As a first year dental student, orientation is the first time you hear about a cascade of topics including class expectations, financial aid, student health insurance,  and campus resources.  Then student organizations are introduced, with each group talking about the focus and mission of that association.  Feeling a little overwhelmed but following along, I had a question, “Which group will aid my success throughout dental school and into my career?”

I found my answer within ASDA. My appreciation did not instantly come over a cup of joe with an ASDA leader. Instead, I used the first semester of dental school to test out a multitude of events hosted by a variety of societies. I found myself supplementing my classes with ASDA-run lunch and learns on dental issues—financial stability, corporate dentistry, dental saturation in Denver, etc. As a first year, practicing dentistry can seem like a dream with a very long day of work before that prize. ASDA’s frequent meetings remind me that it is important to become aware of the issues and changes surrounding my career now, even if my reward of practicing is three years away. These lunch and learns also clarified the importance of continuing involvement as a dentist, so that when I’m able to practice, I can transition from being a voice in ASDA, to being a voice of an involved, contributing dentist.

I guess I went to more ASDA events than I realized because in December, our ASDA president notified me that I had earned the most diamonds out of our chapter members. Diamonds are a form of ASDA currency for attending events, and with them, I was able to receive funding for the ASDA Annual Session in Dallas, TX this March. Before Annual Session, I saw ASDA as strong presence at CU for its ability to inform students, encourage community involvement, and provide networking experiences.  After, I saw an even bigger community.

Annual session introduced me to ASDA’s ability to unify dental students’ opinions and concerns into one powerful voice that, as I saw first-hand in Dallas, brings about change for our current position as students and future career as dentists. That’s power. Becoming involved in ASDA is not becoming involved in a CU Dental organization—it’s building yourself as a professional through becoming an active part of an influential, national voice.

For me, the days of orientation are over.  I don’t need to look around at student associations and wonder what each one offers. ASDA allows members to be as involved as you want, whether it’s in social media, community outreach, pre-dental involvement, business chair, social events, health and wellness, etc. It is an environment to excel, specifically in an area that interests you. For me, ASDA is the student organization that most allows me to grow my professional career outside the classroom. “The how” I got involved was a process accelerated by the many opportunities ASDA provides, and “the why” continues to grow as my involvement with ASDA increases.

Sometimes it’s hard to imagine the days before dental school- before the navy blue scrubs, the “conscious incompetence”, the juggling of patients and their demands [“I can only come every other Tuesday… and only in the mornings… oh, and can I come at 9:45 instead of 9?”].

In this sort of tunnel vision, I forget the days when I wanted nothing more than to know the direction my future was headed in Operation: Getting Into Dental School. Where would I live for the next four years? What would I do if I didn’t get in? What the HECK am I doing?

Untangling the confusing web of dental school requirements: prerequisite classes, letters of recommendation, writing a personal statement, studying for the DAT, interviewing…is enough to make my head spin, even to this day.

Although I didn’t decide I wanted to go to dental school until the semester before I graduated from college, the few resources that I took advantage of through my pre-health advisor and club were invaluable. I still have a copy of my mock interview on a DVD tucked away in a drawer in my desk [I’m not sure why I haven’t thoroughly disposed of it-few things are worse than watching yourself on camera].

Somehow I managed to finagle my way into a couple of dental school acceptances, and here I am today, three years later. During my first year, I began volunteering at the ASDA Pre-Dental Committee events and absolutely fell in love. There is no better motivation than to be surrounded by groups of eager pre-dental students dying to be in your shoes, picking your brain, and looking up to you as the All Knowing dental student. For the next two years I filled the role as the ASDA Pre-Dental Chair and continued planning events- wax nights, mock interviews, personal statement reviews, simulation clinic activities…anything and everything that could help these “baby dentists” grow and flourish in their quest to dental school admittance.

Seeing familiar faces in the incoming classes, getting email updates “I got in to dental school!!”, and following the paths of students that I have met during my own “Pre-dental” journey in dental school has been one of the most rewarding.

Bottom line:  You never know who you can inspire. Or who can inspire you.

