AAOMS
saving faces | changing lives®
Volume 9, Issue 4
July/August 2011
In This Issue
AAOMS President’s
Column.................................2
Coding Corner...................11
Treasurer’s Account............15
Calendar.............................22
News Briefs
PAGE 3
The first-ever AAOMS Faculty
Summit will convene immediately
preceding the annual meeting in
Philadelphia this September.
PAGE 6
This year’s Research Summit
highlighted some of the
groundbreaking investigations
underway in three areas of OMS
scope of practice.
PAGE 10
The Coding Corner offers some
reminders on opting out of the
Medicare network.
Register
online by
August 1 for
the AAOMS
Annual
Meeting and:
— Skip the long
lines at the Registration Desk!
— Get immediate confirmation for the
courses you want!
— Have more time to enjoy
Philadelphia!
Go to aaoms.org/philly, and register
for the 93rd Annual Meeting, Scientific
Sessions and Exhibition, September
12-17, at the Pennsylvania Convention
Center and the Philadelphia Marriott.
Prefer to fax or mail your registration?
Download a registration form or use
the registration form in the Advance
Program, which has been mailed to you.
Be sure to take advantage of the
early bird discounts: AAOMS fellows/
members save $100 off the on-site
registration fee when you register
between July 2 and July 31. Everyone
registering before July 31 will receive
their badge and meeting materials in
advance of the meeting.
Bringing staff to the meeting? Be sure
to have them apply for AAOMS Allied
Staff membership before registering to
take advantage of additional savings.
Find out more at www.aaoms.org/
alliedstaff.
today A publication of the American Association of Oral and Maxillofacial Surgeons
Encore careers offer meaningful rewards
T
hree years ago, Dr. Thomas
Skiba decided retirement was
not all it was cracked up to
be. Dr. Skiba had been in private
practice outside of Chicago for
32 years when he retired, and he
thought he would enjoy having
more time to relax and go skiing,
his favorite sport. But instead
he quickly grew bored. A life of
constant recreation just
wasn’t as meaningful
as his OMS practice
had been. He needed
new goals and fresh
challenges.
And so Dr. Skiba
Thomas Skiba, approached Dr.
DDS, MS Michael Miloro, the
head of the department
of oral and maxillofacial surgery
at the University of Illinois-
Chicago College of Dentistry
and asked if he could assist with
teaching the residents.
At first Dr. Miloro was
skeptical. “The typical profile
of a new faculty member is a
young, aggressive surgeon,” he James Wilson, surgery professors were
says. “Instead, I got Tom on DDS
my doorstep, in his so-called
twilight. My expectations were not
high. I thought, he’s retired, and also
tired, and just wants to punch the
clock from nine to five and collect a
paycheck, albeit a small one.”
But Dr. Miloro was wrong.
Instead of being worn down by
teaching, Skiba was energized and
enthusiastically embraced what he
calls his encore career, a term he
borrowed from an article in U.S.
News and World Report. He took
on extra classes, which gave full-
time professors more time to teach
residents and do research. He joined
faculty committees and became a
mentor to the residents who wanted
to know what it was like to be in
private practice. He became, in Dr.
Miloro’s words, a superstar.
Dr. James Wilson, chair of the
AAOMS Task Force on Faculty
Workforce, estimates that there are
currently more than 100 vacancies in academia every year. But by 2006,
OMS programs across the country. that number had dropped to one or
At a time when fewer OMSs want to two.
go into academia, many programs
are beginning to rely Another source for teachers, the
on retired surgeons military, also dried up. Doctors who
like Tom Skiba to finished their service decided they, too,
help fill the void. would rather go into private practice.
Dr. Wilson himself “There’s a significant discrepency
was drawn to between the revenue you earn in
academia when he teaching versus the
finished his residency Michael Miloro, revenue you earn in
nearly three decades DMD private practice,” Dr.
ago but, with three Wilson admits. “It’s the
young children to support, he, like most frequently-cited
many other newly-minted OMSs, reason for the drop in
went into private practice. He wasn’t teachers, but it’s not the
fond of the administrative side of most compelling.
running a practice, but the money
Frederick T.
was better and he didn’t have to “The job of teaching
Moore, Jr.,
move his family around or deal with has changed quite a DMD, MD
the stress of the academic bit,” he continues. “It’s
life. Ten years ago, though, a great role in two areas, teaching and
he started teaching at the research. When managed health care
University of Texas Medical became more and more established,
School at Houston. the funds for Medicare and Medicaid
began to ratchet down and the funds
In the past, Dr. Wilson says, for teaching declined. Institutional
most oral and maxillofacial grants for research became more
difficult to get.”
drawn from the ranks of the
residents. Up until 2000, In addition, whatever funding there
between 15 and 30 residents entered was in teaching hospitals went toward
Continued on page 21
Do you have an open faculty position?
AAOMS recognizes the importance of recruiting and retaining quality faculty
members to educate and train future members of our specialty. To assist in the search
for new faculty, AAOMS offers two exceptional opportunities to get the word out to
interested OMSs.
• Faculty ads are FREE in AAOMS Today! When you place a faculty ad in the
AAOMS Today classified section, the first 250 words are FREE, and you will
receive substantial discounts for longer ads (251 to 290 words – $125; 291 to 330
words – $250; 331 to 370 words – $375). For more information on placing an ad
in AAOMS Today, contact AAOMS Communications & Publications at 847/678-
6200, ext. 4366.
• Receive a 40% discount on OMS faculty position postings on Career Line, the
official AAOMS online job board. In addition to your online posting on the
Career Line Web site, your position will also be seen by qualified candidates
through Web search engines like Google and Yahoo!, and recognized job boards
like Medhunters.com. Purchase a contract through Career Line and receive a
40% reimbursement from AAOMS following completion of your contract. For
more information, please visit Career Line, or call 888/884-8242 to speak with a
HEALTHeCAREERS representative today.
 AAOMS TODAY
Volume 9, Issue 4 IN MY VIEW
July/August 2011
AAOMS Today is published six times a year by the
American Association of Oral and Maxillofacial Surgeons.
Social media offers new ways for AAOMS
Unless specifically stated otherwise, the opinions expressed
and statements made in AAOMS Today do not imply and members to connect
endorsements by, nor official policy of, AAOMS.

W
Daniel M. Laskin, DDS, MS, Editor hen Facebook launched Dental Association’s 11,722
Robert C. Rinaldi, PhD, CAE, Executive Director
Janice K. Teplitz, Associate Executive Director in 2004, social media was followers. The American Association
Janie K. Dunham, Manager, Editorial considered an online toy of Orthodontists, for example, has
AAOMS
for young adults to chat with one 3,746 followers, while the American
9700 W. Bryn Mawr Avenue another. I recall reading a critical Academy of Periodontology has
Rosemont, Illinois 60018-5701
847/678-6200, fax 847/678-6286 review that stated, “Social media 1,523.
www.aaoms.org
isn’t for organizations, but for
OFFICERS people who want to share what If you go to our Facebook page,
Larry J. Moore, DDS, MS, President their cat ate for breakfast.” What a you will find information and Larry J. Moore, DDS, MS
909/606-0160 Fax: 909/606-4061
E-mail: drljmoore@aol.com difference seven years make! Today links to OMS patient information,
4200 Chino Hills Pkwy, Suite 805
Chino Hills, California 91709 Facebook numbers 500 million users our annual meeting and dental
Arthur C. Jee, DMD, President-elect worldwide—one of every 13 people implant conference, National Facial on Twitter, you will have almost
301/498-3900 Fax: 301/317-4758
E-mail: ajeeone@aol.com
on earth—and half of these are Protection Month and Oral Cancer instantaneous notice of drug recalls,
13934 Baltimore Ave logged in on any given day. As you Week, and a host of news articles legislative activities that require
Laurel, Maryland 20707
Miro A. Pavelka, DDS, MSD, Vice President
might expect, 72% of users are in about some of the truly amazing immediate action and other items
972/231-6661 Fax: 972/231-3161 the 25 to 54 age bracket, but 26% of accomplishments of AAOMS fellows that are important to us as oral and
E-mail: mapavelka@msn.com
400 S. Cottonwood these users are age 45 to 54. Clearly and members. The Facebook page maxillofacial surgeons. You will also
Richardson, Texas 75080-5708 there is something here for every age is updated regularly to keep the be able to comment on the notices
Edwin W. Slade Jr., DMD, JD, Treasurer
215/345-7373 Fax: 215/345-0242 and interest group. information fresh and appealing. and retweet them to friends and
E-mail: eslade@comcast.net
101 Progress Drive
Best of all we’re colleagues to assure they
Doylestown, Pennsylvania 18901-2509 Twitter, which was introduced five seeing our efforts pay are kept informed.
Ira D. Cheifetz, DMD, Immediate Past President
609/587-2900 Fax: 609/587-1749
years ago, now has 106 million off with meaningful "We currently
E-Mail: iradc@aol.com registered users, with new users participation from the
2303 Whitehorse-Mercerville Road, Suite 5 count about 3,478 Social media is no
Mercerville, New Jersey 08619-1994 signing up at a rate of about public. You will find a longer for kids and
Robert C. Rinaldi, PhD, CAE, 300,000 per day. Fifty-four percent number of individuals followers, mostly
Executive Director and Secretary
techies. It has evolved
847/678-6200 Fax: 847/678-4302
of Twitter users are 25 to 44 years who “like” the posted consumers, who into a routine part
E-Mail: brinaldi@aaoms.org of age. items or who wish
9700 W. Bryn Mawr Avenue come to our of how many people
Rosemont, Illinois 60018-5701 to give their opinion. connect with each
Steven R. Nelson, DDS, MS The fact is, social media is not Responding to an Facebook page
Speaker, House of Delegates other and the world.
303/758-6850 Fax: 303/758-0729 a passing fad. It has evolved article about a man to learn about Like e-mail, texting
E-Mail: snelson@rmoms.com into an established and growing who had a football size
6850 E. Hampden Ave., Suite 202 our specialty." and Net surfing they
Denver, Colorado 80224 communication tool that has moved tumor removed from are already redefining
TRUSTEES beyond the celebrity gossip mill his jaw by an OMS, the way AAOMS and
Lawrence J. Busino, DDS, District I that characterized its earliest days. one young woman other professional associations reach
518/446-1001 Fax: 518/446-0802
E-mail: lawrencebusino@gmail.com Consider that the covert US attack posted, “Amazing - This is why I their members, allied groups and
Albany OMS Group
2 Executive Park Drive
on Osama Bin Laden’s compound want to be an oral and maxillofacial the public. If you haven’t visited
Albany, New York 12203 was covered in real time on Twitter surgeon.” AAOMS on Facebook, go to http://
Louis K. Rafetto, DMD, District II by a neighbor with a cell phone. www.facebook.com/aaoms.org and
302/477-1800 Fax: 302/477-0343
E-mail: lkrafetto@gmail.com It’s no surprise, then, that many Twitter provides a different see what’s new. And while you’re
3512 Silverside Road, Suite 12
Wilmington, Delaware 19810-4941
professional associations, including communication dimension. Those at it, please sign up to follow us on
Eric T. Geist, DDS, District III AAOMS, are viewing social media of you who have followed AAOMS Twitter at http://www.twitter.com/
318/388-2621 Fax: 381/388-2835
E-mail: etgoms@comcast.net
with interest to determine how, at a Services Inc. (ASI) on Twitter this aaoms. We’ll be in touch.
Oral Surgery Associates minimum, Facebook and Twitter can past year know that it provides brief,
2003 Forsythe Avenue
help us connect with our membership succinct updates on ASI partners
Monroe, Louisiana 71201-4938
One more thing
William J. Nelson, DDS, District IV and the public to communicate (@AAOMSservices). Tweets may
920/336-0989 Fax: 920/347-0868
E-mail: wnelson445@gmail.com important information about the be no longer than 140 characters, In the last issue of AAOMS Today, I
480 St. Mary’s Blvd. specialty and the unique training including spaces and punctuation. discussed AAOMS’s new initiative to
Green Bay, Wisconsin 54301
Douglas W. Fain, DDS, MD, District V and skills of oral and maxillofacial As a communication tool it forces implement a prospective, statistically
912/381-5194 Fax: 913/381-5215 surgeons. the writer to focus on the important valid study for office-based
E-mail: dfainddsmd@aol.com
Oral and Facial Surgical Assoc. information, while allowing the news anesthesia practice, benchmarks and
3700 W. 83rd St. Ste 203
Facebook is particularly valuable to be sent almost at the same time it outcomes. I cannot overstate the
Prairie Village, Kansas 66208-5120
Henry C. Windell, DMD, District VI for reaching out to public audiences. is occurring. In addition, there is no importance of this benchmark study
503/665-7882 Fax: 503/665-6983
AAOMS has maintained a Facebook cost to AAOMS for maintaining a to the continued existence of the
E-mail: windellh@gmail.com
24850 SE Stark Street, Ste 100 page for over two years. Since its Twitter account, or to the OMSs and OMS anesthesia team model, which
Gresham, Oregon 97030-8317
inception, our number of followers other individuals who follow it. for more than 50 years has served as
AAOMS ASSOCIATE has steadily grown. We currently a safe and effective method for the
EXECUTIVE DIRECTORS
Mark Adams, General Counsel, ext. 4350 count about 3,478 followers, Beginning this month, AAOMS delivery and monitoring of office-
Randi V. Andresen, Advanced Education mostly consumers, who come to our will offer fellows and members the based outpatient anesthesia. While
and Professional Affairs, ext. 4337
Facebook page to learn about our opportunity to follow the association we can cite a host of impressive
Barbara S. Choyke, Continuing Education, Meetings
and Exhibits, ext. 4309 specialty. The number of followers on Twitter via their Smartphones, statistics that support the value of
Scott C. Farrell, Chief Financial Officer, on the AAOMS Facebook page ipads, computers and other portable our model, they are not considered
Business and Operations, ext. 4352
Janice K. Teplitz, Communications and Publications, compares very well with our allied devices. As a follower of AAOMS conclusive when viewed through the
ext. 4336 dental specialties; all of whom have magnifying glass that determines
Karin K. Wittich, Practice Management and
Governmental Affairs, ext. 4334 fewer followers than the American

