Friday, December 30, 2011

Outlook on Dentistry from the 80's

Maybe not quite from the 80's but who cares! And yes, I
added my own commentary, I guess I wasn't in a funny mood
this morning...
Fanny packs, side ponytails, bright bright leg warmers, spandex - there sure is a lot of interesting fashion from the '80s! What is even more interesting is the outlook on dentistry from the '80s! This gem of an article from 1987 highlights some of the fears facing incoming dental students, including, debt, 'for some private schools,' to reach $51,000! Little did they know that in a mere 25 years, dental school debt, for some private schools, to be 10 times that amount! Yes, Dental School debt can come close to half a million dollars people. It is a scary scary world. We have to remember that the 80's was a low point in dentistry with the number of dental schools falling drastically, including many esteemed universities closing their doors of their dental schools, including Northwestern, Georgetown, Emory, Loyola, etc. All these schools closed in the late 80's and early 90's (with the exception of Northwestern in 2001) due to poor educational cost outlook and the schools having a projected net loss, in some cases, exceeding 5 million dollars. The 57 dental schools in the 80's dropped to around ~49. Now, however, that number has increased to 61, and, most likely, will top out around 70 by the end of the decade! I will attribute this to the increasing interest in dentistry as an alternative to medicine because of the increased government regulation of the other health fields and the increasing awareness of the awesome lifestyle of dentists. But, more or less, I think we will come to see that there will be a cycle of highs and lows in dental school admissions and number of dental schools. Just as the early 80's had a high, we are also experiencing a current high in the number of dental schools. The article below points out the same observation, "Many experts point out, however, that the relative supply and demand of dentists is a cyclical phenomenon, with the ups and downs controlled in good part by Federal aid programs. Influence of Federal Aid." Only time will tell, it seems.

Regardless of the fact that dentistry had a poor outlook in the 80's, it is now returned full swing! Many of the once closed dental schools are now re-opening, and other private universities popping out new dental schools with the greatest technology, amazing buildings, and great programs to try and attract today's savvy dental school applicant. As the article below states, many applicants were deterred because dentistry was thought to be doing its job too well and diminishing the need for dental care with the advances of technology in the oral health care field. I am glad to say, "Boy were you wrong!" If anything, the need for oral health care has increased as peoples incomes has decreased and stopped taking care of their teeth (while still needing the coolest shoes, cellphones, cable TV and internet, etc)... But that is a topic for another discussion.

Enjoy reading this article from 1987, written by Tamar Lewin, and published in the New York Times.

"
Plagued by Falling Enrollment, Dental Schools Close or Cut Back
By TAMAR LEWIN
Published: October 29, 1987

Georgetown University's 86-year-old dental school has no first-year students this fall. Over the next three years the Washington school will be gradually shut down, unless students and faculty members win a lawsuit to block the move.

Georgetown, formerly the nation's largest private dental school, decided to close after a Price Waterhouse study found that the school would have a $3.6 million deficit by 1992.

In Atlanta, Emory University's dental school will be graduating its last class of dentists this spring, then converting itself into a postdoctoral and research institution. And in Tulsa, Okla., Oral Roberts University's dental school graduated its last class two years ago.

Many of the 57 other dental schools in the United States have cut back the size of their classes, unable to attract enough qualified applicants. According to the American Association of Dental Schools, applications have dropped by almost two-thirds since 1975. The academic quality of the applicants has declined, too. High Tuition and Debt

And dental schools face other problems: Tuition that tops $15,000 a year at some private dental schools discourages many applicants, as does the fact that the average private dental school graduate has educational debts of $51,000.But the main cause for the declining interest in dental school is a widespread perception that advances in dental care have diminished the public's need for dentistry.

''We've done a very good job of preventing dental decay, and the birth control pill has done a very good job of reducing the population of children that was expected,'' said the dean of Emory's dental school, Dr. Dwight R. Weathers.

''So there is reduced demand for dentistry,'' he added. '''There have been a lot of articles saying how terrible things are for dentists, and that image, along with the high cost of dental education, obviously enters into young people's decisions about what career to pursue.'' Flouridation and Competition

There is little doubt that the introduction of fluoridation more than 40 years ago has brought a dramatic decrease in children's tooth decay, once a mainstay of dental practice. And many individual practitioners say there is now an oversupply of dentists, creating increased competition for a limited number of patients.

''To tell the truth, you have to sell a little sizzle these days,'' said Dr. Jules Paderewski, a Savannah, Ga., dentist who says his own practice in cosmetic and restorative dentistry is flourishing. ''With fluoridation and better preventive care, and the overall health consciousness of most Americans, the average guy coming out of dental school finds that the demand is not so high.''