Getting concrete information on world affairs can often feel like trying to build a restoration out of Jello. It seems no matter where you look, news is inherently biased and trying to push one political agenda or another. Factual reporting seems to have evaporated like acrylic monomer beneath the sun. So it is with some trepidation that I set out to write about the Syrian refugee crisis. In case you’ve been living under a rock for the better part of the decade, there has been a fair amount of strife in Syria. And that, ladies and gentlemen, is how you write an understatement. There are at least three factions—and really more like five or six—vying for control of a country 25% smaller than Colorado. Imagine, if you will, living in a place where instead of hearing honking horns, gunfire is more the norm. A place where you must live in constant fear of bombings—both from the sky and from the ground. A place where, at any given moment, your life could end. Try to imagine what you would do in such a place.

I recently met a patient in screening. He told me his teeth hurt, which is not uncommon in that clinic. We chatted for a while about how the school works and what he could expect from his time with us. I did notice he wasn’t opening his mouth much to talk. While playing the waiting-for-faculty game, we made small talk. Food came up, and I mentioned I like middle-eastern cuisine. He told me he was from Syria, and he suggested I try the restaurant at which he works. I thought nothing of it.

Then I looked in his mouth.

His teeth—all 28 of them—were ground down to below the CEJ. His mouth looked like someone had taken a handpiece and leveled every tooth to an almost-perfect flat plane. I had to resist the urge to gasp. I asked him about his habits, trying to determine an etiology of what I was seeing. It was a short conversation.

His answer was that he ground his teeth during times of stress. Over the past couple of years, twenty-nine of his extended family members had been killed in and around Syria. Twenty. Nine. They had been killed in the civil war. They had been murdered by ISIS. They had perished trying to flee across the Mediterranean. The how doesn’t really matter.

Imagine your extended family. If I think, I can come up with about fifty names of family members with whom I have a connection. Now imagine that over half of them are dead. It’s a sobering thought.

I set out to write this article without taking a side on the refugee crisis. But every time I hear about the thousands of people fleeing Syria, my mind involuntarily returns to this patient. Never have I met someone who so starkly illustrated just how good our lives are in this country.

In the wake of the attacks in Paris, this issue has risen to the very forefront of mainstream media. Like so many issues, it has become politicized, where every person has to pick a side—red or blue. There are those who fear ISIS will sneak into our country under the guise of refugees. And there are those who feel compelled to open our borders and welcome the refugees.

I completely understand both sides of the argument. Am I afraid of ISIS entering our country? Of course I am. It’s a very real fear, the kind of fear that can turn your stomach to ice. But you all know the line: “All we have to fear is fear itself.” That fear shouldn’t make us lose our decency as human beings. If we let fear divide us, ISIS has already won.

To say it is a complicated problem would be to call the sun warm. But I always go back to this patient. How can I, in good conscience, sit in the relative safety of my home, and at the same time deny this man a chance to reunite with the remaining members of his family? No matter how many arguments I read, I can’t bring myself to do it. I don’t know the right answer. As H.L. Menkin once said, “For every complex problem, there is an answer that is clear, simple, and wrong.”

What I do know is that, this week especially, I’m thankful for the country in which I live. I’m thankful for the men and women who fight to defend the freedoms I often take for granted. And I’m thankful that—in the not-too-distant future—my chosen profession will allow me to help patients like this, taking away some part of their pain, however small a part it may be.

I would welcome conversation and debate, as long as it is kept civil. At the end of the day, we’re all on the same team.

 

I still remember sitting in the back of the room, not sure what to think: it was hard to not be depressed after seeing how far ahead in ASDA spirit several other chapters were compared to us.  Rather than wallowing in sadness or shrugging it off, my rebellious spirit almost immediately stepped in.  My attitude immediately changed from one of vexation to one of determination: "Challenge accepted,” I said to myself. Equipped with a notebook full of ideas and inspiration from amazing people, I left NLC 2013 ready to get to work.

Fast forward two years, and with 20 more chapter members than were with me the first time, my feelings were very different.  I felt confident and ready to show Colorado ASDA off to the world! Sitting at the front of the room as the District 9 Trustee, I looked back at my clan of chapter members and felt so accomplished— not just because of how well our chapter had done since my first NLC, but because we were about to have yet another amazing conference!

