Knowing that I won't specialize..

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LaughingGas

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What are the things I should do to maximize my dental school education?.
I know it is a very vague question, but at the moment I feel a bit lost. What would you have done differently in dental school if you knew you weren't going to specialize?

Thank you.
 
A lot of people in dental school said they weren't going to specialize. A lot of those same people ended up specializing... how are you so sure? why do you want to limit your options?
 
Agree with Contach.

Also, while I will risk offending some by stating that I don't think much of the basic science stuff is used once you are in practice, the core dental curriculum, and how well you learn it, has a bearing on the type of clinician you will be, as it IS your basis from which you continue to learn.

Having worked with many dentists from many different backgrounds, both in the military and in corporate practice, I would also offer a bit of anecdotal info.



Usually, the dentists that you hear stating that, "after dental school, the grades you got don't matter", are not the ones who most of their peers would consider to be the most gifted, or best and the brightest. To put it another way, I have seen many good to exceptional dentists, many of whom were not in the top tiers of their respective classes, and I have seen many crappy dentists, in terms of their clinical abilities, especially concerning complex tx, but I have never seen a dentist who did very well in school be one of the crappy dentists (and make no mistake, they are out there). YMMV.
 
Agree with Contach.

Also, while I will risk offending some by stating that I don't think much of the basic science stuff is used once you are in practice, the core dental curriculum, and how well you learn it, has a bearing on the type of clinician you will be, as it IS your basis from which you continue to learn.

Having worked with many dentists from many different backgrounds, both in the military and in corporate practice, I would also offer a bit of anecdotal info.



Usually, the dentists that you hear stating that, "after dental school, the grades you got don't matter", are not the ones who most of their peers would consider to be the most gifted, or best and the brightest. To put it another way, I have seen many good to exceptional dentists, many of whom were not in the top tiers of their respective classes, and I have seen many crappy dentists, in terms of their clinical abilities, especially concerning complex tx, but I have never seen a dentist who did very well in school be one of the crappy dentists (and make no mistake, they are out there). YMMV.
I agree to a large extent. However, I would argue that many of the top in class did not have the best hand skills by far. Often the top of the class were gifted academically, but had to work hard on the hand skills. They worked exceptionally hard, but also were fairly selective with who graded/ rated them on the clinic floor. Clinic floor grades are incredibly subjective. The instructors you learn the most from, likely also have the highest expectations from you.

Even though dental practice success doesn't correlate to hand skill ability, it is often stated at dental school that there is no correlation whatsoever between dental school grades and the success of graduates.
 
Good points, agent2362.

In my class the top students after D1 year were mostly the str0ng academic types. After D2 year many of them had fallen out of the top 10, with about half of them having decent or good hand skills still remaining, and the guy who ended up being our valedictorian had the best hands of anybody in the class, along with being the top academically. He decided not to specialize although he could have had his pick of specialties.

Over the years I have had several dentists confide to me that they wish they had known how much frustration they would have been able to avoid had they really understood that at the end of the day, if you are not good with your hands, this profession is not a lot of fun, lol. 2 of these guys in particular stayed in the military because they wanted to follow a career track that would allow them to do the minimum amount of clinical/operative type dentistry (I think one went into oral medicine).


Also agree on your comment on grades and success. (assuming we are using financial success as the common yardstick).

I often say that most patients only consider 2 things when evaluating their dentist: 1. Do I like them. 2. Does he/she hurt me?

These factors, along with luck in business/location/etc, have much more to do with financial success than class rank.
 
In dental school, I had no desire to specialize. But I tried to do relatively well with courses, and was in a couple organizations for fun. Turns out, in my first year of PP, I wanted to go back for oral surgery. Luckily I did good enough in dental school for that door to remain open (and match). When I was meeting with my dental school dean for the deans letter, he said, "You can change your job. You can change your spouse. Hell, you can even change your gender. But you can never change your transcript." Point is, never close doors. You never know if you'll want to specialize some day. I didn't plan on it. But if I completely tanked in dental school, I would always regret not even having the chance to go into a residency.
 
Don't heavily interested GPR/AGED want decent transcripts too? Like the VA in Houston?
 
if you don't want to specialize, grades are not as important as they would if you did want to specialize. i know of many people who did poorly academically but excelled in clinic, and got many accolades from faculty. these people got into some great gprs and aegds.

to say that the people who don't care about grades as much aren't as gifted is a fallacy. i know of way too many people who disprove that theory. sure, if you don't care about grades and you don't care about clinic, then yeah...i can see that. but it's all about priorities, really. some people would value spending more time learning how to do a prep the right way than studying for a biochem exam. that's just how it is

and @Faux VA residencies are some of the toughest to get, so yes you need excellent grades for that. aside from the military, they're the only program that offers a 2 year general dentistry residency with degree.