He and others say, however, that there are still good opportunities in dentistry, especially in newer specialties such as cosmetic dentistry.

The American Dental Association argues vehemently that while the image of the profession may be suffering, the practice is not.

''We have no evidence that demand for dental services is declining,'' said Tony Kiser, secretary of the American Dental Association's Council on Dental Practice. ''The nation's total budget for dental services last year was $29.6 billion, the highest it's ever been.'' Income and Enrollment

Dr. Kiser says that dentists' average income, too, has been rising steadily, to $69,980 in 1985, the last year for which figures are available.

Nonetheless, the number of first-year dental students has dropped by almost a third in the past decade.

''The post-baby-boom generation is less interested in all the health professions,'' said Eric Solomon, assistant executive director of the American Association of Dental Schools. ''In some applicants' minds, there is also a hierarchy in the health professions, with medical school on top of dental school. So as applications to medical schools decline, and it becomes easier to get in, some people who would otherwise be going to dental school are probably going to medical school.''

The ratio of dental school applicants to enrollees is now 1.3 to 1, as against 2.7 to 1 in 1975, and applicants' aptitude test scores have been dropping for the last decade.

Many experts point out, however, that the relative supply and demand of dentists is a cyclical phenomenon, with the ups and downs controlled in good part by Federal aid programs. Influence of Federal Aid

Although fewer people may be becoming dentists than in the 1970's, they say, enrollment and applicant levels are similar to those of the mid-1960's, when there was serious national concern about a shortage of dentists.

As a result, the Federal Government gave hundreds of millions of dollars of aid to dental schools, some of it through programs that included financial incentives for larger classes.

According to the American Dental Association, dental school enrollment peaked in 1981, the year the Federal grant programs were abolished.

''The problem has always been to get the supply and demand in balance, and it seems we're always going up and down,'' Dr. Weathers of Emory said. ''The issue now is whether we are going to overreduce the supply so much that we'll have a shortage of dentists a few years down the road.
''


SOURCE


Sunday, December 11, 2011

Its a Girl!

Happy Birthday Ella Sophia! Born at 12:37 PM Saturday, December 10th, 2011. Weighing in at 6 lbs 13 oz and measuring 19.5 inches.


A few days home from the hospital!




My original plan was to make a quick birth announcement here, on DentalDadDiary.com, then post that to facebook and twitter. But, as many of you may know, having a baby, then going though all the new stuff in the hospital, then coming home after a few days, is rigorous and draining. Needless to say, this post has taken several days of composition in between naps, diapy changes, and feedings. Nonetheless, Baby Ella is doing great! She is beautiful and curious about the world around her. It is so funny that every thing she does is so new and exciting - Britt and I cannot help but to be amazed at it. For example, when she is resting her hand on her forehead, holding up three fingers, making a squesshy face, or wrinkling her forehead like an old man, we are so excited and take like 10 pictures. My sister in law called this the honeymoon phase, which makes sense, and, like the post-nuptial's honeymoon phase, this will surely calm down to a happy, yet loving, medium of amazement and curiosity. Until then, I am going to goo goo and ga ga this love bug to no end.


If you remember from previous posts, way back when, Britt and I were keeping the sex a secret. So it was quiet a surprise when she was born! Even though the Dr forgot to say "It's a girl!" and the nurse said it after I cut the cord, it was still really exciting finally knowing she was a she. I think, maybe because she was 5 days over due, I was really anxious about whether she would be a boy or a girl. Our whole birth story may be a topic for another post, because, like most birth stories, ours is unique and humorous. 


I don't know, I think she kinda looks like me :D



-30-





Monday, December 5, 2011

Rx for the Week: Monthly Exam #5





Last sneak peak into the exam schedule of a second year dental student's first semester of second year. Don't you worry now, I will keep doing my Rx's for the week next semester! But at least next semester will be easy! Oh wait, no, no it wont. Why? Because we are taking 30.75 credit hours! More on next semester's classes after my last exam and my last final!


And, today is Britt's due date. Unfortunately, I don't think she is popping out that baby today. Maybe another week, maybe tomorrow, who knows! I thought he/she was going to come early... Good thing  I did not bet a significant portion of my life's savings on guessing the sex and due date! I am ready and excited for this baby to hurry up and get here. As far as exams go, I hope I can get those out of the way so I don't have to learn how to juggle studying for school and taking care of a baby till next semester.