2 AAOMS Today • July/August 2011

scientifically valid evidence-
based outcomes. We believe OMS Faculty Summit focuses on residency
that the statistics derived from
this new 12-month benchmark training and faculty retention issues
study will supply the evidence-

based results necessary to
stem the challenges aroused
by the current health reform
environment.
This week, a registration packet
that includes an AAOMS
participation agreement, a
study registration form and
paper copies of the data
collection form was sent to
the first cohort of randomly
selected participants. Over the
next 12 months, a total of 300
actively practicing fellows and
members will be randomly
selected from the AAOMS
membership database. The task
is not difficult. Participants are
assigned one month during
J
ust prior to the start of the 2011
AAOMS Annual Meeting in
Philadelphia, the OMS Faculty
Section will hold its first OMS Faculty
Summit at the Philadelphia Marriott
Downtown, from noon to 4:15 pm on
Sunday, September 11 and from 7:30
am to 12:45 pm, on Monday, September
12. While the new Faculty Summit
will not replace the Faculty Section’s
regularly scheduled business meeting and
educational symposium, it will provide
an opportunity for faculty members to
connect with one another, and seek
solutions to such difficult issues
as evolving standards, curriculum
innovation, faculty recruitment and
retention and outcomes assessment.  to support outstanding faculty and
The Summit will begin with a
discussion of resident-related issues,
including accreditation challenges,
ACGME duty hours, OMS
curriculum building and successful
models of resident instruction and
evaluation. On Monday morning, the
of all CME claimed using the
online evaluation and continuing
education credit system by
matching to the appropriate
meeting registration records.
focus will move to those areas that
directly impact faculty members.
Participants will consider how best
to acquire the resources necessary
mentor young academicians; and
how to prepare residents to become
competent members of the faculty.
The OMS Faculty Section executive
committee intends to make the
Summit a regular feature of the
biennial Research Summit. n
Attendees will have up to 90 days
after attending an AAOMS meeting
to enter their evaluation information
into the system. After that time, no
new entries will be allowed and the

T
which they will enter data
he 2010 Annual Meeting was the system will only allow you to print
for all patients who meet the
first AAOMS meeting without your certificate. No exceptions will
study criteria using a state-
paper course evaluations. Since When? It is important to pre-
of-the-art, HIPAA compliant, be made.
then, AAOMS has exclusively used an register for AAOMS meetings to
online data collection system. ensure onsite access to the electronic
online system for course evaluation and How? Step-by-step instructions
All data entered into the system. Attendees registering close
continuing education credit. With a few on how to utilize the system can be
secure data collection system to and at the meetings may have to
clicks of a mouse, meeting attendees found on www.aaoms.org/mycme
are confidential, and only de- wait to evaluate and earn credit until
can evaluate speakers and sessions, and or by visiting http://www.aaoms.
identified, aggregated data will the weeks following the meeting.
instantly print their continuing education org/docs/cme_instructions.pdf n
be published. In addition, study
transcripts. The information below
participants will have access to
serves as a refresher of the nuts and bolts
their own data and will receive a
of the system. Any questions about the
report that compares their data
process can be directed to
to the aggregate data from all
conteducate@aaoms.org.
participants.

Please, if you are one of the 300

randomly selected OMSs who
received one of these packets,
it is critical to the future of
your practice and the future
of our specialty that you agree
to participate in the study. For
over half a century the oral and
maxillofacial surgery anesthesia
team model has been at the
heart of our practice and the key
to our future. Please participate
in the anesthesia benchmark
study and make that future a
reality for our specialty and for
the patients who rely on our
care. For more information
about the study, contact Marty
Gonzalez at the AAOMS office.
n unique link—please click carefully!
What? An entirely online course
evaluation and continuing education
credit system. This means no more
hassle of collecting and completing
paper forms at the meetings. The
online evaluation and credit system
allows you 24/7 access to provide your
feedback and receive your CME.
Why? The electronic system allows
AAOMS to provide another member
benefit, be more efficient, keep up
with industry trends, reduce waste
and provide meeting attendees with
greater control of their CME.
Where? Access to the system
can be found at www.aaoms.org/
mycme. Each meeting has its own