My third NLC was much different from my first, and being on the other side of things gave me a very different perspective. My first year, I attended breakout sessions, introduced myself to those who inspired me and talked to national leaders about what it is like to be involved at that level. This year, I led two breakout sessions, tried to inspire as many people as I could, and encouraged everybody I saw to apply for a national ASDA position. All three years have been great experiences, but in completely different ways.

If I learned anything from attending NLC three years in a row, it is that you only get out of it what you put in—which is why NLC gets better each year. The benefits of networking become more and more valuable because my connections with other students have become more and more personal. The speakers become so much more motivating because I am looking for a different level of inspiration. The meetings become increasingly energizing because I am exceedingly excited to attend. Of course, this shouldn’t be surprising because that, in essence, is what ASDA is—everything you need! You take away whatever you put in and you put in whatever it is that you need. Opportunities are everywhere and it is up to us to take advantage of them. NLC is the perfect place to do that!

Two weeks into my second year of dental school I received an email notifying me that I had been selected to be fully funded to go to the National Leadership Conference in Chicago. I was excited to travel to a new city and experience the conference with my peers. Little did I know this new experience would also help me view my profession in a new way.

My first year of dental school I wasn’t as involved in ASDA as I could have been. I went to many of the lunch and learns and participated in weekend events when I had time. Up until this point I hadn’t really taken much of an interest in the power that ASDA and organized dentistry could provide me. After this conference I realized that it would be silly to continue on in my dental education without pursuing this essential side of dentistry as well.

Our dental schools do the job of teaching us what we will do as dentists as far as procedures and patient care goes. Unfortunately the time we spend in school is so limited that we barely touch on how to excel as a dentist in our profession. These characteristics are often times intangible and may have the potential to make or break us as dentists. This conference addressed many of these characteristics with sessions on practice management, ethics, finance, patient management, running a successful private practice, and many others. We got to hear from numerous talented speakers and new dentists on their transitions from school to practice and the qualities that make a good leader.

Even though I am in the deep dark cave of second year, at this conference I got a glimpse of the sweet fresh air that awaits us as dentists. This conference broadened my perspective and reminded me that dentistry is so much more than exams and lab practicals. Thankfully we will have the ability to be successful by treating our patients with tact and making smart decisions in our practice. While we may not have all of these skills right now as students, ASDA and the ADA give us the opportunities and connections to gain these skills and become successful dentists.

As a first year dental student, I certainly didn’t start out with a very firm grasp on what ASDA was and how it could help me to become a more informed and capable dentist. However, as I’ve progressed through my first year I have become more involved in ASDA and learned what a valuable asset it can be to us as dental students. This February, I had the privilege of being sent to Boston for the ASDA Annual Session. This trip was not only an extremely fun adventure; it was also HUGE in helping me to understand the scope of the organization. Upon returning from the ASDA session I felt like I had to share this experience with everyone! So here it is, the top 5 reasons that every ASDA member should put attending annual session on their dental school bucket list!

1. Networking with dental students from every other school in the country.

Besides making lots of friends, the great thing about meeting students from all over the country is that you tap into a powerhouse of opportunity and ideas. I’ve met upperclassmen that are pumped about service and outreach, as well as students that have recently survived what I’m trying to prepare for. Without fail, these students will have great ideas and experience to share.

You will meet students that seem to be living your same life while in another state. They will have great tips and experience to offer that will enrich your school experience. Whether you’re preparing for boards, or drilling your first preps it will be impossible to come away without great ideas.

One student I met was extremely excited about a bone marrow cheek swab drive she had recently organized to benefit a fellow student. This was interesting, but I didn’t fully comprehend the value in our meeting until several months later, when one of our own classmates was in need of the same help. All it took was one quick message, and we had an enthusiastic and experienced ally joined to our cause.

2. Discussion of issues affecting dentistry HERE and NOW.

We often hear about municipal water fluoridation debates or health-care reform measures, but as a dental student it’s easy to feel far removed from these issues, which are incredibly important to the future of our profession.

