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Professional Issues

What are leasehold improvements, what is their value, and why do they matter?

Timothy Brown speaks with Dr. Suham Alexander about leasehold improvements, their importance and more importantly, their hidden value. Highlights Leasehold improvements include both visible and invisible items such as flooring upgrades, paint, light fixtures to extra outlets, additional wiring for technology including computers and telephones. Traditionally, leasehold improvements were not counted in the value of the practice as landlords typically “owned” these improvements. However, in the 1970’s and 1980’s, ROI Management’s founder, Ray Brown, advocated for the inclusion of leasehold improvements in the appraisal value of a practice and succeeded. In general, leasehold improvements can range from $200-$250 per square ...

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Research Waste with Dr. Noorein Hajira

Dr. Noorein Hajira, resident in the Graduate Prosthodontics Program at the University of Toronto, spoke with Dr. John O’Keefe about the concept of Research Waste.  Highlights Research waste is a serious problem that may occur through several mechanisms. One aspect of research waste manifests when research articles addressing a topic exist but cannot be found readily by those who seek this information. Literature search may be hampered by inconsistent manner in which articles are indexed in databases. Search strategies must consider this inconsistency. Superficial literature search may not yield the desired information or the full scope of relevant articles. A good ...

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The Evolving Concept of Public Interest and Its Impact on Dentistry

Dr. Tracy Adams, Professor and Chair in the Department of Sociology at Western University, spoke with Dr. John O’Keefe about the constantly evolving concept of public interest and its impact on dentistry.  Read Dr. Adams’ article: Professional Self-Regulation and the Public Interest in Canada (PDF) Highlights The regulation of professional groups has often been justified as being in the public interest. In recent decades, policymakers in Anglo-American countries have questioned whether self-regulating professions have truly served the public interest, or whether they have merely acted in their own interests. Based on legislative records and policy reports an exploration is undertaken of meanings ...

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Change for the Better: Introducing Mandatory Brushing in Public Schools in Mexico City

Dr. John O’Keefe spoke with Dr. Jaime Edelson, FDI Council Member and general dentist in Mexico City, who made a change for the better in public dentistry for school children: introducing mandatory brushing in public schools in Mexico City.  Highlights As a continuation of his work with FDI, Dr. Edelson was instrumental in introducing a public health measure to improve the health of kindergarten and primary school children. Public schools in Mexico City have adopted a new mandatory tooth brushing program which will be supervised by teachers in the hopes of reducing the prevalence of dental decay. In Mexico City, ...

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Who is the iDentist and are you one?

Timothy Brown returns to speak with Dr. Suham Alexander about two different dental practice owners. The changing landscape in the dental industry also brings about changes in how dentist owners view their dental practices. Highlights iDentist, is a trademarked concept which refers to the dentist as an “investor” dentist with a very entrepreneurial outlook on the business. These dentists, alone or in partnership, accumulate multiple practices and thrive on growing their businesses. In general, these dentists tend to have spontaneous, ambitious, energetic and dynamic personalities. In contrast, “I, the dentist” is a dentist who prefers to operate his/her solo practice. This owner enjoys ...

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You’ll never walk alone, Doctor!

Have you ever had to take a break from practice due to illness and lost confidence in yourself as a competent clinician because of these circumstances? If so, would you be prepared to share your story and give advice, on a totally confidential basis, to a colleague who is now emerging from a dark tunnel, but feeling very nervous about getting back chairside? If the answer to both questions is “yes” I invite you to keep reading. A couple of weeks back I received an email message from a colleague who had read an editorial of mine, written in 2008, ...

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McGill Panel Discussion on Access to Oral Health

Dr. John O’Keefe spoke with Drs. Paul Allison and Carlos Quiñonez about a recent meeting held at McGill University that centred on access to oral healthcare. Highlights The panel discussion was set-up as part of a 2-day symposium dealing with outreach and health delivery systems. There was much learning about models of delivery and resulting outcomes. The panel discussion was open to the public. The panelists were made up of representatives of two groups with difficulty accessing care, those in poverty and those with physical disabilities: Dr. Antonia Maioni, Dean, Faculty of Arts, McGill University Dr. Peter White is a dentist ...

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What is the Value of Dental Practice Appraisals?

In this video, Dr. Suham Alexander asks Timothy Brown, President and CEO of ROICorp, to give dentists the basics on practice appraisals. A is for APPRAISAL All owners should have their practice(s) appraised at regular frequencies. An appraisal is a document that supplements other relevant and important personal and professional documents, including wills, financial statements etc. The document can be used for various purposes such as insurance, divorce settlements, disability or death amongst others and most obviously, practice sales. The document is not actually written for the owner but, for the intended reader. B is for BROKER The appraisal document ...

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