IV Sed in a GP Office??

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

shamrock2006

Full Member
10+ Year Member
5+ Year Member
15+ Year Member
Joined
Oct 9, 2006
Messages
801
Reaction score
2
anyone know if this is done? I "heard" some of the faculty at my school were set up for IV sedation in their private GP offices. I'll be doin an AEGD next year (even OS is where I want to be) and they train you in IV sedation (it's an air force AEGD). I want to know if there really is an "advantage" to being a general practitioner that is IV certified? Seems to me like it'd be vast over training for what you'd really be doing.

Members don't see this ad.
 
anyone know if this is done? I "heard" some of the faculty at my school were set up for IV sedation in their private GP offices. I'll be doin an AEGD next year (even OS is where I want to be) and they train you in IV sedation (it's an air force AEGD). I want to know if there really is an "advantage" to being a general practitioner that is IV certified? Seems to me like it'd be vast over training for what you'd really be doing.
Like a lot of things you can do as a general dentist, it can be an enormous benefit to your practice if you utilize it effectively, or it can be a waste of the time and money you spent training. Employing IV sedation in your office will allow you to:

1) Increase production directly: IV sedation is billed in addition to procedure fees, and while initial capital purchases can be more expensive, the operational overhead for IV sedation is very, very low. Plus, since IVS is almost always purely elective, you can require full payment in advance with much less resistance than you might encounter with other procedures.

2) Increase production indirectly: "Ma'am, I can tell you were pretty nervous about coming back to the dentist for the first time in several years, but you've done a great job today and I have good news regarding your treatment plan; while I've identified several procedures I'll need to perform in order to help get your oral health back to optimal, what I can do for you is provide you some medication, through an IV we'll start, that will let me take the time I need to complete these procedures, while you sleep comfortably through the entire appointment. You won't feel anything during your appointment, and in all likelihood you'll remember absolutely nothing afterward. Does that sound like something you'd be interested in?"

In other words, it gives you the ability to condense big treatment plans into just a few high-production appointment, because these patients want to get their treatment out of the way so they don't have to worry about coming back. Not every patient is this way by a long shot, but there are more than you realize, and increasing your case acceptance rate with this demographic can make a big bump in your bottom line--especially as word begins trickling out. Word-of-mouth has always been the best referral, and that goes for these folks too.

Now, for you non-IVS trained guys who are ready to bare your teeth and pounce at what you think I'm implying, chill out a little. I'm not saying you have to IV patients and drug them in order to be successful. There are a ton of dentists who do just fine with behavioral methods and the occasional Halcion. Like anything else in practice, this is just what works best in my hands (actually the back of my patients' hands, most of the time).

OP, hope this sheds a little light. Good luck to you
 
anyone know if this is done? I "heard" some of the faculty at my school were set up for IV sedation in their private GP offices. I'll be doin an AEGD next year (even OS is where I want to be) and they train you in IV sedation (it's an air force AEGD). I want to know if there really is an "advantage" to being a general practitioner that is IV certified? Seems to me like it'd be vast over training for what you'd really be doing.

Be aware, doing IV sedation in your office increases your malpractice insurance cost a fair amount. So, if you elect to do IV sedation plan on doing a lot of it, not just one or two cases.
 
Members don't see this ad :)
It can be both a good surface to your patients (especially if you intend to practice in rural areas where access to specialists is limited), and very lucrative.
Now to add to that, you have to be really comfortable with it, you're not going to wave a magic want and the patient is sedated, from pre-op assessment, to knowing your h&p, equipment and monitoring, starting IV,etc...you have to do it enough times (more than the minimum 20 cases required by most states), to be able to focus on that and the procedure you're doing.
I did IV sedation in pvt practice after my residency for about 1.5 yrs and knock on wood did not have any incidents but i was a nervous wreck the whole time. Coming out of my GPR i thought i can do this everyday, far from it!. when you r on ur own without credible back up in case something happens........ you're it!!.
Now that i scared you a bit, the positives, it's great advertising tool for apprehensive pts, good pay out even with HMO, and it's rewarding to see patients come for service because of it.
I think it's much easier for Dentist anesthesiologist to do bec of extra training than a gp with aegd/gpr and even harder for a gp with ce course (2-4 weeks in length).
I did it mostly for exo's, bec it's more of a straight forward procedure, but a co-associate did it for everything. so i guess you have to pick and choose your battles based on your comfort level.
Probably a good idea to check with your program and see how often can you be doing it, if they give you the green light to pick i'd do as much as possible to be good at it.

Hope this helps and good luck.
 
Many good points above. I think for the GP, training at a dental anesthesiology residency is a good idea, in order to be comfortable with the anesthesia end. Know several GP's in my area who offer sedation, an enormous practice builder.
 
Top