| Published
March 17, 2009 |
Volume
17, Number 3
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Practice Is Perfect
for Francine Kitagawa, DDS
By Nicole Zaro Stahl
NETWORK Editor
When Dr. Francine Kitagawa opened her Hacienda practice, Gateway
Dental Care, in November 2007, she had an advantage most of her peers
did not: experience. A member of the class of 2000 at UCSF Dental
School, Kitagawa deliberately inserted a few years of working as an
associate in other dental offices before establishing her own.
“Many
new dentists jump into their own practice after graduating, but I was
more cautious,” she observes. “There is a whole learning curve after
dental school. It’s always different in the professional office—the
pace is quicker, there is newer technology.” Kitagawa’s approach
allowed her to concentrate first on “the dentistry part,” honing her
skills in the real world. It also gave her the opportunity to see how
other dentists run their practice. “I learned a lot of business dos and
don’ts, things we don’t learn in school—insurance, managing employees,
and so on. I’m really happy I waited before starting my own practice. I
skipped a lot of start-up problems.”
Still, Kitagawa has fond
memories of dental school, most aspects of which have never figured
prominently in the public eye. For example, preparing for the licensing
exams has an unexpected twist that most outside the profession would
never think about. The national boards include three hands-on
procedures: a cleaning and two different fillings. All candidates have
to furnish their own patients, and they often go to great lengths to
ensure their participation.
“You spend a lot of time looking for
the perfect patient,” Kitagawa recalls. The students have been known to
put up their patients in a hotel the night before the test. They also
need to recruit three back-up patients and an assistant, who also plays
a critical role. Experienced exam assistants, familiar with what the
examiners are looking for, are highly sought-after. For that one day,
they can command many times more than their normal hourly wage.
The
investment in this kind of preparation should not be a surprise,
considering that the tests are the culmination of four years of intense
classroom and clinical study. As Kitagawa points out, “It is more
difficult to pass the hands-on exam when the situation is not ideal.”
DENTAL SCHOOL
Dental
school was both a predictable and a last-minute decision as Kitagawa
was finishing up her undergraduate work at UC San Diego, where “almost
everyone was pre-med,” she says. Always strong in math and science, she
had thought about going into engineering, but her father suggested
medical or dental school instead. Even with a Ph.D. in chemical
engineering, he had gone through cycles of expansions and lay-offs
before finally transitioning into the more stable computer engineering
field. He wanted his daughter to have a more secure profession. “I was
good with my hands and pretty artistic, the basic requirements for
dentistry, and my own dentist, who is also my cousin, really encouraged
me,” Kitagawa comments.
Studying and living in San Francisco
proved to be really good choices. It was her first time away from home
in San Diego, but she quickly became part of an extended family, 80
fellow students who spend all four years in school together as a single
class. The first two years were primarily coursework, “nonstop
homework, tests, and finals,” followed by the much more clinical third
and fourth years. Throughout, she enjoyed getting to know the diverse
array of classmates, forging lifetime friends.
It was as
school was winding down that the relationship with her future husband,
Ronald Kitagawa, an editor at the San Jose Mercury News, began to
develop.
They had originally met at an Asian-American business
mixer. He saw her first, but he did not get her phone number.
Ever the journalist, when he wanted to see her again he called on his
network of sources to help locate her, and sent her a card. Francine
did not respond immediately, but when she needed to find a patient for
the state boards, she emailed him to see if he was qualified. He was
not, but they started dating. Two months later, he decided to join her
and her mother on a post-graduation trip to China. It was the acid test
for both—“when you travel with someone, especially when your mom’s
along, it’s either going to work out or not,” she quips—and a few
months later they were engaged. “It was quick, we just knew.”
FLEXIBILITY
FOR THE FAMILY
The
couple married in 2002 and soon started looking for a house to buy.
They came out to Pleasanton and were quickly captivated by the
small-town feel. “I love all the greenery, it reminds me a little of
Toronto,” where she and her family had lived before moving to San Diego
when she was 12, Kitagawa says. Once settled as a Pleasanton resident,
she took advantage of the flexibility working in other dental offices
to accomplish another pre-practice mission, having a family. Just 13
months apart, the couple’s two children, Kaitlyn and Keith, were born
in 2005 and 2006, respectively. Now ages four and three, they
attend a nearby preschool. “It’s a great arrangement, and my in-laws,
who live in Walnut Creek, help out a lot.”
With her own
practice, Kitagawa also balances her schedule to accommodate her
family’s needs. “A lot of women go into dentistry because of
the
flexibility. That’s one of the pluses. I’m open late for patients
Tuesdays and Thursdays, and every other Saturday.” When she is not
working, “it’s pretty much taking kids to play dates, birthday parties,
etc. That’s my life, that and dentistry,” she relates.
THE PRACTICE
Eighteen
months into her practice, business is going well, and there has not
been much fallout from the economic volatility. “I opened my practice
during a recession so I didn’t feel it. Now I have more patients, and
they continue to refer others, so it keeps on building. Even in my
first year I broke even,” Kitagawa comments. She also really enjoys her
work environment. “I’ve worked in several other places in the Bay Area,
but here in the Tri-Valley the people are the nicest patients ever, and
that makes a big difference. I’m happy going to work!”
The
same care and planning put into starting a business shows up in
Kitagawa’s approach to the newest dental techniques. “I want things to
last, so I am cautious. I use things that are new but have a proven
track record.” Teeth whitening has shown itself to be an
effective marketing tool. “Once patients have finished with whitening,
they start thinking about other things that may not look right. They
are also more aware of their teeth, and they start taking better care
of them.”
The Gateway Dental Care office includes two
part-time assistants, both “very caring and thoughtful” previous
colleagues. “I worked with Vanessa for a long time. She really
encouraged me to open up my own practice. I also worked with Maria, who
had taken a break to have children, and then called me when she was
ready to go back to assisting. Jerry does a wonderful job taking care
of patient scheduling and dental insurance needs.”
Kitagawa’s office is located at 4825 Hopyard Road, F17. For more
information, visit www.pleasanton-dental.com
or call (925) 598-9825.
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