But, when it comes time to applying for a residency position you'll want to do your homework and see what program is strong in what you want to pursue.
 
dont be stupid...specialize if you can
 
Well. Knowing how well my classmates do in every class, I am guessing I am in about middle tier. Also, seeing how many of my classmates that want to specialize/stay in top 10%, they put insane amount of effort. Honestly, I could study as hard as they do, but I just don't know if it will be worth it in the end if I end up not specializing.

Thank you for all the advice. I will keep it in mind.
 
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Honestly, I could study as hard as they do, but I just don't know if it will be worth it in the end if I end up not specializing.

This is what everyone says. If this is the case, you are squandering your talent. Others would be grateful to have your gift. I hope you are doing something really valuable with your time, maybe having a family, or following through with a talent of yours. Because being lazy is a damned shame. And these years are the foundation of the rest of your career which you'll never get back.

No one is impressed with a person who has the potential to get good grades. We are impressed by people who commit themselves, overcome adversity, and demonstrate a solid work ethic. Who values squandered talent? Not I. I'm slightly disgusted by what you said.
 
@Contach And it is really offensive that you even think of me being lazy. I don't see the point of studying little details regarding "what type of cell morphology is ureter" and what not, which may be important for boards and to get good grade, but not necessarily to be a good dentist. I understand your points, but please, if you are giving an advice to someone next time, make it sound less offensive. Although I am only 1st year, I stay later than my classmates to perfect my hand skills, commuted 2 hour roundtrip to school even during 4 feet snow weather even when transportation was down. I rather spend my free time or make free time to spend with my spouse who left her family, work, school, just to support my way throughout dental school. So I believe my concern is quite valid, since the ones that are trying to specialize/gunners, spend all their free time studying at the library a lot more than I do. And possibly, at this moment, I don't think I can handle to be a top student and a husband at the same time. So, I am sorry you even think that I am a lazy student.
 
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Get as much CEREC and CAD/CAM experience as you can. Work with the faculty on more advanced clinical cases. Spend a lot of time in clinic and the lab.
 
The harder you work now, the less you'll have to work later. It was easier for me to devote more time to studying and doing research than my dental classmates because I was single, had no kids and didn't have to drive 2 hours to school. Dental specialists generally work fewer hours than general dentists. Many of my GP friends, who have practiced general dentistry for 5-10 years, say they wish they'd spent more time studying in dental school so they could specialize and have an easier job like mine and my wife's. Many have back pain from working long hours every day. They wish they can work less hours so they can spend more time with their kids. By the time they get home from work, they just want to rest and do nothing else. I know a few GPs who are doing better financially than specialists but to get there, these GPs have to work many times harder than the specialists.

I am still at home when I write this post. I don't have to see my first patient until 2pm and I work from 2-6pm today.
 
This is what everyone says. If this is the case, you are squandering your talent. Others would be grateful to have your gift. I hope you are doing something really valuable with your time, maybe having a family, or following through with a talent of yours. Because being lazy is a damned shame. And these years are the foundation of the rest of your career which you'll never get back.

No one is impressed with a person who has the potential to get good grades. We are impressed by people who commit themselves, overcome adversity, and demonstrate a solid work ethic. Who values squandered talent? Not I. I'm slightly disgusted by what you said.

Get off your high horse man. Just because someone doesn't specialize doesn't mean they are "squandering their talents". And what you may consider "being lazy", many would consider as enjoying their life outside of school. No reason to be so judgmental here...
 
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The harder you work now, the less you'll have to work later. It was easier for me to devote more time to studying and doing research than my dental classmates because I was single, had no kids and didn't have to drive 2 hours to school. Dental specialists generally work fewer hours than general dentists. Many of my GP friends, who have practiced general dentistry for 5-10 years, say they wish they'd spent more time studying in dental school so they could specialize and have an easier job like mine and my wife's. Many have back pain from working long hours every day. They wish they can work less hours so they can spend more time with their kids. By the time they get home from work, they just want to rest and do nothing else. I know a few GPs who are doing better financially than specialists but to get there, these GPs have to work many times harder than the specialists.

