american student dental association western regional meeting
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American Student Dental AssociationWestern Regional Meeting
Chicago, IllinoisOctober 29, 2010
LEADERSHIP FOR THE DECADE AHEAD
Arthur A. Dugoni, D.D.S., M.S.D.Dean Emeritus
Professor of OrthodonticsSenior Executive for Development
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CHALLENGES FOR LEADERSHIP IN THE
DECADE AHEAD
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LEADERSHIP
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LEADERSHIP
“To every man there comes in his life that special moment when he is figuratively tapped on the shoulder
and offered that chance to do a very special thing, unique to him, and fitted to his talents.
What a tragedy if that moment finds him unprepared or unqualified for that work.”
- Winston Churchill
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LEADERSHIP
Shakespeare said in Twelfth Night
“Some are born great,
others achieve greatness,
and others have greatness thrust upon them.”
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LEADERSHIP
Leadership matters
Leadership is important
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LEADERSHIP
Common Characteristics:
Capacity for Hard Work
Ability to Inspire Respect
Caring Attitude
Good Judgment
Highly Developed Communication Skills
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LEADERSHIP
Leaders must be seen to be UP
UP Front
UP to date
UP to their jobs
UP early in the morning
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LEADERSHIP –
Dugoni’s Five s
Be there Be disciplinedBe there on time Be balancedBe involved
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LEADERSHIP
My Style
Communication at every level
Meetings– Individual– Groups
Hybrid Organizational Table
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LEADERSHIP
Natural born leaders is a myth
An art and science you can learn
Desire
Respect people
Liberate and empower people
Remove barriers
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LEADERSHIP - Decision Making
Never assume a responsibility you can delegate
Steven B. Sample “Contrarian Leadership”
“Artful” procrastination
Listening skills
Help people succeed
Protect your people
Grow people
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LEADERSHIP
Demonstrate
Integrity Enthusiasm
Fairness Optimism
Trust Honesty
Drive
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LEADERSHIP
“What you are speaks so loudly I can hardly hear what you are saying.”
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LEADERSHIP
Successful Leaders Know what they want
Why they want it
Leaders just don’t do things right, they do the right thing (Fairness)
Power corrupts
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LEADERSHIP
“The ability to lead and direct change is the most significant management skill
needed today.”
Lead people – manage things Shared vision Effective leadership teams
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LEADERSHIP
Focus on the Future
Skilled planners
Innovative
Take risks
Learn from mistakes
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LEADERSHIP
“Neutron Jack”
“Saul on the Road to Damascus”
“Winning” – Jack Welch
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LEADERSHIP
Successful Executives
Use Six Styles
Seamlessly– Musician– Golf Pro
Exact Science
Complete Mystery
Daniel Goleman “Emotional Intelligence”
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LEADERSHIP – Coercive Style
Demand immediate compliance
“DO WHAT I TELL YOU”
Kills new ideas
Negative impact
Least effective
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LEADERSHIP – Authoritative Style
Mobilizes people toward a vision
“COME WITH ME”
Change catalyst
Impact - Positive
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LEADERSHIP – Affiliative Style
“PEOPLE COME FIRST”
Emotional bonds
Loyalty
Belonging
Powerful results with authoritative style
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LEADERSHIP – Democratic Style
Forges consensus
“WHAT DO YOU THINK?”
Positive Impact
But Results In:
Endless meetings Consensus – Illusive When?
“When you come to a fork in the road, take it”- Yogi Berra
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LEADERSHIP – Pace Setting Style
High standards “DO AS I DO – NOW!”
Overwhelming Expert sets the rules Negative results
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LEADERSHIP – Coaching Style
Develops people Empathy
“TRY THIS” Excels at delegating Instruction and feedback
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LEADERSHIP – Coaching Style
“I BELIEVE IN YOU” - - -
Positive results Used the least – Why? Powerful tool
“Ninety percent of the game is half mental”
- Yogi Berra
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LEADERSHIP
MASTER THESE FOUR
1. Authoritative
2. Democratic
3. Affiliative
4. Coaching
•Jim Collins – “Good to Great”
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LEADERSHIP
Leadership is a world of
Passion Vision – what needs to be done Courage – to do it
One of the greatest tragedies in our world is all the people who hate their work or merely tolerate it!
Steven Covey – 7 Habits / 8th Habit
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LEADERSHIP
If you don’t love what you do, you will never go the extra mile, work the extra hour or
dream up the new idea.
