Dentaltown June 2018 - 58

Whatever the definition, and whether or
not you agree, DSOs are here and growing
rapidly. They appear to be filling a need
for practicing dentists, or their enormous growth
would not be present.

*

*

*

their own boss. If being an employee
instead of a small business owner is a
negative for you, some DSOs may not
be the logical or best type of practice
for you.
Lack of independence. As with any
organization, each DSO has their
own rules and regulations. You may
want to make your own rules and not
have someone telling you what to do.
If so, a DSO practice may not be for
you.
Bad reputation. Not all DSOs have
a great reputation. Some have earned
a bad reputation because of alleged
strong money orientation, accusations of quotas for treatment, and
questionable business policies. Many
dentists still have a negative opinion
of the entire concept. It is a common
complaint I hear as I am speaking
throughout the country.
Getting out of a bad contract. Trying
to leave some DSO contracts can
be like a bad divorce. I have heard
complaints from some practitioners
who have had difficulty getting out
of contracts that they felt were unfair.
DSOs similarly feel that the docs are
being unfair. There may be need for
some negotiation.

58

JUNE 2018 // dentaltown.com

*

You may feel ostracized by some
fellow private practitioners because
they feel your corporate practice puts
strain on their private practices in the
geographic area. Some private practitioners are upset with DSOs because
they often come into communities and
develop what the private practitioners
feel is unfair competition. The DSOs
may have lower costs on equipment
and supplies and some or all of the
advantages listed above that the private
practitioner does not have.

Why are many participants
in DSOs young dentists?
Millennials, generally classified as being
born from 1980 to 2000, are rapidly becoming
the major factor in the workforce. Estimates
are that there are about 83 million millennials
in the USA out of roughly 240 million adults
over 18 years of age (U.S. Census Bureau). The
Pew Research Center stated that millennials
have surpassed baby boomers to become
the largest current generation in the United
States. Millennials are considered to have the
following characteristics that directly relate to
why DSOs are so attractive to the incoming
generation of dentists. Millennials want a
better work-life experience in their vocation,
they are technologically savvy, they feel that

they are global citizens, they are authentic and
transparent, they are liberal and progressive,
team oriented, and civic oriented. It is my
opinion that the same DSO characteristics
that irritate and frustrate most older dentists
are attractive to the younger millennials
entering the profession.

Conclusions
Denta l support
organizations (DSOs)
are here. They and
group practices are
now a significant part
of dental practice.
The growth
of DSOs is
inevitable,
as has already
happened in other
health professions. So,
are DSOs good or bad? To
put it simply, it depends on your perspective.
I suggest that private dental practitioners
accept the fact that DSOs are here and
learn to work with them for the overall
betterment of service to patients. I predict
that the typical solo practice will exist for
many years but that it will quickly become a
much less prominent part of dental practice
in the future. ■


http://www.dentaltown.com

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