NCSPD A District Chapter of the American Academy of Pediatric Dentistry

Meeting Minutes

Minutes of District IV Meeting, October 28, 2016, Chicago, IL:
AAPD Headquarters, Chicago, IL
Attendees: Mary Claire Garcia (IL), Sonia Gutierrez (IL), Rachel Dunlop (IN), Chad Hoge (ND), Jessica Meeske (NE), Cliff Hartmann (WI), Homa Amini (OH), Rami Mikati (IL), Amy Shah (IL), Erin Shah (IL), David Avenetti (IL)
Meeting called to order at 4:00 pm
Dr. Dunlop reported on business from Indiana
�discussed section 1557 implementation in Indiana, mentioning that Delta Dental and Anthem have been providing translation services.
A roundtable discussion took place regarding silver diamine fluoride. 
�Recommended to bill for by tooth number
�Coding concerns discussed (D1206 vs. D1354)-anticipated difficulty in tracking proper use/treatment results of silver diamine fluoride use if coded multiple ways
�Importance of understanding how insurance and state Medicaid programs reimburse
Drs. Garcia, Gutierrez, and Avenetti reported on business from Illinois
�Governmental committee is being initiated with the next meeting on December 8th.
�Two research awards for Illinois pediatric residents have been established
Dr. Amini reported on business from Ohio
�School based sealant program has passed with hygienists trained to place sealants in public schools, eligibility based on percentage of children on free or reduced meals
�Automated system registration required for opioid prescriptions, increased education likely for opioid use and prescription management
Dr. Hartmann reported on business from Wisconsin
�Medicaid fees have been raised in select counties, waiting to see if fee system is sustainable, other counties may see fee increases
Dr. Meeske reported on business from Nebraska
�Sedation bill passed with updated rules and regulations to be in line with ADA and AAPD guidelines
�Working on expanding functions for dental assistants and hygienists, bill has not passed, will be reintroduced to the legislature and hopefully will pass
�State Medicaid is going into managed care
Dr. Hoge reported on business from North Dakota
�Expecting bill to be introduced again to legislature to allow dental therapists to practice
�North Dakota Dental Association firmly opposes adding dental therapists to the workforce and will plan to aggressively lobby against bill if bill is introduced during the next legislative session
�During the months of September and October, pediatric dentists in Eastern North Dakota visited local Head Start Centers to complete basic dental exams and fluoride treatments for children without dental homes. 
New Business
�Dr. Meeske discussed improving attendance at Lobby Days with residents and new pediatric dentists
New District IV positions approved by attendees for 2016-2017
�President-Dr. James Boynton
�Vice President-Dr. Chad Hoge
�Secretary-Treasurer-Dr. David Avenetti
The meeting was adjourned at 5:45 pm.  The next business meeting will take place during the AAPD Annual Meeting in Washington D.C. in May of 2017.

Trustee Report
Jessica Meeske, NorthCentral District
September 2, 2016
Trustee Activities
                  In June, I attend three meetings.  The Medicaid S-CHIP Dental Association (MSDA) annual meeting was held in Washington D.C., June 12-14. This has been about my 10th year attending this meeting.  This meeting discusses current and upcoming Dental Medicaid policies.  It includes many stakeholders including dentists and dental organizations, federal and state employees who work within and with Dental Medicaid Programs, payers such as managed care groups, etc..  AAPD’s focus is providing input for how the program works for children and pediatric dentists.  The hot topic this year was silver fluoride diamine and making sure state Medicaid directors understand its purposes and limitations, especially so funding for restorative dentistry is not diminished.
                  The second and third meetings I attended were the board orientation meeting and spokesperson training, two days after the MSDA meeting in Chicago.  Both are good training for trustees. 
District Activities
                  Our district met for one hour at annual session in San Antonio with the main purpose to elect district officers.  President is Rachel Dunlap. President-Elect is James Boyant. Sec-Treas is Chad Hoge.                       Fall meeting is planned for October 28th, 4:00-6:00 pm, in the AAPD conference room.
State Activities
Iowa- Had spring course with Bobby Thikkurssay and Elizabeth Gosnell.  Will be alternating CE between Des Moines and Iowa City in the future.  Main concerns are student debt and HIPAA.
North Dakota- No activity or meetings since May.
South Dakota- No activity of meetings since May.
Wisconsin- The state Pediatric Dental meeting is September 24 in Madison with Roger Levin as the speaker. Last year four counties in Wisconsin were selected by the state to receive increased reimbursement for Medicaid. That is to go into effect soon to allow the state to determine what effect it has on access to the underserved.
Michigan –MAPD meeting is Oct 8th, in Troy.  Sue Seale is presenting pulp therapy.  Winter meeting is Jan 14th in Lansing.  Branden Collier is presenting on practice management.  Just completed Mission of Mercy June 11-12.
Ontario- No report given.
Indiana- Indiana Medicaid will be split into 3 different entities as of October 2016. The IUSD ICPAC ISPD are sponsoring a CE event, "A Multidisciplinary Approach to a Dental Visit by Age 1" at the IUSD October 15, 2016. 