Who? Anyone who has registered

and attended any AAOMS meeting
from 2010 forward will have access
to the electronic evaluation and credit
system. According to ACCME and
ADA CERP policies, attendees should
only claim credit commensurate with
the extent of their participation in the
activity. PLEASE NOTE: AAOMS
staff will conduct periodic audits
AAOMS Today • July/August 2011 3
 The passing of a legend
Robert V. Walker, DDS
1924-2011
R
obert V. Walker,
professor emeritus
at the University
of Texas Southwestern
Medical Center at Dallas,
Division of Oral and
Maxillofacial Surgery,
Department of Surgery
and affiliated Parkland
Memorial Hospital and
Children’s Medical Center
at Dallas, passed away Robert V. Walker, DDS
April 28, 2011, following
a battle with pancreatic cancer.
Dr. Walker, fondly referred to as
RV, dedicated his entire professional
career to the discipline of oral
and maxillofacial surgery and the
promotion of the specialty through
research, education, administration,
and service to patients in the
community, the state, the nation,
and beyond. He reached prominence
in each of these areas, presiding as
president or chair in nearly every
important association, board, or
committee at the University of Texas
Southwestern, the Dallas/Fort Worth
community, the State of Texas,
the various American societies, as
well as international organizations.
His contributions to each were
untiring and so significant that
his name is recognized among the
founding signatures of some of those
organizations and their chartered
tasks. He was called upon for his
advice and direction from the current
leaders of these organizations and he
loved every minute.
Under RV’s leadership, the Division
of Oral and Maxillofacial Surgery
at UTSW reached prominence in
the nation and the world. There are
217 proud alumni of the program,
of which 29 have been or are deans,
chairs, or program directors. They
fondly remember him as the reason
for their success. RV personally
knew each of them: where they were
and family details. That was the kind
of man he was.
RV made significant scholarly
contributions in the area of
understanding and treating
temporomandibular disorders. He
was invited to give lectures and
participate in symposia dedicated
to the topic. He delivered countless
named lectures at prominent
institutions in this country and at
international locales. His clinical
expertise, administrative skills,
ability to synthesize and construct
4 AAOMS Today • July/August 2011
Could a Lawsuit
plans, and ability to
bring people to the
hit you
table are legendary. His
contributions helped
many dental and
Out of the Blue?
medical organizations,
including the American
Board of Oral
and Maxillofacial
Surgery, the American
Trauma Society,
the International
Association of Oral
and Maxillofacial Surgeons, the
American Association of Oral and
Maxillofacial Surgeons, the Texas
Dental Association, and the Royal
Colleges of Surgeons of England and
Ireland.
Robert Walker completed the
oral surgery residency program at
Parkland Hospital in 1956, after
receiving his DDS from Baylor
College of Dentistry in 1945. RV
joined the full-time faculty in 1956,
serving as professor of surgery and
chair of the Division of Oral and
Maxillofacial Surgery at UTSW from
1956 to 1984. RV remained on the
full-time faculty until 1997, when he
was named professor emeritus in the
Division of Oral and Maxillofacial Statistics say Yes. Every year nearly one in ten OMS is
Surgery. He is the recipient of more
than 28 awards and honors including sued. For over 20 years, OMSNIC has provided the most
the AAOMS Distinguished Service powerful claims defense in the industry. Our unparalleled
Award, the Donald B. Osbon Award professional liability coverage and risk management program
for Outstanding Educator, and the
William J. Gies Foundation Award. are designed to help protect OMS.
He also received the William S. Owned and operated by OMS, OMSNIC has a deep
Stone Award for contributions to understanding of the specialty and only insures Oral and
Maxillofacial Trauma Surgery and
the Distinguished Service Award Maxillofacial Surgeons. The OMSNIC Advantage is our single-
from the American Trauma Society. minded dedication to protecting, defending and strengthening
He was a two-time recipient of your OMS practice. For more information call 800-522-6670 or
the Distinguished Alumnus Award
from Texas A&M University, the visit our website.
Alpha Omega Alpha Award from
the Honor Medical Society, and the
Heroes of the Heritage Award from
Parkland Hospital.
He is survived by his wife Emily
and their children Robert Walker
III, JoAnn, and Ben Judd. Dr. www.omsnic.com
Walker lived by and taught that
it is important “To do and be
seen doing,” and was the ultimate
ambassador for our university and
our profession.
Dr. John R. Zuniga
Dr. Douglas P. Sinn n
Exclusively Endorsed by AAOMS
 Research summit showcases specialty investigations, research needs
A
AOMS, the OMS Foundation
and the International
Association of Oral and
Maxillofacial Surgeons hosted
an oral and maxillofacial surgery
research summit on May 5-6, 2011,
in Rosemont, IL. This was the
fourth such summit since 2005.
All OMS residents were invited to
attend and 24 did so, along with
79 other interested participants.
The OMS Foundation provided
scholarships to 15 residents,
offsetting the expense of their travel
and accommodations (see related
story on page 14).
Organized by the AAOMS Advisory
Committee on Research Planning
and Technology Assessment
(ACRPTA), the 1.5-day program
devoted half-day sessions to three
areas of OMS scope—head and neck
cancer, obstructive sleep apnea and
cleft/craniofacial reconstruction.
Each session showcased several
ongoing investigations and
highlighted the areas of need and
opportunity for additional research
efforts and offered opportunities for
collaborations among researchers,
OMSs and non-OMSs. Each session
ended with a discussion of support
opportunities from the National
Cancer Institute, National Heart,
Lung and Blood Institute, and the
National Institutes of Health.
Head and Neck Cancer
Keynote speaker Brent B. Ward,
DDS, MD, shared with the audience
his view of the role of research:
• Standardizes clinical judgment
• Introduces and validates emerging
science and technology for clinical
application
• Fosters inter- and intradisciplinary
collaborative associations
Robert I. Haddad, MD, acting chief
and clinical director of head and
neck oncology at the Dana Farber
Cancer Institute, Boston, MA, spoke
on HPV-related Oropharynx Cancer,
one of the very few cancers whose
incidence is on the rise. Infection
with the HPV16 virus has been
identified as the cause of 90% of
oropharynx cancer cases in the last
decade, and in a patient population
that does not exhibit the commonly
accepted risk profile for oral cancers.
Experience has shown that HPV+
patients demonstrate markedly
better response to treatment and
better survival rates. Positive
6 AAOMS Today • July/August 2011
outcomes have prompted the question
of whether the intensity of therapy
can be reduced and clinical trials
are in the works to investigate that
hypothesis.
Francisco J. Civantos, MD,
associate professor, Department
of Otolaryngology, Sylvester
Comprehensive Cancer Center,
Young Investigators Day precedes
Summit
Sponsored by AAOMS and the OMS Foundation, the half-day Young
Investigators Workshop immediately preceded the Research Summit on
Thursday, May 5. Created to promote careers in education and research
and to provide mentoring opportunities for young faculty and residents, the
workshop presentations centered on effective grant writing and preparation
and submission of research manuscripts. The program included the following
outstanding presentations and speakers:
Preparing for a Career in Academics and Research: Is a PhD Required?
R. Bruce Donoff, DMD, MD, Harvard University
Anatomy of a Well-written Grant
Jeff Ebersole, PhD, University of Kentucky
Writing and Submitting Research Articles
Thomas B. Dodson, DMD, MPH, Harvard University, Massachusetts General
Hospital
University of Miami Hospital and
Clinics, Miami, FL, spoke on the
topic of Sentinel Node Biopsy vs
Elective Neck Dissection. Sentinel
lymph node biopsy (SLNB) has
proven accurate for melanoma and is
well understood for breast cancers. A
pathologic validation trial involving
25 institutions and 34 surgeons of
varying surgical experience levels was
conducted to study the applicability
of the SLNB to identification of oral
cancers. Trial findings suggest that
SLNB can safely reduce the scope
of surgery and increase its accuracy.
Dr. Civantos believes that a logical
next step is to study SLNB, with neck
dissection for positive disease, in the
context of a clinical trial.
Joseph A. Califano, MD, presented
findings on Personalized Target
Therapies in Head and Neck
Cancer. He noted that the ability
to comprehensively characterize
human cancers in molecular terms
has accelerated dramatically over the
past decade. These advances have
promoted a personalized approach
to cancer therapy. He continued
with discussion of impact of these
advances on head and neck cancer
treatment and the potential—and
pitfalls—of personalized cancer
therapy.
Management of
Obstructive Sleep Apnea
Peter D. Waite, MPH, DDS, MD,
professor and chair, Department
of Oral and Maxillofacial
Surgery, University of Alabama at
Birmingham, addressed the need
for Research in Diagnosing and
Treating Obstructive Sleep Apnea.
It is estimated that over 50 million
Americans have experienced sleep
disorders at an annual price tag
of more than $20 billion. With its
widespread incidence and numerous
co-morbidities, obstructive sleep
apnea is a disease begging for
investigators.
Atul Malhotra, MD, associate
professor of medicine, Harvard
Medical School and medical director
of Brigham and Women’s Sleep
Disorders Research Program in the
Department of Medicine, Brigham
and Women’s Hospital, discussed
Biomarkers for Obstructive Sleep
Apnea. While no one biomarker
is likely to be considered ideal,
Dr. Malhotra believes the most
important will exhibit sensitivity
to and specificity for the disease,
respond to therapy, and present a
known causal pathway and a dose
response relationship.
It has been shown that having
OSA triples the chance of high
blood pressure. CPAP therapy to
successfully treat OSA has been
shown to reduce blood pressure
levels. The causal link between
OSA and cardiovascular disease
is evolving and further research is
needed.
Naresh Punjabi, MD, PhD professor
of medicine and epidemiology at
Johns Hopkins University School
of Medicine addressed Morbidity
and Mortality Associated with
Obstructive Sleep Apnea. As the
prevalence of sleep-disordered
breathing (SDB) became evident,
the National Institutes of Health
began a major initiative to define
the health impact on the population.
The Sleep Heart Health Study was
established to answer many of the
pressing questions regarding the
disorder's clinical consequences.
Dr. Punjabi highlighted the study's
pivotal findings on the association
between SDB and hypertension,
abnormalities in glucose metabolism,
cardiovascular disease, stroke, and
all-cause mortality.
David P. White, MD, professor of
medicine, Harvard Medical School,
Boston, MA, presented on the
topic of Phenotyping and Modeling
to Understand Obstructive Sleep
Apnea Pathogenesis. Dr. White
presented four primary physiologic
traits identified as contributing to
OSA: anatomy, pharyngeal dilator
muscle control while asleep, arousal
threshold, and loop gain/control of
breathing. He then outlined a model,
incorporating these four traits, that
can predict who will have OSA
and which of these traits plays the
largest role in a given patient. Such
identification could lead to therapies
targeted to individual patients.
Cleft and Craniofacial
Anomalies
Timothy A. Turvey, DDS, professor
and chair, Department of Oral and
Maxillofacial Surgery, University
of North Carolina at Chapel Hill
delivered the keynote address on
Cleft and Craniofacial Research.
Dr. Turvey advised the audience
that the great unknown in clefts is
why they occur. He then proposed
several important research topics
for both clefts and craniosynostosis,
concluding with the following
summary areas:
1. Facial birth defects and early
postnatal growth disturbances
2. Need for basic and clinical
research protocols
3. Early diagnosis, regenerative
medicine and gene therapy
Ralph S. Marcucio, PhD, associate
professor, Department of Orthopaedic
Surgery, University of California at
San Francisco spoke on the topic
of Developmental Mechanisms
Underlying Genotype-Phenotype
Relationships: How Does a Mutation
Produce Disease? Dr. Marcucio
shared with attendees how his
studies have shown that loss or
gain of the Sonic Hedgehog (Shh)
protein function creates spectrums of
malformations. His studies posed two
main questions:
1. What is the molecular and cellular
role of Shh during development?
2. How does variable morphology
arise after altering Shh signaling?
His team found that by modulating
Shh signaling in the brain to varying
degrees they have generated embryos
that exhibit continuous phenotypic
variation.
Tamara Alliston, PhD, associate
professor, Department of Orthopaedic
Surgery, University of California,
San Francisco presented on Growth
Factor Regulation of Osteoblast
Differentiation and Bone Quality.
Studies found that transforming
growth factor-ß (TGF-ß) regulates
the elastic modulus and hardness of
bone, the first biological pathways
shown to do so. In seeking to identify
mechanisms by which TGF-ß defines
bone extracellular matrix (ECM)
material properties, it was discovered
that TGF-ß targets the lineage-
In 1971, oral and
maxillofacial
surgery gained a
valuable advocate.
Join us this year in
celebrating 40
years of service on
behalf of the
specialty.
specific transcription factor, Runx2,
to exert its effects on osteoblast
differentiation and on bone quality.
Studies are currently seeking to
understand how the physical features
of bone and cartilage influence
normal skeletal development and
function, as well as their role in
skeletal diseases such as osteoporosis
and osteoarthritis. From there,
investigators hope to determine the
relationship between the molecular
and physical mechanisms that
contribute to bone quality, which has
particularly important implications
for repair of oral and maxillofacial
tissues.
Yang Chai, DDS, PhD, professor,
Center for Craniofacial Molecular
Biology, University of Southern
California, Los Angeles, spoke on
Neural Crest Calles and Signaling
Mechanism of Palatogenesis,
discussing his investigations into
transforming growth factor-ß
(TGF-ß), which have shown, as have
others, that mutations in TGF-ß
signaling can cause cleft palate in
both mice and humans. Specifically,
the study found that TGF-ß is
required for inducing apoptosis in
the medial edge epithelium and cell
proliferation in the cranial neural
crest-derived palatal mesenchyme,
both of which are crucial for normal
palatal fusion. Better understanding
of how the TGF-ß signaling cascade
regulates palatogenesis provides an
opportunity for improved diagnosis,
treatment and prevention of cleft
palate.
Dr. Riitta Suuronen, the ACRPTA
consultant from the IAOMS, gave a
special presentation on Personalized
Cell Therapy: Adipose-Derived Stem
Capitol Connection
AAOMS Governmental Affairs:
Advocating on behalf of the specialty
The following is a synopsis of the
recent government affairs activities
engaged in by AAOMS and
OMSPAC, the association’s political
action committee, on behalf of the
specialty:
Federal issues
• AAOMS has active “write your
rep” online grassroots campaigns
available at www.aaoms.org/
action for members to use when
contacting their congressional
representatives about the
following federal legislative
priorities: antitrust reform (H.R.
1150), prevention of essential
drug shortages (S. 296), the repeal
of contribution limitations to
Flexible Spending Accounts (H.R.
605/S. 312), medical malpractice
reform (H.R. 5/S. 218), and
long-term Medicare physician
reimbursement (SGR) reform.
Just because you couldn’t make
it to Washington earlier this year
for the AAOMS Day on the Hill
doesn’t mean you can’t advocate
for the specialty!
• Since March, AAOMS has sent or
signed onto six comment letters
on such issues as repealing the
excise tax on medical devices
enacted as part of the Affordable
Care Act (ACA) and legislation
that would prohibit the Secretary
of Health and Human Services
or any state from requiring, as
a condition of licensure, that a
healthcare provider participate in
any health plan. These and other
past issue comment letters are
available on the governmental
affairs section of aaoms.org.
• After failing in their attempt at
an outright repeal of the ACA,
House GOP members have
revised their health reform attack
strategy and are now attempting
Cells in Bone Reconstruction. Her
research is very important to oral
and maxillofacial surgery because it
provides a potential source of bone
growth that does not involve a graft.
The proceedings of the summit will
be published in a future issue of the
Journal of Oral and Maxillofacial
Surgery. n
to defund the law. The closest
to success they have come so far
was during the fiscal 2011 budget
battle. As a negotiation tactic,
House Republicans agreed to a
spending compromise bill with the
stipulation that the Senate agree to
an immediate vote on defunding
the entire ACA. On April 14, this
proposal was passed in the House
as resolution H. Con. Res. 35, but
was swiftly rejected in the Senate.
Undeterred, House Republicans
continue to introduce and hold
hearings on legislation designed
to undo specific provisions and
programs within the health
reform law.
• As of May, there are now
six active oral health bills in
Congress: the Dental Emergency
Responder Act of 2011 (H.R.
570), which would include
dental health entities in the
National Health Security Strategy
for purposes of public health
emergency preparedness, was
passed by the House on March
8; the Special Care Dentistry
Act of 2011 (H.R. 1606), which
would require states to provide
oral health services to aged,
blind, or disabled individuals
under the Medicaid program,
was introduced on April 15; the
Breaking Barriers to Oral Health
Act of 2011 (H.R. 1666), which
would amend part B of title III of
the Public Health Service Act to
improve essential oral health care
for lower-income individuals by
breaking down barriers to care,
was introduced on May 2; the
Dental Health Promotion Act of
2011 (H.R. 1788), which would
allow reimbursement from flexible
spending accounts for certain
dental products, was introduced
on May 5; the Dental Coverage
Continued on page 8
AAOMS Today • July/August 2011 7
 Capitol Connection
continued from page 7
Value and Transparency Act of
2011 (H.R. 1809), which would
ensure healthcare coverage value
and transparency for dental
benefits under group health
plans (dental ERISA reform),
was introduced on May 10;
and the Children’s Access to
Reconstructive Evaluation &
Surgery (CARES) Act of 2011
(S. 1045/H.R. 1955), which
would require that group and
individual health insurance
coverage and group health plans
provide coverage for treatment
of a minor child’s congenital
or developmental deformity or
disorder due to trauma, burns,
infection, tumor, or disease, was
introduced on May 23 and
24, respectively.
• Prescription drug abuse is
a growing concern that is
prompting escalating action
in Washington. In late April
the White House announced
a four-part prescription drug
abuse prevention plan called
the “Epidemic: Responding to
America’s Prescription Drug
Become an OMS Grassroots Advocate
through the OMS Action Network Program
J
uly marks the one-year
anniversary of the launch of
the OMS Action Network
grassroots program. The OMS
Action Network is designed to
acquaint AAOMS members with
the various grassroots opportunities
available, provide a clear starting
point for those interested in
becoming an active AAOMS
advocate, and recognize the efforts of
those who are already active.
The OMS Action Network Web
site (http://www.aaoms.org/action)
features a new toolkit that outlines
specific types of advocacy activities
and how to participate in them, as
well as links to AAOMS grassroots
campaigns and advocacy policy
resources.
If you’ve thought about advocating
for the specialty or boosting your
current participation level, there’s
no better time than the present.
Sign up to be a part of the network
and receive direct assistance from
AAOMS staff. AAOMS offers a
variety of advocacy activities from
which to choose, including:
8 AAOMS Today • July/August 2011
Crisis.” This plan, among other
things, tasks the Administration
to work with Congress to enact
legislation requiring practitioners
who request DEA registration to
prescribe controlled substances
to be trained on responsible
opioid prescribing practices as
a pre-condition of registration.
On the same day, the Food and
Drug Administration (FDA)
announced that it was issuing
an Opioids Risk Evaluation and
Mitigation Strategy (REMS) that
by early 2012 would require
all manufacturers of such
• On May 5, the House Energy
opioids to ensure training is
provided to prescribers of these
medications. Congress has also
taken action. On March 11,
Sen. John Rockefeller (D-WV)
introduced the Prescription Drug
Abuse Prevention and Treatment
Act of 2011 (S. 507), which,
among other things, would set
forth training requirements
for practitioners registered to
prescribe or dispense opioids, and
on April 1, Rep. Mary Bono Mack
(R-CA) introduced the Stop Oxy
Abuse Act of 2011 (H.R. 1316),
which would modify the approval
of any drug containing controlled-
State issues
• The Vermont legislature approved,
• Writing your congressional
representative urging support for
OMS-friendly legislation
• Attending the AAOMS Day on the
Hill program
• Becoming a key contact for
members of Congress
• Hosting a site visit for a member
of Congress
• Hosting a fundraiser
• Delivering an OMSPAC candidate
contribution
Please visit the OMS Action Network
Web site today to see how easy it is
• Legislation related to the “Truth
to advocate on behalf of the specialty
or contact the AAOMS Department
of Governmental Affairs at 800/822-
6637 with any questions or for more
information. n
release oxycodone hydrochloride
to be limited for use for the relief
of severe-only instead of moderate-
to-severe pain. Prescription drug
abuse has also been the focus of
two congressional hearings so
far this year. AAOMS is actively
monitoring and working to
provide input on these initiatives,
most recently submitting letters of
concern to Rep. Bono Mack, Sen.
Rockeffeler, and the chair of the
Senate Subcommittee on Crime &
Terrorism, which held one of the
prescription drug hearings.
& Commerce Committee held a
hearing to discuss proposals for a
permanent fix to the Sustainable
Growth Rate formula (SGR),
which determines Medicare
physician reimbursement rates.
Hearing testimony suggested SGR
repeal followed by the implemen-
tation of a five-year transition
period during which different
payment models can be tested. The
following week, the House Ways
& Means Committee held their
hearing to discuss new models for
delivering and paying for services
that physicians furnish to Medi-
care beneficiaries. The hearing
yielded bipartisan support for an
overhaul of the SGR with sugges-
tions to consider such alternatives
as five-year, per-patient global
budgets and “capitation,” under
which providers get a fixed, per-
patient sum over a span of time
regardless of the amount of care a
patient gets.
and the governor signed, a
healthcare initiative that puts the
state on the path to become the
first in the country to adopt a
single-payer system. Critics say
the law could drive physicians
out of state, limit patient choice
and raise taxes. Under the new
law, the state would move in
2017 to a consolidated health
insurance system that covers all
Vermont residents provided a
host of conditions have been met
including securing appropriate
exemptions from federal programs
such as Medicare and Medicaid.
Many details will be left to the
regulatory process, which AAOMS
will continue to monitor.
in Advertising” campaign, a
movement spearheaded by the
American Medical Association,
has proved a major legislative
trend this year. As of the end of
May, eight states introduced and
three enacted legislation that
requires practitioners to disclose
their credentials on advertisements
and/or verbally to patients prior to
treatment. Check with your state
dental board to learn about your
state’s advertising requirements.
• In April Oklahoma Gov.
Mary Fallin signed into law a
series of tort reform measures,
including a $350,000 cap on
noneconomic damages in civil
liability cases. Meanwhile, New
York State’s final budget was
approved without Gov. Andrew
M. Cuomo’s proposed $250,000
medical liability damage cap.
• Several states have tightened
controls over the relationship
between physicians and
manufacturers of drugs and
medical devices in recent years.
Massachusetts joined the trend
in 2008 with a law that banned
gift-giving from the companies.
For the second year in a row,
however, the state’s House
members have voted to repeal the
ban, saying it hurts the economy.
With a bipartisan vote of 128-
22, the repeal was added to the
House’s 2012 budget proposal.
Supporters argued that the
ban has not helped to control
healthcare costs as expected but
has hurt convention centers and
restaurants where companies
typically have hosted physician
events and dinners.
• States continue to work to
integrate provisions related to
the Affordable Care Act (ACA)
of 2010. Legislators have been
busy over the past year creating
task forces or appointing officials
responsible for moving forward
with federal requirements
and closely examining how to
implement major provisions such
as health insurance exchanges,
insurance reforms, and Medicaid
expansion. Every state has
addressed at least one aspect of
the required ACA implementation,
but much more work remains.
OMSPAC
• As of May, OMSPAC raised
$356,135 in contributions from
AAOMS members. Additionally,
OMSPAC has contributed
$73,500 to federal candidates as
of May 31, 2011. For additional
information on contribution
totals or for a list of candidates
OMSPAC has contributed to
please visit www.omspac.org. n
StAY iN tOuch With YOur PrActice.
ANYtiMe, ANYWhere.