I am still at home when I write this post. I don't have to see my first patient until 2pm and I work from 2-6pm today.
oh you must be an endodontist... yeah personally, I know plenty of dentists that get bored doing limited numbers of procedures. If dentists want to see their kids more, then maybe they should be okay with making 150k a year and working 3.5 days a week instead of expecting to make 200k +. Dentists disgust me sometimes. We are one of the few professions that works less than 40 hrs/week, makes well over 6 figures a year, doing fairly repetitive and routine stuff....YET we still B!tch all day about how we wish life was easier and how we could work less.

OR...dentists could just buy less worthless crap trying to keep up with their peers. It doesn't matter how much you make, if your lifestyle is directed at outpacing your income.

I know a dentist who works 2-3 days a week. Makes 100K a year and spends tons of time living a very active lifestyle. It's what makes him happy and he doesn't need to make 250K/ year like all the other dentists around him to be fully satisfied and happy with his life
 
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oh you must be an endodontist... yeah personally, I know plenty of dentists that get bored doing limited numbers of procedures. If dentists want to see their kids more, then maybe they should be okay with making 150k a year and working 3.5 days a week instead of expecting to make 200k +. Dentists disgust me sometimes. We are one of the few professions that works less than 40 hrs/week, makes well over 6 figures a year, doing fairly repetitive and routine stuff....YET we still B!tch all day about how we wish life was easier and how we could work less.

OR...dentists could just buy less worthless crap trying to keep up with their peers. It doesn't matter how much you make, if your lifestyle is directed at outpacing your income.

I know a dentist who works 2-3 days a week. Makes 100K a year and spends tons of time living a very active lifestyle. It's what makes him happy and he doesn't need to make 250K/ year like all the other dentists around him to be fully satisfied and happy with his life


Lots of factors here that may not be evident.

does your friend have a wife? does she work (and maybe have another high paying job)? does he have kids? does he plan to have kids? Where does he live? high cost or cheap area?

And here is the one that nobody knows - does he have any family money? did he get through dental school with family help and not owe a cent in loans? you never know if his family is wealthy and he is looking forward to a large inheritance someday, and thus has no stress about saving for retirement, and might even be gifted several thousand dollars a year from wealthy parents whittling down their estate with annual tax free gifts to their children. (and honestly, if this were the case he would probably NOT broadcast it, many people who come from money don't like to advertise it).

Not hating or anything, just pointing out that it is impossible to gauge someone else's financial situation, much less motivations for how hard they decide to work.



btw, pretty sure Charles is an orthodontist - check out his avatar, lol.
 
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oh you must be an endodontist... yeah personally, I know plenty of dentists that get bored doing limited numbers of procedures. If dentists want to see their kids more, then maybe they should be okay with making 150k a year and working 3.5 days a week instead of expecting to make 200k +. Dentists disgust me sometimes. We are one of the few professions that works less than 40 hrs/week, makes well over 6 figures a year, doing fairly repetitive and routine stuff....YET we still B!tch all day about how we wish life was easier and how we could work less.

OR...dentists could just buy less worthless crap trying to keep up with their peers. It doesn't matter how much you make, if your lifestyle is directed at outpacing your income.

I know a dentist who works 2-3 days a week. Makes 100K a year and spends tons of time living a very active lifestyle. It's what makes him happy and he doesn't need to make 250K/ year like all the other dentists around him to be fully satisfied and happy with his life
I am not an endodontist. Actually, most endodontists don't have the luxury to come to work any time they want. Whenever the patient is in pain and his GP calls to refer to an endo office, the endodontist has to be immediately available to treat that patient. If the endo is busy and not available, the GP will have to refer the patient to another endo down the street.

Making $150k/year is not enough if you owe $300K+ in student loan, live in CA (where an average home price is $500-600k), are married and have 2-3 kids. You need to make at least 2-3 times more in order to pay off the student loan debts and save for your future retirement. As an independent contractor, you have to buy your own health insurance, disability insurance, life insurance, malpractice insurance etc. Do you want your kids to borrow for their college education like what you did or do you want to pay for them? A 5-day vacation trip to Hawaii for a family of 4 easily costs you around $6-7k. A private piano lesson for your kid easily costs you $200 a month......and the list goes on and on.

Most of the dentists I know work very hard. I only know one general dentist who has the lifestyle like what you described. He works 2-3 days a week and his partner works the other days of the week. He takes a lot of vacations with his wife and kids. He drives a nice S class. After he gave me a tour of his mansion that sits on a 2-acre lot, I asked him how could he afford all these. He told me "You can't be rich doing dentistry. It's impossible to be rich and be an ethical dentist at the same time." I later found out that he earns most of his money from other investments.
 
