly led ones. Contrary to the old saying that leaders are born, not made, the art of leading can be taught and it can be mastered.

What we need today, on all fronts, in our homes and communities, in our boardrooms and in our society at large, are leaders. We, as members of the PFA, should recommend colleagues in our sections who have the qualities of leadership for induction to our Section Chairs.

On February 27, 1860, Abraham Lincoln, the Republican Presidential candidate, gave one of the more significant speeches of his political career. Among other things, he attacked the pro-slavery position of his opponent, Stephen A. Douglas.
He concluded his presentation with a strong admonition to his Party that they hold fast to the beliefs that they had espoused. “Let neither us be slandered from our duty by false accusations against us, nor frightened from it by menaces of destruction to the government or dungeons to ourselves. Let us have faith, let us, to the end, dare to do our duty as we understand it.”

Faith is an irreplaceable virtue for all, particularly those who lead—be it a nation, a company, or a family. I would say that our Academy is a family.

There is great loneliness in leadership. We have to live with our consciences. We have to stand up for the values and beliefs that we have embraced, adopted, and woven into our character. If values are not established and adhered to at the top, behavior down the ranks is seriously jeopardized and undermined. Indeed, in any organization where such is the case—be it in a family, a corporation, a society, or a nation—the values being neglected will in time disappear.

We do not have the luxury of retreating to our private cloisters and pursuing only our special private interests. Strong voices are needed. The weight of our stance may be enough to tip the scales in the direction of truth and right. May we all stand for what we espouse as members of the Pierre Fauchard Academy.

Scott M. Welch, DDS

President


President-Elect Gordan Stine Honored

The Greater Charleston Chamber of Commerce, at their 229th annual Gala Meeting on Friday, 28 June 2002, presented the Joseph P. Riley Leadership Award to our PFA President-elect Gordan Stine. Past 2001 recipient Anita Zucker made the presentation of this award, which is given annually to individuals who use their skills to make the Charleston area a better place. Dr. Stine, a retired dentist and civic leader, grew up in Charleston and had spent more than 50 years practicing dentistry there. His volunteer hours number in the thousands to hundreds of local organizations. He is the Founder of the Dental Lifelong

Learning Fund at the Medical University of South Carolina and a three-time recipient of the Order of the Palmetto.

The Riley Award was named after a very dynamic Mayor of Charleston who revitalized the waterfront area with parks and fountains. Your Editor was there the night Mayor Riley opened the waterfront for the first time with a huge orchestra playing classical water music. My daughter got his autograph on the evening’s program from this gracious man who made time from talking to the elite to sign his name for a little girl. The Award is well named. This year’s recipient is well deserving such company.

This exemplifies our own President’s Address, that an organization, city, or a nation is only as great as are its leaders. The some 700 guests at the Charleston Area Convention Center listened to outgoing Chamber of Commerce President Dick Elliott echo our own President Welch and Dr. Stine, that we need more effort at cooperation. “Unfortunately, it all boils down to historic attitudes of fierce independence, political agendas, turf protecting—and the list goes on.”
Dick Elliott continued, “All these challenges that cross multiple boundaries and jurisdictions, these challenges require creative, integrated approaches if we are going to experience real change.”

He called for countrywide involvement. “We cannot do that alone. We want to join with the organizations and leaders represented here tonight, as well as others. Only through collaboration on a regional strategy can we maximize our limited financial resources and harness the ingenuity of our people to produce the quantum leaps we need.”

There, in the formally attired crowd of South Carolinians sat our President-elect, Dr. Gordan Stine, not just listening, but, having been over a half a century of leadership in the exact areas the Chamber President cited to need more help, Dr. Stine was called to the stage to receive their Leadership Award.

Dr. Scott Welch says the same thing from his perspective in Wyoming as Chamber President Dick Elliott says from urban Charleston. Leadership, cooperation, and resolution of the problems facing our society are desperately needed to be awakened.

Dr. Gordan Stine comes from exactly that background to launch his year as PFA President.





Calendar 2002

1-5 October

17 October

18–20 October

19–23 October


90th FDI Congress, Vienna, Austria

AADE Conference at the New Orleans Marriott

PFA Academy and Board Meetings, New Orleans, Louisiana

143rd ADA Annual Meeting, New Orleans, Louisiana

(Have your PFA Event date put here. E-mail Editor Brophy at PFADWJMB@aol.com)




Awards Banquet

As of this writing, the Awards Banquet will be held on Saturday, 19 October 2002, at the New Orleans Riverside Hilton Hotel. The last issue of Dental World highlighted the Awards and those receiving them. A more in-depth picture of the event will be reported in the next issue. Past PFA International President Minori Horiuchi, and current ICD International President, received the PFA Gold Medal, our top honor award. The International Elmer Best Award was presented to Dr. Rufino Achacoso of the Philippines. The Certificate of Merit was presented to past Uruguay Section Chair Walter Lieber Bielli. Honorary Fellowship was conferred on Iowa Dental Executive Director Robert Harpster. The President’s Award was presented to Dr. Joseph Devine, past President of the Wyoming Dental Association.


Degussa President Gerd Schulte

The Dental Trade and Industry Award was mentioned as going to Gerd Schulte, President of Degussa AG of Germany.