IntroducIng oMSVISIon MobIle

On-the-go access from the leader in practice management
software for oral and maxillofacial surgeons

OMSVision Mobile gives you fast, secure access to current information about
patients, appointments, medical alerts and prescriptions—anytime, anywhere.
With support for BlackBerry®, iPhone™, iPad™, Palm Pre™ or Android™ smart
phones, OMSVision Mobile keeps you connected while you’re out of the office.
And, OMSVision Mobile is available with special pricing ONLY until March 31, 2011!

ViSit www.omsvision.com/mobile tO tAke A tOur!

©2011 Henry Schein Inc. All Rights Reserved. Henry Schein, the ‘s’ logo and OMSVision are all trademarks or registered trademarks of Henry Schein Inc. Other products are trademarks or
registered trademarks of their respective owners. C-OMS-DD-Q111

AAOMS Today • July/August 2011 9

 HEALTH POLICY PERSPECTIVES
Accountable Care Organizations: long
awaited proposed rule is released
O
n March 31, the Department
of Health and Human
Services (HHS) released
its long awaited proposed rule on
Accountable Care Organizations
(ACOs). According to HHS, the
proposed new rules are intended
to help doctors, hospitals and
other healthcare providers better
coordinate care for Medicare patients
by creating incentives for providers
to work together to treat an
individual patient across care settings
– including doctor’s offices, hospitals
and long-term care facilities. The
Medicare Shared Savings Program
will reward ACOs that lower
healthcare costs while meeting
performance standards on quality
of care and putting patients first.  General (OIG), the Department of
Patient and provider participation in
an ACO is voluntary.
The HHS has articulated a three-
part goal of lower costs, improved
care and better health with an
underlying three-part aim of better
Networking with Your Peers at the
Annual Meeting Just Got
Event
Connection
Event Connection™
makes it easy for employers and candidates to connect with each other, either at or
prior to the annual meeting. Once employers and candidates indicate that they will
be attending the meeting, either party can then use the contact information provided
to facilitate a face-to-face meeting. This valuable connection is part of the Career Line
service and is available only to job candidates and those employers who have posted
an ad with AAOMS’ exclusive online career center.
Need to add staff or a
partner to your busy
practice?
Go to aaoms.org now to set up
meetings with qualified candidates in
Philadelphia. A private interview area
will be available in the Membership/
Career Line Office at the annual
meeting.
10 AAOMS Today • July/August 2011
care for individuals, better health for
populations and slower growth in
costs through improvements in care.
To share in savings, ACOs would
meet quality standards in five key
areas:
• Patient/caregiver care experiences;
• Care coordination;
• Patient safety;
• Preventive health; and
• At-risk population/frail elderly
health.
CMS has worked closely with
other federal agencies, including
the Department of Health and
Human Services Office of Inspector
Justice (DOJ), the Federal Trade
Commission (FTC), and the Internal
Revenue Service (IRS) to ensure
that providers and suppliers have
the clear and practical guidance
they need to form ACOs without
running afoul of the fraud and abuse,
Easier with
™
Making a career move?
Simply go to aaoms.org, click on Career
Line in the Members and Healthcare
Professionals section, and flag your
online profile to indicate that you will be
in Philadelphia to attend the meeting
and provide a way for employers to
contact you to set up an interview.
Get connected today!
To learn more about Career Line,
go to aaoms.org,
or call toll-free,
888.884.8242 today.
antitrust and tax laws. Concurrently
with the publication of this proposed
rule the following documents have
been issued: a joint CMS and OIG
notice and solicitation of public
comments on potential waivers
of certain fraud and abuse laws
in connection with the Medicare
Shared Savings Program; a joint
FTC and DOJ proposed antitrust
policy statement; and an IRS notice
requesting comments regarding the
need for additional tax guidance for
tax-exempt organizations, including
tax-exempt hospitals, participating
in the Medicare Shared Savings
Program.
According to an associated Health
and Human Services’ news release,
CMS Administrator Donald Berwick
stated this is “not just a new way to
pay for care, but a new model for the
organization and delivery of care.”
For more information, review the
related fact sheet available on the
healthcare.gov Web site at
www.healthcare.gov/news/factsheets/
accountablecare03312011a.html.
AAOMS staff is currently analyzing
how this will affect the specialty.
Other delivery-reform efforts such
as expanded use of medical homes,
bundled payments, value-based
purchasing, adoption of information
technology, and payment reforms are
underway or under consideration. A
critical success factor for ACOs will
be their effective integration with
these other efforts.
CMS Quality Measurement
Initiatives
AAOMS is closely monitoring CMS’
quality initiatives as they shift from a
model that pays based on the volume
of providers’ services to a model that
links payment to the quality and
efficiency of care provided. CMS
outlines its planned move toward
a Value-Based Purchasing model
in the Roadmap to Implementing
Value Driven Healthcare in the
Traditional Medicare Fee-For-
Service Program at www.cms.
gov/QualityInitiativesGenInfo/
downloads/VBPRoadmap_OEA_1-
16_508.pdf and in its plans for
implementing quality measures in the
Roadmap for Quality Measurement
in the Traditional Medicare Fee-
For-Service Program at www.cms.
gov/QualityInitiativesGenInfo/
downloads/QualityMeasurement
Roadmap_OEA1-16_508.pdf.
Over the last several years, CMS
has developed tools with the intent
of creating rational approaches
to lessen healthcare cost growth
and to identify and encourage care
delivery patterns that are not only
high quality, but also cost efficient.
The underlying principle of value-
based purchasing (VBP) is to create
incentives encouraging all healthcare
providers to deliver higher quality
care at a lower total cost.
AAOMS has created the following
three papers to help AAOMS
members understand CMS’ quality
incentive programs and identify the
incentive program(s) that may apply
to them. While these measures do
not currently apply to private payers,
a number of medical and dental
plans are developing and testing
similar payment models. Members
who currently do not treat Medicare
beneficiaries are encouraged to
become familiar with these initiatives
as many private payers adopt CMS
policies.
CMS Physician Quality Reporting
System (PQRS) Incentives Program
http://www.aaoms.org/docs/practice_
mgmt/pqrs.pdf
CMS Electronic Prescribing (eRX)
Incentive Program http://www.
aaoms.org/docs/practice_mgmt/e-rx.
pdf
CMS Electronic Health Record
(EHR) Incentive Program http://
www.aaoms.org/docs/practice_
mgmt/ehr.pdf n
An offer worth examining.
Discounted rates for American Association of Oral
and Maxillofacial Surgeons (AAOMS) Members
CODING CORNER
Medicare opt out renewal Question: There have been some
questions in our office as to who
O
MSs who are currently and submitted within 10 days after decides when to use modifier -22.
opted out of Medicare signing the first private contract with Is it the surgeon or does the coder
must remember that opt- a Medicare beneficiary. The opt- decide from what is included in the
out periods run for two years, and out period for those OMSs who are operative report?
opt-out status may be renewed currently “participating” physicians
for subsequent two-year periods. may be initiated at the beginning Answer: While staff typically
According to CMS physicians or of any calendar quarter, provided handles the coding in an OMS
practitioners may renew their opt- that the affidavit is submitted to the practice, it is ultimately the
out privileges without interruption carrier(s) at least 30 days before the surgeon’s judgment as to whether
by submitting an affidavit to each beginning of the quarter. Additional a procedure entailed greater work
carrier to which an affidavit was information regarding opting out than usual. Modifier –22 (Increased
submitted for the first opt out period may be found on the AAOMS Web Procedural Coding) is used when
and to each carrier to which a claim site at http://www.aaoms.org/pm_ the work required to provide a
was submitted during the previous news.php?id=29 or on the CMS Web service is substantially greater than
opt out period. The affidavit must site at http://www.cms.gov/manuals/ typically required. When modifier
be filed within 30 days after the Downloads/bp102c15.pdf. –22 is used, copies of the medical
current opt-out period expires. report describing the procedure
During these periods, services Question: How much of the and documentation supporting the
may be provided for Medicare crown has to be covered by bone to substantial additional work and the
beneficiaries pursuant to private report CDT code D7230- “removal reason for the additional work (ie,
contracts. The Medicare Private of impacted tooth-partially bony” increased intensity, time, technical
Contract and Medicare Private and code D7240- “removal of difficulty of procedure, severity of
Contract Affidavit can be found impacted tooth- completely bony patient’s condition, physical and
on the AAOMS Web site Practice extractions”? mental effort required) are required.
Management Page at http://www. Payers typically allow between 20-
aaoms.org/pm_news.php?id=29 Answer: In the descriptors of 30% of the procedure allowance in
code D7230, “part of the crown additional payment. The payer will
For those interested in opting out is covered by bone” and with decide whether additional payment
for the first time, an OMS must D7240 “most or all of crown is will be rendered upon review of
submit a properly completed covered by bone.” According to the the documentation and/or report.
affidavit to each Medicare carrier ADA this determination is made Caution should also be taken not to
with which he or she normally files based on the clinical evaluation overuse modifier -22 as payers track
claims. For those whose current by the treating dentist and his/her the utilization and reporting of this
Medicare participation status is determination of what constitutes modifier. The services rendered need
“nonparticipating,” the opt-out “most.” Radiographic images may to be significantly more extensive
period may begin at any time as not provide complete or accurate than usual. Coders questioning
long as the affidavit is signed, dated information as to tooth position the use of this modifier should
and surgical work together with the surgeon in
technique determining when it is appropriate to
Give your card processing a checkup. indicated report. n
Bank of America Merchant Services is the preferred for removal;
processor for your patients’ credit card transactions. Coding and billing decisions are personal
therefore, choices to be made by individual oral and
With better-than-ever pricing and the technology,
innovative products and geographic coverage that
detailed maxillofacial surgeons exercising their own
AAOMS members deserve, the experienced sales documentation professional judgment in each situation. The
team stands ready to serve your needs — from of the information provided here is intended for
set-up to service. educational purposes only. In no event shall
procedure and AAOMS be liable for any decision made or
Enjoy these benefits: the surgeon’s action taken or not taken by you or anyone
––New, improved pricing findings is else in reliance on the information contained
––Free cost analysis strongly in this Coding Corner. For practice, financial,
Free PIN-pad with signed agreement — to help you accounting, legal or other professional advice,
––
encouraged. you need to consult your own professional
take advantage of less costly debit processing
–– Chargeback handling advisers.
–– Fast access to funds – as soon as the next
business day1 CPT only © 2010 American Medical
–– Easy online access to critical reporting information Association
–– Experienced sales team, familiar with AAOMS
member needs Current Dental Terminology
–– Excellent customer service staff, available 24/7—
copyright © 2010 American Dental
with the help you need whenever you need it. Association. All rights reserved.
Why wait? Call your Bank of America
Merchant Services representative today:
1.888.317.5402.
1
After deposit of transactions. Must have a Bank of America Business Checking
account. Valid only on Visa®, MasterCard® and Discover® transactions. Exceptions
may apply.
© 2011 Banc of America Merchant Services, LLC. All rights reserved. All trademarks,
service marks and trade names referenced in this material are the property of
and licensed by their respective owners.
Merchant Services are provided by Bank of America, N.A. and its representative
Banc of America Merchant Services, LLC. Banc of America Merchant Services, LLC
is not a bank, does not offer bank deposits, and its services are not guaranteed or
insured by the FDIC or any other governmental agency.
AAOMS Today • July/August 2011 11
 Practice Management Matters
Question:
What do I need to know about
advertising my practice?
Answer:
• Advertisements cannot be unfair.
For more FTC resources regarding
advertising, please visit http://
business.ftc.gov/documents/
bus35-advertising-faqs-guide-small-
• First, you should request
assistance from the Special Agent
in Charge of Administration for
the Drug Enforcement Agency
(DEA) in the area in which you
are located for authority and
Recovery and Reinvestment Act
of 2009 (ARRA) to promote the
adoption of electronic health
records by practitioners. Prior
to applying for the incentive
program, it is highly recommended