Ohio- No report given.
Minnesota- Bob Feigal Symposium coming up Sept 16th. We are expecting a good attendance including current members, U of MN residents, and Feigal symposium guest speakers.  On a national level, our group continues to support AAPD mainly through our fearless leader, Jim Nickman who serves as Pres-Elect this year. We have an AAP presence in Jeff Karp and Teresa Fong serves on the development committee and Board of HSHC. Our group continues our financial support to HSHC giving annually to complete our $10K pledge to the foundation. Individual members are working to improve access to care in rural areas. David Collier was recently featured in ADA news providing exams and arranging avenues for treatment for out state areas where there are children in need. The MN Dental Association continues to work on equitable reimbursement for providers accepting state funded insurance plans. Our officers for this year; Pres- Dr Paul Musherure, VP-Dr Bobbi Augustyn, Sec-Treas- Teresa Fong.
Nebraska- NAPD is continuing to work on expanded function dental assisting bill for NE Legislature. It was filibustered late in the session and will come up in the 2017 session.  There are new sedation guidelines.  Most line up with AAPD guidelines.  Minimal sedation does not with Nebraska defining minimal sedation to not include nitrous oxide.

Minutes of District IV Meeting, May 28, 2016, San Antonio, TX:
Henry B. Gonzales Convention Center, San Antonio, TX
Attendees: James Boynton (MI), Rachel Dunlop (IN), Brent Johnson (NE), Neal Benham (WI), Jessica Meeske (NE), Chad Hoge (ND), Mikala Hoge (ND), HomaAmini (OH), Mel Thaler (SD), Cliff Hartmann (WI), Charlie Fuhrer (IN), Tehemina Richardson (IL), Charles Czerepak (IL), David Avenetti (IL), Trustee Paul Andrews (Ontario, Canada)
Meeting called to order at 1:00.

Dr. Andrews started the meeting by discussing AAPD business:

  • Leadership committee will be chaired by Dr. Joel Berg
  • All state affiliation agreements have been signed
  • Title VII funding-board approved extensive manpower examination
  • Focus placed on residency program enhancement with movement away from development of new residency programs
  • Discussed loan repayment for pediatric dentists entering academics
  • Due increase of $100
  •  Introduced Dr. Jessica Meeske as new District Trustee
  • Dr. Andrews urged each state to send state report to Dr. Meeske three times per year
  • Dr. HomaAmini recognized as representative for nominations committee with Dr. Andrews nominating Dr. Cliff Hartmann as a new representative for the nominations committee
  • Dr. Andrews discussed changes in AAPD Reference Manual’s wording of indications for use of protective stabilization.  Group discussion occurred with many concerns regarding the interpretation of the wording. After group discussion concluded, Dr. Andrews indicated he will report back with proposed wording changes.
  • Drs. Jade Miller and Jim Nickman visited meeting with a general report of the annual session and state of the AAPD.
  • New Business
  • Group discussed concerns with district meeting attendance.  Ideas to improve attendance included: 1) developing facebook page for district, 2) creating email groups for members in each state, 3) raffle with each state bringing raffle item to meeting.  After discussion, it was decided that each attendee would try to recruit two members from their respective state to the next annual meeting.
  • Encouraging interest for the district secretary position.