The profile they have sent us notes that Degussa Dental stands for progressive and successful products and systems solutions in the area of dental technology. Their modern Dental Centre and headquarters is located in Hanau, just outside of Frankfurt, Germany. Degussa Dental melds the medical and functional requirements to the esthetic demands of the patients, such as ensuring the compatibility and tolerance of their products with clinical studies lasting several years and consultations with dentists and dental laboratories throughout the world. This ensures that they stay in the forefront of developing technology.

They are the largest dental company of its kind in Europe and are a part of the USA Dentsply International network.

Degussa Headquarters in Hanau, Germany



Dr. Terrance Ward, Hall of Famer

PFA nominated Dr. Terrance G. Ward for installation several years ago but has been searching for the proper venue to install him.

Dr. Ward earned his professional degrees from the University of Edinborough, and received many honours from Great Britain (FDS, RCS), Scotland (LRCP, LRCS, LRFPS), Ireland (FFD, RCS), and Australia (DDSc-Melbourne). In 1969, the ADA House of Delegates honoured him with Honorary Membership for his outstanding achievements in dentistry and for organized dentistry.

He was an international leader in oral and maxillofacial surgery. He served as President of the International Association of Oral Surgeons and became their first Secretary-General. He also was past President of the British Society of Oral Surgeons and Chief of the renowned Maxillo-Facial Unit of Queen Victoria Hospital at East Grinstead in Sussex, England. He was Consultant Oral Surgeon to the British Army, to the Royal Navy and to the Royal Air Force in which he had served as a Squadron-Leader. Dean Terrance Ward served the Faculty of Dental Surgery for the Royal College of Surgeons of England and was on the Council of Faculty of Dentistry for the Royal College of Surgeons of Ireland.

Dr. Ward served as Vice President of the Odontological Section of the Royal Society of Medicine and President of the British Association of Oral Surgeons.

He was a frequent contributor to the literature of oral surgery and lectured in many countries on this topic. As educator he was in the leadership forefront in advancing the standards for graduate and post graduate training in oral surgery throughout the world. What today we call continuing education courses, Dr. Ward was an essential part of advancing dentistry and oral surgery worldwide on topics of cancer in the mouth, oral surgery, facial injuries, radiology, first aid for oral trauma, facial pain—all topics ahead of their time.

He was never named “Father” of any dental facet, but he certainly was an aggressive apostle in spreading the most recent developments in oral surgery to the various corners of the world.

(Dental World wishes to thank Ruth Schultz of the ADA Library for her contributions to this article when the British and Irish Dental Societies failed.)



The Value of a Smile
National Health Service vs. Private Practice Debate in the UK
by Dr. Amarjit Gill


(Dr. Amarjit Gill is a United Kingdom PFA Fellow who serves as Chairman of the British Dental Association Private Practice Committee and is Director on the BDA Executive Board. The opinions expressed are his own and do not necessarily represent PFA policy.)

Just how much is a tooth worth? When it comes to that, how much is it worth to have a fabulous smile?

As professionals, we have seen our value eroded by successive governments. I have never once paid thousands to an architect (or a lawyer) and thought, “Well, that was worth the cost.”

Does that mean that when we charge only a few pounds (dollars) that our work is any the less important? Is this a true reflection of our respective worth to society?

When this topic concerning the value of a smile was raised, we wondered how to place a value on it. The real value comes to the individual when they have lost it. Is it the cost of a partial denture? A bridge? Implants? How can you place a monetary figure on not having your very own teeth?

Another model might be what is it worth over a lifetime of use? The National Health Service (NHS) averages this at £54 per year. That is £540 over 10 years. Is this the real value of a smile?

The real value lies somewhere between those two concepts.

The younger practitioners think to want a salary. Others sit on the fence mulling over the idea of getting into NHS or not. What future are they being guided to in their professional careers?

Recent reports reveal that we are being stressed as a profession. Over the years, the government makes claims about providing dental care, but it does not compensate for the care they expect us to deliver. Professionals are trained to provide the best care possible for their patients, yet what type of care can they provide on a limited reimbursement schedule? In some countries, third-party programs are trying to squeeze the profession into a business that they can deal with on a monetary basis, rather than on a patient service basis. Are we a profession or a business?

The answer is both. The answer is not one or the other. Government insurance programs see it only as a commodity with a price tag. Professionals see it as a human service for their fellow man. Reality dictates that to provide a service to patients, we need to stay in business. Our education, skills, and experience put us on a level way above an architect or a lawyer. But all third parties, abstract from owning the smile, deal with us as discount warehouses.

We are trained in the science and art of our profession. Few have any leadership skills. The profession needs this talent more so than ever before. And our democratic process just does not lend itself toward this goal. Weak politicians pay lip service to the public with a dental service program and then fail to fund it to the extent that it is needed to save budget costs for the public. Reformers get elected, but the situation does not change. Where is the dental leadership to step up and demand the government keep their promises?

Over the last decade (or more in other countries), the only way to balance the books and be progressive—add newer technology to the office, replace outdated equipment—was to do so on a personal basis. Or not, as the economic situation dictated. As independent contractors, colleagues began to choose to limit their work for ungrateful third parties. Depending on the rankled professional, this takes the form of overdiagnosis, underdiagnosis, shortcuts, referring out work they could perform but not at what they are being paid, limited access, and selective treatment to name a few options.

