THE NEWSLETTER OF THE ASSOCIATION OF UNIVERSITY TMD AND OROFACIAL PAIN PROGRAMS
AUTOPP Newsletter September, 2004 AUTOPP Officers 2004-2005 President Heidi Crow State University of New York, Buffalo Vice-President Gary Anderson University of Minnesota Secretary Ales Obrez University of Illinois, Chicago Treasurer Octavia Plesh University of California, San Francisco Immediate Past President Dean Kolbinson University of Saskatchewan ************************************************************************ AUTOPP BUSINESS MEETING MINUTES, MARCH 10, 2004, NICK’S FISH MARKET, HONOLULU 2004 Members present: Clark, Glenn; Dworkin, Sam; Glaros, Alan; Goulet, Jean-Paul; Greene, Chuck [and spouse]; Kolbinson, Dean [and spouse]; LeResche, Linda; McCall, Scott [and spouse]; Mohl, Norm [and spouse]; Myers, Sandy; Ohrbach, Richard; Plesh, Octavia New members: Drangsholt, Mark [and spouse]; Look, John [and spouse]; Schmitter, Marc; Widmalm, Sven Guests: Benavides, Erika; Butani, Mona (local arrangements coordinator); de Boever, Jan (speaker) [and spouse]; Rios, Hector Education Program President Dean Kolbinson introduced Professor Jan de Boever from the University of Gent in Belgium (a past President of EACD), whose presentation entitled: "Can you make guidelines for teaching and practice of TMD and facial pain in Europe?" preceded the business meeting. A summary of his presentation will be available in this newsletter.
Old Business a. Following last year's meeting, a poll of the members was conducted by e-mail with regards to the site of the 2004 meeting, as the ADEA meeting was held in Seattle, Washington and the IADR in Honolulu, Hawaii. A small majority of respondents favored the IADR meeting site for the 2004 AUTOPP meeting. b. Following last year's meeting, a poll of the members was conducted by e-mail with regards to collaboration with another group or at least having an international membership base. Only 4 responses were received by the Executive; all were positive. However, further discussion was deemed necessary before making any type of decision. Using Professor de Boever's presentation as a springboard to discussion of this matter, a lively interaction with the group took place. A motion was passed with the direction to poll the members by e-mail with the following question: "Are you in favor of creating an International Membership category - with no dues required (where International would mean outside the USA and Canada): Yes OR No?" AUTOPP would abide by the majority opinion of the respondents to this ballot. If the result was such that AUTOPP members favored an international membership status, then various groups (e.g., EACD, RDC for TMD consortium, IADR TMJ/Neuroscience group) could be contacted through their Executives with an invitation to be passed along to their members to join our association. New Business a. President's Report A request to participate in the Education Committee of the American Academy of Orofacial Pain (AAOP) was received by our Executive. AUTOPP was asked to provide two of its non-AAOP members to serve on their Education Committee. The Executive decided that we would not do so as it would mean providing travel expenses for two of our members to attend AAOP annual meetings to participate in this committee and our association would not be able to come up with the required funds. However, an offer was made to review any of this committee's materials and to provide input and advice as requested otherwise. President Dean Kolbinson thanked the other Executive members (Dr. Alan Glaros, Immediate Past President; Dr. Heidi Crow, Vice-President; Dr. Gary Anderson, Secretary; Dr. Octavia Plesh, Treasurer), as well as Dr. Scott McCall ("Web Master"), for all of their efforts in assisting AUTOPP during this past year. b. Treasurer's Report Treasurer Octavia Plesh reported that the balance had decreased due to a number of factors. The attendance at last year's annual meeting was low and many "members" were not paying their dues. Part of the problem with dues payments was thought to be from a relatively large number of incorrect e-mail addresses on our membership list. c. A discussion concerning methods to keep the membership roster and dues payments current resulted in a motion that members will be contacted by e-mail and informed of the dues payment statement in AUTOPP's Objectives and Bylaws document ("1. Dues per individual and associate members shall become due and payable at the first session of
the annual meeting and shall be declared delinquent if not paid at that time. 2. Names of delinquent members shall be deleted from the membership roster after six months."). A vigorous attempt will be made by Executive members to contact everyone who is currently on the membership list and determine if they would like to remain on the list as (paid) members. d. New Members The following mew members were voted on and approved: Dr. Mark Drangsholt (University of Washington) Dr. John Look (University of Minnesota) Dr. Marc Schmitter (University of Heidelberg, Germany) Dr. Sven Widmalm (University of Michigan) e. Elections Dr. Ales Obrez from the University of Illinois at Chicago was elected as Secretary. With his election, Dr. Kolbinson becomes Immediate Past President, Dr. Crow becomes President, Dr. Anderson becomes Vice-President, and Dr. Plesh remains as Treasurer. f. NIDCR's TMJ Implant Registry and Repository (TIRR) Update Dr. John