“Never work a day in your life” – Confucius
“This is the best day of my life”
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LEADERSHIP
TAKE CUSTODY OF YOUR OWN LIFE
Eat more ice cream
Know the color of your kids’ eyes
Smell the salt water on an ocean breeze
Life is not a dress rehearsal
NEW RULES FOR MANAGEMENT
New Rules Old Rules
1. Agile is best; Big dogs own the
Being big can bite you street
2. Find a niche; Be number one or
Create something new number two in yourmarket
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NEW RULES FOR MANAGEMENT
New Rules Old Rules
3. Customer is king Shareholders rule
4. Look out, not inward Be lean and mean
5. Hire passionate people Rank your players;
Go with the As
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NEW RULES FOR MANAGEMENT
New Rules Old Rules
6. Hire a courageous Hire a charismatic
CEO CEO
7. Admire my soul Admire my might
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THIS IS THE END OF THE STORY…
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THE DENTAL PROFESSION AND
DENTAL EDUCATION NOW
AND IN THE FUTURE
LEADERSHIP MATTERS
DENTAL EDUCATION – OUR LEGACY – OUR FUTURE
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I will not talk about... I would like to share some thoughts with you
regarding our profession and dental education and leadership
I am privileged to be part of a great profession for more than 60 years and 28 years as Dean and Professor of Orthodontics
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We are privileged to be part of a great profession and a future that is brighter and more rewarding than ever
Why? The dental profession always puts the patient first - high degree of ethics and professionalism by practitioners - leadership, vision, and planning
Results - We have obtained and received the accolades of our patients and society in general
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OUR PROFESSION
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POSITIVES include:
– New materials and technology
– Awesome results of advances in science, research, and education
– Lasers - bonding - antimicrobials - immunomodulators - new pharmaceuticals - veneers/cosmetic dentistry
– Rotary endodontics and instrumentation
– Implants, Invisalign
– DNA, cloning, stem cell research
– ETC.
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DEMOGRAPHIC POSITIVES
– 6,300 (1975) → 1st yr students 4,600 (2006)– 58 to 60 dentists per 100,000 to currently 53 dentist
practitioners per 100,000 patients– High increases in the population; immigration;
increasing child births; etc.– We solved the problems of the 80s when we over
produced dentists for this country’s needs
– Q - Do we have enough dentists and allied health professionals for the decade ahead?
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WHAT ARE THE
DARKER SIDES?
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Oral Health in America:A Report of the Surgeon General
Department of Health and Human Services
U.S. Public Health, 2000
David Satcher MD, PhD
Surgeon General
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“What amounts to a ‘silent epidemic’ of oral disease is affecting our most vulnerable citizens -
poor children, the elderly, and many membersof racial and ethnic minority groups.”
(US General Accounting Office 2000)
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ACCESS TO CARE
Over 108 million children and adults lack dental insurance, which is over 2.5 times the number who lack medical insurance.
Access to care makes a difference. A complex set of factors underlies access to care and includes the need to have an informed public and policymakers, and resources to pay and reimburse for the care.
Among other factors, the availability of insurance increases care.
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ACCESS TO CARE
100 million Americans without access to fluoridated water
30,000 oral cancer patients diagnosed per year with 8,000 deaths
Increasing unmet caries needs of children; aging population with medical concerns, etc.
High on the radar screen of legislators
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MANPOWER CONCERNS
Increasing population Decreasing number of graduates Retirement of aging professionals More DDS retirees per year than graduates
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ROLE OF ALLIED HEALTH PROFESSIONALS
New Zealand and Canadian nurse models being resurrected Concerns of Alaska and the Indian Nation with respect to
dental care in remote areas Medical doctors and RNs providing fluoride varnishes and
sealants to patients Expanded duties for registered dental assistants and
registered dental hygienists being reevaluated and challenged
Minnesota Challenge
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U.S. Resident Population Projection:2000-2050
250
300
350
400
450
2000 2010 2020 2030 2040 2050
Res
iden
t po
pula
tion
(in
mil
lion
s)
Source: U.S. Bureau of the Census, 2004, U.S. Interim Projections.
