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Hey there, dental professionals and industry enthusiasts.

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Picture this. It's October, and you're in the

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middle of one of the most transformative

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experiences of your career. You're at the Becker's

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Fall Future of Dentistry Roundtable in the vibrant

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city of Chicago, fresh off an incredible 3

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days at the Hyatt Regency. Imagine yourself inspired

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and invigorated

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after attending captivating keynote sessions by none other

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than the legendary boxing world champion and CEO,

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Lila Elite, and the extraordinary

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professional basketball player, Caitlin Clark. See yourself engaged

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in lively discussions,

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exchanging ideas, and collecting a stack of business

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cards from fellow dental experts and potential partners.

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You've networked with over 350

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attendees and learned from more than 80 speakers

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who are at the forefront of dental innovation.

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You sat in on educational sessions exploring topics

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that elevate dental care as a critical element

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of whole person health. You've witnessed firsthand how

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digital technology is revolutionizing

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patient outcomes

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and how both large DSOs and independent practices

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are flourishing. Get ready to transform your career

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and don't miss out on this incredible

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opportunity. The Becker's fall future of dentistry roundtable

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is from October 30th to November 1, 2024.

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Get registered by going to beckersdental.com

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and clicking on the events page.

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Hello. This is Cameron Cortejano with the Beckers

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Dental and DSO review podcast.

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I'm thrilled to be joined today by doctor

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Mark Doherty of South Coast Endodontics,

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CEO of Commonwealth Mobile Oral Health Services, and

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CEO of d 4 Practice Solutions.

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Doctor Dougherty, thank you so much for being

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here today.

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Cameron, thank you so much for having me.

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This is great. I'm I'm happy that you

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reached out, so thank you.

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You're welcome. Just to start us off today,

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can you introduce yourself and and tell us

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a little bit about your background?

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Sure. So, I have been in dental practice

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now for about 20 years,

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and a lot of my dental career has

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been in both the private practice

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in the public health,

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dental practice environment.

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And, within those, I wear a few different

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hats.

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So I am a full time endodontist, a

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root canal specialist and have 4 locations here

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in Massachusetts.

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Also have 2,

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dental business partners and 2 dental associates. And

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we all kind of rotate through our different

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locations each day providing

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endodontic services to our patients.

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Totally separate from that. I do have a

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large portable dental practice.

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And what we do is we have dental

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teams that go to about 350

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schools

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throughout the state of Massachusetts,

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providing comprehensive dental care to underserved populations,

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mostly to children who have Medicaid.

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And lastly, I do have a dental consulting

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firm where we have about 10 or 11

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dental consultants now that do consulting for a

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wide array of of dental environments anywhere from

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dental practices of federally qualified health centers and

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community health centers

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to DSOs and private practices,

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even dental schools and and foundations.

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Great. Thanks for that.

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Kind of our first question today is what

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are some of the biggest issues that you're

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following in the dental industry this year?

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Sure. So,

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you know, in trying to keep up with

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the data and the reports and the surveys

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and, and, you know, really looking at that

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through the lenses of both a private practice

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and public health dentist,

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I would say the 2 biggest issues for

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me that I tend to follow are the

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continued workforce shortages

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and the access to care issues.

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And, with the continued workforce shortages since the

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pandemic,

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again, when you look at the literature,

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it really shows us that about a third

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of the dental practices are still trying to

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hire

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those quality dental assistants and hygienists.

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And, you know, if we look at that

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though, that's only one piece of the puzzle

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because the other piece of the puzzle or

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the other problem is actually retaining

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those quality

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staff members.

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And, I think it's really forced dental practice

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owners to rethink

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how their practices operate

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and how they can really combat this issue.

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So we're seeing more practices, more dentists, more

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administrators

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being, you know, aware of things like the

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importance of addressing burnout, which is still out

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there,

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you know, promoting that work life balance,

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creating that upbeat optimistic,

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culture within the dental practice.

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And I also say, you know, given the

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opportunity for the dental staff members to have,

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the opportunity for advancement,

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within their positions.

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The other issue that I really tend to

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follow is again, is access to care. And

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when I say access to care, I mean

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the ability to get a dental appointment.

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And certainly,

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when we talk about dental practices of federally

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qualified health centers and community health centers, there's

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a large challenge there and there always has

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been.

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And with that patient population, we tend to

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see a higher no show rate.

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Most patients tend to have more issues

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with transportation,

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but we also look at it from the

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perspective

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of that dental practice at that FQHC

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and how much demand there is. And, we

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look at the capacity of those dental practices,

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right? And it's like how many locations do

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we have? How many operatories do we have?

