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Role models Background.—When we were in graduate school, our instructors served as role models, showing us what we could eventually become. Often these role models had been associated with the founding fathers of orthodontics, for example, but they eventually passed away and were replaced. Who are the role models for today? Role Model Development.—Each of us looked up at someone as we grew up. Younger brothers and sisters look up to older siblings, older siblings look at parents, and parents look to grandparents. The same pattern is found in professional circles. New applicants envy and respect orthodontic residents, who look up to second- or thirdyear residents, who formulate their vision of practice based on established practitioners who have influenced them. Good role models remember that nearly every decision they make eventually influences and shapes the lives and opinions of those around them. Being a good role model for others is a high calling and a great social, parental, and human responsibility. Handling the Responsibility.—Orthodontists must make appropriate decisions about patient treatment,
practice management, parenting, spouse interactions, and all the other daily activities of life. Good role models also reap rewards daily as they see people who respect and depend on them becoming positive role models for those in the following generation.
Clinical Significance.—What kind of role model are you? Each of us takes on a role model person as others look at the way we conduct ourselves daily. Role modeling begins even at the earliest ages in family life and continues throughout your life.
Kokich VG: Where are the great role models? Am J Orthod Dentofacial Orthop 141:671, 2012 Reprints not available
EXTRACTS NO TIME FOR PREVENTION TRAINING Only about a quarter of fellowship programs for cardiologists offer training in prevention that meets the published guidelines set forth by the American College of Cardiology Foundation (ACCF), American Heart Association, and American College of Physicians, among others. These organizations recommend that cardiologists in training receive at least 1 month of experience in settings devoted to prevention. Settings could be clinics specializing in cardiac rehabilitation after a heart attack, diabetes treatment, weight loss, or smoking cessation. The accreditation criteria for graduate medical training programs also require cardiology fellows to have both training and experience in prevention. Dr. Quinn Pack, a preventive cardiology fellow at the Mayo Clinic in Rochester, Minnesota, noticed that some fellowship programs where he applied seemed to emphasize prevention more than others. He and his colleagues sent out a survey to about 200 programs, but less than a third responded. Although 24% of responding programs met the guidelines, another 24% had no curriculum dedicated to prevention. Pack states, ‘‘Prevention and management of risk factors (for heart disease) is not an emphasized—and almost neglected—portion of the curriculum. We don’t know how it affects (doctors’) knowledge.’’ Dr. Roger Blumenthal, professor at Johns Hopkins University and chair of the task force that wrote the ACCF guidelines, was disappointed. ‘‘What we would hope is that they’re applying the basic preventive cardiology principles for the rest of their cardiology time.’’ Pack reports that the training emphasizes diagnosis and managing acute heart conditions, with much time spent learning how to read stress tests and insert stents. These skills are more technical than smoking cessation efforts and tend to be reimbursable procedures. Medications, diet, smoking cessation, and lifestyle changes, however, are often the things that make a real difference to patients, Pack adds.
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Dental Abstracts