Looking at the list below, it sure doesn't feel like there is a lot of material on this test, but seeing how dermatology is basically more pathology, this exam is just one huge pathology test! Here goes memorizing every tiny little detail about diseases that have only been reported 40 times since their discovery in the 1950's. Oh yeah, Ameloblastic Fibrosarcoma and Squamous Odontogenic Tumors I'm talking about you. I mean c'mon, you don't even have a wikipedia page! I think that means you aren't real! I refuse to study you! REFUSE! 


Monthly Exam 5
Dec 7, 2011




DSII
Fixed Partial Prosth
  1. 11.04 MCC preperation
  2. 11.04 ProTemp Provisional
  3. 11.11 DM MCC Restorations
Dentures
  1. 11.09 Complete Denture Placement, Clinical Remount, and Postplacement Adjustment
SABS
Dermatology
  1. 11.08 Blistering Diseases
  2. 11.10 Benign Tumors
  3. 11.11 Malignant Tumors 
  4. 11.15 Immunology
  5. 11.17  Topical therapy
  6. 11.18 Bacterial Infections and Acne
  7. 11.22 Exanthems and Enanthems 
  8. 11.29 Dermatology Review 
  9. 12.01 Systemic Manifestations of Skin Disease
ODDI
Oral Pathology
  1. 11.02 Developmental Deformities 4
  2. 11.02 Developmental Deformities 5
  3. 11.03 Developmental Deformities 6
  4. 11.09 Odontogenic Cysts & Tumors 1
  5. 11.10 Odontogenic Cysts & Tumors 2
  6. 11.15 Odontogenic Cysts & Tumors 3
  7. 11.16 Odontogenic Cysts & Tumors 4 
  8. 11.17 Odontogenic Cysts & Tumors 5
  9. 11.22 Odontogenic Cysts & Tumors 6
  10. 11.29 Oral Manifestations of Systemic Disease 1
  11. 11.29 Oral Manifestations of Systemic Disease 2
  12. 11.30 Oral Manifestations of Systemic Disease 3
Dx and Tx Planning
  1. ??????????????????????

OH YEAH BABY! One more week till a month long, and well deserved IMO winter vacation.

-30-

Thursday, December 1, 2011

nboogie's "'Twas the Night Before D-Day (Poem)"

For all my predental followers, readers, and friends, I came across this poem written my SDN member nboogie titled "'Twas the Night Before D-Day." This is pretty funny and accurate. It brings back stressful memories of 2 years ago when I was checking my email and ADSAS status every minute to see my acceptances. Funny thing was, at IUSD, they had a problem with the auto-email for the instate residents and the acceptance emails that were supposed to be sent out at 12:01 AM Dec 1st, didn't get sent. SOoooo, being completely reasonable, I called IUSD at 7:00 AM to see if I got in (and, obviously, I did!)

Good luck and happy acceptances! Or, keep your fingers crossed for a non-Dec 1st acceptance.

**Non Dental readers: Dec 1st is largely termed D-Day because this is the first day that any dental school can notify its applicants whether they were accepted. Needless to say, this is a date filled with anxiety, hope, fear, laughter and tears!

"‘Twas the night before D-Day.
I sat alone in my house,
With my hand hovering over the computer mouse.
I’d been refreshing for three hours, but I didn’t care,
Because I knew midnight would soon be here.

All of my friends are surely in bed,
With nightmares of finals running through their heads.
But finals are the furthest thing from my mind,
As I refreshed and refreshed, hoping an “Accepted” would be what I’d find.

The mailman is sick, with this I can’t cope!
I lost my phone charger, so AADSAS is my only hope!!
Refreshing and refreshing, awaiting a change,
When, I finally noticed something strange.

“Check back on Dec. 1st?” was what I was reading!
Surely this has to have some other meaning!!
Could this be like the blanks of last year?
Oh, I wish midnight were already here!

It’s been three months since my last interview.
For the decisions, I’ve been waiting. If you only knew!
The uncertainty is unbearable.
This anticipation is incomparable.

To think in mere minutes the wait could end,
Makes my weary mind bend.
Years of hard work have led to this night,
And the possibilities set me affright!

And here it is, already 12:01!
And the status updates? NONE!
Don’t these Adcoms know how I’m feeling?
For how long my head has been reeling?!

All of these emotions have worn me out!
My friends don’t know what all the fuss is about.
It’s only the most important day of my life, I reason.
An acceptance would perfect this holiday season!

But 5 minutes later, no update yet.
Oh, I give up! I’M GOING TO BED!!"




Source: 'Twas the Night Before D-Day (Poem)
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