The next business meeting will occur October 28th in Chicago during the Illinois Society of Pediatric Dentists’ Meeting.
New District Trustee
Dr. Jessica Meeske of Hastings, NE will now be serving as the District IV Trustee.  Her term will end in 2019.
Winter 2015-16 AAPD Board of Trustees Activity Highlights
Editorial Board Appointees
Approved the Editorial Boards and Abstract Editors nominated by the Editor-in-Chief.
Evidence-Based Dentistry Committee
Charged the Evidence-Based Dentistry Committee to examine the criteria for acceptance in the National Guideline Clearinghouse and develop a strategy for the AAPD guidelines to meet those criteria. Report to the Board in May.
Discussion points:
• In order to be accepted by the Clearinghouse, guidelines must have a systematic review to support them; ours do not
• Without the systematic review, they are "expert opinion and consensus guidelines"
• Need rapid planning on how to address this issue and respond quickly
Constitution and Bylaws
Approved the recommendations of the AAPD Constitution and Bylaws, as modified.
Discussion points:
• Leadership Development Committee will be composed of current or former board members.
Approved the members of the Leadership Development Committee:
• Joel Berg (chair)
• David Curtis
• William Vann
• Beverly Largent
Administrative Policy and Procedure Manual
Approved the proposed changes to the AAPD Administrative Policy and Procedure Manual, as follows:
• Create an Affiliate Advisory Committee under the Council on Membership and Membership Services (Section 8.P)
• Update district and chapters section to remove requirement of AAPD membership for district or state chapter members (Section 10)
• Update Awards Section (Section 13.G) to add recent awards
• Delete references to list serves, as they are no longer used
Council on Clinical Affairs
Approved the revised definitions, policies and guidelines as presented by the Council on Clinical Affairs.
Approved the recommendation of the Council on Clinical Affairs to endorse the ADA’s radiographic guideline.
To rescind the endorsement of the three periodontal guidelines.
Discussion points:
• Although the three documents from the American Academy of Periodontology are out of date and not child-specific, it is better to have some kind of guideline than none at all.
Charged the Council on Clinical Affairs to develop a child-specific periodontal guideline.
Discussion points:
• The three endorsed documents from the American Academy of Periodontology are out of date
• AAP is not working on an update
Approved the definition of dental neglect as presented.
Defeated the addition of the Hall Technique to the Guideline on Restorative Dentistry. Charged the Council on Clinical Affairs to rewrite the section on the Hall Technique.
Discussion points:
• As written, it seems like an endorsement of the technique
• Hall Technique needs to be mentioned, because it exists
• Context is needed, to give context for when it can be used
Approved the endorsement of the AAP Policy on Social Determinants of Health and Health Disparities.
Discussion points:
• Council is charged to develop a policy for pediatric dentistry
Approved the joint AAP/AAPD Guidelines for Monitoring and Management of Pediatric Patients Before, During and After Sedation for Diagnostic and Therapeutic Procedures.
Discussion points:
• AAPD comments will be forwarded to AAP by headquarters office
• The document still needs to pass through the AAP approval process before it can be published
Approved the joint AAP/AAPD Guideline on Oral Aspects of Child Abuse and Neglect.
Discussion points:
• AAPD comments will be forwarded to AAP by headquarters office
• The document still needs to pass through the AAP approval process before it can be published
Charged the Council on Clinical Affairs to create a policy on inclusion of behavior management as a reimbursable dental benefit.
Discussion points:
• Justification for support of behavior management as a reimbursable dental benefit has been completed by the committees on Special Health Care Needs and Dental Benefit Programs
• The policy statement is intended to address specifics for the rationale for inclusion of this benefit, the necessity and advantage to patients with special health care needs, and parameters for qualification for this benefit
Joint AAPD/AAO Symposium
Appointed Scott Goodman as course director for the joint AAPD/AAO Symposium.
Sedation Course
Approved the appointment of Sarat (Bobby) Thikkurissy as the co-chair of the Sedation Course and the addition of Cara Riley to the Sedation Faculty roster.
Discussion points:
• Appointment is needed because of the retirement of Steve Wilson
Annual Session Site Selection
Approved to discontinue planning for the 2020 Annual Session in San Diego and initiate planning to hold the 2020 session in Nashville.
Discussion points:
• Initial plan to hold 2020 session in San Diego was predicated upon expansion of the Convention Center, which has not yet reached the planning stage; unlikely that expansion would be complete by May 2020
Approved Toronto as the destination for the 2024 Annual Session.
AAOMS position statement on third molar management
Approved the AAOMS position statement on third molar management, as amended.
Discussion points:
• Approval dependent on acceptance by AAOMS of suggested amendment:
"…the AAOMS also recognizes the oral and maxillofacial surgeon as the clinician best qualified to determine a proper surgical treatment plan and care for the individual patient."
Nominations Committee Report
• At-Large Trustee: Paula Coates, Nashville, TN
• Secretary-Treasurer: Kevin Donly, San Antonio, TX
• ABPD Director: E. LaRee Johnson, Raleigh, NC
Faculty Development-HRSA Loan Repayment Program
• Title VII funding approved this year at $10 million, plus an additional $875,000 to restart HRSA loan repayment program
• Funding is specifically for pediatric dentistry programs, not general dentistry or any other health profession