Look and Dr. Sandy Myers provided an update on NIDCR's TIRR, located at the University of Minnesota. All clinicians were encouraged to participate in the registry. More information can be found at www.tmjregistry.org. To date, several hundred patients have been entered into the record. g. Next Year’s Meeting It was suggested that next year’s AUTOPP annual meeting will likely take place in Baltimore, MD on Wednesday , March 9, 2005, with details to be confirmed and transmitted to the membership in due course. PROFESSOR JAN DE BOEVER PRESENTS AT THE AUTOPP MEETING MARCH 10, 2004, NICK’S FISH MARKET, HONOLULU 2004 The speaker at this year’s AUTOPP meeting was Professor Jan de Boever from the University of Gent. In his presentation, Professor de Boever traced the development of the European Academy of Craniomandibular Disorders (EACD) from its founding in 1984 to the present. Like AUTOPP, EACD’s goal is to encourage communication among its members, encourage the development and transfer of new knowledge to students and colleagues, and improve care for patients. EACD’s mission is a bit broader than AUTOPP’s: EACD strongly encourages practicing clinicians to participate in the activities of the organization. The EACD holds two different kinds of meetings. One type, an open meeting, is designed for the benefit of medical, dental and behavioral science professionals, including those individuals not yet a part of EACD. The second, a closed meeting, is
limited to EACD members. Open meetings in one year are followed by closed meetings the next. Professor de Boever commented on the challenges of maintaining an organization like EACD in the European Economic Community. The current and planned members of the EEC will encompass 23 countries, 15 different languages, and very different approaches to training and care of patients with orofacial pain and “craniomandibular disorders.” In addition, health professionals who are licensed within any one of the EEC member states enjoy freedom of movement. That is, a person who is licensed in one country may practice in any of the other member countries. The diversity of backgrounds, training, and languages makes it difficult for organizations like EACD to grow rapidly and to have an impact on its members. For example, preparing the guidelines for training (Nilner M., Steenks M., De Boever J., Ciancaglini R., Kononen M., Orthlieb JD. European Academy of Craniomandibular Disorders. Guidelines for curriculum of undergraduate and postgraduate education in orofacial pain and temporomandibular disorders in Europe. Journal of Orofacial Pain. 17(4):359-62, 2003) required a great deal of compromise, even down to the choice of individual words. One reason for the difficulty in organizing Europe-wide efforts is the structure of dental training. Europeans are biased against specialties and believe that general dentists should be able to handle all problems that come their way, including ones that would be termed “temporomandibular disorders” in North America. Countries differ in the scheduling of clinic experiences for dental students; some require clinical experiences very early in training while others wait until later. Most of the training in orofacial pain is provided in prosthetics courses where the level of information provided is very basic. There are few free-standing courses on “TMD,” although EACD would like to encourage the development of such courses. Not surprisingly, the guidelines put forth by the EACD on curriculum probably reflect conflict and compromise between academics and practitioners. The EACD is currently working on guidelines for clinical practice, and he expected that this too will generate conflict. For example, there is controversy on the use of articulators for diagnosing TMD among practitioners and academicians in Europe. This may be due to the presence of “eminence-based dentistry” among practitioners (and some senior faculty) versus “evidence-based dentistry” among more of the academic community. In developing curriculum guidelines, the EACD hopes that a good curriculum will lead to better research. Similarly, they hope that better research will influence the curriculum as well. Encouraging research is not within the purview of the EACD. Funding for research tends to be very nation-focused, not international. In the realm of curriculum, there is considerable overlap between EACD and AUTOPP. However, EACD also has the goal of helping the clinicians among its membership feel as though they are fully appreciated for their efforts and that they do not feel as though they are second-class citizens. For this reason, Professor de Boever felt that formal