In the United Kingdom, NHS has been around for a few generations. In America, government and third-party insurers have a stranglehold on the profession. Thus begins the fearful future choice for all practitioners to initiate a transition to private, fee-for-service dentistry. Is survival possible with your creditors standing at the door?

The decision is not the dentist’s alone. Will the public be aware enough to appreciate the better treatment if they must pay for it? Some will, but is that enough to survive as a business? And how many of us will the marketplace be able to sustain? We need the support of our professional organizations, the support and confidence of the public, and the courage to take the steps leading to private practice.

The Financial Times reported the “business” of dentistry in the UK was worth more than 12 times the current reimbursement levels when compared with other per capita costs of a patient. Even if the government doubles their current spending, that does not mean an optimistic future for us all. We are seeing a move on the public’s part, reflected in the government, to go from “required dentistry” to “desired dentistry.” That means the partial denture that is placed for required dentistry could be replaced with the patient’s demand for bridgework—at about the same government reimbursement! The cost of maintaining a practice rises, but the income does not. And we have still not addressed the issue of increased staff salaries, rising utility costs, investing in newer technology, or replacing older equipment to be more efficient. We have not faced the issue of time away from the practice to gather new information or be educated on the latest research.

Once we understand our value as a profession, only then can we determine our role in society, only then can we plan a future. NHS is not inspiring any of us by their actions.

Our future is dependent on understanding the financial concepts that relate to our society—value and pricing. What is the value of a dentist compared with other professionals? Other services? What is the value of a smile financially and psychologically? What is the image of dentistry in today’s image-obsessed world?

Businesses meet the changes in supply and demand with “fluid pricing.” For example, supermarkets charge different prices for the same item at different times of the day. Soda pop machines will charge more for pop on hot days than colder ones. Airlines charge more for day flights than night ones. Following this business practice, should we be charging more for the occasional patient who comes in with a toothache than our regular patients? This rewards our regular patients in terms of comfort and money. But try to argue that with the government or insurance companies. The same situation occurs if we need to interrupt our schedule of regular patients to see an emergency that puts us behind for the rest of the day, and costs overtime for our office.

Do we need to be reminded how much people spend on hairdressers, alcohol, and other lifestyle choices over fixing their teeth?

The BDA Private Practice Committee believes our priorities must be to provide the best care for our patients and move away from trying to satisfy the government of the day!


Editor’s Note: We welcome all such articles from various parts of the world so we can better understand the problems facing our profession. These problems are not unique to just one country. The United States has been thinking about a national health system for some time. Russia has just gotten rid of theirs. The United Kingdom is trying to do the same. Guatemala’s is severely underfunded to have any real effect. Many countries have none at all. PFA is a world dental service organization. Together, we might be able to build support for a recommended system that serves all participants fairly. Is a baseball player or lawyer worth $1,000,000 and we are not? We need all the physical skills of a top athlete and the mental prowess of a good attorney to perform an intimate human service. What is our value really worth in humanity? Dr. Amarjit is exploring just such concepts to open debate for us all.



Correction

Dr. Raymond D. Wenn

Ray Wenn, born in 1943 in Charlottetown, Prince Edward Island, earned undergraduate degrees from Prince of Wales College (1962), the University of Prince Edward Island (1971), and his dental degree from Dalhousie University (1975). He maintains a general dentistry practice in Charlottetown.

He is a member of CDA (many Chairs and committees, President 1993-1994), FDI (national Treasurer 1995-1996), the Dental Association of Prince Edward Island (President 1984-1985), Dental Council of P.E.I. (Registrar 1995-1996), Instructor at Holland College, and served for a decade on the Village Council of Cornwall.


He holds Fellowships in PFA, ICD, ACD, AGD, and ADI.

Dr. Wenn is married with three children. He enjoys canoeing, fishing, skiing, biking, and squash.

(Publisher’s Note: Because of an error, the photo of PFA Outstanding Service Award recipient Raymond D. Wenn, above, was omitted from the July/August 2002 issue of Dental World. The photo that ran in error was of Trustee for Region 1 [Europe] Pierre Marois.)



The Human Genome Revisited

Last year, in this month’s issue, we reported an article from the Academy of General Dentistry’s Impact magazine, which described the dental ramifications of defining the human genome. With the events over the last year, not much has been noted about this progress. But an article in the Food Insight magazine has raised some interesting questions. The publication is put out by the International Food Information Council Foundation in Washington, DC. It covers a wide range of health issues particularly concerning nutrition.

Their article, “The Human Genome: A Double-Edged Helix,” touted the “revolutionary, unprecedented, unsurpassed” potential to benefit society that this research will have in leading to breakthroughs in medicine (and dentistry) that may ultimately eradicate many of today’s diseases (and grow new teeth). Genetic screening could be a help to detect one’s potential, for example, to cancer. It could aid individuals in planning a career, having children, deciding about insurance coverage, travel, or education.

But all the advantages that result from this discovery come with moral implications as well, such as those about stem cell research, or legal implications as scientists learn which chromosomes establish certain behavioral conditions that may cause deviant behavior.

The world stands on the threshold of a new age in biology that will bring us enormous hopes for cures, but enormous concerns as well. There is no going back from here. But…

Can an insurance company demand a pre-enrollment genetic screening to determine their risk in insuring you, or not? Can society pass judgment in advance on those with potential deviant behavior genes? Can we tweak a few genes for a healthy male baby as the parents’ desire? Will genetic screening determine whether a child goes to technical school or professional school?