A
dvertising can be an effective
tool for a new business
but there are many legal
implications of which you should
be aware prior to making the
investment.
First, take note of your state
laws. Each state varies as to what
can or must be included in any
advertisement. This includes the
posting of credentials, specialty
licensure, limitations of clinical
practice, and/or use of specialized
technology. Other states require
the names of all practitioners in a
group practice to be listed on each
advertisement. If you are a licensed
MD or DO, there may be additional
requirements under the medical
practice act to which you will need
to adhere. Contact your state dental
or medical board for the specific
requirements of your state.
Second, you should be aware of
the federal requirements for all
advertisements. These are stipulated
by the Federal Trade Commission
(FTC) and essentially state:
• Advertising must be truthful and
non-deceptive;
• Advertisers must have evidence to
back up their claims; and
business.
Finally, AAOMS has ethical
standards for advertising found in
our Code of Professional Conduct
at http://www.aaoms.org/code_of_
conduct.php. When in doubt, always
consult the appropriate legal counsel.
Question:
I have old or expired medications in
my office. What is the proper way to
dispose of them?
Answer:
First, do not flush prescription drugs
down the toilet or sink drain unless
the label or accompanying patient
information specifically instructs you
to do so. If the medication is not
a controlled substance, many city,
county, and state governments run
drug take-back programs at a central
location for proper disposal. Contact
your city or county government’s
household trash and recycling service
or department of health to see if a
drug take-back program is available
in your community.
If you are disposing a controlled
substance, the following additional
steps are required:
instructions to dispose of such
substances. This information
can be found at http://www.
deadiversion.usdoj.gov/offices_n_
dirs/index.html.
• List the controlled substance or
substances you desire to dispose
of on DEA Form 41, and submit
three copies of that form to
the Special Agent in Charge.
This form can be found on the
DEA Web site at http://www.
deadiversion.usdoj.gov/21cfr_
reports/surrend/index.html.
• Once received, the Special Agent
in Charge will authorize and
instruct you on how to dispose of
the controlled substance(s).
Finally, be sure to check with
your state dental board or board
of pharmacy for any additional
requirements in your state.
Question:
Where can I find information on the
Medicare and Medicaid electronic
health record (EHR) incentive
programs?
Answer:
The EHR incentive program
was established by the American
you review all of the necessary
requirements at https://www.cms.
gov/EHRIncentivePrograms/01_
Overview.asp.
In order to qualify for the incentive
program, you must be a Medicare
or Medicaid provider. You will
only be able to receive incentive
payments from either the Medicaid
or the Medicare program, not both.
Those receiving incentive payments
from the Medicaid program will
need to demonstrate at least 30%
Medicaid patient volume. To review
all of the eligibility requirements,
please visit https://www.cms.
gov/EHRIncentivePrograms/15_
Eligibility.asp.
Incentive payments may be
awarded through the Medicare or
Medicaid programs to providers
who “meaningfully use” their EHR
systems. The term “meaningful use”
is currently being defined in three
stages by the Office of the National
Coordinator for Health Information
Technology (ONC) and will require
practitioners to perform specific
functions using their EHR systems.
Currently, only Stage 1 is defined
for meaningful use and its criteria
may be found at https://www.
cms.gov/EHRIncentivePrograms/
Downloads/EP-MU-TOC.pdf. Stage
2 requirements are expected to be
finalized by Fall 2011.

Finally, practitioners must utilize

a certified EHR system to be
considered for this program. A full
list of certified EHRs may be found
at http://onc-chpl.force.com/ehrcert
and this list is updated regularly.
Only EHR systems on this list will
qualify for the Medicare or Medicaid
EHR incentive program.
As an AAOMS Buying Group member your catalog
features the AAOMS discount and rebate pricing. For additional information, please
contact the Centers for Medicare &
Prices listed in BLUE reflect the 5% AAOMS discount. Medicaid Services EHR information
center at 888/734-6433. n
Prices listed in GREEN factor in the
3% annual AAOMS rebate your practice
will earn after purchasing $10,000 or more
philadelphia, pa from Southern Anesthesia and Surgical.
september 15-17, 2O11

AAOMS
B U Y I N G G R O U P
call 1.800.624.5926 m-f 8-6 est
fax 1.800.344.1237 24/7
join. save. invest. visit www.southernanesthesia.com 24/7

12 AAOMS Today • July/August 2011

 ORAL HYDROGEL WOUND DRESSING

U EST
REQ
E
FREPLES
A
S OMN L INE

Get the free mobile app at

http:/ / gettag.mobi FOLLOW US: SOCKIT! GEL www.sockitgel.com • 800.755.0044
SI-ASIP1-RV7

AAOMS Today • July/August 2011 13

 OMSF News
A researcher’s perspective My 2009 grant focused on stem will allow us to be at the forefront of

