by RLF, Mentor-Associateship
R.L. FRazer & Associates
by Bob Frazer, Jr., DDS
By the time
you read this, you have likely had the opportunity to learn something about the
mission and philosophy of our practice.
If you are in any way uncomfortable with either of these, it is
critically important that we discuss your discomfort or uncertainty before we
proceed further. On the other hand, if
you are comfortable and perhaps even excited by what you’ve learned we are
about, then it is appropriate to thoroughly explore your possible role in our
pioneers in true fee for service health centered practice, what some dental
futurists call Tier III practice. As
such, we offer a unique opportunity for a young dentist who wishes to provide
the finest, most comprehensive, health-centered dental care. To not only learn
how to provide such care, but also how to help your patients clarify their
value for and want such care. (People
gladly pay for what they value, while they more reluctantly pay or expect
others to pay, for what they need, but do not value.) Our practice does not accept payment
directly from insurance companies with 95% of our patients that have
insurance. It simply is not necessary.
This is for
one year opportunity with an option to extend if both of us agree. The year is divided into three, four month
trimesters. It is assumed that these
four month periods will be approximate and that some associates may progress
faster or slightly slower than anticipated.
We have created this position to provide ‘a learning while earning’
opportunity for a young excellence oriented dentist, but also because our
practice is too big for Dr. Bob Frazer to handle alone and still provide our
patient/clients with the scope and availability of care they deserve. Also, Dr. Frazer spends approximately six
weeks each year out of the office either presenting or attending continuing
education courses. During those times,
you will practice as though you were in your own practice doing all that you
are comfortable in doing.
The trimesters are described as follows:
3 days/week in Mentor-Associateship 75% of time with the following
differential diagnosis and behaviorally appropriate discussion and care.
the new patient/person to the health centered practice. Mastering the intake interview for a
comprehensive diagnosis and long term treatment plan from both a technical and
emotional intelligence basis. This includes the assessment of the new person’s
values relative to dental and related general health. Learning how to firmly establish the first
phase of a helping relationship.
diagnosis using a co-discovery approach and formulation of tentative long term
treatment plan based on the person’s biological imperatives, their perceived
probable versus preferred dental health future. This will include learning how
to perform a complete examination of the stomatognathic system with special
focus on long term periodontal health, functional occlusion, para-function,
sleep disorders, TMJ/MPD, oral cancer, restorative needs, and esthetic
values. Caries prevention, growth and
development, plus airway will be the primary focus on the pediatric patient
within a very positive clinical experience.
All people will be evaluated for active disease processes and given the
opportunity to elect self help counseling including the oral systemic health.
Once Co-diagnosis and prioritized treatment plan is completed – how bet to help
your patient proceed with your best care.
phases of periodontal care from control of local, bacterial and systemic
factors through a combination of oral physiotherapy and non-invasive definitive
root planning and laser curettage to surgical procedures such as laser assisted
frenectomies, apically repositioned flap, gingival grafting, implant planning
and placement will also be taught as needed.
and major fixed restorative care with special emphasis on conservative onlay
technique using precious metal and both direct and indirect bonded
restorations. Also, much time will be
devoted to provisionalization and idealizing function, esthetics and
periodontal health prior to final crowns.
surgery ~ primarily third molar extractions.
~ anteriors and bicuspids primarily. Molar endo is generally referred .
using high density posterior composites and glass ionomer cements with and
without silver particles.
10. Initial TMJ/MPD conservative management and
It is anticipated that each week certain
days or half days will be reserved on your schedule for you to work directly
with Dr. Frazer as a second dentist with the patient. You may be asked to anesthetize and otherwise
prepare the patient verbally for the actual surgical procedure which Dr. Frazer
will perform. You will be expected to
have reviewed the procedure sufficiently that you have a general familiarity
with it and even act as the primary dentist as requested. During this portion of your first trimester,
you will do mostly reversible procedures on all multi-unit (more than two)
crown and bridge and periodontal surgical cases. You may also be asked to adjust and cement
provisonals. You will also work with our
hygienist especially on non-invasive periodontal therapy cases. This includes
root planning and laser.
11. The leadership/management for a highly
committed and effective dental team.