Where does personality, work ethic, and culture overlay the weakness in a person’s gene patterning? We need to be wary that such information may determine a change in attitudes and life styles, when in fact, the genetic patterning may not be the only determining factor in a person’s life as it unfolds. A pattern is just that. You cut out the dress according to the pattern and sew it together, but you add the ornaments. You choose the color. You fill the insides. You give it shape, form, and personality. Let us not jump to the conclusion of using it as a yardstick for everyone. History is filled with special people whose physical handicaps might have dictated sending them to work in the fields, when they rose above those deficiencies with much effort to create great art and science that benefited us all.



From the Desk of Congressman Charlie Norwood…

I want to thank all my colleagues for their financial support, as well as their time and effort on my behalf in promoting the interests of dentistry on Capitol Hill. I appreciate everything you have done for me more than words can express. The best way I can return your interest is to keep you updated on what is going on in Washington, DC.

In June, the House again repealed the Death tax forever. The President has agreed to sign this bill if the Senate will ever vote on it.

The Patients Bill of Rights is still in play. The White House is discussing it with Senators Ted Kennedy and John Edwards and Republican John McCain. They are at 99% agreement. The sticking point is the limit on HMO liability. Can lawyers live on $1,000,000 per case? This is up to Democrats Kennedy, Daschle, and Edwards to agree to.

“I negotiated with the President unlimited economic damages, a limit of $1.5 million for non-economic damages (pain and suffering), and $1.5 million punitive damages. We have a tight definition of serious injury that would be capped at $4 million. This is fair and proper for all concerned. Senator Edwards, a trial lawyer, has not accepted this. Considering all the other important provisions in the bill that patients need, this is inexcusable.” If you have a Democrat Senator in your State, call them, get your family and friends to call them, and have them tell Senator Daschle to get this worked out.

The Medicare Administrative Reform Bill passed in the House. This bill has important reforms for dentists. But it is being held up in the Senate.

My many thanks to HHS Secretary Tommy Thompson (former Wisconsin Governor) for saving the day on the new medical privacy regulation. The old rules would have been very disruptive for the dental office. Fortunately, Secretary Thompson changed those rules and injected some common sense into the regulations.

I will finally get home sometime in August to campaign for my August 20th Primary.

I need to ask for your help again for a friend of mine in Congress, a medical professional, Dr. Greg Ganske of Iowa. He has been an invaluable ally in the fight for a Patients’ Bill of Rights. He is running against Iowa Senator Tom Harkin, an original co-sponsor of the Hillary Clinton health care system takeover. Harkin is relying on his national network of trial lawyers to fund his campaign since Dr. Greg supports medical malpractice reform. And, of course, Harkin does not. You do not need to live in Iowa to send Dr. Ganske a contribution at P.O. Box 65340, West Des Moines, Iowa, 50265-9914.

Next time you are in DC, give me a call and come by. My number is 706/738-8400 or email me at campaign@NorwoodforCongress.com to make arrangements. And thank you to the Academy for all the good you do in your efforts for our profession.

Sincerely,

PFA Fellow Charlie Norwood




PFA endorses Senate Bill #2650

Our Academy joined 18 other dental organizations including the ADA, ICD, ACD, AADE, and the NDA in endorsing Senate Bill #2650 sponsored by Senator Mary Landrieu. This bill is called the Consolidation Student Loan Flexibility Act of 2002, which is identical to House Representative Regula’s bill, which we all endorsed.

The bill is simple enough in repealing the Higher Education Act’s provision for the “single holder rule,” which prevented student loan borrowers from consolidating their student loans at the lowest possible cost. Currently, these loans may only be consolidated at the loaning institution. This bill provides for consolidation at the best rate at any banking institution. This bill will effect about 25% of the students representing 14 million individuals. This allows borrowers to effectively manage their debt, estimated to be about $100,000 on the average for dental students, and is expected to reduce defaults on the loans.

Dental students graduating with a $100,000 debt face another $125,000 to $200,000 amount for establishing a dental practice, particularly in rural and in underserved areas.

Opponents of this bill note that the loaning institutions supplied the students the funds when the students needed them at the prevailing rate at the time. Relief of this contractional arrangement allows a student to open his own office in competition with other dentists seeking associates for their own. This situation deprives the student of a dental business preceptorship with an established mentoring dentist, the possibility of purchasing existing practices at better rates, and in no way guarantees that any dental graduate will practice in rural or underserved areas based on debt consolidation. In fact, it probably will have the opposite effect, allowing the dental graduate flush with debt consolidation, to open in already established areas.
Lower rates and/or debt consolidation ought to be tied to the expected end goals—that they be available to graduates who practice in rural or underserved areas, or enter a preceptorship association with an established dentist for at least two years.

When the country is faced with a glaring shortage of dentists, and the government fails to support the economically strapped dental schools allowing them to close their doors, the answer is that of the Kennedy Era—provide debt relief to the student at the dental school level, through capitation to the schools or reduced loans rates. This would better encourage the more disadvantaged student to enter dental school, and these students are more likely to practice in underserved areas of their city neighborhood or rural home area.