T
cells and their relationship to new technologies and evidence-based
ara Aghaloo, DDS, associate
osteonecrosis of the jaw and led therapies that we all enjoy in our
professor at UCLA’s School
to $1 million in NIH money in daily practices.
of Dentistry, has received
partnership with another professor
significant
funding from
at UCLA, Dr. Sotirios Tetradis. This OMS Foundation provides
was a substantial increase in funding, resident scholarships
the Oral and
and is very exciting for me and our
Maxillofacial The OMS Foundation was pleased to
research team. Dr. Johnson Miin, University of
Surgery provide scholarship assistance to oral
Foundation Mississippi Medical Center
and maxillofacial surgery residents
You also received a FEDA—Faculty
(OMSF) over interested in research to attend the Dr. Esther Oh, University of North
Educator Development Award—
the past 10 Young Investigators’ Day and the Carolina, Chapel Hill
which exists to encourage surgeons
years. Here, AAOMS/OMSF/IAOMS Research
to choose, and remain in, oral and Dr. Ketan Patel, University of
she shares Summit on May 5 – 6, 2011.
maxillofacial surgery academia. Maryland Medical Center
the impact
Tara Aghaloo, DDS OMSF “By offering these scholarships, we Dr. Rabie Shanti, University of
The FEDA is one of the greatest
funding has plant the seeds for our residents to Medicine & Dentistry of New
awards that a faculty educator can
had on her career and the value of grow their interest in research,” said Jersey
receive because of the help that it
supporting REAP—Research and OMS Foundation Chair Dr. James
provides to the candidate and the Dr. Mariana Velazquez, Boston
Education Advance Patient care. A. Davis, Jr. “In later years, we will
institution to get started and to stay University/Boston Medical Center
see the fruit of our investment in
in research and academics.
You received a research fellowship our residents as they conduct the Dr. David Yates, University of Texas
in 2000, and four research support vital research our specialty needs to Southwestern Medical School/
Your thoughts on the shortage of
grants—in 2003, 2007, 2009 and advance.” Parkland
OMS residents choosing academic
2010. The 2009 grant was to study
careers? Dr. Stanley Yung Liu, University of
the induction of stem cells from Fifteen residents received
sources in the oral cavity versus long California, San Francisco
scholarships, which reimbursed
I think the recurring theme is that
bones. What clinical applications them for travel and lodging costs.
have come from your research?
they need role models in academics.
Scholarship recipient Join the OMSF Foundation
Young surgeons and the Alliance for
Dr. Ketan Patel said,
need to see exciting events at the
From the 2009 award, we How can AAOMS members “Upon completion
early stage AAOMS Annual Meeting!
demonstrated that there is an of my training
academicians make a gift to REAP?
improved quality and quantity of program, I have no Investment for Retirement and Estate
with positive
bone formation when stem cells are It’s as simple as going to doubt that my future Planning Seminars
experiences in
harvested from the jaw rather than www.omsfoundation.org/ lies in academics. How can you manage your financial
their research
the long bones in the rat. This may Attendance at this future when our country’s financial
endeavors. REAPgifts. Make your
have important clinical implications year’s Research status is still in flux? Find out what
Being funded by
for our specialty, where we routinely gift by August 31, 2011 Summit helped me you can do to make sound financial
the Foundation
harvest autogenous bone, both from to contribute to the meet new faculty decisions for you, your family, and
or having other
intraoral and extraoral sources, and interested in research your practice, by attending the
funding for REAP 6 program year.
in the study of osteonecrosis of the in our specialty, OMS Foundation Investment for
your research is
jaw (ONJ). sharpen my grant Retirement and Estate Planning
a great morale
writing skills and Seminars on Friday, September 16
booster. We can show that academics
Please tell us how your funding from identify opportunities for funding at the AAOMS Annual Meeting in
and a career focusing on research is a
OMSF has resulted in significant through the seminars.” Philadelphia.
great choice, and these feelings may
funding from other organizations.
influence some trainees to follow in
2011 Research Summit Scholarship The OMS Foundation is pleased
our footsteps.
The 2007 Research Support Grant recipients: to be partnering with Treloar and
evolved into a $125,000 award from Heisel to provide you with the
You have been a supporter of the
the Musculoskeletal Transplant Dr. Carolyn Dicus, University of most up-to-date, sound financial
OMS Foundation REAP program.
Foundation. The OMSF grant North Carolina, Chapel Hill information. Attend these seminars
Why?
allowed me to obtain preliminary and learn about:
Dr. William Jonathan Fillmore,
data utilizing growth factors BMP-
Everyone, whether they’re educators Mayo Clinic • Creating guaranteed income at
2 and Nell-1 to heal rat calvarial
or in private practice, can contribute retirement
defects. In addition, that project Dr. David Hoffman, University of
to the future leaders in our field by
also helped me to receive the NIH Kentucky • Bypassing Estate Taxes: Estate
donating to the OMS Foundation.
loan repayment program funding, Planning Under the 2010 Tax Law
OMS’s need to continuously donate Dr. Courtney A. Jatana, Ohio State
which requires the applicant to have
whatever amount possible so that University • Providing for your family’s future:
another grant to support the research
the researchers translate their initial Determining annual savings and
while the NIH pays back a portion Dr. Christopher J. Johnson,
and innovative ideas into the clinical investment return goals
of the awardee’s student loans. University Of Cincinnati
applications that will help patients in
I’ve been receiving the NIH loan • Dealing with real assets (ie, a
our daily practices. The easiest way Dr. Brad Lewallen, Vanderbilt
repayment assistance for six years, building or a second home)
to do this is with a gift to REAP— University
partially because of the OMSF grant.
Research and Education Advance
Dr. Matthew J. Madsen, University Attend these seminars, free of
Patient care. Supporting research
of Louisville charge, and take advantage of the
and education is the only way our
specialty will continue to grow, and Dr. Michael Markiewicz, Oregon expertise and experience of our
Health & Science University speakers. Please e-mail Colleen Gallo

14 AAOMS Today • July/August 2011

at colleeng@aaoms.org if you are
planning to attend.
Fundamentals of Financial Planning:
Investing For Retirement in the
“New Normal”
Friday, September 16
10:00 am to 11:30 am
Philadelphia Marriott Downtown
Hotel
Progressive Principals of Financial
Planning: Estate Planning Under the
2010 Tax Law
Friday, September 16
1:30 pm – 3 pm
Philadelphia Marriott Downtown
Hotel
TREASURER’S ACCOUNT
A look back
E
very year at our annual
meeting, the outgoing
president of our association
reports to the membership on the
events that transpired during their
year in office. The 2011Annual
Meeting in Philadelphia marks
the end of my four-year term
as treasurer, and I thought
it appropriate to provide the
membership with a look back at
what’s happened on the financial
front during my term.
When I took office in September
2007, the association had just
finished renovating the first floor of
the headquarters building, at a total
cost (including new furnishings) of
over $2 million. This investment
not only provided greater flexibility
in regards to future staff growth, it
helped retain our property’s value
and ensured that our headquarters
remained a source of membership
pride for years to come. As a result
of the significant outlays required for
the project, our operating reserves
declined to $11.8 million by the end
of 2007. Fast-forward three years to
the end of 2010, and I’m proud to
say that our operating reserves had
climbed to almost $13.7 million, a
level that equated to 92.4% of the
annual operating expenses in 2010,
and an extremely strong measure of
our association’s financial health.
Many organizations strive for
reserves of three-to-six months of
their operating expenses, whereas
AAOMS is well above that.
How were we able to build up
operating reserves to such a level,
in spite of the fact that investment
Alliance Health Walk
Wednesday, September 14 –
Saturday, September 17
7:30 am
Join the Alliance for a daily brisk
walk and see the sights of downtown
Philadelphia. Meet in the lobby of
the Philadelphia Marriott Downtown
Hotel.
Alliance Breakfast
Thursday, September 15 – Saturday,
September 17
Following the walk on Thursday,
Friday, and Saturday mornings,
walkers will stop at the Marathon
Grill for a delectable breakfast.
revenues declined precipitously in
2008 and the first part of 2009?
Whereas much of corporate America
relied on cost-cutting during the
economic downturn, AAOMS
weathered the storm and actually
increased the financial health of our
Association by growing revenue
sources. More importantly, this
growth occurred without a dues
increase, as membership dues were
last raised in 2003. It is instructive
to notice that although the addition
of new members caused annual
membership dues revenues to grow
approximately $150,000 over the
three-year period, dues as a percent
of total revenues actually declined.
In 2007, membership dues accounted
for 34.2% of total revenue from
operations; in 2010, this number
declined to 33.3%. This means that
members received $3 in programs
and support for every dues dollar,
which is an excellent return on
investment by any measure.
Non-dues sources accounted for the
bulk of the revenue growth from
2007 to 2010. The three main areas
of growth were royalties, rental
income, and such fee-based programs
as the annual meeting, JOMS, and
other educational offerings. AAOMS
royalties grew 12.4% from 2007 to
2010. The association is fortunate to
have some strong royalty programs
in place, including OMS National
Insurance Company (approximately
$600,000 in 2010), AAOMS
Services, Inc. approved programs
(approximately $425,000 in 2010,
which excludes a similar amount
that is paid directly to ASI), Treloar
and Heisel, Inc. ($205,000 in 2010),
Known for its philosophy to provide Always an exciting luncheon, the
seasonal, fresh food at great value, 2011 Alliance Annual Event will not
Marathon Grill actively strives disappoint. Join the Alliance for a
to participate in the “buy local” luncheon at Table 31, Philadelphia’s
movement and believes in building first-class, multi-level restaurant in
neighborhoods and creating the Comcast Centre. Famous for its
community. Even if you are not on “power lunches” Table 31 is known
the Health Walk, feel free to stop by for its contemporary cuisine and
the restaurant from 8:30–10:30 am. superb selection of steaks and chops.
Marathon Grill is located at 1339 The 58-story Comcast Centre is the
Chestnut St. tallest tower in Philadelphia. Seating
is limited, so reserve your seat now!
Alliance Annual Event To register for this event, please
Thursday, September 15, 2011 contact Alliance Executive Director,
11:00 am – 1:00 pm Ms. Lucia Clark, at 847/233-
Table 31 4325 or lclark@aaoms.org. n
OMSVision ($99,000 in 2010), and
a host of smaller royalty sources.
Percentage-wise, the most significant
growth in revenues from 2007 to
2010 related to rental income, as the
association executed a 15-year lease
for 80% of the vacant space on the
headquarters’ second floor, with a Treasurer
commencement date of December, Edwin W. Slade, Jr., DMD, JD
2009. As a result, rental income in
2010 grew $360,000 over the 2007
For more than 30 years, this
levels - a whopping 82%! Finally,
association has been central to my
revenue from fee-based programs
personal and professional growth as
increased over $450,000 from 2007
an oral and maxillofacial surgeon.
to 2010, with most of the growth
Through my work on its many
coming from the annual meeting, and
committees, as a trustee from
the Journal of Oral and Maxillofacial
District II and more recently, these
Surgery. The negotiations and
last four years as its treasurer, I have
competitive bids accompanying the
expanded my understanding of our
recent renewal of our contract with
specialty and the pivotal role we
the publisher of the Journal resulted
occupy in caring for our patients and
in an increase in our revenue streams
serving our community. It is difficult
for the years 2010-2016.
to repay AAOMS for the knowledge
and experience it has given me, but
One other recent change relates to
I take a great deal of comfort in the
the investment management of the
fact that as I prepare to step down
association’s reserve funds. In early
from this position, the association’s
2010, we contracted with DiMeo,
investments are well-positioned
Schneider & Associates, a Chicago-
for growth in the years ahead,
based investment consulting firm,
without taking on unnecessary risk.
to take over management of our
My thanks to you, my friends and
reserves. DiMeo spent a good deal
colleagues, for allowing me to serve
of time working with the Finance
these two terms as your treasurer,
and Audit Committee in regards
and for supporting the members
to identifying the proper asset
and staff of the Finance and Audit
allocation and investment vehicles
Committee. They are an exemplary
for our funds. As a result, the
group, and I believe I speak for us all
association diversified into additional
when I say it has been a privilege to
asset classes that were not previously
serve you. n
utilized. This, in turn, allowed us
to increase the expected return for
each of the reserve portfolios, while
reducing the attendant risk.
AAOMS Today • July/August 2011 15
 Names in
the news
Herford delivers 21st
Waite Lectureship
A
lan S. Herford, DDS, MD,
chair and program director
of Oral and Maxillofacial
Surgery at Loma Linda University
in Loma Linda, CA was the guest
presenter for the University of
Minnesota’s 21st Annual Daniel E.
Waite Lectureship. Dr. Herford
spoke on the Management of Soft
Tissue Injuries with Local Flaps and
the Current Reconstructive Options
for Restoring Missing Bone in the
Facial Skeleton.
The Waite Lectureship was
established in honor of Dr. Daniel
E. Waite, former chair of the
Department Oral and Maxillofacial
Surgery at the University of
Minnesota School of Dentistry. It is
designed to provide residents from
advanced educational programs in
oral and maxillofacial surgery at
the University of Minnesota, Mayo
Clinic, and Gunderson Lutheran an
opportunity to hear the “giants” of
oral and maxillofacial surgery.
The annual lecture, which is hosted
by the University of Minnesota
Division of Oral and Maxillofacial
Surgery and the Minnesota
Membership Minute
AAOMS Career Line—Your source for practice opportunities
and employer discounts
T
he AAOMS 93rd Annual
Meeting, Scientific Sessions
and Exhibition represents
a time when thousands of oral
and maxillofacial surgeons meet
from across the nation to advance
the specialty through educational
programs and advocacy. It is also a
time when OMS professionals look
to network among their peers to
further their careers.
The official online job board for oral
and maxillofacial surgeons, AAOMS
Career Line makes it easy for
candidates and employers to connect
all year long but it’s the weeks
surrounding the annual meeting
when the career center observes
a flurry of job seeking and hiring
activity.
16 AAOMS Today • July/August 2011
Notable attendees—center front row: Dr. Alan Herford, guest presenter. Front row:
Dr. James Swift, U of MN; Dr. Angie Rake, MSOMS president; Dr. Patrick Lloyd, Dean,
U of MN School of Dentistry; Dr. David Basi, U of MN. Back row: Dr. Rick Marlow,
MSOMS president-elect; Dr. Christopher Viozzi, Mayo Clinic; Dr. Ronald Schneider,
Gundersen Lutheran; Dr. Deepak Kademani, U of MN.
Society of Oral and Maxillofacial
Surgeons (MSOMS), was held
April 2, 2011, at the University of
Minnesota Continuing Education
and Conference Center, St. Paul,
Minnesota.
Dr. Steven Koos obtains
CSR certification
Chicago oral and maxillofacial
surgeon Steven Koos, DDS, MD,
is a certified CSR practitioner. The
goal of CSR (Corporate Social
Responsibility) is to embrace
responsibility for a company’s
We are now offering a 20% discount
on all your job postings to the
AAOMS Career Line from
August 12–September 17!
Employers: It’s easy to establish
your organization’s brand and
footprint in the minds of OMS
candidates using the AAOMS Career
Line
• Exposure to hundreds of qualified
OMS candidates, including access
to a deep résumé database.
• Personal customer support to help
you organize job posts and hiring
strategies.
• Advertising products that extend
your brand to a large audience.
Job Seekers: Access the largest
collection of OMS practice
actions and encourage a positive
impact through its activities on the
environment, consumers, employees,
communities, stakeholders and all
other members of the public sphere.
CSR is the deliberate inclusion of
the public’s welfare and the concept
of sustainability into a company’s
decision-making. The certification
process measures the strategic
abilities and technical skills of
professionals working in CSR and
sustainability, and is a critical step
for successful management of any
progressive corporation with goals of
sustainability.
opportunities from employers of all
types and sizes:
• Search over 80 job listings from
today’s top employers.
• Sign up for Job Alerts, which
notify you about new postings
that match your search criteria.
• Access career advice, news articles,
and e-newsletters to keep you
current with industry trends.
How do I get the discounts?
Call 888/884-8242 with the
promotional code AAOMS2011 to
receive 20% off all your job postings
to the AAOMS Career Line during
August 12-September 17!
Visit healthecareers.com/aaoms to
learn more! n
Dr. Peter Tan installed
as ADSA president
Peter M. Tan, DDS, NISHS, was
installed as president of the American
Dental Society of Anesthesiology
during the society’s annual meeting
in Scottsdale, Arizona. Dr. Tan first
joined ADSA as a resident member
in 1986.
Dr. Tan is also the current president-
elect of the Maryland Society of Oral
and Maxillofacial Surgeons, and has
served as the chair of the AAOMS
Anesthesia Clinical Interest Group
(CIG), an Abstracts Session chair,
the ADSA Liaison to the Committee
on Anesthesia, and now as member
of the faculty for the AAOMS
Hands-On Simulated Anesthesia
Emergencies course. He has recently
been appointed as one of the national
faculty for the ADAʼs “Recognition
and Management of Complications
during Minimal and Moderate
Sedation” course.
AAOMS senior researcher
Martin Gonzalez named to
AAAHC Institute Board
Martin L. Gonzalez, senior
researcher at the AAOMS, has been
selected to serve on the Board of
Trustees of the AAAHC Institute
for Quality Improvement (AAAHC
Institute), a not-for-profit subsidiary
of the Accreditation Association for
Ambulatory Health Care (AAAHC
<http://www.aaahc.org/eweb/
StartPage.aspx>).
The Institute's Board of Trustees
oversees the quality improvement
and performance measurement
studies and educational programs
offered to ambulatory care
organizations by the AAAHC
Institute. Mr. Gonzalez has an
extensive background in analyzing
healthcare industry data, with
specific expertise in primary data
analysis; outcomes research; and
mail, telephone, and electronic
surveys. He currently manages
the AAOMS outcomes research
projects and collaborates with
oral and maxillofacial surgeons to
develop multi-center clinical research
studies. He has a bachelor of arts in
biological sciences from Binghamton
University, State University of New
York and a master's degree in
economics from Pennsylvania State
University. n
 ENROLL ASI® Programs AAOMS/ASI® APPROVED PROGRAMS
For complete descriptions, current offers and discount
TODAY! Provide Unique Benefits information for all of these programs, visit aaomsservices.org.
Be sure to identify yourself as an AAOMS member when you
to AAOMS Members call an AAOMS/ASI approved program.