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And how many,

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seasoned dental providers and staff members do we

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have, which can all affect access to care?

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When we talk about access to care for

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the private practice,

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really when you look at it, the number

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one barrier is cost of care.

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And certainly, the price of dental care keeps

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rising

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as dental inflation rises.

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And, you know, we as dental practice owners

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are paying more for equipment, we're paying more

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for supplies,

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we're paying more for for good staff, and

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this puts a lot of pressure on the

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dental practices and ultimately it puts more pressure

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on the patients

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And certainly dental insurance reimbursement, you know, it

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hasn't kept up with inflation

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and, you know, depending on what resource you

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deferred to and and what numbers you look

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at,

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certain data will show us that about 60%

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of adult patients have dental insurance.

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So, you know, again, what about the other

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40% that don't have it? You know, those

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patients are looking at to pay out of

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pocket. And again, we know that cost is

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high. And even with the patients that do

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have that dental coverage, you know, a lot

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of them will use up their reimbursement levels

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within the 1st few months of treatment, and

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then they're left with nothing. And, also, they

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still have to pay out of pocket.

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So, you know, again, the the big things

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that I follow are the workforce shortages and

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and the access to care issues.

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Yeah. Definitely. I think those are 2,

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important topics in in the space right now.

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Do you think that

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the workforce shortage

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is,

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I guess, improving

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at all, or do you think it's still

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kinda,

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where it was, like, right when we were

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getting out of the pandemic?

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Yeah. So, you know, it's funny because when

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you look at the data prior to the

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pandemic,

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we saw that dental assistant numbers were going

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down and hygiene levels were okay.

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Since

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then,

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we saw a decrease in hygiene, but now

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we're starting to see a little bit of

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a bump in hygiene levels at least for

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those

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people going to school and getting into the

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trade. For dental assistance, you know, it still

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does not look great for that.

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That's definitely interesting. I feel like there's been

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a lot more, colleges and and schools and

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universities that have kinda added those dental hygiene

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programs at least within the past couple of

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years that, hopefully,

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will kinda help bring

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more hygienists back into the workforce after, you

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know, so many left the field because of

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COVID.

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Yeah. Absolutely. And and that's a great point,

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Cameron. And, you know, I think it's a

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great time

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for, people to get into hygiene because it's,

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you know,

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financially,

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you know, they can make a pretty good

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darn living.

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And, you know, not only as working as

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a hygienist, you know, in a private practice

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or even at a public health setting, but,

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you know, we tend to see hygienists,

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at least in Massachusetts

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running their own portable dental programs, which is

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great for them. And, you know, it's it's

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helping solve that that issue to access to

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care.

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Yeah. Absolutely.

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But something I'm curious to get your thoughts

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on are,

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what are some things that are making you

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excited

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about dentistry

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right now, and and what are some things

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that are making you a little bit nervous

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or a little bit concerned?

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So, I would say one of the things

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that's really exciting me right now is the

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potential

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for better interoperability

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and integration

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of systems

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so that since systems can communicate

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and exchange information,

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I'd say, at a higher and more efficient

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level.

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And, you know, we say that dental is

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siloed for medical and it has been and

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it continues to be. But if we think

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about it and really the lack of integration

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with our current systems, our current platforms, our

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current

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softwares,

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dentistry or dental practices are really siloed among

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each other. And, you know, there's really some

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some poor standardization

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right now with that. But with better interoperability,

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which the future is looking to and better

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integration,

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you know, I think we have better, you

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know, ability for these these systems to communicate.

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I think we'll be able to get a

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better ability,

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for real time information on our patients,

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a better ability to get real time referrals

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and updates on our patients in that regard.

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And, you know, honestly, when you think about

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it from the patient's perspective, and and I

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see this all the time as an endodontist,

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but a patient might go see their dental,

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their general dentist because they have a toothache.

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And, you know, maybe that patient hasn't been

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there in a couple years or a while,

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or maybe it's a a new patient to

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that practice.

275
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That patient has to go in there and

276
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fill out their medical history and fill out

277
00:10:00,490 --> 00:10:03,004
their dental history and that general dentist might

278
00:10:03,004 --> 00:10:03,964
say, you know what? I want you to

279
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go see the endodontist because I think this

280
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is a root canal problem. And then maybe

281
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I see that patient. And, you know, I

282
00:10:09,485 --> 00:10:11,184
do the same thing. I do my evaluation.