This bill applies to all students, not just dental students. So the reasons for our support are parochial and short-sighted. The support is too based on faulty sine non quid reasoning. If the reasoning were correct, it defeats the traditional learning business practices in associateships, and the limits the possibility of purchasing a known entity from a retiring dentist owner who will help the new owner succeed in transferring the patients he served and the business that he built and loved. This also allows time for the graduate to reduce his obligation to the loaning institution and get a better purchasing price on a known product with an experienced mentor.

We seem to be concentrating on the graduate, when our emphasis would be better placed on recruitment and easing the school year burdens so the graduate is not faced with debt load after the dental school struggle.
Foundation News


From the Desk of Vice President Carl Lundgren

Fiduciary responsibilities require the Foundation to make changes in the handling of all grant requests. These are modest changes in the manner of handling all grant requests, even those from the Academy.

The proposed budget for 2002 consideration at the New Orleans Meeting based on the account interest will be $406,000 for this year.

Expenses (office, Board travel, etc.) will be tabulated at the end of the year after the annual Board Meeting costs are in. But we have roughed them in at $100,000 until then.

Dental Scholarships to 81 schools at $1500 each will come to $121,500; grant applications total $161,500, if all are passed by the Board. This breakdown is $40,000 to the Academy, $7500 for the annual Loader-Espinach Award in Costa Rica, and $114,000 for grants at large. A total of $23,000 is also placed in the inflation reserve to be able to operate in years of less income. These amounts total the $406,000 budgeted.

The Academy collects voluntary donations for the Foundation from the membership and this averages about $28,000 a year. This amounts to about 7% of the Foundation’s annual earnings.

The grant requests come to our Executive Director Shig Ryan Kishi who mails them the applications and the rules for filing. Section Chairs have a simpler form to fill out, but regular grant applicants have a more in-depth, detailed one for the Board to consider. The total grant at-large requests this year will significantly exceed our capacity to fund. So the Board will need to make some tough decisions this year.

In 1994, when the Foundation developed the grant format, the $300,000 income from the Brenes-Espinach estate and membership contributions was divided into two categories: $98,400 for scholarships to 82 schools at $1200 each; and $200,000 for the grant at-large program. Since then, Northwestern has closed, but the Board raised the per scholarship amount to $1500 each. The Academy annual request for their programs comes to $40,000, the annual Loader-Espinach Award is $7500, reduced investment income (that we all are experiencing), and a 2000 excess of $82,000 (lower Foundation expenses, returned grants, better investment income) used in 2001 to avoid doubling our IRS tax has eroded the amount for grants at-large for 2002. The Academy requests are handled as any other request for funding. The Grant Evaluation Team assesses each item of the Academy request as though it were any other grant request. And each must be passed by the Board, as any other grant request.

So far this year, recognized for passage are 18 grants totaling $146,604 with 18 totaling $160,000 being rejected for such reasons as falling out of our area of funding or the applications being incomplete.

When the grant at-large applications are received by the Foundation, they are checked for completeness and if the requested grant falls into our established categories. Many fail at this level. Those that are acceptable are then sent to the Grant Evaluation Teams for review and recommendations for the amounts as well as passage by the Foundation Board at the New Orleans annual Meeting. The Board then makes the final decision as to funding and acceptance. The requesting organizations are then informed one way or the other.

If accepted, the grant recipients must sign a contract and return it to the Foundation Office before the check is finally issued to them. A follow-up document is also requested as to judge the effectiveness of the grant program for future use by the Foundation in judging that grant and ones to come.

This policy follows the established guidelines for other foundations and has worked well for our own. Every so often, we need to tweak a few items to gather more information for future considerations and to comply with established procedures, but basically this guarantees the express purpose written by Brenes-Espinach in his will that his legacy be used for humanitarian purposes.


From the Desk of Treasurer George Higue…

Most members are aware of the problem of inflation and the various ramifications that may apply to offset it. Some have expressed concern in their letters, particularly about the recent market fluctuations.

Greed is the avenue motivating many investors to abandon security in lieu of large returns, which all too often seems to result not only in the loss of income, but the loss of the investment as well. The PFA Foundation is well aware of this in directing that safety first, and optimal income second, be the paramount concerns relative to investing Foundation funds. These recommendations resulted in the current investment in Treasury Bonds, FNMAs, GNMAs, and FHLBs. Optimal investment timing enabled us to invest at an overall return exceeding 6.5%.

I think it might be well to point out that our Foundation has certain financial needs. A fixed annual income is needed so as to ensure that the amounts for the various donations will be available on a timely basis. At present, our annual income is about $406,000, of which $283,000 is budgeted for donations, and about $100,000 for expenses. This leaves about $23,000 for the reserves.
It is important to point out that the total of all contributions in the Brenes-Espinach Fund has a value today of $6,430,914.25 demonstrating an increased value of $1,299,625.21 on 31 December 2001. Our policy of secure investments is serving the Foundation well.

The PFA Members’ donation account, kept separately from the Brenes-Espinach Fund, totals $333,666.01 as market value with about 10% in a money market fund, over half in an FHLB earning 7.05% interest, 20% in a GNMA earning 7% and the remainder in another GNMA earning 7.5%. Total income to this account last year was $46,430.72 from interest, donations, and dividends.

