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JACD 71-4 - American College of Dentists

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2004 ACD Annual Meeting<br />

10<br />

instead under the weight <strong>of</strong> commercial<br />

cosmetic dentistry marketing to the level<br />

<strong>of</strong> mere dental spa operators? Yes, it<br />

could happen. It could happen far too<br />

easily, without our even noticing it.<br />

But we cannot let this happen to our<br />

chosen pr<strong>of</strong>ession. We must not let it<br />

happen, because society will ultimately<br />

suffer if the dental pr<strong>of</strong>ession is degraded.<br />

So, what must we do to save our<br />

pr<strong>of</strong>essionalism? First, let me start with<br />

what dental educators are doing,<br />

because I know that you are already<br />

blaming dental education in your minds<br />

for recruiting and graduating such<br />

deplorably business-oriented dentists.<br />

(After all, it must be dental education’s<br />

fault because this unpr<strong>of</strong>essional<br />

commercially focused behavior wasn’t a<br />

hallmark <strong>of</strong> the pr<strong>of</strong>ession when you<br />

graduated, was it?)<br />

Well, in this instance, dental educators<br />

are not guilty. In fact, we are recruiting<br />

dental students who have already<br />

demonstrated their volunteerism and<br />

commitment to serving the public and who<br />

want to continue this service as dentists,<br />

ministering to the oral health needs <strong>of</strong><br />

their patients and their community. In<br />

We must tell the story<br />

<strong>of</strong> our pr<strong>of</strong>ession’s service<br />

to the disadvantaged<br />

members <strong>of</strong> our society.<br />

the dental education curriculum, we are<br />

already providing case-based, facultymentored<br />

small group discussions <strong>of</strong> the<br />

ethical issues, such as commercialism<br />

versus pr<strong>of</strong>essionalism, that challenge<br />

their chosen pr<strong>of</strong>ession. We are counseling<br />

dental students against falling into the<br />

commercial model <strong>of</strong> practice in order<br />

to pay <strong>of</strong>f their sizable educational<br />

debt at the expense <strong>of</strong> their pr<strong>of</strong>essional<br />

reputation. We are doing all this and<br />

more, and we will continue to help<br />

our students confront the pr<strong>of</strong>ession’s<br />

tension between commerce and care.<br />

We will help our students to resolve this<br />

tension in their minds and in their<br />

hearts before they enter the pr<strong>of</strong>ession<br />

after graduation.<br />

But now, what do I want you to do?<br />

As Fellows <strong>of</strong> the <strong>American</strong> <strong>College</strong> <strong>of</strong><br />

<strong>Dentists</strong>, you represent the 2.5% <strong>of</strong><br />

<strong>American</strong> and Canadian dentists who<br />

have received the honor <strong>of</strong> fellowship as<br />

recognition <strong>of</strong> your pr<strong>of</strong>essionalism<br />

and leadership. But this great honor <strong>of</strong><br />

fellowship brings with it the weighty<br />

responsibility <strong>of</strong> leadership. So, I expect<br />

you to do a lot about this danger to<br />

the pr<strong>of</strong>ession.<br />

First, I expect you to drown out the<br />

noise <strong>of</strong> cosmetic dentistry advertising<br />

with a powerful counter-message. I want<br />

you to influence your dental organizations<br />

to spend money (yes, I said spend<br />

money) to market the message that<br />

dentists are health care pr<strong>of</strong>essionals<br />

who are essential to the general health<br />

<strong>of</strong> the public. I want you to lead your<br />

dental organizations—whether it is your<br />

county dental society, your town dental<br />

study club, the provincial or state dental<br />

association, or the <strong>American</strong> or Canadian<br />

Dental Association—to mount marketing<br />

campaigns like the ADA’s successful oral<br />

cancer campaign. These marketing<br />

campaigns must emphasize that dentists<br />

do serve the public’s health by addressing<br />

the connection between oral health and<br />

diabetes, early term low birth weight<br />

infants, cardiovascular disease, tobacco<br />

abuse, and obesity. We do relieve pain,<br />

and we do detect oral cancer, and we are<br />

a vital health care pr<strong>of</strong>ession.<br />

Then I want you to widely publicize<br />

all <strong>of</strong> the voluntary care that dentists<br />

provide to disadvantaged children and<br />

adults every day in every town and city<br />

in North America. Oh, I know that goes<br />

against the grain <strong>of</strong> your personal and<br />

pr<strong>of</strong>essional modesty. I know that you<br />

don’t voluntarily serve the underserved<br />

in order to be recognized for it. But you<br />

need to “take your light out from under<br />

the bushel basket” now, because we have<br />

to obliterate this dangerous message <strong>of</strong><br />

commercial dentistry that is poisoning<br />

the public’s opinion about our pr<strong>of</strong>ession<br />

and demeaning us in their eyes. We<br />

must tell the story <strong>of</strong> our pr<strong>of</strong>ession’s<br />

service to the disadvantaged members<br />

<strong>of</strong> our society.<br />

I also want you to screw up your<br />

courage and personally confront the<br />

dental cosmetologists, face-to-face, and<br />

tell them what you think about the way<br />

they are degrading our pr<strong>of</strong>ession.<br />

I know that also goes against your<br />

personality grain. <strong>Dentists</strong> are, by and<br />

large, not confrontational in their<br />

interactions. But you know that you<br />

can do this in a polite, respectful, and<br />

pr<strong>of</strong>essional way, if you only push<br />

yourself to do it. You can influence your<br />

colleague to at least think about what<br />

they are doing to their pr<strong>of</strong>ession.<br />

You all have a position <strong>of</strong> respect<br />

and influence in your pr<strong>of</strong>essional<br />

community. I implore you to use it to<br />

save our pr<strong>of</strong>ession. If we don’t assertively<br />

confront the dental cosmetologists,<br />

we run the risk <strong>of</strong> losing this great<br />

pr<strong>of</strong>ession to them.<br />

I know that I am asking much <strong>of</strong> you<br />

today. But if the Fellows <strong>of</strong> the <strong>American</strong><br />

<strong>College</strong> <strong>of</strong> <strong>Dentists</strong> don’t take on this<br />

responsibility, who will? Who will act to<br />

save our pr<strong>of</strong>ession, if not you? ■<br />

2005 Volume <strong>71</strong>, Number 4

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