Southern Anesthesia & Surgical

Pharmaceuticals, surgical supplies and OMS specialty products.
800/624-5926.
VISIT THE ASI AISLE AT THE AAOMS
ANNUAL MEETING IN PHILADELPHIA NEW! Dental Recycling North America (DRNA)
AAOMS members receive specially discounted pricing for a
ASI will be hosting a number of ASI approved variety of waste management services through DRNA. Call
programs at this year’s annual meeting: 800/360-1001, ext. 17 for more information and ask for the
Bank of America Merchant Services, AAOMS Member Price List.
CareCredit, DRNA, DSI, Ingenix, NEA, Nuell, Inc., Scientific
Metals, SockIt! and Southern Anesthesia & Surgical. DSI Medication Dispensing Program
Be sure to stop by and find out about the unique benefits and Pre-packaged prescription dispensing service. Call 800/392-7717
savings these approved programs can bring to your practice. for information about new 2011 pricing.

CareCredit
Patient financing program. 800/300-3046, ext. 4519.
CONGRATULATIONS TO THE 2011 HONOREES
OF THE ASI MEMBER AWARD Bank of America® Merchant Services
Credit card processing with new, improved pricing. 888/317-5402.
ASI and AAOMS would like to thank all of the 2011 honorees
for their enrollment in six or more ASI approved programs. Office Depot
Participation in these programs not only benefits AAOMS Call ASI® staff at 800/822-6637, ext. 4319, to enroll in the Office
member practices, but the royalties generate non-dues income Depot program.
that funds a variety of AAOMS programs throughout the year.
A silver bar containing one troy ounce of .999 fine silver will be AAOMS Business Credit Card through Bank of America
given to the honorees this year as a special thank you for their Call 800/598-8791. Source code UABDKJ.
support. For a list of the members receiving the 2011 award, AAOMS Personal Credit Card through Bank of America
please visit the ASI Web site at aaomsservices.org. Call 866/438-6262. Source code UAA353.
Note: Scientific Metals, one of the ASI approved programs, Nuell, Inc.
has contributed half of the proceeds and resources for the silver
Repair of powered dental instruments. 800/829-7694.
bar. Please stop by their booth in the ASI Aisle at the
annual meeting to learn more about their refinement program Henry Schein Financial Services
for AAOMS members. Financing made simple. 800/853-9493.
I.C. System
Debt collection service. 800/279-3511.
NEW! Ingenix
Coding accuracy is the key with Ingenix EnCoderPro.com. Visit
www.shopingenix.com/AAOMS or call 801/982-3405 to enroll.
National Electronic Attachment
Follow AAOMS Services on Twitter at Transmit claim attachments and view payer requirements.
http://twitter.com/AAOMSservices 800/782-5150, ext. 2.
for product/service specials and for
information about new ASI approved Powertome® Periotome from Westport Medical
programs. Perform atraumatic extractions with the Powertome®.
Call 503/798-6378.
SockIt!® Oral Hydrogel Wound Dressing
[ AAOMS Services, Inc. Drug-free post-surgical wound care and pain management.
(ASI®), the for-profit
subsidiary of AAOMS, Call 800/755-0044 for more details. Source code AAOMS.
helps you maximize Paragon Service
your purchasing power
Refurbished and new anesthesia systems, monitors and
through carefully selected
partnerships for products
defibrillators. Call 800/448-0814.
and services. Not only Scientific Metals
will you receive special discounts
Refine your old crowns and bridges. Call 888/949-0008.
and benefits, but the royalties
produced from each member’s
usage help fund a variety of AAOMS
programs. ]
aaomsservices.org

AAOMS Today • July/August 2011 17

 Different times—more to know

I
f you’ve heard it once, you’ve
environment. Translated to what
heard it a thousand times: the
matters to you: how does my
local media and marketing
business effectively connect with and
landscape has changed significantly
convert prospects to customers—in
over the past decade. What
all the places consumers look for
now seems like a quite simple To help you address these and other LOCAL because buying is still
information, at the time they are
past has developed into a more questions, SMG Directory Marketing predominately a local activity.
active buyers?
complex online and offline media brings you LOCAL SPECTRUM.
SPECTRUM because there are a
MEDIA TYPE BENEFITS SUCCESS COST variety of connected efforts, which
are needed in order to talk to
YELLOW PAGES GENERATE CALLS: People still use yellow Member Results: cost per call between Priced by directory by prospective clients.
pages as one of their primary sources for local $5.99 - $8.02 heading.
information. 100% of look ups are for local
services. With LOCAL SPECTRUM every
aspect of your directional marketing
INTERNET GENERATE CALLS & CLICKS: Paid ads go to Member Results: cost per action (click SAVE MONEY BY plan is measured for its effectiveness.
YELLOW PAGES the top of the results page. Enhance your listing & call) between $5.27–$5.57 BUNDLING PRINT & We call this THE EFFECT. Because
with logo and services offered. INTERNET YELLOW combinations of media work
PAGES. Average annual
differently by business vertical and
cost: $650 ($54/month)
from geography to geography,
BUSINESS ENSURE ACCURATE VISIBILITY & A Member saw increased organic SEO benefit for $110 we work to find and maintain the
PROFILE OPTIMIZATION of Organic Listings: Up to 30% traffic driven by "free listings" annually ($9.20/month). optimal plan for you.
MANAGEMENT of local business information appearing online online once we updated his location
is inaccurate, incomplete or missing all together. information and built up PROFILE IMPORTANT Payment Updates:
We manage accuracy across online, mobile content associated to the business. 1) For your convenience, you can
(Google, Yahoo & Bing), as well as navigation
devices.
now pay by credit card. Instructions
will be mailed to you along with
your renewal forms. 2) If you
PAID SEARCH PAY FOR PERFORMANCE: Customized Member Results: cost per action (click You set a monthly budget
keywords and ad copy customized for your & call) between $2.86–$3.27 and only pay for the clicks are paying by check, make your
business to drive traffic to your website. you receive. Campaigns check payable to SMG Directory
starting at $250/month. Marketing, instead of AAOMS. n
UK 10574401 5-25 4.71875x6 AAOMS 5/25/11 12:35 PM Page 1

Carle Physician Group in Urbana, Illinois is seeking an additional BE/

BC Oral & Maxillofacial Surgeon, preferably with fellowship training in
Cleft and Craniofacial Surgery. With 325 physicians comprising 50
specialties/subspecialties and a service area of 1.5 million residents,
Carle Physician Group is locally owned and physician led. Our
physician group is a not-for-profit integrated network of healthcare
services that also includes Carle Foundation Hospital, a 325-bed Level
I Trauma Center with Level III perinatal services: Details regarding this
position include:
• Nationally recognized OMFS residency
• Candidate must have an interest in teaching residents and qualify
for faculty appointment with the University of Illinois College of
Medicine
• Participate in Cleft Lip and Palate Team
• Wide breadth of trauma and craniofacial cases
• Excellent collegial relationships and wonderful support staff
• Opportunity for collaborative research with the University of Illinois
College of Medicine and scientists in other academic units
• Globally connected, innovative and culturally rich, Champaign-
Urbana has a population of 195,000 and is home to one of the
world’s great public research universities – the Big Ten University
of Illinois. With ease of transportation, excellent schools and
affordable housing options, our community features the friendliness
and advantages of a smaller town while offering the dining, arts,
sports, and entertainment options found in a much larger city.
Champaign-Urbana is conveniently located two hours from
Chicago and Indianapolis and three hours from St. Louis.
Competitive compensation package, excellent benefits including
paid malpractice insurance and 100% tail coverage
For more information, please contact:
Karen Uden, Search Consultant
800.436.3095, extension 4112
Karen.uden@carle.com
Faculty – Assistant/Associate
Division of Oral and Maxillofacial Surgery
We are currently recruiting for a full-time faculty position at the assistant or associate
professor level in the Division of Oral and Maxillofacial Surgery with the University of
Kentucky College of Dentistry. Candidates must have a DMD/DDS degree, have com-
pleted an accredited oral and maxillofacial surgery residency and be eligible for a
Kentucky dental license. Individuals with an MD degree and oncology fellowship
training are encouraged to apply. Opportunities include developing a dynamic, chal-
lenging and diverse academic oral and maxillofacial surgery practice, mentoring res-
idents and dental students, participating in professional development and leadership
activities consistent with the job description. Salary and rank are commensurate with
experience.
Founded in 1865 as a land-grant institution adjacent to downtown Lexington, UK is nes-
tled in the scenic heart of the Bluegrass region of Kentucky. Recently ranked as one of
the safest, most creative, and brainiest cities in the nation, Lexington is an ideal location
to experience the work-life balance that the University strives to provide to its employees.
Send a letter of inquiry, curriculum vitae and names of three references to:
Dr. Larry L. Cunningham, Chief, Division of Oral and Maxillofacial Surgery
Department of Oral Health Science, University of Kentucky College of Dentistry
800 Rose Street, Lexington, KY 40536-029
The individual offered the position will be required to pass a pre-employment drug
screen and undergo a pre-employment national background check as mandated by
University of Kentucky Human Resources.
P R O M O T I N G O R A L H E A LT H W I T H I N K E N T U C K Y A N D B E Y O N D
The University of Kentucky is an equal opportunity employer and
encourages applications from minorities and women.