organizational ties between AUTOPP and EACD may not be possible at the present time. However, he believes that encouraging personal contacts between members of both organizations and inviting individual members of EACD to attend AUTOPP meetings (or to join AUTOPP) would be highly desirable. He urged AUTOPP to create opportunities for our European colleagues to join and participate in events organized by AUTOPP. Reported by Alan Glaros, Immediate Past President, 2003-2004 PRESIDENT’S MESSAGE I would like to thank the members of the Executive for their help during this past year, especially to Dr. Glaros as he completes his tenure on the Executive. Thanks as well to Dr. Obrez for agreeing to take on the Secretary’s duties for the upcoming year. I was pleased to see so many at the meeting in Honolulu in spite of the IADR/ADEA split this year in terms of meeting locations. It was also gratifying to have so many new and enthusiastic members join our ranks. The presentation by Professor de Boever will hopefully help us bring to a conclusion our discussion about “internationalizing” and begin a new era of global expansion of our association. Your support as a membership for this effort was strongly stated in the establishment through ballot of a new international membership category (see below). We would also very much like to “tighten up” our membership list in regards to having all of our members current when it comes to payment of dues (as appropriate) and ability to contact you electronically. We would also encourage you to help us locate those who so far have disappeared from the Executive members’ “radar screen.” Once we have an updated membership list, our new international membership category, and with the IADR and ADEA holding their meetings back to back in Baltimore this coming year, we should have a strong future, with all of you involved. Thanks again to everyone for your support. Respectfully submitted, Dean Kolbinson, President 2003-2004. VICE-PRESIDENT’S MESSAGE Thanks to all for the efforts involved in bringing together this past meeting. While I’m sorry I was unable to attend in Honolulu, I am looking forward to seeing everyone in Baltimore. As you may have noticed, I recently left Indiana University to come “home” to University at Buffalo. I am very excited about the opportunities to rejoin my colleagues in teaching, research, and clinical care. In my new position at Buffalo, I am looking at different models for graduate training in orofacial pain, and am very interested in the potential new opportunities that may become available through the Commission on Dental Accreditation in accrediting non-specialty postdoctoral training programs. Respectfully submitted, Heidi Crow, Vice-President 2003-2004 SECRETARY’S MESSAGE
On May 19, 2004 the membership of AUTOPP considered by e-mail ballot the question, “Are you in favor of creating an International Membership category with no dues required (where international means outside the USA and Canada)? The results of the voting follow: 26 in favor and 3 opposed. The question passed, resulting in a new international membership category. The Bylaws will be changed to reflect this vote. Respectfully, Gary Anderson, Secretary 2003-2004
MESSAGE FROM THE EXECUTIVE OFFICERS We, the Executive of AUTOPP, are currently attempting to confirm our membership list. We would like you to indicate whether you are interested in remaining a member of AUTOPP. If so, you must pay your dues, if you have not already done so for the current year. AUTOPP's Objectives and Bylaws document states “1. Dues per individual and associate members shall become due and payable at the first session of the annual meeting and shall be declared delinquent if not paid at that time. 2. Names of delinquent members shall be deleted from the membership roster after six months.” Therefore, if you would like to remain an AUTOPP member, and we sincerely hope that you do, please reply to this message and indicate "YES". If you did not pay your dues at this year's annual meeting (or get them to the Treasurer just prior to or since the meeting), please send a check in the amount of $15.00US made out to "AUTOPP" to Dr. Octavia Plesh, UCSF, School of Dentistry, Department of Preventive and Restorative Dental Sciences, 707 Parnassus Avenue, San Francisco CA 94143-0758. If you no longer wish to have your name remain on the AUTOPP membership list, please reply to this message and indicate "NO". Thank you very much. Sincerely, Executive, AUTOPP. AUTOPP Members Attend the ADEA Meeting, Seattle, WA A dual program was presented at the ADEA meeting between the Section on Dental Anatomy and Occlusion and the Special Interest Group (SIG) on Temporomandibular Disorders. The two groups presented on Predoctoral Curricular Models for the Teaching of TMD. Dr. Ron Attanasio, as Chair of the SIG on Temporomandibular Disorders, was the principal coordinator of the program. Dr. Sheryl Kane, as Chair-elect of the Section on Dental Anatomy and Occlusion, was the secondary coordinator. The Section on Dental Anatomy had expressed an interest in incorporating TMD into their section at the 2003 meeting. In addition, there has been a strong emphasis in ADEA to have more combined programs. Dr. Attanasio agreed to combine the SIG program with the section program focusing on various precurricular models. The program was well attended, and featured models to allow simulated patient care for temporomandibular disorders, given the lack of sufficient temporomandibular patients to ensure all dental students receive experience treating patients. The role of teaching splint construction as a laboratory exercise, as well as students fabricating splints for each other as a teaching exercise, were discussed. It was apparent that there still remains controversy among dental educators
regarding the appropriateness of combining the teaching of occlusion and the teaching of temporomandibular disorders. Reported by Heidi Crow, President AUTOPP, 2004-2005
MEETING 2005: Next year’s AUTOPP annual meeting will likely take place in Baltimore, MD on Wednesday, March 9, 2005, with details to be confirmed and transmitted to the membership in due course.