The third separate account being held by the Foundation is the Mitch Nakayama Memorial account, which stands at $132,589.06 as of 31 December 2001. This account is held in trust and all disbursements must be authorized only by Mrs. Nakayama for their Nakayama Award given every other year. This involves presenting the Award recipient a check covering airfare to Japan and related costs.

Thus, we can expect to again perform our scholarship and grants program to the same level as we have in the past due to our secure investment policy.


United States

Wisconsin

Chair Glenn Maihofer presented the Foundation Scholarship Award to Marquette dental student Rachael Rosenfeld last December. She graduated from Marquette Dental School and has started a public health service residency program in Washington State. She thanked the Academy for her selection.

Nevada

The Dental Assistants’ Program at the Community College of Southern Nevada received a $5000 grant from the Foundation for additional educational materials. Secretary/Treasurer Richard Kozal made the presentation to Dental Assisting/Dental Hygiene Program Director Theresa Raglin, Dental Assisting Program Coordinator Karen Mulcahy, and Dental Assisting Instructor Carol Brew.


L-R, Carol Brew, Dr. Kozal, Theresa Raglin, Karen Mulcahy

Massachusetts

Associate Dean of Student Affairs Mark Gonthier sent a letter thanking the Foundation for their Scholarship Award, which was presented at the Ninth Annual Tufts University School of Dental Medicine Senior Awards Dinner last May to student Dawn Star Thatcher. The PFA Award is recognized in their Senior Dinner Program and in their magazine Tufts Dental. Our recipient did her undergraduate work at UC-Santa Barbara. She was also inducted into the Omicron Kappa Upsilon National Honor Fraternity for her academic excellence. She will be entering a Naval General Practice Residency Program in Portsmouth, Virginia.


Dawn Star Thatcher receiving the Foundation Award

Web Site

Secretary/Treasurer Richard Kozal has just finished the “new look” to our Web site. Go to the main page at www.Fauchard.org/, click on the USA flag to see the US Regions, and click on the French flag to see the international Regions.

Your comments are always welcomed. More additions are being planned.




Section News

Serbia


Professor Dragoslav Djukanovic

Professor Dragoslav Djukanovic will receive the PFA Certificate of Merit at their September Meeting at the Macedonia III Congress with Professor Dastevski participating. Professor Djukanovic has been a professor of Periodontology and Oral Medicine at the Clinic for Periodontology and Oral Medicine, faculty for Stomatology in Belgrade, Yugoslavia. He was the first dentist in Yugoslavia to receive the Master of Sciences in Dentistry in 1968 earning his PhD, and then his Doctors title in 1972. He is a teacher, author, researcher, and lecturer. He has participated in 22 FDI Congresses. He has served as Vice Dean for the Faculty of Stomatology in Belgrade for two terms. He has received the Serbian Medical Society’s Annual Award for Research. He is a Fellow in PFA (since 1994), ADI, IADR, ADEE, one of 22 dental members in the Academy of Medical Sciences of Serbia, and one of two dentists in the Scientific Society of Serbia.

Philippines

Chairman Diampo J. Lim has this year alone hosted three Board Meetings and one Fellowship Dinner. Their Board Meetings at the University of the East College of Dentistry stressed the topics of mentorship, proper committee appointments, and preparation for induction of new members during the 94th Philippine Dental Association annual Session last May.

Eleven new Fellows were inducted, including President Armyl Banez of the Philippine Dental Association. Professor Mamoru Sakuda, PFA International Trustee, was Guest of Honor and discussed the leadership of PFA Fellows and emphasized the importance of membership development.

Their Section is now preparing a Region 9 Meeting during the 25th Asian Pacific Dental Congress (APDC) to be held during the 95th Philippine Dental Association Session in April 2003 in Manila.


L-R, Fellow Antonio Baldemor, Francisco Morales, Vice Chair Hermogenes Villareal, Trustee Mamoru Sakuda, Chair Diampo Lim, Life Member Sofronio San Juan, and advisor Primo Gonzales

Canada

International Trustee Kevin Roach hosted an outstanding PFA function during the Canadian Dental Association’s 100th Anniversary in Montreal written up in the last issue of Dental World, which honored past PFA President Michael Cripton with our Elmer Best Award.

The Ontario Dental Association News of July/August 2002 also mentioned that PFA Fellows Stephen Abrams of Toronto and Douglas Boyd Smith of Belleville were awarded the Barnabus Day Award for Distinguished Service last May at their Annual Presidents’ Dinner. Dr. Abrams has been active in dentistry since his college days. Dr. Smith served as past ODA President. Both are graduates of the University of Toronto.



United States


Connecticut

Chairman William MacDonald hosted Congressman Robert Simmons (R-Conn) at their annual Meeting last May who spoke on his support for oral health care legislation.


L-R, Congressman Robert Simmons, CSDA Director Noel Bishop, and Chair William MacDonald


Indiana

Chair Ray Maddox hosted their annual PFA Section Breakfast last May. Lynn Shaw, LCSW, author of the book Tee Hee Moments, gave the keynote address “Bubble Up With Laughter.”

Membership Co-chairmen David Matthews and Steven Holm inducted seven new Fellows into the Academy. We welcome (L-R in the picture) Drs. Steve Dixon, Gene Ranieri, Dan Fridh, Jean Williams, Lou Sertich, Mark Thomas, and George Willis.


New Indiana Fellows

Massachusetts

The PFA Section held their annual Breakfast at the Yankee Dental Congress hosting many dental dignitaries.