283
00:10:11,404 --> 00:10:12,845
They have to fill out their medical and

284
00:10:12,845 --> 00:10:15,179
dental history forms again. And maybe I deemed

285
00:10:15,179 --> 00:10:17,019
the tooth is not restorable and I sent

286
00:10:17,019 --> 00:10:18,620
it to an oral surgeon. So now the

287
00:10:18,620 --> 00:10:20,379
patient is going to a 3rd office. And

288
00:10:20,379 --> 00:10:22,540
again, having to fill out all the medical

289
00:10:22,540 --> 00:10:24,879
and dental histories, having to give their spiel

290
00:10:25,179 --> 00:10:27,100
about, you know, what's happening with their tooth

291
00:10:27,100 --> 00:10:29,120
and and the history of their present illness.

292
00:10:29,625 --> 00:10:31,865
It'd be so great if we as dental

293
00:10:31,865 --> 00:10:34,524
providers and in separate entities and offices

294
00:10:35,144 --> 00:10:37,404
would have the ability to have a centralized

295
00:10:37,465 --> 00:10:39,144
location where we can just get all that

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patient information.

297
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We can see what was done, you know,

298
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what what maybe diagnosis the other dentists had.

299
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And, of course, for the patient, they don't

300
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have to go through all this time to

301
00:10:48,830 --> 00:10:50,129
fill out all this information.

302
00:10:50,509 --> 00:10:52,509
So, you know, I am really looking towards

303
00:10:52,509 --> 00:10:54,210
better integration and interoperability.

304
00:10:54,590 --> 00:10:57,149
I would also say I'm really looking forward

305
00:10:57,149 --> 00:11:00,334
to artificial intelligence and AI and certainly,

306
00:11:00,714 --> 00:11:02,554
we're starting to see it already. We're seeing

307
00:11:02,554 --> 00:11:04,875
it as a diagnostic tool for dental providers

308
00:11:04,875 --> 00:11:07,995
to help us better diagnose dental disease associated

309
00:11:07,995 --> 00:11:10,075
with the teeth. We're seeing it with front

310
00:11:10,075 --> 00:11:13,375
desk management for billing, scheduling, revenue cycle management,

311
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answering patient questions.

312
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And again, going back to workforce shortages,

313
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you know, I think this is a great

314
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time to be introducing

315
00:11:21,830 --> 00:11:24,470
AI because it can alleviate some of the

316
00:11:24,470 --> 00:11:26,870
burden that we have as dental practice owners,

317
00:11:26,870 --> 00:11:28,629
as dentists, so we don't have to rely

318
00:11:28,629 --> 00:11:30,764
as much, I'm sorry to say it, but

319
00:11:30,764 --> 00:11:33,004
on on people. And, you know, if this

320
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AI can help out a bit and, you

321
00:11:35,085 --> 00:11:37,024
know, alleviate some of those burdens,

322
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that would be fantastic.

323
00:11:39,565 --> 00:11:41,164
I would also say in kind of the

324
00:11:41,164 --> 00:11:43,644
same sentence that what scares me the most

325
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and and I wouldn't have said this a

326
00:11:45,410 --> 00:11:47,169
couple weeks ago, but after going to a

327
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recent technology summit,

328
00:11:49,250 --> 00:11:51,009
I would say AI is scaring me a

329
00:11:51,009 --> 00:11:53,110
bit as well because of with,

330
00:11:53,649 --> 00:11:54,950
things like all the ransomware

331
00:11:55,570 --> 00:11:57,214
attacks that seeing, cybersecurity

332
00:11:57,754 --> 00:11:58,254
issues,

333
00:11:58,794 --> 00:12:01,375
and, you know, it's so interesting to learn

334
00:12:01,754 --> 00:12:02,735
that there's actually

335
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AI out there trying to hack into

336
00:12:06,075 --> 00:12:08,654
our systems, our practices, like 247.

337
00:12:09,440 --> 00:12:10,879
So, you know, the thing that makes me

338
00:12:10,879 --> 00:12:13,379
most nervous is is AI as well.

339
00:12:14,480 --> 00:12:17,220
Yeah. I think that's definitely a valid concern.

340
00:12:18,000 --> 00:12:19,919
It we talk a a lot of times

341
00:12:19,919 --> 00:12:23,565
about how great, dental AI programs and and

342
00:12:23,565 --> 00:12:25,504
those types of things are for dentistry,

343
00:12:25,965 --> 00:12:28,524
which, they definitely are, especially if you talk

344
00:12:28,524 --> 00:12:30,365
about, like, the diagnostic things and the front

345
00:12:30,365 --> 00:12:31,264
office things.

346
00:12:31,965 --> 00:12:33,585
But I think that a lot of times,

347
00:12:34,205 --> 00:12:36,365
we forget that it is still so new

348
00:12:36,365 --> 00:12:37,245
to the space that,

349
00:12:38,129 --> 00:12:40,470
it's not just all positives. There are still

350
00:12:40,769 --> 00:12:42,710
some some potential drawbacks of it.