As a component of organized dentistry, a fundamental part of ASDA involvement is discussion of these issues with the end goal of establishing policy.Through this process we are able to fulfill our mission of pursuing resolutions which will be best for our profession and for our country’s oral health in the long term. Annual session is where a lot of this policy making begins. All attendees are invited to bring forward resolutions (essentially a legislative policy proposal) to be discussed and later voted upon. If passed, your resolution will be made official policy of one of the most well represented professional organizations in the country.

In addition to the policy making, annual session also offers a number of breakout sessions that cast light on a lot of today’s hot issues. Personally, I was able to attend one called “The State of Dentistry”, which discussed current economic trends & projections, specifically in the context of the ACA. What I learned was extremely pertinent to my future as a dentist and potential business owner. Such experiences are really what ASDA participation is all about.

3. Participation in national & district leadership elections.

This process is not just informative, it's simply one of the most fun things you will do at annual session. We are part of a district (District 9) that includes five different chapters (schools). We meet with another district (District 8) for a total of ten chapters present. (This is called a Caucus, but don’t get hung up on the terms right now).

Each school, or chapter, submits questions that will be asked individually to each candidate for the following positions:

National President

Speaker of the House

District Trustee

Our group is known for making this process fun, and a little irreverent! Odd challenges, word association, and serious questions all mesh into a wonderful, chaotic and loud demonstration. Come prepared with intelligent questions, but also your most awkward and embarrassing suggestions, this day will not disappoint!

4. Education opportunities not available in dental school.

The speakers that come to any national ASDA meeting are top notch. You will have a chance to hear from people like:

Neil Pasricha - New York Times bestselling author

Roger Crawford - Hall of Fame Division I athlete

Maxine Feinberg – President of the ADA

Chris Salierno - Nationally-recognized author and lecturer

Adam Braun - New York Times bestselling author

These presenters take your mind out of dental school and help you view your career with a long-term perspective. The information I gather in these meetings is always something I know will be applied in my future. This long-term perspective helps me feel motivated and energized every time.

5. AWESOME social events!

ASDA has so much to offer in regards to professional development and education, but rest assured, annual session is not just one long weekend of board meetings.

There are essentially two types of social events that you will enjoy at session, those that are district specific  and those that are organized by national ASDA. Our district trustees did a spectacular job of organizing luxurious dinners and/or open bars for us to enjoy almost every night. These events are a blast not only because they were delicious and elegant (one night we had a seafood buffet and open bar right on the water!), but they offer a more intimate atmosphere. It is thanks to these events that I was able to get to know so many other students from our local district.

The national events are awesome because they are super elaborate and all of the dental schools are represented at them. These events included the Gold Crowns, which honor chapters that did outstanding work over the last year (cough, cough, Colorado), and the Presidents Gala, which is essentially a really, really awesome party and the bittersweet conclusion of session.

The social aspect of session was not something that I expected, but it is definitely one of the most memorable highlights. I guarantee that you will catch ASDA fever after experiencing what we all experienced this year in Boston!

So, how do I get to Annual Session? You ask... Well, there are two ways. You can fund yourself, or you can be sponsored by the chapter.

The Colorado ASDA chapter will choose students to sponsor in a variety of ways. There may be an essay contest, or the attendee may be determined based on their ASDA Diamonds. The Colorado ASDA chapter awards “Diamonds” for participation in local events, each time you attend an activity, you will be awarded more diamonds. You can also earn diamonds when you write for our chapter blog, “The Colorado Quickset” or the new letter, “The CEJ”.

Often, being considered for Annual Session is as simple as showing up to all the ASDAwesome events held by our chapter all semester long. One thing many students will say, is that any way you get to Annual Session, it will be worth it! So do everything you can to be at ASDA’s annual session next year!

I have never been the type of person to be on student government or run for positions that required any sort of political understanding. Needless to say my knowledge about what we would be doing at National Lobby Day in Washington D.C. was at a minimum. I was chosen to go and figured that I would take more of a backseat approach, learning what it was like to be involved with ASDA at the national level while watching the experts do the lobbying, but I would do much more than that.