• HRSA wants AAPD to develop the guidelines to develop the program
• Note that examples already exist-University of Washington, NIH
• Scott Litch will prepare an outline for Dr. Simmons’s next Washington trip
Membership Survey Results
• Informational
• Reasons for continuing membership: Support of the organization that represents pediatric dentistry continues to be the number one reason for member affiliation with the AAPD. Advocacy on behalf of children’s oral health follows in importance, but is somewhat farther behind than in 2009. The tangible benefits of membership, such as continuing education and publications, are of less critical importance. Over one-fifth of member respondents consider AAPD’s networking opportunities of little importance in their decision to maintain their membership. Drivers of membership do vary by member type. International members are primarily motivated by the AAPD’s publications, and Postdoc members have a much higher than average interest in networking with pediatric dentists.
• Top issues facing pediatric dentists and their practices: When asked about top issues in the profession, member comments rallied around the following themes: access to affordable dental care, decreasing insurance and Medicaid reimbursements, changes in coverage versus the cost of treatment, increasing government intervention, the rise in corporate dentistry, and parental expectations and lack of education.
• Future strategic focus of the AAPD: Considering the top issues facing the profession and primary reason for affiliation with the AAPD, it is not surprising that dental insurance reform and improved Affordable Care Act (ACA) provisions are key areas the AAPD should allocate time and resources in the near future. Respondents feel even more strongly now than they did in 2009 that the AAPD should take an active role in reforming Medicaid and CHIP to increase reimbursement and reduce administrative barriers. Respondents also show emerging interest in lobbying for improvements in the pediatric oral health provision of the Affordable Care Act. Furthermore, when members were asked about future research projects and technical briefs from the Policy Center, respondents showed the highest interest in topics on Medicaid/CHIP reform and the ACA. Over one-fifth of respondents have no opinion on DSO-supported practices, but the large majority of those with an opinion look to the AAPD for information and education on evolving models such as these.
• Changing face of the member: The 2015 survey readily reveals the movement toward younger pediatric dentists, and reflects the increasing number of women entering the field. Member respondents, on average, are 42 years of age, while in 2009 the average age was 47. Women now represent 55% of the membership, up from 42% in 2009. Just over one-fifth (21%) have been a member of the AAPD for 21 years or more, compared to 2009 when nearly one-third of the membership had achieved this membership tenure. The 2015 survey also clearly illustrates the move away from private practice.
• Core products and services: With the exception of the Treloar&Heisel insurance products, it appears that usage of the various AAPD offerings has dropped since 2009. This is probably due, in large part, to the newer, younger audience of members who are unfamiliar with, and haven’t had a chance to use, all that the AAPD has to offer. This hypothesis is supported by the finding that respondents who have been AAPD members for five years or less are less likely than average to be aware of the various AAPD products and services. Awareness levels generally increase as years of membership increases. That said, a large number of members do use and find great value in the AAPD’s publications, most notably the AAPD Reference Manual. Other resources with high awareness, usage, and value include the website (, The Handbook of Pediatric Dentistry, and the Pediatric Dentistry Journal. At least 80% of member respondents use their printed copies of the AAPD Reference Manual and AAPD Membership Directory. When given the choice between online or print, nearly 70% prefer to access the print version of each publication. Moreover, a large minority (42%) of the hard copy users would pay an additional fee to continue receiving the Reference Manual in print, but only 28% would be willing to pay a nominal fee to continue receiving the Membership Directory.
• Member Engagement: Member turnout for the AAPD Annual Session continues to be strong, with 87% having attended the meeting at one time or another. Members are attracted to the Annual Session for its location and content. On the other hand, participation in the AAPD’s continuing education courses appears to have dropped off since 2009.
• Pro bono work: Nearly 80% of all member respondents saw and treated children domestically within the past year on a pro bono or volunteer basis.
Development of International Guidelines
• Recommendation of global task force to work with the international community to accept or develop guidelines for children’s oral health care
• No interest in creating a body to develop guidelines that everyone in the world would accept; there are very good clinical guidelines that already exist.
• Focus efforts to develop a protocol and process for endorsement and adoption of existing guidelines.
• IAPD has agreed to be the repository for these guidelines.
• Proposal to convene a small meeting of representatives of organizations that are actively involved in guideline development to develop the protocols, possibly at the IAPD meeting in Belgrade.
Dues Increase
Informational discussion
• Board approved $100 increase at last meeting; vote by General Assembly in May
• Members can comment to CEO, President, their district trustee.
AAPD Crisis Communication Plan
• Draft was sent to Board prior to meeting
• Focus on dealing with media "flash points"
• As this will be an internal document, not for distribution, it can be modified at any time
• Board was asked to review and comment to Erika Hoeft