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I am not an endodontist. Actually, most endodontists don't have the luxury to come to work any time they want. Whenever the patient is in pain and his GP calls to refer to an endo office, the endodontist has to be immediately available to treat that patient. If the endo is busy and not available, the GP will have to refer the patient to another endo down the street.

Making $150k/year is not enough if you owe $300K+ in student loan, live in CA (where an average home price is $500-600k), are married and have 2-3 kids. You need to make at least 2-3 times more in order to pay off the student loan debts and save for your future retirement. As an independent contractor, you have to buy your own health insurance, disability insurance, life insurance, malpractice insurance etc. Do you want your kids to borrow for their college education like what you did or do you want to pay for them? A 5-day vacation trip to Hawaii for a family of 4 easily costs you around $6-7k. A private piano lesson for your kid easily costs you $200 a month......and the list goes on and on.

Most of the dentists I know work very hard. I only know one general dentist who has the lifestyle like what you described. He works 2-3 days a week and his partner works the other days of the week. He takes a lot of vacations with his wife and kids. He drives a nice S class. After he gave me a tour of his mansion that sits on a 2-acre lot, I asked him how could he afford all these. He told me "You can't be rich doing dentistry. It's impossible to be rich and be an ethical dentist at the same time." I later found out that he earns most of his money from other investments.
I agree that those are serious considerations to be pondered, but the fact of the matter still stands that most dentists can easily still pay off a 300k loan over 20 years and still live a fairly comfortable lifestyle. Are they going to be able to cash buy a BMW, probably not for a while (but many will get it anyway, since they are a 'doctor.') However, there are many ways to deal with this debt--military scholarships (as I did), NHSC, or simply go to more rural areas, instead of really saturated areas like California. I had a dental instructor at UoP who owned a practice in Napa previously, but had made significantly more money working in rural Montana (to the tune of 6-700K a year). He couldn't stand working in a rural county and gave it up to live where he wanted.

I came from a blue collar family and all those needed expenses, really just sound like 1st world, top 5% of wage of earners in the US, problems. Piano lessons, saving gobs of money for retirement, going to Hawaii, living in a really nice, expensive part of California and paying for your kids to go to $150k undergrad institutions are all luxuries that most of Americans can only dream of attaining. I recently had a successful retired dentist teaching a CEREC CE course advise all the dentists present that 8 million dollars was a good goal for retirement. I thought he was out of mind!!! (However, I do believe in saving 10-15% of everything you make for retirement). The studies support the idea that happiness does not increase significantly with earnings above $75k. Statistically speaking actually, being in the top 5% of wage earners is correlated with a much higher suicide rate. Maybe that's due in part to our expectations, lifestyle and unrealistic outlooks. My point is that as dentists, we live an extremely enviable life style, with a vast amount of resources and comfort compared to the rest of the population--and we should be thankful for that.
 
I recently had a successful retired dentist teaching a CEREC CE course advise all the dentists present that 8 million dollars was a good goal for retirement. I thought he was out of mind!!!.


Sounds like this guy was just trying to brag in a not so subtle way that HE had saved 8+ million dollars for retirement, and I agree that he is out of his mind.

A rule of thumb I have read several times is that you can safely expect to take 5-8% of your nest egg every year, without getting into the principal, with low risk investments.

So lets just call it 6%.

That would mean if you had 4 million saved (half of what your braggart CE instructor stated, lol), and a reasonable goal for most general dentists who practice 35-40 years, that you would be able to pull about a quarter of a million dollars off the top every year without touching your principal. More than enough for a GREAT standard of living in retirement after your kids are grown and you probably have your home paid for.

Honestly, not too difficult to retire with even 2 or 3 million once your kids educations and your home are paid for, IMO, and still enjoy a very high standard of living in retirement.

And these calculations are based on trying NOT to get into your principal.
 
This is what everyone says. If this is the case, you are squandering your talent. Others would be grateful to have your gift. I hope you are doing something really valuable with your time, maybe having a family, or following through with a talent of yours. Because being lazy is a damned shame. And these years are the foundation of the rest of your career which you'll never get back.

No one is impressed with a person who has the potential to get good grades. We are impressed by people who commit themselves, overcome adversity, and demonstrate a solid work ethic. Who values squandered talent? Not I. I'm slightly disgusted by what you said.

