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  TODAY   Volume 9, Issue 4 July/August 2011A publication of the American Association of Oral and Maxillofacial Surgeons AAOMS saving faces | changing lives ® In This Issue AAOMS President’s Column ................................2Coding Corner ..................11Treasurer’s Account ...........15Calendar ............................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. 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 approached Dr. 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 says. “Instead, I got Tom on 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 academia every year. But by 2006, that number had dropped to one or two.Another source for teachers, the military, also dried up. Doctors who finished their service decided they, too, would rather go into private practice.“There’s a significant discrepency between the revenue you earn in teaching versus the revenue you earn in private practice,” Dr. Wilson admits. “It’s the most frequently-cited reason for the drop in teachers, but it’s not the most compelling.“The job of teaching has changed quite a bit,” he continues. “It’s a great role in two areas, teaching and research. When managed health care became more and more established, the funds for Medicare and Medicaid began to ratchet down and the funds for teaching declined. Institutional grants for research became more difficult to get.”In addition, whatever funding there was in teaching hospitals went toward Encore careers offer meaningful rewards currently more than 100 vacancies in OMS programs across the country. At a time when fewer OMSs want to go into academia, many programs are beginning to rely on retired surgeons like Tom Skiba to help fill the void.Dr. Wilson himself was drawn to academia when he finished his residency nearly three decades ago but, with three young children to support, he, like many other newly-minted OMSs, went into private practice. He wasn’t fond of the administrative side of running a practice, but the money was better and he didn’t have to move his family around or deal with the stress of the academic life. Ten years ago, though, he started teaching at the University of Texas Medical School at Houston.In the past, Dr. Wilson says, most oral and maxillofacial surgery professors were drawn from the ranks of the residents. Up until 2000, between 15 and 30 residents entered 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.  ã Faculty ads are FREE in  AAOMS Today ! When you place a faculty ad in the  AAOMS Today  classied section, the rst 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.  ã 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 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 HEALTH e CAREERS representative today. 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, 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 Skiba, DDS, MSMichael Miloro, DMDFrederick T. Moore, Jr., DMD, MDJames Wilson, DDS Continued on page 21  on Twitter, you will have almost instantaneous notice of drug recalls, legislative activities that require immediate action and other items that are important to us as oral and maxillofacial surgeons. You will also be able to comment on the notices and retweet them to friends and colleagues to assure they are kept informed. Social media is no longer for kids and techies. It has evolved into a routine part of how many people connect with each other and the world. Like e-mail, texting and Net surfing they are already redefining the way AAOMS and other professional associations reach their members, allied groups and the public. If you haven’t visited AAOMS on Facebook, go to http:// and see what’s new. And while you’re at it, please sign up to follow us on Twitter at aaoms. We’ll be in touch. One more thing In the last issue of AAOMS Today , I discussed AAOMS’s new initiative to implement a prospective, statistically valid study for office-based anesthesia practice, benchmarks and outcomes. I cannot overstate the importance of this benchmark study to the continued existence of the OMS anesthesia team model, which for more than 50 years has served as a safe and effective method for the delivery and monitoring of office-based outpatient anesthesia. While we can cite a host of impressive statistics that support the value of our model, they are not considered conclusive when viewed through the magnifying glass that determines AAOMS TODAY   Volume 9, Issue 4July/August 2011 AAOMS Today  is published six times a year by the American Association of Oral and Maxillofacial Surgeons.Unless specifically stated otherwise, the opinions expressed and statements made in AAOMS Today do not imply endorsements by, nor official policy of, AAOMS. Daniel M. Laskin, DDS, MS,  Editor  Robert C. Rinaldi, PhD, CAE,  Executive Director  Janice K. Teplitz, Associate Executive Director  Janie K. Dunham, Manager, Editorial AAOMS9700 W. Bryn Mawr AvenueRosemont, Illinois 60018-5701847/678-6200, fax 847/ OFFICERS Larry J. Moore, DDS, MS, President 909/606-0160 Fax: 909/606-4061 E-mail: 