18 AAOMS Today • July/August 2011

Peace of Mind
and Security
Now more than ever

Professional Association Insurance Administrators

• Disability Income Plan

• Business Overhead
Expense Insurance
• Disability Buy/Sell
• Life Insurance
• Long-Term Care Insurance
• Auto/Home

1-800-345-6040
www.th-online.net

Specialists rely on Specialists ®

AAOMS Today Ad - 2011 AAOMS Today • July/August 2011 19

9 13/16 x 12” (Color)
 T he editor ’ s corner

Making a negative positive

W
they are rarely accepted of the journals in our specialty will
hen evaluating the results but certainly not conclusive.
when submitted, not make this necessary in oral and
of any study it is always Other words to hedge the
because these findings maxillofacial surgery. n
gratifying to find that the results are “almost, a trend
also add to our
data support the hypothesis that was toward, slightly more than,
Daniel M. Laskin, body of knowledge.
proposed. However, this does not nearly, and most likely”. DDS, MS If this information Erratum:
always happen. The question then “Generally”, “usually”
remains unpublished,
arises about what to do with such and “ordinarily” are also words The Names in the News section in
there is always the possibility that
information. The tendency is not to that need to be critically evaluated. the May/June 2011 issue of AAOMS
clinicians in the future may waste
want to publish negative results and Similarly, “perhaps” or “likely Today incorrectly stated that Dr.
considerable time and effort testing Wilber Van Zile was the first OMS
to think of ways to put a positive to be” are not very reassuring.
the same hypothesis. Moreover, if graduate residency program director
spin on the findings. To do this, When deciding whether to adopt
journals do not publish data that at the Oregon Health Science
clinicians sometimes resort to the techniques or procedures described
disprove commonly held concepts, University School of Dentistry. Dr.
use of statistical manipulation of the in the literature, such descriptive
clinicians may continue to subscribe Van Zile was the chairman of the
data, where it may be possible to terms should always sound a word department of oral and maxillofacial
to such beliefs and that can lead
show differences that are statistically of caution. Finally, in support of the surgery, but the residency program
to inappropriate patient care. In
significant even though they may not findings, it is often stated that there was not established until he had
an attempt to counteract these
be clinically significant. In addition, are a “number of authors” who have retired and was succeeded by Dr.
problems, there are now medical
they carefully choose the words or reported similar results. However, Ralph G. Merrill as chairman and as
journals such as the Journal of the first residency program director.
phrases used to describe the findings the sentence is followed by only one
Negative Results in Biomedicine
in order to make weak data seem citation. In such instances, multiple
that solicit and publish negative AAOMS regrets the error.
more meaningful. In reviewing authors should refer to those in
findings. Let us hope that the editors
articles, it is important for readers to different articles and not in the same
recognize such efforts. citation.

One of the most common words used It is unfortunate that negative results
is “approximately”, meaning that the
data is almost correct or very similar,
often are not submitted as such for
publication, and even worse that
Corporate support
acknowledgement
A thank you to our generous corporate partners!
s av e t h e d at e s a n d

A
AOMS wishes to thank the following companies for their support
J O I N YO U R CO L L E A G U E S ! and generosity of the 2011 Annual Meeting, the 2011 Dental
Implant Conference, the Resident Organization (ROAAOMS) and
AAOMS 93rd Annual Meeting, Scientific Sessions and Exhibition other activities of the Association throughout the year. They have made a
Held in conjunction with the Scandinavian Association of commitment to support AAOMS to assist in providing outstanding programs
Oral and Maxillofacial Surgeons and services. Please make plans to visit these companies in the exhibit hall or
Pennsylvania Convention Center · Philadelphia Marriott Downtown visit their Web sites through the Annual Meeting Virtual Exhibit Hall link
Philadelphia, PA <http://www.expocad.com/host/fx/aaoms/11aaoms/default.html>
September 12-15: Business sessions
September 13: Preconference Maxillofacial Oncology
and Reconstructive Surgery
Diamond Silver
September 13-14: Preconference Anesthesia Update Nobel Biocare Astra Tech
for the OMS
OMSVision – Henry Schein Southern Anesthesia + Surgical
September 14-17: Scientific sessions
September 15-17: Exhibition
Practice Solutions
Photo by R. Kennedy for GPTMC

Bronze
Platinum Aspen Dental
ASI (AAOMS Services, Inc.) BioHorizons, Inc.
Biomet, Inc. CareCredit
KLS Martin Group DENTSPLY Tulsa Dental Specialties
Medtronic Dispensing Solutions Inc.
Straumann USA LLC Elsevier Inc.
Photo by G. Widman for GPTMC
Photo by B. Krist for GPTMC

Neoss Inc.
Gold
Nuell Inc.
Carestream Dental
Patterson Dental Scientific Metals
Synthes CMF
SockIt! Oral Hydrogel Wound
Treloar & Heisel, Inc. Dressing n
Zimmer Dental

saving faces | changing lives ®

20 AAOMS Today • July/August 2011

Encore careers
continued from page 1
other specialties, like neurology and
cardiology, which makes the academic
life still more unattractive for oral
and maxillofacial surgeons. It’s a
catch-22, because the lower numbers
of OMSs who join the faculty make it
appear that it’s not a specialty worth
investing in.
Dr. Wilson and AAOMS hope to
change that perception by filling
faculty ranks with doctors in late
middle age, who might be starting
to think about slowing down or
retiring. “Their kids are raised,”
he says. “They have fewer financial
responsibilities, and may be looking
for a change in their career.”
The transition from private practice
to academia is not as difficult as
one might think. Dr. Rick Moore,
another OMS who is enjoying an
encore career as a professor, recalls
that it took less than six months to
familiarize himself with PowerPoint
and other computer programs when
he began his first teaching post at
the Boston Medical Center at the
invitation of Dr. Donald Booth, a
mentor.
“The residents helped quite a bit,”
recalls Dr. Moore, who currently
teaches at the University of South
Carolina. “But you have to keep
up with the journals. You can’t just
toss them aside the way you could in
private practice. You have to stay up
on your reading or you can’t handle
the clinic very well.”
But Moore finds this invigorating
rather than stressful. Working in
a teaching clinic, he’s exposed to
a wider range of cases than when
he was in private practice, not to
mention cutting-edge procedures,
and he enjoys the opportunity
to interact with doctors in other
disciplines within the dental school.
At UIC, Tom Skiba enjoys the
benefits as well, but he also believes
that teaching has improved his basic
surgical skills. “I learned more in
the past two years about why we do
things a certain way,” he marvels.
“We want [the students] to have all
the answers down cold, so our own
knowledge base increases.”
Unlike Drs. Skiba and Wilson, who
deal primarily with residents, Rick
Moore also teaches undergrads. He
finds that his years in private practice
give him a different perspective from
the other professors, one that the
students find useful. In addition, the
lecture hall serves as a bully pulpit:
every year he tries to persuade at
least 10 percent of the class to choose
oral and maxillofacial surgery as a
specialty.
Within a few years, those students
will be finishing their residencies
and trying to decide on a career. By
then Dr. Wilson hopes there will be
incentives in place to encourage these
young OMS’s to consider teaching,
perhaps a break on repaying their
student loans, which grow ever more
substantial.
But for now, OMS academic
departments will have to make do
with the so-called “geezer squad.”
“When we retire, if we don’t
continue in education or practice
oral surgery in some fashion, we
lose our identity,” says Tom Skiba.
“I know people who fly to Houston
once a quarter to lead a seminar. For
them, it’s enough. They fill a role in
the institution and feel they still have
value.” n

Save the dates! CONFERENCE

2011
Sheraton Chicago Hotel & Towers
Chicago, IL

December 1-4, 2011

December 1: Preconference Courses
December 2: Dental Implant Assisting Skills Lab
December 2-3: AAOMS Dental Implant Conference
December 2-3: Exhibition
December 3-4: Anesthesia Assistants Review Course
Photo: © Chicago Convention & Tourism Bureau

American Association of Oral and Maxillofacial Surgeons

saving faces|changing lives®

AAOMS Today • July/August 2011 21

 PRST STD
American Association of Oral and Maxillofacial Surgeons U.S. Postage
9700 West Bryn Mawr Avenue PAID
Rosemont, Illinois 60018-5701 Kelmscott
Press
aaoms.org

AAOMS

today A publication of the American Association of Oral and Maxillofacial Surgeons

AAOMS CALENDAR
Educational September 14-15
Coding Workshop:
December 2: Dental Implant
Assisting Skills Lab
OCTOBER 2011
Advertising
October 24
Opportunities Beyond the Basics December 2-3: Dental Implant
Conference Washington State
Advertising inquiries other than
classifieds should be directed
In conjunction with AAOMS
Society of Oral and to Ms. Joan Coffey, Elsevier,
2011 93rd Annual Meeting
Philadelphia, PA
December 2-3: Exhibition
December 3-4: Anesthesia Maxillofacial Surgeons Corporate Partnership Manager,
360 Park Avenue South, New
Assistants Review Course Spokane Club York, New York 10010; Tel:
SEPTEMBER 2011 NOVEMBER 2011 Spokane, WA 212-633-3806; Fax: 212-
633-3820; e-mail: j.coffey@
September 12-17
AAOMS 93rd Annual
November 12-13
Coding Workshop:
Regional and NOVEMBER 2011
elsevier.com. The publication
of an advertisement is not to be
Meeting, Scientific
Sessions and Exhibition
Beyond the Basics State Society November 2 construed as an endorsement
or approval by the American
Connecticut Society of
in conjunction with the
The Westin Denver
Downtown
Meetings Oral and Maxillofacial
Association of Oral and
Maxillofacial Surgeons of the
Scandinavian Association of Oral
and Maxillofacial Surgeons Denver, CO Surgeons product or service being offered

Pennsylvania Convention 2011 Water's Edge Resort in the advertisement unless

the advertisement specifically
Center November 14 Westbrook, CT includes an authorized
Philadelphia Marriott OMS Billing Conference JULY 2011 statement that such approval or
endorsement has been granted.
Philadelphia, PA The Westin Denver July 16-17
n
September 12-15: Business
Downtown Ohio Society of Oral and
Sessions Denver, CO Maxillofacial Surgeons
September 13: Preconference Great Wolf Lodge
Maxillofacial Oncology and DECEMBER 2011 Conference Center
Reconstructive Surgery
December 1-4 Mason, OH
September 13-14: Preconference
Anesthesia Update for
AAOMS Dental
Implant Conference July 22-24
the OMS
Sheraton Chicago Hotel & Colorado Society of Oral
September 14-17: Scientific
Sessions Towers and Maxillofacial Surgeons
September 15-17: Exhibition Chicago, IL Arabelle Hotel
Vail, CO
December 1: PreConference
Courses

22 AAOMS Today • July/August 2011