Doing really well on dental school exams has low utility outside of obtaining a residency. Based on my experience, and others students I've spoken to who go to other schools, the consensus is that the people teaching in dental schools are dentists-who-teach rather than educators. Therefore, the exams are usually poorly written and are not useful metric to measure someones mastery like in undergraduate or graduate school programs. Dental school is not unique, though; it seems that all professional schools suffer from this.

I would even extend this argument to say that sometimes making specialization-caliber-grades is done to the detriment of actually learning dentistry. It seems counter intuitive but I've found that there is a not seeing the forest through the trees phenomenon where the knowledge and time necessary to get a series of A's results in less retention, less familiarity with core concepts, less non-tested article and text reading, etc. The whole thrust becomes getting "test ready" by memorizing stacks of power point presentations and useless details. By studying this way you're committing yourself to residency in more ways than one lol.

EDIT: Knowing what I know now I would advise pre-dents to choose a Pass/Fail school with a good clinical experience. This will allow you to get a good education and have the option to specialize later if you choose. To borrow from Twain - don't let school get in the way of your education.
 
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I would even extend this argument to say that sometimes making specialization-caliber-grades is done to the detriment of actually learning dentistry. It seems counter intuitive but I've found that there is a not seeing the forest through the trees phenomenon where the knowledge and time necessary to get a series of A's results in less retention, less familiarity with core concepts, less non-tested article and text reading, etc. The whole thrust becomes getting "test ready" by memorizing stacks of power point presentations and useless details. By studying this way you're committing yourself to residency in more ways than one lol.

.


This argument holds no water.

Especially as after the first year of dental school, which is largely basic sciences (Biochemistry, Physiology, Histology, Gross Anatomy, Oral Pathology), with just a few basic dental classes (Dental Anatomy and Occlusion, basic Operative Dentistry), most of the next 3 full years of the dental school curriculum IS focused on dentistry. To argue that someone who consistently gets good grades, including in the core dental classes of Endo, Fixed and Removeable Pros, Perio, Oral Surgery, Pediatric, and Esthetic Dentistry, with much of their grades based on hands on labs and clinics, somehow is not as "familiar with core concepts" as the guy who epitomizes that "D equals DDS bro :wacky:" is an indefensible position.
 
I agree that those are serious considerations to be pondered, but the fact of the matter still stands that most dentists can easily still pay off a 300k loan over 20 years and still live a fairly comfortable lifestyle. Are they going to be able to cash buy a BMW, probably not for a while (but many will get it anyway, since they are a 'doctor.') However, there are many ways to deal with this debt--military scholarships (as I did), NHSC, or simply go to more rural areas, instead of really saturated areas like California. I had a dental instructor at UoP who owned a practice in Napa previously, but had made significantly more money working in rural Montana (to the tune of 6-700K a year). He couldn't stand working in a rural county and gave it up to live where he wanted.

I came from a blue collar family and all those needed expenses, really just sound like 1st world, top 5% of wage of earners in the US, problems. Piano lessons, saving gobs of money for retirement, going to Hawaii, living in a really nice, expensive part of California and paying for your kids to go to $150k undergrad institutions are all luxuries that most of Americans can only dream of attaining. I recently had a successful retired dentist teaching a CEREC CE course advise all the dentists present that 8 million dollars was a good goal for retirement. I thought he was out of mind!!! (However, I do believe in saving 10-15% of everything you make for retirement). The studies support the idea that happiness does not increase significantly with earnings above $75k. Statistically speaking actually, being in the top 5% of wage earners is correlated with a much higher suicide rate. Maybe that's due in part to our expectations, lifestyle and unrealistic outlooks. My point is that as dentists, we live an extremely enviable life style, with a vast amount of resources and comfort compared to the rest of the population--and we should be thankful for that.
Good discussions.

If a dentist makes $150k/year and works for 20 years, that only gives him a gross amount of $3 million. $1 million goes to Uncle Sam. $1 million will be used to pay off the home mortgage ($500k home loan+ 30 yr interest). $500k will be used to pay off his $300k (+ interest) student loan. Then, he won't have much left to live, to retire and to save for his kids. Even if he is healthy enough to work for 30-40 years, that annual salary of $150k is not enough.