L-R, ADA 1st District Trustee Edwin Mehlman, ADA12th District Trustee Richard Haught, and past ADA Trustee Ronald Chaput who was the recipient of the James Etherington Award from the Massachusetts Dental Society



Maryland

Drs. David and Barbara Halpern were both inducted as new Fellows into the Maryland Section by Chairman Don-N Brotman at their meeting last April. Fellow David was born in Marseilles, France.


L-R, Chair Don-N Brotman with Drs. David and Barbara Halpern

Delaware

Past PFA Delaware Chair Eugene Truono, ADA President 1990-1991, was a staunch advocate of mentorship. He was one of the firm motivating forces behind the PFA to get involved more than 10 years ago. He passed away last July at his home in Greenville. He was the first Delaware dentist to become ADA President.

Illinois

Editor Brophy, a second generation Order of Elks member, just finished his term as Centennial President of his Lodge. The Illinois Elks Association recognized his efforts with four awards including their top award, “Best Elks Lodge in Illinois.”


Texas

Chairman Roger Macias hosted their recent PFA Breakfast during the Texas Dental Association Meeting in San Antonio last May. Fellows Janis Balsiger, TDA Vice President, and Deb Stewart of Stafford were in attendance to induct Drs. TDA President James Condrey, TDA President-elect Don Lutes, Jerry Long, Larry Spradley, Ron Trowbridge, and Russell “Rusty” Schlattman into Fellowship.


Dr.
Milton Sorrels gave the address.



L-R, New Fellows, Drs.Jerry Long, TDA president James Condrey, Larry Spradley, Ron Trowbridge, Russell Schlattman, and TDA president-elect Don Lutes


Milton Sorrels revels new Fellows Rusty Schlattman and Mickey Vaclav with Texas PFA stories



Utah

Dr. Richard O. Petty was installed as the new Utah Section Chairman by Region 5 International Trustee Gary Lowder at their recent PFA Breakfast Meeting last April.


Trustee Gary Lowder welcomes new Chairman Richard Petty



Wisconsin

Chairman Glenn Maihofer hosted their annual Mentorship Dinner last October with over 300 students and mentors in attendance. This highlights the year of mentorship activities together, such as continuing education courses, Marquette basketball games, and the Milwaukee Admirals hockey games.

Their annual May Meeting hosted 100 people to induct seven new Fellows. Dr. John Moser, a PFA Fellow, was the recipient of their 2002 Distinguished Service Award. Dr. Moser has been honored by the ADA with their Golden Apple Award for his dedication to the Wisconsin Mentorship Program. He also received the Wisconsin Dental association’s Pyramid of Pride Award. Dr. Moser is the past President of the Greater Milwaukee Dental Association, a WDA Trustee, and a clinical instructor at Marquette.



Oklahoma

Chairman William Goodman hosted their PFA Dinner Meeting during the annual Session of the Oklahoma Dental Association last May, in which 12 new Fellows were inducted. Dr. Kevin Avery received their Section’s Distinguished Service Award for this year from Dr. Keith Keeter substituting for past Chair Jim Saddoris (past ADA President). The main speaker was Jim Priest, an attorney and columnist who talked on “Ethics and Professionalism.”


Dr. Kevin Avery receiving the Distinguished Service Award from Dr. Keith Keeter



PFA Annual Meeting Schedule
New Orleans, Louisiana
18–20 October 2002—New Orleans Hilton Riverside Hotel



Thursday, 17 October
Arrival Date


Friday, 18 October, 7:30 am–5 pm
PFA Board Meeting, Marlborough B Room

8:30 am–11 am
Section Chair Caucus, Chequers Room

11:30 am
Section Chair Report to the Board



Saturday, 19 October, 7:30 am–11:30 am
Foundation Board Meeting, Chequers Room

11:30 am–2 pm
Awards Luncheon, Marlborough Room

2:30 pm–5 pm
Foundation Board Meeting, Chequers Room

6:30 pm–8 pm
President’s Reception, Cambridge Room


Sunday, 20 October, 8 am–5 pm
Foundation Board Meeting, Cambridge Room

1 pm–5 pm
Academy Board Meeting, Cambridge Room

6:30 pm–10:30 pm
PFA Dinner Party, Prince of Wales Room

All reports for the Board Meeting must be received in the Central Office by 2 September to be included in the meeting packet.

Make airline reservations now to get seats and the best fares. The block of hotel rooms will only be held until 1 July.




Editor’s Computer Alert

When then PFA President Shig Ryan Kishi moved the Academy into the future, establishing a Web site and computerization of our activities, we were one of the first to be prepared for the future that technology would bring us. While it was like, for a while, being the first one in the block to buy a TV set, the rest of the world has caught on quickly.

In 1998, I visited a dentist deep in remote Central America who received his Dental World by computer Internet before the mail got our copies to them. The recent issue of the AADE Newsletter relates a story by its President Richard Galeone concerning how the Internet ties the rural practitioner to dental advances and continuing education. The Internet has been a boon to PFA. And we are using its potential to its fullest, updating our records daily.

Dental World in 1989 was typing the initial copy out on galley sheets to send to the printer, who sent back the proofs, which were edited and sent back for publishing. Now, this is all accomplished in the space of hours when it took weeks before. Our kids mostly have never seen a typewriter.