Monday was our first day in D.C., and it was spent entirely at the hotel. We had lectures, meetings, and breakout sessions that were all meant to be informative and help us in our lobbying efforts the next day. The two specific bills that we would be lobbying for were the H.R. 539: Dental Health Act and the H.R. 649: Student Loan Refinancing Act. H.R. 539 would allow programs like the Mission of Mercy (MOM) and Give Kids a Smile access to readily available funds ($15 million) from the CDC that they were previously not able to apply for. H.R. 649 would allow students to refinance their loans in the future if the federal student loan interest rate were to dip below what they had previously borrowed it for.

The morning was a mix of presentations on the details of both of these bills, what to focus on when speaking to legislators, and some presentations by different sponsors. We broke for lunch, where I had the opportunity to sit and eat with students from the University of New York at Buffalo along with the president of the ADA, Dr. Feinberg. Our afternoon session consisted of more presentations, mock meetings with legislators, and concluded with speeches by two dentists (now state representatives) from Texas. With that we broke for the day and were on our own. We met briefly as a group to discuss our tactics when meeting with legislators the following day, and then we were off to dinner.

The next day was an early one, with the buses scheduled to leave at 7:15am and our first meeting at 8:30. We had a busy day planned with seven meetings in all, the last one coming at three in the afternoon. Our first meeting was with Cory Gardner’s office, a senator from Colorado. We spoke with his aid for a bit about the two bills that we were advocating for. He was very receptive to what we had to say and the meeting was more relaxed than I expected, which reminded me of most of my dental school interviews; nervous at first, but merely conversational once I had settled in. We were lucky enough to have Cory Gardner stop in for a few minutes and hear what we had to say, even telling us about his experiences with COMOM. The first meeting of the day went really well, and we were off to a good start in our lobbying efforts.

Since we felt that having all seven of us in each meeting was a bit of overkill, we decided to approach the rest of the meetings as smaller groups, mostly consisting of three or four people. Another reason for this approach was that we were constantly walking the whole day, from house to the senate, senate to the house: it was a workout to say the least. Splitting into groups allowed us more time between meetings to make sure we were not late. We had six meetings scheduled for the rest of the day: a senator from Colorado, two senators from New Mexico, and three representatives from Colorado. Of these six remaining meetings, five of them went really well while one seemed like a complete disaster. All in all it seemed to be a pretty successful day that ended around 3:30 and with us heading straight to the airport from the senate building, back on a plane to Denver a mere 52 hours after we had arrived.

If you’ve read this far and are thinking to yourself, “this sounds like too much work, I’d want to at least do some exploring of D.C.”, you probably aren’t friends with me on ‘Snapchat’. The Washington Monument, Lincoln Memorial, Vietnam Veteran’s Memorial, and the National Museum of American History: these were just a few of the sites we got to see in our limited time in Washington. If you do know me personally then you probably saw most of these as low quality pictures from around D.C., showing just how much fun I got to have along with how much I learned while at National Lobby Day. This is something I hope to convey to you if you haven’t been involved much with ASDA, and it doesn’t have to be at the national level, nor a huge commitment. I encourage you to get involved in local events because they are a great networking experience, informative, and fun! All I know is that I would not have done it any differently and I’m so thankful to have been able to go.

 

Dental Lobby Day comes but once a year. Dentists from various districts throughout the state come together to share their opinions with their respective state Senators and State Representatives concerning bills that relate to dental interests and trepidations. We, as students, are invited to participate in this event, as our opinions and shining young faces can influence the decisions of Senators and Representatives and their support of these bills. The list of bills that were the hot topics this year are listed at the bottom of this article.

For those you of you who have never partaken in the Lobby Day experience, let me give you a brief synopsis of how it works…

The Schedule

7:45 a.m. Arrive at the state Capitol. Pass through security screening and proceed to the basement committee room.

