CE Dojo

The MATE Act is sunsetting, but the conversation about opioids is far from over.

Join Sean Kurdys and Dr. David Lambert for a timely CE Dojo webinar exploring what has changed, what remains uncertain, and what dental professionals should be thinking about next.

📅 Thursday, September 10, 2026
🕖 7:00 PM ET
🎓 Optional CE Credit Available

Please save the date. Registration details will be posted so

Medication Reconciliation: The Most Common (and Dangerous) Omission in Dentistry

As a dentist, how often do you truly reconcile medications — not just glance at the form, but actively verify and update them?

In the era of the oro-systemic axis, skipping this step is no longer acceptable.

You cannot meaningfully engage in oro-systemic dentistry without rigorous medication reconciliation and health history updates. Liver and renal function, bleeding risks, drug interactions with anesthetics, antibiotics, and analgesics — they all matter.

The good news? Tools like Epic Community Connect now make real-time verification of labs, meds, and specialist notes possible in daily practice.

This isn’t extra paperwork.
It’s patient safety.
It’s risk management.
It’s modern, evidence-based dentistry.

If we’re serious about treating the mouth as part of the whole body, medication reconciliation must become non-negotiable.

What’s your experience in practice? Is this step being treated with the rigor it deserves, or is it still frequently overlooked?

Let’s discuss 👇

I recently published a piece on KevinMD about an experience that completely changed how I think about risk management, documentation, and professional responsibility.

Years ago, I was pulled into a case involving a patient death—one I had no involvement in. Within days, I was being positioned as the responsible surgeon.

What ultimately clarified the situation wasn’t testimony or internal review.

It was data.

My phone’s GPS timeline.

The broader takeaway is something I don’t think most clinicians fully appreciate:

Risk management is not there to protect the individual provider. It protects the institution.

And in high-liability environments, documentation isn’t always just a reflection of events—it’s also shaped by process.

I wrote about the full experience here:

👉 https://kevinmd.com/2026/04/physician-legal-protection-surviving-academic-medical-center-blame.html

There’s something important about “wellness” that’s easy to miss.

It doesn’t appear randomly.

It shows up when something else changes first.

Capacity increases.

Throughput expands.

Incentives align with operating at that level.

And then—

the strain starts to show.

Fatigue.
Cognitive overload.
Burnout signals.

That’s when wellness enters the system.

Not as a contradiction to what’s happening—

but as a response to it.

A way to help people continue functioning
within the new baseline.

Seen this way, wellness isn’t separate from the system.

It’s part of how the system adapts
when pressure increases.

Asymmetric Reporting

Not all information in a system flows equally.

And what gets reported… isn’t always what happened.

When we talk about “reporting,” this isn’t about charts or documentation.

It’s the everyday flow of information inside a practice:
what gets said
what gets repeated
what gets passed along

In many settings, that loop doesn’t end with the clinician.

It closes somewhere else.

By the time something reaches a point of decision, it’s often been filtered, simplified, or reshaped.

Not necessarily intentionally—just structurally.

Over time, the system begins to respond
not to what actually happened…
but to what was reported.

And those aren’t always the same.

That gap creates tension.

Because clinicians are still accountable for outcomes—
but don’t fully control the narrative that defines them.

This isn’t just communication.
It’s structure.