During this first trimester, you will
spend about one day per week in your own associate practice. You can perform all necessary services for
which you are competent. However, during
this period, you should consult Dr. Frazer on all periodontal, TMD, multiple
unit fixed restorative, and impaction cases before final treatment
planning. You will be encouraged to do
these when the case fits your technical and personal comfort levels.
Trimester: Mentor – Associateship - is about 50% of
time and Full Associateship about 50% of time. 2 days/4 day week in each role. Again these may work out to sequential days
or 1/2 days.
During the second four month period, the above
eleven areas will be continued and expanded.
Plus, TMJ/MPD therapy will be expanded to include definitive treatment
and you will be expected to take an ever increasing role in the more complex
cases including Dr. Frazer assisting you as primary dentist. The speed with which this occurs will be
based on depth of experience during the first trimester. Also, your understanding of the leadership
and fiscal management of an effective health centered practice will be
The remaining 50% of your time, you will essentially
continue to grow your practice within our office. You can do all treatment with which you feel
adequate and comfortable.
About 1 day/week on average in any month in Mentor-Associateship 25% of time and 3 days/week in full Associateship
or 75% of your time:
In this trimester, you will have the greatest amount
of personal autonomy. Approximately 4
days per month, you will still be working directly with Dr. Frazer on the most
complex cases. At this stage, you will
have developed your own case load and in a sense a practice within our
practice. Near the end of one year, we
will gladly discuss continuing an associate/mentorship arrangement similar to
the third trimester. In fact, we will
ask for some indication as to your intentions for year two by May 1st of the
first year. A final decision about a
second year must be made by June 1st.
During this first year, you will be compensated on
two different rates ~ as a Mentor - Associate, on an hourly or daily rate and
as an associate, on a mutually agreeable percentage of your collections and you
will be responsible for lab fees over $________ per month.
It must be noted that should you separate from this
practice after your one to two years, the patients you’ve seen will remain with
You will also be asked to sign a non-competition
agreement for a period of 3 years specifying that you will not practice within
a 3 mile radius of our office at address of office.
We hope this gives you a better idea of what you
will be doing. We will be happy to
answer any questions you have. Once we
have agreed upon our relationship, should you prove to be the best choice for
the position, we will draft a letter of agreement.
MENTOR-ASSOCIATESHIP ~ CANDIDATE QUESTIONS
following questions were actually never used in any advertising way, but of
course they could have been. I actually
contacted faculty members at each of the Texas schools plus I put the word out
with my dental supply representative with whom I had a good long term
relationship. We use these questions
primarily in dialogue with potential candidates.
We are looking for an intelligent, emotionally
intelligent, quality oriented young dentist who would answer “yes” to the
1. Are you kind, compassionate, people-oriented
and motivated to succeed?
2. Do you strive for excellence in every area of
3. Are you a good listener and communicator who
helps move people to action?
4. Are you personally stable and health centered
in your life style?
5. What kind of a student were you in dental
school? (Many will indicate they were a
fair to good student in their didactic dental education, but much preferred the
clinical and people side of their education.)
6. What was your dental school experience
like? (Not uncommonly the response
indicates it was much more high fear and low trust than they had expected prior
7. Do you feel that even though you just
graduated and are licensed that your practical education is in a sense just
8. Are you aware that fine dentistry is
discretionary and that in the absence of pain, bleeding, or swelling people
really do not need dentists?
9. Are you willing to be a member of a dental
care team first and a leader second?
LETTER OF AGREEMENT
Letter of Agreement
Robert L. Frazer, Jr., DDS,
Inc., and______________________, DDS
our initial Mentor-Associateship Agreement.
If this is in accord with your understanding, please sign at the bottom
of the page of the agreement.
compensation will be $_______ per day for mentor days plus all state and
federal taxes. Associateship rate will
be ___% of collections, and the corporation will pay the first $______ of lab
costs. Expenses beyond that will be
split 50-50. You will receive
compensation for holiday periods based on the current percent of salary vs.
associate role. Participation in
corporate pension and profit sharing will commence as outlined in the office
forward to a productive and growth-filled relationship. Should you have any questions, I would
welcome discussing them with you.
Frazer, Jr., DDS
R. L. Frazer & Associates, Inc. P.O. Box 203038*
Austin, Texas 78720 ~ 512/346-0455 ~ www.frazeronline.com