North Central District meeting minutes 12/4/15

Marbella Room, JW Mariott, Las Vegas, NV


Meeting called to order at 5:45p.m.  Members in attendance: Dr. Paul Andrews (Ontario, District Trustee), Dr. Rachel Dunlop (IN, attending via phone), Dr. Eric Hodges (NE), Dr. Chad Hoge (NE), Dr. Brent Johnson, Dr. Bob Majewski (MI), Dr. Yu-Ju Yang (MI), Dr. Katherine Zettle (Ontario).

After introductions of all members present, the meeting minutes from May 23, 2015 were approved without modification.

District President Dr. Brent Johnson discussed recent website updates including posting of meeting minutes and a current roster of state component officers.

District Trustee Dr. Paul Andrews reported on the following activities of the Board of Trustees:

  • approval of dues increase (first increase in 10 years)
  • encouragement of applications to Leadership Instituted and Advanced Leadership Institute
  • creation of a Leadership Development Committee focusing on identifying future Academy leaders and educators
  • creation of the International Membership Category
  • approval of the Annual Session Budget
  • activities to enhance the value of the Affiliate membership category
  • AAPD entering into agreement with SoFi company, enabling lower-rate financing of student debt by Academy members
  • end of the agreement between the Academy and Oakstone Publishing
  • continuance of PR campaigns (Mouth Monsters, etc)
  • Chapter Affiliation Agreements nearing completion
  • updating sedation guidelines based upon ADA activity in that area
  • development of an Advanced Dental Admissions Test for all postgraduate dental program applicants 
  • Title VII funding discussions by Trustees focusing on existing faculty and program development

Dr. Chad Hoge was nominated by Dr. Eric Hodges for the position of Secretary/Treasurer and all members approved the nomination.  Dr. James Boynton was elected to the position of Vice President and Dr. Rachel Dunlop assumed the position of President.

Dr. Hoge reported on activities surrounding mid-level provider legislation and expanded function dental hygienists and assistants in North Dakota.  Dr. Dunlop reported on her state's efforts to support residency programs.  Dr. Johnson reported on a statewide Medicaid Symposium in Nebraska that was organized by the state component of the AAPD.

District President Dr. Dunlop adjourned the meeting at 6:45p.m.




Trustee Report-Dr. Paul Andrews

American Academy of Pediatric Dentistry

Activities of the Board

2015 Ad Interim Meeting

October 2, 2015


1)Approved the recommendation of the Budget and Finance Committee for a dues increase of $100 for active members, with commensurate increase in all other categories.

Discussion points:

• Last dues increase was 10 years ago

• Increase of about 17%, when averaged over those 10 years, just keeps


2)Approved the budget expenditure of an additional $55,000 to support the attendance of 5 alumni advisors to the Advanced Leadership Institute.

Discussion points:

• Process takes advantage of the experience of the graduates of the first ALI

• Goal is to advise and facilitate, not to do the work

• Will attend January launch meeting and March ALI session

  • Robert Delarosa
  • Jade Miller
  • Jessica Lee
  • Beverly Largent
  • Jerry Miller


3)Approved the addition to the AAPD Constitution and Bylaws creating a Leadership Development Committee of the Board of Trustees.

Discussion points:

• Recommendation of the Task Force on Talent Pool Development


4)Approved the proposed changes to the AAPD Administrative Policy and Procedure Manual, as follows:

• Add new International Colleague membership category and establish dues amount (Section 1.A and 1.B)

• Update Fellowship program description (Section 1.C)

• Modification and technical corrections to district trustee election procedures (Section 3.A.8)

• Amend General Assembly advance notice period for resolutions to sixty days (to make consistent with notice period for Bylaws Amendments) (Section 2.C)

• Create a new Speakers Bureau Committee under the Council on Continuing Education (Section 8.P.)

• Delete references to Child Advocate, to make P&P consistent with Bylaws amendment approved in 2015 (Section 4.C, Section 8.O and 8.P)


5)Approved the proposed budget for 2016 Annual Session.

• Income: 2,720,000 ( 672,500)

• Expense: 2,409,000 ( 909,000)


6)Directed CCA to examine the issue of HPV vaccine and develop a Background and Intent statement for a policy or determine whether an endorsement of AAP or ADA policies will suffice.

Discussion points:

• Request from member to develop a policy about counseling patients and families about the HPV vaccine, because of the relationship between HPV and oral cancer.

• AAPD does not have a policy on vaccines.


7)Approved the request of the Council on Pre-Doctoral Education to combine charges 4 and 5 into one charge dedicated to support, develop and recognize AAPD pre-doctoral student chapters.

