CE Dojo

⚖️ An ethics course for people who are quite sure they don't need one.

And that's the catch — nobody thinks they're the unethical one. But after 22 years investigating dental practices for the North Carolina Board of Dental Examiners (the last dozen as lead investigator), Sean Kurdys has seen exactly how good, well-meaning dentists end up in front of the board. It's rarely the clinical slip-up. It's how it gets documented and disclosed.

His new CE Dojo course, At The Crossroad: Ethics and Accountability in Dentistry, turns real board cases into a practical, refreshingly un-preachy guide. You'll work through:

🦷 The ADA's five ethical principles

🦷 Misuse of auxiliaries — what you can (and can't) delegate

🦷 Billing pitfalls — upcoding, corrected claims, waived co-pays

🦷 The record-keeping failures that turn a defensible case into a sanction

1.5 CE hours • $25 • Every dentist is the captain of the ship.

👉 Enroll: https://ce-dojo.com/webstore/at-the-crossroad-ethics-and-accountability-in-dentistry/

Had an interesting emergency case today.

Patient came in with pain in the upper right molars that had been coming and going for a couple of months, but got worse overnight.

No hot or cold sensitivity. Just a throbbing pain.

X-rays of the upper teeth showed fillings, but nothing that clearly explained the symptoms.

The actual problem?

A lower right wisdom tooth ( #32) with significant decay.

After numbing that area, the pain completely went away—which confirmed the diagnosis.

This is a good example of referred pain. The brain doesn’t always localize dental pain accurately, especially when signals from different teeth share the same nerve pathways.

Extracted the tooth today. Expecting full resolution.

Here’s the digestible breakdown of how Utah’s AI Healthcare Refill Pilot (Doctronic + new Legion Health program) actually works:

**✅ What it CAN do**
- Refill **stable, low-risk, non-controlled maintenance medications** only
- Covers ~15 specific psychiatric meds (e.g., Prozac, Zoloft, Wellbutrin, trazodone) for patients already on a steady regimen
- 30/60/90-day supplies

**❌ What it CANNOT do**
- No new prescriptions
- No dose changes
- No controlled substances
- No complex or unstable cases (suicidality, mania, pregnancy, side effects → immediate human escalation)

**The 8-step safety-first process (visualized in the flowchart below):**

1. Confirm you’re physically in Utah
2. Verify identity (photo ID + selfie)
3. Upload photo of your current medication bottle or label
4. AI checks Surescripts national pharmacy network to confirm you actually had the prescription filled before
5. Structured clinical questionnaire (adherence, side effects, interactions)
6. AI approves the refill **only** if everything checks out
7. Sends e-refill to your chosen pharmacy (CVS, Walgreens, etc.)
8. Pharmacist does final safety review before dispensing

**Why this matters in Utah**
With 27 of 29 counties designated mental-health shortage areas and some of the highest per-capita psychiatrist wait times in the U.S., this pilot is designed to cut refill friction, free up human clinicians for complex care, and improve access — especially in rural areas.

Built-in guardrails: mandatory human oversight sampling, monthly state safety reporting, and full HIPAA compliance.

**Big picture:** This isn’t replacing doctors — it’s giving the existing (limited) workforce breathing room while stretching care further.

Would you feel comfortable using an AI for routine refills if it meant faster access and lower cost? Or does this still feel too futuristic?

Drop your thoughts below 👇
(And yes — I created the flowchart above specifically for this pilot so you can see the full algorithm at a glance.)