4200 Chino Hills Pkwy, Suite 805 Chino Hills, California 91709 Arthur C. Jee, DMD, President-elect 301/498-3900 Fax: 301/317-4758 E-mail: 13934 Baltimore Ave Laurel, Maryland 20707 Miro A. Pavelka, DDS, MSD,  Vice President 972/231-6661 Fax: 972/231-3161 E-mail: 400 S. Cottonwood Richardson, Texas 75080-5708 Edwin W. Slade Jr., DMD, JD,   Treasurer   215/345-7373 Fax: 215/345-0242 E-mail: 101 Progress Drive Doylestown, Pennsylvania 18901-2509 Ira D. Cheifetz, DMD, Immediate Past President 609/587-2900 Fax: 609/587-1749 E-Mail: 2303 Whitehorse-Mercerville Road, Suite 5 Mercerville, New Jersey 08619-1994 Robert C. Rinaldi, PhD, CAE, Executive Director and Secretary 847/678-6200 Fax: 847/678-4302 E-Mail: 9700 W. Bryn Mawr Avenue Rosemont, Illinois 60018-5701 Steven R. Nelson, DDS, MS Speaker, House of Delegates 303/758-6850 Fax: 303/758-0729 E-Mail: 6850 E. Hampden Ave., Suite 202 Denver, Colorado 80224 TRUSTEES Lawrence J. Busino, DDS, District I   518/446-1001 Fax: 518/446-0802 E-mail: Albany OMS Group 2 Executive Park Drive Albany, New York 12203 Louis K. Rafetto, DMD,   District II 302/477-1800 Fax: 302/477-0343 E-mail: lkrafetto@gmail.com3512 Silverside Road, Suite 12Wilmington, Delaware 19810-4941 Eric T. Geist, DDS,   District III 318/388-2621 Fax: 381/388-2835 E-mail: etgoms@comcast.netOral Surgery Associates2003 Forsythe AvenueMonroe, Louisiana 71201-4938 William J. Nelson, DDS,   District IV 920/336-0989 Fax: 920/347-0868 E-mail: 480 St. Mary’s Blvd. Green Bay, Wisconsin 54301 Douglas W. Fain, DDS, MD, District V 912/381-5194 Fax: 913/381-5215E-mail: Oral and Facial Surgical Assoc.3700 W. 83rd St. Ste 203Prairie Village, Kansas 66208-5120 Henry C. Windell, DMD,   District VI 503/665-7882 Fax: 503/665-6983 E-mail: windellh@gmail.com24850 SE Stark Street, Ste 100Gresham, Oregon 97030-8317 AAOMS ASSOCIATE EXECUTIVE DIRECTORS Mark Adams, General Counsel, ext. 4350 Randi V. Andresen, Advanced Education and Professional Affairs, ext. 4337 Barbara S. Choyke, Continuing Education, Meetings and Exhibits, ext. 4309 Scott C. Farrell, Chief Financial Officer, Business and Operations, ext. 4352 Janice K. Teplitz, Communications and Publications, ext. 4336 Karin K. Wittich, Practice Management and Governmental Affairs, ext. 4334 IN MY VIEW  Social media offers new ways for AAOMS and members to connect Dental Association’s 11,722 followers. The American Association of Orthodontists, for example, has 3,746 followers, while the American Academy of Periodontology has 1,523.If you go to our Facebook page, you will find information and links to OMS patient information, our annual meeting and dental implant conference, National Facial Protection Month and Oral Cancer Week, and a host of news articles about some of the truly amazing accomplishments of AAOMS fellows and members. The Facebook page is updated regularly to keep the information fresh and appealing. Best of all we’re seeing our efforts pay off with meaningful participation from the public. You will find a number of individuals who “like” the posted items or who wish to give their opinion. Responding to an article about a man who had a football size tumor removed from his jaw by an OMS, one young woman posted, “Amazing - This is why I want to be an oral and maxillofacial surgeon.” Twitter provides a different communication dimension. Those of you who have followed AAOMS Services Inc. (ASI) on Twitter this past year know that it provides brief, succinct updates on ASI partners (@AAOMSservices). Tweets may be no longer than 140 characters, including spaces and punctuation. As a communication tool it forces the writer to focus on the important information, while allowing the news to be sent almost at the same time it is occurring. In addition, there is no cost to AAOMS for maintaining a Twitter account, or to the OMSs and other individuals who follow it. Beginning this month, AAOMS will offer fellows and members the opportunity to follow the association on Twitter via their Smartphones, ipads, computers and other portable devices. As a follower of AAOMS W hen Facebook launched in 2004, social media was considered an online toy for young adults to chat with one another. I recall reading a critical review that stated, “Social media isn’t for organizations, but for people who want to share what their cat ate for breakfast.” What a difference seven years make! Today Facebook numbers 500 million users worldwide—one of every 13 people on earth—and half of these are logged in on any given day. As you might expect, 72% of users are in the 25 to 54 age bracket, but 26% of these users are age 45 to 54. Clearly there is something here for every age and interest group.Twitter, which was introduced five years ago, now has 106 million registered users, with new users signing up at a rate of about 300,000 per day. Fifty-four percent of Twitter users are 25 to 44 years of age.The fact is, social media is not a passing fad. It has evolved into an established and growing communication tool that has moved beyond the celebrity gossip mill that characterized its earliest days. Consider that the