351
00:12:43,250 --> 00:12:46,210
Yeah. I agree a 100%. And, you know,

352
00:12:46,210 --> 00:12:47,809
but with the AI, you know, it tends

353
00:12:47,809 --> 00:12:49,730
to learn just as humans do, which which

354
00:12:49,730 --> 00:12:51,504
I think is great. And and, you know,

355
00:12:51,504 --> 00:12:53,345
we're starting to hear more about that. And

356
00:12:53,345 --> 00:12:55,264
I think, you know, we as dentists need

357
00:12:55,264 --> 00:12:56,565
to be better educated,

358
00:12:57,824 --> 00:13:00,565
to that to to implement into our practices

359
00:13:00,625 --> 00:13:01,125
successfully.

360
00:13:02,304 --> 00:13:04,004
Yeah. I think that the implementation

361
00:13:04,990 --> 00:13:08,029
of AI is gonna be crucial for for

362
00:13:08,029 --> 00:13:09,410
dentists and dental practices,

363
00:13:10,269 --> 00:13:11,970
so they can they can use it effectively

364
00:13:12,029 --> 00:13:13,490
and get the most out of it.

365
00:13:14,269 --> 00:13:14,769
Sure.

366
00:13:16,029 --> 00:13:18,110
So our last question today is,

367
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what will the most effective health care leaders

368
00:13:21,495 --> 00:13:24,134
need in order to be successful in the

369
00:13:24,134 --> 00:13:25,995
next 2 to 3 years in your opinion?

370
00:13:26,934 --> 00:13:29,254
You know, it's funny. In in in dental

371
00:13:29,254 --> 00:13:31,914
school, you know, we're not taught leadership skills.

372
00:13:32,539 --> 00:13:35,659
And usually as dentists and younger dentists, we

373
00:13:35,659 --> 00:13:37,500
kinda have to learn it on the fly.

374
00:13:37,500 --> 00:13:39,679
It's kinda like baptism by fire.

375
00:13:40,220 --> 00:13:42,959
Although some people, of course, have had experience

376
00:13:43,100 --> 00:13:45,674
with with leadership roles and skills with, you

377
00:13:45,674 --> 00:13:48,315
know, other positions or, you know, maybe even

378
00:13:48,315 --> 00:13:50,495
with with sports or athletic teams.

379
00:13:51,355 --> 00:13:53,754
But, you know, I think really to be

380
00:13:53,754 --> 00:13:54,254
successful,

381
00:13:55,434 --> 00:13:57,434
in the next few years, you know, we

382
00:13:57,434 --> 00:13:58,654
really have to be

383
00:13:59,090 --> 00:14:01,029
open to change, we have to be progressive,

384
00:14:01,889 --> 00:14:03,330
we have to be up to date on

385
00:14:03,330 --> 00:14:05,809
the trends and shifts that are happening in

386
00:14:05,809 --> 00:14:08,049
this industry, which as we've seen over the

387
00:14:08,049 --> 00:14:10,070
past several years, there have been a lot.

388
00:14:10,769 --> 00:14:12,769
I would also say, we have to have

389
00:14:12,769 --> 00:14:13,269
good

390
00:14:13,605 --> 00:14:14,345
and reliable

391
00:14:14,725 --> 00:14:15,225
resources

392
00:14:15,605 --> 00:14:18,164
that we can defer to, to get good

393
00:14:18,164 --> 00:14:18,664
information.

394
00:14:19,284 --> 00:14:20,725
You know, I'd also say, and I always

395
00:14:20,725 --> 00:14:23,125
like to preach about, you know, as leaders

396
00:14:23,125 --> 00:14:24,485
to have a good team, we have to

397
00:14:24,485 --> 00:14:26,164
be good mentors. You know, we really have

398
00:14:26,164 --> 00:14:27,784
to empathize and not criticize.

