December, 2003 

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MAN ON THE RUN

These days Gene Sekiguchi spends almost as much time at 30,000 feet as he does at sea level. As president of the American Dental Association and associate dean for professional, international and legislative affairs here at the School of Dentistry, Sekiguchi rarely finds himself in the same city for more than a few days.

"It's virtually non-stop. I try and take advantage of flight times as quiet times. Of course, I lug my laptop everywhere," says Sekiguchi with a smile. Given the brevity of their one-year tenure, a sense of urgency pervades the agenda of all ADA presidents. With such a short time to accomplish his goals, Sekiguchi is determined to make the most of it.

He is currently addressing two major issues. The first is a complete review of the accreditation process, including the accreditation of special programs and foreign schools. The latter is of particular interest to Sekiguchi.

"The ADA is really trying to set a single standard of education. That means that if a foreign school would ask us, and pay for the process, we would go there and review their program for accreditation," says Sekiguchi.

Once these schools were accredited, their graduates would be eligible to take U.S. licensure exams. A recent trip to the National University of Mexico (UNAM) confirmed that the potential for such a program existed. Sekiguchi was impressed with the school's facilities and students. He is optimistic, yet cautious, that the foreign accreditation program will move ahead.

"It's important that we maintain high standards. Once a foreign program is accredited, it becomes the model or current standard," says Sekiguchi.

The second issue receiving a lot of attention in the early stages of Sekiguchi's tenure is access to oral health care. According to Sekiguchi, access can be hindered by economic, social, cultural and geographic factors.

At present, Sekiguchi’s attention is focused on several tribes of native Alaskans who, unable to come to clinics in towns distant from their nomadic grounds, are sending members of their own communities to New Zealand for training as dental therapists. As a sovereign nation, the tribes are not obligated to abide by state and federal licensure regulations.

The ADA is committed to uphold a single standard of care for all. Sekiguchi is concerned this effort will be undermined if dental therapists, the equivalent of a medical nurse, are allowed to practice dentistry. The two sides are currently discussing the matter, and Sekiguchi hopes to arrive at a solution satisfactory to both parties.

“The ADA must find a way to uphold the standard of care and provide an alternative way to deliver care to this underserved population,” says Sekiguchi.

With one-year to accomplish his goals, Sekiguchi is uncertain how much he will be able to achieve. However, he doesn't seem unduly concerned with his legacy. His principal concern is getting the disparate segments of the dental profession working together as a team.

"It's about all the parts of the profession, insurance companies, regulators, practitioners, and educators all being on the same page. Our principal concern, as a group, should be patient care. That's the name of the game," says Sekiguchi. In February, he plans to bring representatives from each constituent group together for a unique meeting. Rather than gathering to discuss issues among each other, attendees will listen to the perspective of real dental patients from all segments of society.

"I want the leadership to be the audience. My point is that we have to really begin to look at some of these things we consider outside the box and really seriously consider them," says Sekiguchi.

As the first minority member to serve as president, Sekiguchi hopes to draw more underrepresented groups into the ADA.

"The main thing is it's possible, get involved, be really positive about your opportunities. I hope people become encouraged by my presence and become involved in the leadership of ADA," says Sekiguchi.