covert US attack on Osama Bin Laden’s compound was covered in real time on Twitter by a neighbor with a cell phone. It’s no surprise, then, that many professional associations, including AAOMS, are viewing social media with interest to determine how, at a minimum, Facebook and Twitter can help us connect with our membership and the public to communicate important information about the specialty and the unique training and skills of oral and maxillofacial surgeons. Facebook is particularly valuable for reaching out to public audiences. AAOMS has maintained a Facebook page for over two years. Since its inception, our number of followers has steadily grown. We currently count about 3,478 followers, mostly consumers, who come to our Facebook page to learn about our specialty. The number of followers on the AAOMS Facebook page compares very well with our allied dental specialties; all of whom have fewer followers than the American Larry J. Moore, DDS, MS We currently count about 3,478 followers, mostly consumers, who come to our Facebook page to learn about our specialty. 2 AAOMS Today ã July/August 2011  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. 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 OMS Faculty Summit focuses on residency training and faculty retention issues T he 2010 Annual Meeting was the first AAOMS meeting without paper course evaluations. Since then, AAOMS has exclusively used an online system for course evaluation and continuing education credit. With a few clicks of a mouse, meeting attendees can evaluate speakers and sessions, and instantly print their continuing education transcripts. The information below serves as a refresher of the nuts and bolts of the system. Any questions about the process can be directed to 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 mycme. Each meeting has its own unique link—please click carefully! 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 of all CME claimed using the online evaluation and continuing education credit system by matching to the appropriate meeting registration records. When? It is important to pre-register for AAOMS meetings to ensure onsite access to the electronic system. Attendees registering close to and at the meetings may have to wait to evaluate and earn credit until the weeks following the meeting.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 system will only allow you to print your certificate. No exceptions will be made. How? Step-by-step instructions on how to utilize the system can be found on or by visiting n scientifically valid evidence-based outcomes. We believe that the statistics derived from this new 12-month benchmark 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 which they will enter data for all patients who meet the study criteria using a state-of-the-art, HIPAA compliant, online data collection system. All data entered into the secure data collection system are confidential, and only de-identified, aggregated data will be published. In addition, study participants will have access to their own data and will receive a report that compares their data to the aggregate data from all 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 focus will move to those areas that directly impact faculty members. Participants will consider how best to acquire the resources necessary to support outstanding faculty and 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 AAOMS Today ã July/August 2011 3  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 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 plans, and ability to bring people to the table are legendary. His contributions helped many dental and 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 Surgery. He is the recipient of more than 28 awards and honors including the AAOMS Distinguished Service Award, the Donald B. Osbon Award for Outstanding Educator, and the William J. Gies Foundation Award. He also received the William S. Stone Award for contributions to Maxillofacial Trauma Surgery and the Distinguished Service Award from the American Trauma Society. He was a two-time recipient of the Distinguished Alumnus Award from Texas A&M University, the 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. 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. ZunigaDr. Douglas P. Sinn   n THE PASSING OF A LEGEND Robert V. Walker, DDS1924-2011 Robert V. Walker, DDS  Statistics say Yes. Every year nearly one in ten OMS is sued. For over 20 years, OMSNIC has provided the most powerful claims defense in the industry. Our unparalleled professional liability coverage and risk management program are designed to help protect OMS. Owned and operated by OMS, OMSNIC has a deep understanding of the specialty and only insures Oral and Maxillofacial Surgeons. The OMSNIC Advantage is our single-minded dedication to protecting, defending and strengthening your OMS practice. For more information call 800-522-6670 or visit our website. Exclusively Endorsed by AAOMS 4 AAOMS Today ã July/August 2011
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