399
00:14:28,773 --> 00:14:31,202
You know, we really need to engage our

400
00:14:31,202 --> 00:14:33,632
team members to have them or to give

401
00:14:33,632 --> 00:14:36,061
them a somewhat of a sense of ownership

402
00:14:36,061 --> 00:14:38,490
within the practice to allow them to make

403
00:14:38,490 --> 00:14:40,920
decisions again. And, you know, with that, we're

404
00:14:40,920 --> 00:14:43,975
trying to build that that positive culture, that

405
00:14:43,975 --> 00:14:44,955
positive environment

406
00:14:45,335 --> 00:14:46,394
within our practices

407
00:14:47,735 --> 00:14:49,754
and great communicators as well and

408
00:14:50,134 --> 00:14:51,975
communication is a two way street. It's not

409
00:14:51,975 --> 00:14:52,715
all about

410
00:14:53,174 --> 00:14:53,995
us communicating

411
00:14:54,535 --> 00:14:56,955
or as leaders, not us communicating or delegating

412
00:14:57,490 --> 00:14:59,809
our visions. It's about, you know, listening to

413
00:14:59,809 --> 00:15:01,570
what our staff has to say and, again,

414
00:15:01,570 --> 00:15:02,070
implementing

415
00:15:02,690 --> 00:15:04,389
some suggestions that they have.

416
00:15:05,009 --> 00:15:06,529
You know, what I also say we have

417
00:15:06,529 --> 00:15:08,309
to be mindful of, you know,

418
00:15:09,090 --> 00:15:11,649
some people call it patient centered care. I

419
00:15:11,649 --> 00:15:13,825
like to refer to it as person centered

420
00:15:13,825 --> 00:15:14,325
care,

421
00:15:14,785 --> 00:15:16,825
especially of the future. And, you know, when

422
00:15:16,825 --> 00:15:18,545
we talk about that, when we talk about

423
00:15:18,545 --> 00:15:20,705
person centered care, we're talking about, you know,

424
00:15:20,705 --> 00:15:23,105
the patient experience. What does that look like?

425
00:15:23,105 --> 00:15:25,320
What are the outcomes of our patients? Do

426
00:15:25,320 --> 00:15:27,960
we actually measure how we're making our patients

427
00:15:27,960 --> 00:15:30,279
healthier or we're just saying that we're making

428
00:15:30,279 --> 00:15:31,340
our patients healthier?

429
00:15:31,800 --> 00:15:33,399
And certainly when we talk about that, it's

430
00:15:33,399 --> 00:15:35,660
really a focus on quality of care.

431
00:15:36,279 --> 00:15:38,940
Lastly, I would say for us to be

432
00:15:39,695 --> 00:15:42,174
good leadership, we're good leaders and and have

433
00:15:42,174 --> 00:15:43,315
success in the future,

434
00:15:43,855 --> 00:15:45,154
you know, always be mindful,

435
00:15:46,095 --> 00:15:48,674
that we as humans were very visual learners.

436
00:15:48,815 --> 00:15:50,995
And, you know, really leading by example,

437
00:15:51,774 --> 00:15:53,615
is important to do because, you know, the

438
00:15:53,615 --> 00:15:55,870
people that that work with us, they're always

439
00:15:55,870 --> 00:15:58,429
watching us. They're watching how we, how we

440
00:15:58,429 --> 00:16:01,230
carry ourselves, how we deal with adversity, how

441
00:16:01,230 --> 00:16:02,990
we speak to our patients, how we treat

442
00:16:02,990 --> 00:16:04,929
our patients. And they're gonna probably duplicate

443
00:16:05,309 --> 00:16:06,458
what they see. So again, if we wanna

444
00:16:06,458 --> 00:16:06,504
create that strong environment, that strong practice culture,

445
00:16:06,504 --> 00:16:07,250
you know, be

446
00:16:11,514 --> 00:16:13,834
cognizant, be mindful that, you know, our staff

447
00:16:13,834 --> 00:16:16,074
members, our team members, even our patients, they're

448
00:16:16,074 --> 00:16:18,634
gonna be watching us and probably duplicating our

449
00:16:18,634 --> 00:16:19,134
efforts.

450
00:16:20,394 --> 00:16:22,475
Yeah. Absolutely. I think those are are great

451
00:16:22,475 --> 00:16:25,214
points about practice culture and practice leadership.

452
00:16:25,959 --> 00:16:26,779
Thank you.

453
00:16:27,159 --> 00:16:28,299
Yeah. Absolutely.

454
00:16:28,839 --> 00:16:31,000
I wanna thank you for joining us today,

455
00:16:31,000 --> 00:16:34,039
doctor Daugherty, and for sharing your valuable expertise

456
00:16:34,039 --> 00:16:36,459
and and insights into the dental space.

457
00:16:37,240 --> 00:16:39,419
It's been a pleasure speaking with you today,

458
00:16:39,480 --> 00:16:41,100
and I look forward to connecting

459
00:16:41,475 --> 00:16:43,014
with you again in the future, hopefully.

460
00:16:44,034 --> 00:16:46,274
Cameron, again, thanks so much. Thanks to Becker's,

461
00:16:46,274 --> 00:16:48,294
and, this was great. I appreciate it.