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    Getting Dr. Silker on the phone two days before his annual four-month trip to Hawaii was tricky while on the islands, he swims, watches the market, and tinkers with his stocks.

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    You worked long hours in dental school for little return, so keep it up out of school and you will maximize repetition and time-motion studies to improve your efficiency.

    Never put down the mirror, or look for a tool, and minimize the number of hand transfers. Staff should be so highly trained down to minute detail that they train the new staff, and they could illegally run the practice if you called in dead.

    Find out what is legal for hygienists and assistants to perform in your state and have them do the maximum, including prediagnosing dental and oral conditions.

    Fit in all emergency patients, even new ones, by telling them to bring a book in case you have to stop and start to get existing patients taken care of in a timely manner.

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    At the end of October , Dr. Silker quit practicing dentistry. I was worried about what would happen. Nothing collapsed. In fact, it is going better since I left, he said, begrudgingly.

    Sure, he comes in, does some work now and then, but he doesn't have to. Some dentists may pooh-pooh his practices as solely money-motivated, but he insists otherwise.

    The only difference between he and a dentist in the poor house is while they both do quality dentistry, Dr.

    Silker does every aspect as fast as it can be humanly done while leveraging the power of delegation—earning profit while others' do the work so you don't have to.

    We don't care what my detractors say as long as they are talking, Dr. Silker said with a laugh. This writer's recommendation of the book doesn't count, as I am not a dentist.

    Knowing the book is recommended reading in some dental schools, and by young dentists, however, is a pretty good testimonial. A disclaimer at the beginning of the text says if you don't agree, you can send it back for a full refund.

    This column is prepared by Janyce Hamilton, a Chicago area freelance journalist who specializes in covering dentistry. New columns will be put online on a monthly basis.

    If you have a suggestion for topics to be covered, or any comments on this column, drop us a line, review cds.

    Every pediatric dentist in a dental office should consider having this book. The text's 31 chapters focus on its themes of practical management techniques.

    Setting goals and motivational common sense. Each chapter is full of good sense. With emphasis on detail, concise planning and efficiency, which pediatric dentists can apply to their practices.

    The author stresses ultimate efficiency as a goal to work toward constantly. Silker emphasizes full legal delegation of responsibilities to the staff at all times.

    There is no mention of other behavior management techniques or other areas of pediatric dentistry. If you want to increase your efficiency and practice management skills, I recommend this book.

    Building Your Million Dollar Solo Practice, E. First edition. Silk Pages Publishing, Lakeshore, MN , USA. ISBN Our copy courtesy from the publisher is available for borrowing now from the Hardwick Memorial Library, ADA office, Lithgow Street, St.

    Leonards Your reviewer assumed from the title that this book would be a classic example of American hype.

    He was wrong. It is beautifully laid out, is easy to read and has valuable advice, recommendations and information on practically every page.

    A dentist following even some of the suggestions would certainly improve productivity, income and patient referrals. He started out in a village with residents and probably squatted!

    The book itself is unusual on several counts. It has an introduction footnote explaining and excusing any gender bias in the text.

    YOU MAY RETURN THIS BOOK TO THE PUBLISHER FOR A FULL REFUND. He is careful, concerned and caring. A thorough review of the scope of this book would require many pages.

    A digest of the chapters is: building your practice, new patients, the learning curve, efficiency, flexibility, patients, tray set-ups, nitrous oxide, rubber dam, pedodontics, RCT, prosthetics, laboratory, operative personality and communication, dental insurance, expenses, marketing, accounting, banks, mission statement, goals, plant, telephones, layout, dental equipment, staff talks, in-house laboratory, maxims, quotes, reading list and bibliography.

    Nothing is left out, and your reviewer believes that any reader will find a useful tip in every one of the 31 chapters.

    A patient in pain is seen immediately, and then often agrees to a RCT and crown. All other work is done by ancillaries. All surgeries are arranged with standard trays, all identical.

    Everything required is on hand. The chair side assistant has an assistant. Children are treated as clients, and spoken to as such: How old are you?

    How old would you like to be? And so on. About the latter, this is left to the clerical staff, and they sort this out and reach agreement before the dentist actually performs the service.

    Unpaid accounts are rare. By using ancillary staff, complete dentures are completed in four appointments, but the author makes the point that there is no shame in telling the patient with a bag full of unsatisfactory dentures that they should seek treatment elsewhere.

    He offers ten different ways of explaining to the patient that the expensive crown is the best form of treatment.

    It has long been the view of your reviewer that communication and personality represent the major factors in successful dental practice.

    This is not to denigrate professional skill. One assumes that most dentists have this. The trick is to convince the patient that you are providing this skill.

    This book tells you how to do it. The chapter on dental insurance may not be relevant in Australia, but the sections on expenses and marketing certainly are, as are the suggested surgery designs.

    With all these positives, is there a negative in this book? Yes, there is. To test denture fit, no one who is well informed uses pressure indicating paste PIP any more, they use Fit Checker!

    This is a book review that appeared in the Dentist Weekly of Sept. Published by Fackler and Wagenbauer GMBH. Munchen, Germany. It is current knowledge that students in our universities receive very little information about the business world in which they will find themselves upon graduation.

    Our dentists are particularly badly prepared for these changes. Even the clinical side of dentistry has drastically changed.

    It must be recognized that the dental practice is also just another business. Doctor Silker, in his new book, particularly addresses the technical changes and explains in detail the modern methods that will result in a successful practice.

    The book gives many tips which will help a beginning dentist to rapid achievement. This can easily guide you to a million dollar solo practice.

    The author, in 31 sections, details the success-building steps for the young dentist. The book is based on the practical experience of the Author.

    Silker is the owner of a practice, a businessman and an inventor. In his book he uses again and again examples that he established in his own practice.

    He states that the medical side is often not as important as the business side in his profession. After graduation Dr.

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