PFA receives communications from all over the world, at all times of day and night. Questions are answered in electronic pulse time over the letter by mail to some distant country. News is fed into the publication nearly the moment it happens from anywhere in the world. The cost savings in international postage is tremendous and allows us to communicate more often internationally.

But with this advancement have come some serious problems. Investing in a corporate-level computer is costly. And the software that is needed is not inexpensive either. But we did it, knowing the savings would be down the road—as it has been—in time as well as in money.

Unfortunately, as computers became more accessible to those around the world, so have sprouted the hackers, the pranksters, the criminals of the Internet, and basically mean-spirited individuals. At first, they went after military and government facilities. Then they branched out to large corporations. Now, everyone with a hook-up to a computer is at risk.

PC Magazine, in their 12 June 2001 issue, highlighted a story off the cover about “Dangerous E-Mail”—the explosive truth about defusing spam, viruses, worms, and other unwanted messages. Viruses, Trojans, and worms—well named—have reached epidemic proportions all over the world. And when PFA receives communications from all over the world, some contain—knowingly or not—these infections.

Industries have been built around protecting your security. Dental World reported on our Web site many issues ago noting that the report contained studies that, outside of the United States, mostly in Europe, privacy was the number one concern. But in the United States, security was. And so it comes to be. We were using Dr. Solomon anti-virus program at the time. Norton and McAfee are two other very prominent names.

Sometime about March, many officers received an E-mail from Foundation Vice President Carl Lundgren. Mine was blank. I replied to him to discover that he never sent that E-mail. And this has happened to Carl again a couple of months later.

Several years ago, the Dental World computer collected a Trojan that stole the computer password and went on-line whenever the thief wanted to, using PFA time. AOL’s solution was to cut off our access. When the computer was cleaned and a new password instituted, AOL put us back on-line. That is no answer.

So I was aware of the misery such events can cause. I tried loading all the three anti-virus programs, not knowing that some conflict with others.

In June, I received an E-mail from a Trustee, which was contaminated with a W32/Klez.h@MM Worm. A worm is exactly what it sounds like. I was doing the last issue of Dental World and a bubble would appear moving through the copy, like a mole under grass, fragmenting the copy. The worm attacks all your “Exe” programs and disables your firewall protection preventing you from reloading it. I had to defragment my computer every few hours to keep it running.

McAfee on-line suggested a treatment that was worse than the bite. They sent me a false worm to tie up the real worm. Then I was to download back to my last Windows. If the worm was gone then, I could reload the newer Windows. I followed their instructions and ended up in DOS with very little left to reload. And by this time I had almost forgotten how to use the “F” keys. The last issue of Dental World was gone, as it had infected the disk as well. Two weeks later, with a clean computer, I was back up again.

This time, McAfee loaded it up with all their newest programs to stop these attacks, provided a firewall with filter blocking, and a virus scan second to none. They also upgraded this virus to medium risk alert.

The Central Office computer system had also been attacked and is currently undergoing cleansing and upgrading.

Intentional?

Two weeks ago, I received an E-mail from the Lions District Governor that I know well. He had an attachment labeled “Kernel.” The attachment was empty and McAfee went off like a fire alarm. It was a Klez worm and they deleted the entire packet. I contacted the author. He, too, like Carl had not sent the E-mail.

McAfee’s explanation for this is that the virus steals the addresses of your friends from your files and forwards the worm on in your name.

But last week took the prize. I check for messages four times a day—morning, noon, evening, and about midnight (noon somewhere in the PFA World). Many require immediate replies or forwarding to the proper resource. I received one from my wife from her home computer at about noon. Bracketing that email were two E-mails from her from her office. Home and her office are 20 miles apart! I called her. She did not send the titled E-mail “friends together, forever.” I tossed it over to McAfee. It contained a Klez Worm. It originated from “youme” in Hong Kong via satellite through her computer to her mailing list.

My daily firewall log shows some 70 or more attacks, most nonthreatening and probably spam, but a few are portal attacks, and a couple were identified as worms.

There are two points to this article. (1) If you are sending something to Dental World make sure your computer is clean, and, if you are using an attachment, put PFA in the title. I am NOT going to download any attachments otherwise. I cannot afford a two-week cleaning operation, or the cost of such to the Academy. (2) BE AWARE that this has now reached epidemic status and get your firewall and virus scan updated immediately. I have found that Norton and McAfee are the best with on-line technical help. The cost of their current programs far outweighs the cost in time and money to get your computer cleaned and reloaded.

And do not forget the computer at your dental office if you are on-line there.

The firewall is to filter such attacks. But those hackers out there devise new ways around them. The Virus Scan is your back up. Run it often depending on your E-mail traffic. I get about 40 or more E-mails a day, mostly undetected spam. So I run mine every second day. Months ago, I found two viruses lurking in a program called “Jukebox Music” which I never had used. I deleted the entire program.

This is an international shame that a few on-line terrorists can cause this much damage to personal computers as well as company, military, and government ones. Much money is being spent on Industrial Firewalls and policing the Internet. But catching the perpetrators is difficult when they can bounce their attack through several computers. How do I catch “youme” in Hong Kong?

Turning off your computer from its electric source, or detaching your phone connection will not help. The virus waits at the entrance portal patiently until you go on-line. Then it attacks. Be ready. Be prepared.