282.1
419.8
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Professionally Active Dentists per100,000 U.S. Population: 1976 - 2020
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55
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Actual Projected
Source: American Dental Association, Survey Center, Dental Workforce Model 2001-2025
1976 1982 1987 1992 1994 2000 2005 2010 2015 2020
50.7
60.2
55.0
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National Health and Dental Service Expenditures: 1980 - 2001
1990 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
National Health Expenditures Dental Service Expenditures
$1,424.5
$31.6 $65.6
4.5%* 4.6%*
$699.4
* Dental Expenditures as a Percent of Total Health Expenditures
In B
illi
ons
of D
olla
rs
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Distribution of Public and PrivateU.S. Dental Schools as of 2004
Public Dental Schools
Private Dental SchoolsPuerto Rico
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NEW SCHOOLS ON THE HORIZON
Las Vegas, Nevada (opened) Miami, Florida (Nova) (opened) Mesa, Arizona (Arizona School of Dentistry and Oral Health)
(opened) Hawaii Virginia Utah North Carolina (Greenville) California (Pomona) (San Diego) Arizona (Glendale – will open 2008)
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CLOSED SCHOOLS
Georgetown Loyola (Chicago) Washington University (St. Louis) Fairleigh Dickinson Oral Roberts Loyola (New Orleans) Northwestern
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LICENSURE
ISSUES
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LICENSURE
Freedom of movement concerns
ADA and AADE - Part III National Board examination – WREB, ADEA
California Dental Association Task Force on Licensure Reform
CDA House of Delegates Resolutions
New York - PGY-I model (mandatory)
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LICENSURE
My vision and dreams– Licensure AT graduation– Licensure by credential (specialists)
Dental Board Initiatives– Enforcement– Continued competency
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STUDENT DEBT
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TRENDS IN DENTAL EDUCATION
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DENTAL EDUCATION CRISIS
Aging facilities
Aging professoriate
400 unfilled positions (Nationally)
Widening discrepancy between income of educator and clinicians, and especially specialists
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DENTAL EDUCATION CRISIS
Dismal annual giving record to dental schools generally by the profession
Lack of endowments at dental schools
Escalating cost of education
Increasing indebtedness of students
Disengaged alumni
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AMERICAN DENTAL ASSOCIATION FOUNDATION
$1 billion campaign for education Past history - 1988 challenge (future prediction of
crisis) Why now? It is here! ADA Board of Trustees support ADA Foundation Directors support Planning stage
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2003: ADA Foundation examined goal
Goal too large for single organization
“We must all work together!”
2004: ADAF formed 45-member Task Force
December 2005: ADA and ADAF approved Task Force’s implementation plan
Launched – July 2006
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Purpose
1. Raise awareness for the challenges facing dental education
2. Promote culture of philanthropy
3. Deliver a call to action
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• 51 dental schools
• 56 dental organizations
• 2 donor partners
• Partner list growing
• Will seek to work collaboratively
• First benchmark – collectively generate more than $500 million by end of December 2014
• Generate more than $1 Billion by end of 2029
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Partners will:
1. Implement their own fundraising programs
2. Set their own goals
3. Raise their own funds
4. Utilize/distribute funds
5. Report amount raised
71What is missing?
Healer
Part of theMedical Society
Intelligent/Learned
Prevention
BusinessPerson
Part of a Respected Profession
MaintenanceArtist
Not a Commodity
Lifelong Learner
UniqueServiceProvider
Science of Care
Entrusted with Care of Others
Control My Own Destiny
TeacherMake People
Feel Good
I am a DOCTOR
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Healer
Part of theMedical Society
Intelligent/Learned
Prevention
BusinessPerson
Part of a Respected Profession
MaintenanceArtist
Not a Commodity
Lifelong Learner
UniqueServiceProvider
Science of Care
Entrusted with Care of Others
Control My Own Destiny
TeacherMake People
Feel Good
I am a PHILANTHROPIST
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How Can You Help?
- Be a champion – tell others!
- Support one or more of the partners by making a major contribution or pledge!
- Volunteer with one or more of the partnering organizations…get involved!
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CHALLENGES
SUPPORT DENTAL EDUCATION AND DENTAL SCHOOLS
Create endowmentsSupport annual giving
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ENDOWMENTS
Endowments build great universities
Endowments will build great dental schools
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CONCLUSION - THE FUTURE (?)
We are privileged to be part of a great profession.
How great the future of the profession will be is dependent upon you and your commitment, your compassion, and your generosity.
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DENTAL EDUCATION – OUR LEGACY – OUR FUTURE
“You ain’t seen
nothing, yet”
- Arthur A. Dugoni
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THE FUTURE
IF NOT YOU, THEN WHO?
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Together
we can make
a difference