Discussion points:

• Growth and development of AAPD pre-doctoral student chapters is an important goal of the Councils on Pre-Doctoral Education and Membership and Membership Services, as well as the GP Task Force Implementation Plan.



8)Approved items in the Draft Implementation Plan of the Task Force on Enhancing the Value of General Dentist Membership that are characterized as "immediate" activities:

1.1: Establish Affiliate Membership leadership

1.2: Affiliate Member leadership and district liaisons to establish AM protocols

1.3: Establish modes of communication

2.1: Continue to develop AM leadership opportunities with the AAPD

4.1: Develop an "AAPD Pre-Doctoral Tool Kit"

4.3: Promote current Pre-doctoral member benefit of free attendance at AAPD Annual Session

Discussion points:

• Activities requiring little or no additional resources that can be instituted immediately will be priorities for implementation

• Requires collaboration between councils on Pre-Doctoral Education, Membership, and Annual Session



9)Approved the suggestion that Sarat Thikkurissy be contacted to speak at the European Academy of Pediatric Dentistry meeting in Belgrade in 2016.

Discussion points:

• The topic will be sedation

• The board approved the joint session at its meeting in May


10)Approved the speakers for the Royal College of Surgeons of Ireland Meeting as presented:

• Paul Casamassimo

• Amr Moursi

• Jessica Lee

• Tim Wright

• Arun Sharma


11)Approved the creation of a task force on millennials.

Discussion points:

• Purpose: To maximize AAPD membership benefit and value for the millennial member

• Members:

Richard Chaet, Chair

Courtney Alexander

Donald Chi

Patricia McClory

Ashley Orynich

Mario Ramos

Janice Townsend

Robert Delarosa, Board Liaison



12)Entered into an agreement with SoFi for student loan refinancing as a member benefit program.

Discussion points:

• Council on Membership and Membership Services felt that debt load was dictating the opportunities for new graduates

• Key benefit of SoFi over others to AAPD members is access to ongoing advice and information from SoFi


13)To sever ties with Oakstone Publishing.

Discussion points:

• The product which earned AAPD the most royalties was the taped Comprehensive Review course.  The course has been recorded by Cadmium CD and posted on the AAPD Education Passport. Oakstone was informed earlier that their Comprehensive Review would no longer be a sponsored product

• Other products—Practical Reviews and Critiques in Pediatric Dentistry—do not earn significant royalties

• Although the AAPD relationship with Oakstone is of long standing, the company has recently been acquired by Ebix, Inc., changing the nature of the relationship

• More importantly, Oakstone is developing a review course independently



14)Rejected the request from Pennsylvania members to help repay legal costs incurred by fighting an insurance company’s attempt to recoup costs of anesthesia procedures in their ambulatory surgical centers.

Discussion points:

• State chapter is not contributing

• Request comes after the fact; they did not request any kind of assistance prior to their activity

• AAPD usually gets involved in legal action at the appellate level, when it is going to set a precedent


Chapter Websites


• Survey sent to all state officers; 13 responses

• About half said they would use an AAPD-branded website template, preferably at no cost

• About half said they would need assistance to keep their sites updated


PR Campaign Update


• Activities for this year include a story in Wall Street Journal, op-ed piece on RAC audits

• Mouth Monsters hub is now easier to access from the main AAPD site

• Weber Shandwick has assured us that they will evaluate the success of the campaign on all levels


Chapter Affiliation Agreements


• Agreements have been signed by 37 state units and 3 district units.

• California and Western chapters requested further information; WSPD states (with the exception of Hawaii and Arizona) are staying their decision pending answers to their questions.

• Conference call scheduled during this meeting so that CSPD, WSPD, and other interested parties could speak with AAPD’s outside legal counsel, Paula Goedert of Barnes & Thornburg LLP. Ms. Goedert specializes in representation of non-profit organizations.

One of the areas she frequently practices in is chapter relations.


• Participating in the call were Sharine Thenard, CSPD president, and Oariona Lowe, WSPD president.

• Background:


The parent-chapter relationship gives the organization an opportunity to come together as a family, and to work together in a collegial way toward a united mission. That is what is unique about a chapter, as opposed to an independent non-profit organization. That relationship means something—both parties are treating each other respectfully, they are working together toward united goals, they are supporting one another in their common goals. Very often, the parent organization gives benefits to the chapter organizations (e.g., D&O insurance). The chapters in turn exist to help the parent accomplish the goals on the local level.

• Why an agreement?