• After paying a slightly absurd amount to park for this brief event (you will get reimbursed) you arrive at the State Capital building and walk through the entry security screening at any of the main entrance doors. After wandering around aimlessly for a few moments, you finally locate the hidden elevators and go down one level to the basement, where you proceed to the committee room. You pick up your color-coded folder filled with a list of talking points, legislator handouts, lobby cards, a name tag, and various reference materials including a map of the capitol and “Face Book” packets containing pictures of all of the members of the Senate and House. You enjoy a light Panera-catered breakfast and mingle with some of the familiar faces present, such as our very own Dr. Sessa.

8:00 a.m. The CDA will provide message training to discuss issues and messaging, and ask any questions. Groups are divided by their geographical location.

• This is basically to discuss and inform us on the issues we will be lobbying, and give us the opportunity to ask any questions. Then, according to the color of our folders (they are arranged by geographic location of the districts) we are broken into groups with a team leader. For example, my yellow folder was for the East Metro region of Colorado, and Dr. Karen Foster was my team leader.

9:00 a.m. Follow your group and group leader to the 2^nd floor lobby. Work with your team leaders to discuss dental issues.

• Everyone then heads upstairs to the Senate and House floor, and this is where the real “lobbying” and excitement begins. Lobbying literally is just that; you send in a lobby card where you have written the name of your respective Senator or Representative to the nice gentleman/woman guarding the doors into the Senate or House, these cards somehow are magically delivered to that person, then they come out to the lobby to hear you give your passionate speech concerning the topic of these pressing dental issues.
• Our group was lucky enough to be invited onto the Senate floor! Last year, I met a Senator named Bill Cadman who is from my very own hometown of Whitefish, Montana. So, I wrote his name on my lobby card and before I knew it, Senator Cadman was walking out the door holding my lobby card. Two really great things happened right then: #1 was that Bill remembered me. #2 was that Bill was apparently the newly elected President of the Senate. Neat! Bill then invited me, Annie Bielinski, Michael Murphy, and one of our baby pre-dental students that we had recruited into attending, to the Senate floor, where we sat on the perimeter of the room and watched the activity going on around us. And posed for a photo, of course. (See pic, I will email them). Bill then led us all through into his office, which was equipped with a speaker playing the discussions going on in the Senate floor. We sat in a circle and intermittently talked about the dental bills we were there to lobby, interspersed with topics varying from Paragliding, talking your way out of speeding tickets, skiing in Europe, and hearing about Bill’s various travel experiences. Hopefully Bill kept to his word and spread all of our extremely knowledgeable and convincing lobbying to the rest of the Senate.

9:45 a.m.: Switch to the lobby of the second chamber (Senate or House)

10:30 a.m.: Eat lunch with legislators and engage in more detailed conversations about dental issues

12:00 p.m. Depart the Capitol

This sums up our short, yet eventful, morning at the State Capitol. We mingled with some Senators, went onto the Floor of the Senate, sat and spoke personally with the president of the Senate, and met various dentists from throughout the state. Overall, Lobby Day is an incredible experience. It is an amazing opportunity to meet some very powerful and influential people and have an impact on legal processes that directly impact us and our future careers. I highly recommend that everyone partakes in this experience!

Lobby Day Hot Topics!

• Access to Care: Dental Provider Designation Systems (HB 1191)
  • Last summer, a dental insurer decided to implement a provider rating system that ranks dentists using a 1-3 star rating based only on cost of care. This bill is to regulate this designation program to include other factors, including quality of care, and patient demographics.
• Access-to-Care: Medicaid Reimbursement bill (HB 1151)
  • In 2013, the CDA launched the “Take 5” program to recruit dentists to enroll as Medicaid providers. However, Medicaid rates aren’t sustainable for dental practices. This bill is working towards better funding for Medicaid dental services.
• Access-to-Care: Loan Forgiveness (CDPHE Budget Request)
  • To provide for increased student loan forgiveness incentive packages to recruit dentists to serve in rural and underserved areas.
• Access-to Care: Incentives for Preceptors (no bill # yet)
  • Another step towards increasing dental access for rural and underserved areas, this bill is to increase opportunities for training in these areas by creating a provision of tax credit to preceptors.
• Scope of Practice: Minimizing Use of the Dental Team through ITR
  • This bill is to allow dental hygienists to do Interim Therapeutic Restorations (ITR), a procedure to stop decay on a temporary basis.