1. IRS requirements.

  • Since the 1990s, the IRS has gotten into the business of questioning parent-chapter relationships in recent years. One of the problems areas the IRS identified is that non-profits do not do a good job of supervising their chapters.
  • They revised the tax form that non-profits must file (Form 990) to ask the specific question: "If [the organization has chapters] did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization’s exempt purposes?"
  • When the IRS asks a question, you want to give them the right answer.
  • The right answer is Yes.

2. If that national organization is letting its chapters use its name or logo on anything, there needs to be a written license agreement for that.

3. There needs to be a policy or document that tells everyone that, while there are family ties, they are not us and we are not them—the chapter is not responsible for the debts and obligations of the parent and vice versa.

4. Family relationships don’t always last forever; there should be a mechanism in place for a respectful termination process.

5. You never want to waste resources—the dues of the members—on family squabbles.

6. Good contracts make good relationships.

• Discussion


Q The existing policies of the national chapter—we’re still unclear on that. Are they in writing, and could we receive a copy?

A The existing policies are in the AAPD Administrative Policy and Procedure Manual (P&P). It is one page which lists some district and state procedures. (This particular section hasn’t been amended in some time, and could probably use some housekeeping cleanup.) There is also some information about chapters in the bylaws.

Q How could these policies be amended, is there a procedure?

A Revisions come through the Policy and Procedure Committee, and are put on the board agenda through their report.

Q Concerning the non-compete clause, when referring to CE courses. What is considered a violation, and could you describe it in more detail? A It’s an issue when you have chapters offering CE programs that will draw people away from those of the parent organization. The goal is for chapters to provide services on the local level that the parent organization can’t provide. Chapters exist to grow the pie, not to take pieces away from the pie. So the definition of compete would be programs that take away attendance from those of the national organization.

Q Does this clause have any potential antitrust issues that might arise?

A I have a great deal of experience with antitrust litigation and I can assure you it does not. Q Reciprocity—what’s in it for the chapter? When things can be changed unilaterally, like policies, it does not feel respectful to the chapters.

A It’s important to look at the relationship between the parent and chapter. It’s not really a relationship between equals. The purpose of the chapter is to provide support to the mission at a local level. If the parent organization were to say that it wouldn’t compete with the chapter, it would hamstring itself in serving its mission nationwide, and it can’t do that. So you’re right in one way; it’s not a balanced agreement. At the same time, it is not right to have a contract where one side can impose unilateral changes unless the other party can get out of the contract. That’s why we’ve been careful to put in a termination clause. Also, if there is a policy being proposed that has to do with a state or district, all the trustees are involved in that discussion, so every chapter has a representative at the board table.

Q Would the board reciprocate with the non-competing clause with regards to CE? That is, if the state chapter came up with an outstanding course, would the AAPD promise to not replicate that?

A First, the creator of the course owns the course. So if that’s a volunteer, that volunteer owns the copyright and the contract. The national organization couldn’t take the content without permission of the creator. Second, the national organization has a fiduciary duty to provide education to the national membership. So if a state chapter came up with a great course, it would be a dereliction of duty for the national organization to say they weren’t going to create a course on the same topic for the national membership.

Additional discussion points: • Chapter agreements should not be negotiated piecemeal, chapter by chapter. It’s only fair to have a uniform agreement with all the chapters, with no "special deals".

• Any clarification or addendum can be done through P&P.

• Regarding CE: The headquarters office, acting on the recommendation from the Task Force on Talent Pool Development, has created a speakers bureau, so that speakers and topics will be available to all chapters.

• Many of Ms. Goedert’s clients have similar chapter agreements, with similar non-completing clauses; this is not unusual.

• The IRS Form 990 has to be filed within 9 months of the fiscal year end, so all the chapters should have signed the agreement before spring.

• Further discussion in January on possible course of action should that not happen.


Connecticut Dental Audit Amicus Brief


• An example of an AAPD Public Policy Advocate working with the state dental association to get the state moving in the right direction.


AGD Oral Health Literacy Symposium


• AGD has asked for formal endorsement of the statement.


The statement does support a dental home, but does not support the age 1 dental visit; this is a considerable sticking point for the AAPD.


Sedation Faculty Update


• Steve Ganzberg will be withdrawing from the sedation faculty after the course in Orlando.

• Cara Riley has been recommended as the dental anesthesiologist lecturer; she will be at the Orlando course, conducting the breakout sessions and giving one of the lectures at the Assistants course.

• If she gets good reviews, the board will be asked in January to add her to the list of approved faculty for the course.


Council on Post-Doctoral Education, Post-Doctoral Inservice Examination Committee


• The outgoing examination schedule has been changed to make it early enough so that the program directors can get the results and have time before the Qualifying Exam to work on weak areas.


Advanced Dental Admissions Test


• The ADAT is a nationally standardized admission test designed by the ADA’s Department of Testing Services in collaboration with the Council on Dental Education and Licensure.

• Purpose of the test is to provide directors of advanced education programs in general dentistry and the dental specialties with the ability to assess and compare applicants using a valid and reliable scored test.

• Computer-based test to be piloted in May and August of 2016.


• The 200 question test will assess candidates’ critical thinking skills in biomedical sciences (80 questions), clinical sciences (60 questions), and data and research interpretation (30 questions) , as well as their knowledge and skills in professional ethics an patient management (30 questions).


Minutes of District IV Meeting, May 23, 2015, Seattle, WA:
Room 619, Washington State Convention Center, Seattle, WA
Attendees: Ed Rick (Illinois), Eric Hodges (Nebraska), Eric teDuits (Wisconsin), Homa Amini (Ohio), Charlie Fuhrer (Wisconsin), Neal Benham (Wisconsin), Gary Lehr (Nebraska), Jessica Meeske (Nebraska), Charles Czerepak (Illinois), District president Brent Johnson (Nebraska), District secretary James Boynton (Michigan), Trustee Paul Andrews (Ontario, Canada)
Meeting called to order at 1:09.
Dr. Andrews began the meeting with a report of Academy business:

  • An International Member membership category has been developed for encouragement of participation globally.
  • Electronic notices have been included in the bylaws.
  • A proposal to change the constitution to allow absentee voting up to 30 days after the general assembly has been withdrawn.
  • The term "medically underserved population" was approved for use.
  • A joint international meeting has been scheduled with Ireland in October 2016 regarding treatment of caries lesions in primary teeth.
  • The 2023 Annual Session has been scheduled to take place at the Gaylord Palms hotel in Orlando, Florida.
  • State units were urged to provide a summary of activity report to the district trustee for inclusion in the District report to the Academy.  Reports are submitted by the District Trustee to the Academy three times per year.

Drs. Robert Delarosa and Jim Nickman visited and reported the Annual Session’s success, with 3,000 members and 5,500 total in attendance.
The floor was opened to new business.  There was a question from the floor regarding the process of election of the next district trustee.  Three candidates expressed interest in becoming the next Trustee.  After discussion of how the district historically selects trustees, one candidate deferred and removed his name from discussion.  There was discussion regarding the qualifications of the two remaining candidates.  Following this, the two candidates were asked to leave the room and the attendees caucused on how to proceed.  It was decided to have a formal district-wide election for the trustee position.
The next District meeting was announced to be December 4thin Las Vegas at the AAPD Oral and Cutaneous Lesions symposium. 

Minutes of District IV Meeting, November 4, 2014, Miami, FL
Trump National Doral
Attendance: Eric Hodges (President), Paul Andrews (Trustee), James Boynton (Secretary elect), John Wiles, Pam Erickson, Orlando Bernardi, Venetia Laganis, Teresa Fong, Saul Ovalle, Robert Majewski, Homa Amini, Ashok Kumarm, Yu-Ju Yang, Litsa Karaouzas
Dr. Hodges welcomed attendees and asked Dr. Andrews to report on Academy business.
Dr. Andrews provided an update and review of recent Academy activity, including:

  • Result of AAPD annual-session vote regarding tripartite requirement
  • 2015 AAPD budget approval
  • Approval for annual session sites:
    • 2020—San Diego
    • 2021—Boston
    • 2022—San Francisco
  • Engaging the Council on Clinical Affairs on examining "one standard of care" across all practice types
  • Seeing a new treatment code, co-sponsored by the ADA, for "case management."
  • Appointment of Dr. Brent Johnson to chair on Council on Dental Benefits
  • Ad Council activities were extended for another 3 years
  • ADA annual session speaker requests
    • 2015--Trauma (McTigue)
    • 2016—Restorative Dentistry (Donly/Waggoner)
    • 2017—Pain/antibiotic use (Thikurssky)
  • Dues collection through AAPD has increased for states and districts
  • PAC, HSHC contributions have been slower compared to previous years

Dr. Hodges announced the nomination of Dr. Boynton for the position of secretary and Dr. Boynton was elected.
Dr. Hodges opened the floor to attendees to review state issues, and the following issues were raised:
Ohio has developed a consent form for prescribing opiods to minors

  • Ohio has developed a consent form form prescribing opiods to minors
  • Nebraska has had an increase in Medicaid audits.  Dr. Hodges suggested that if any members are contacted regarding an audit, they can contact him or the Academy for assistance. 

The meeting was then adjourned.