I know many low income parents, who work hard to pay for their kids' piano lessons, math tutoring, tennis lessons etc. My dad was one of them. Even with his $6/hour salary (because he didn't speak any English), my dad worked hard to pay $35/month for my private classical guitar lessons. That's because he wanted me to grow up to be more well rounded than other kids my age. Piano lessons are not luxury things. They help kids develop good self discipline. It's not easy for a 5-6 yo kid to sit down to practice piano for 30 minutes every day. Now that I am a dad, I want to raise my kids the same way. As parents, we always want our kids to be better than other kids and provide them things that we didn't have when we were their age.
 
This argument holds no water.

Especially as after the first year of dental school, which is largely basic sciences (Biochemistry, Physiology, Histology, Gross Anatomy, Oral Pathology), with just a few basic dental classes (Dental Anatomy and Occlusion, basic Operative Dentistry), most of the next 3 full years of the dental school curriculum IS focused on dentistry. To argue that someone who consistently gets good grades, including in the core dental classes of Endo, Fixed and Removeable Pros, Perio, Oral Surgery, Pediatric, and Esthetic Dentistry, with much of their grades based on hands on labs and clinics, somehow is not as "familiar with core concepts" as the guy who epitomizes that "D equals DDS bro :wacky:" is an indefensible position.

Sorry, it's water tight. Your position would be correct if exams actually tested mastery; for example, oral or open ended written exams that tested understanding. However, as I described in my previous post, dental school exams have nothing to do with that. Do you know what I've done to get top grades? Stopped reading texts, not worry about understanding things deeply, and stopped reading journal articles. Instead, I memorize minutiae I know the professor will test on their power points. This is endemic to dental school. Passive recognition of options A, B, C, D, or E of professor preferred information doesn't begin to test people on their understanding of dentistry.

I'm not a hater; I'm making the grades. I'm playing the game and am not going to be rolled by it. However, I would work hard no matter what. I would much rather be in a setting where I could work hard at actually learning dentistry from high caliber texts, the latest journal articles, and even heavily study non-tested topics within a course that are neglected by the professor via independent study.
 
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Sorry, it's water tight. Your position would be correct if exams actually tested mastery; for example, oral or open ended written exams that tested understanding. However, as I described in my previous post, dental school exams have nothing to do with that. Do you know what I've done to get top grades? Stopped reading texts, not worry about understanding things deeply, and stopped reading journal articles. Instead, I memorize minutiae I know the professor will test on their power points. This is endemic to dental school. Passive recognition of options A, B, C, D, or E of professor preferred information doesn't begin to test people on their understanding of dentistry.

I'm not a hater; I'm making the grades. I'm playing the game and am not going to be rolled by it. However, I would work hard no matter what. I would much rather be in a setting where I could work hard at actually learning dentistry from high caliber texts, the latest journal articles, and even heavily study non-tested topics within a course that are neglected by the professor via independent study.


What year of dental school are you in?

If you have not yet started, your opinion is fantasy. If you are a D1 or D2, your opinion is still based on an incomplete picture. If you are a D4 about to graduate, you may have some idea of how things work at YOUR school.

If you have spent several years working with other dentists from multiple dental schools in the military and in a large corporate office, as I have, your opinion would be based on real world experience, as is mine.


You also completely failed to address my common sense core argument:


Especially as after the first year of dental school, which is largely basic sciences (Biochemistry, Physiology, Histology, Gross Anatomy, Oral Pathology), with just a few basic dental classes (Dental Anatomy and Occlusion, basic Operative Dentistry), most of the next 3 full years of the dental school curriculum IS focused on dentistry. To argue that someone who consistently gets good grades, including in the core dental classes of Endo, Fixed and Removeable Pros, Perio, Oral Surgery, Pediatric, and Esthetic Dentistry, with much of their grades based on hands on labs and clinics, somehow is not as "familiar with core concepts" as the guy who epitomizes that "D equals DDS bro " is an indefensible position.



Simply extrapolating YOUR learning style at some unknown point in your education (or you need to update your status) can NOT be extrapolated to be THE universal experience for everyone who has spent years COMPLETING their college and dental education.
 
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dp
 
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@DocJL, I think we're at an impasse. Thank you for your point of view.​
 
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Yappy,

fair enough, although I would be interested if you wished to address my core argument, keeping in mind that this view has also been borne out in my many years of varied experience and close work with many dentists from many different schools.

Also curious as to your status? Are you in dental school or still "Pre-Health (Field Undecided)" as in your avatar? If you are in school, what year?
 
DP​
 
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DP
 
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Kind of a silly argument. Of course the dentist who graduates with a 3.8 will be more knowledgable at the start than one who graduates with a 2.8. Yes there is some subjectivity (maybe even tricks) in dental school grading but overall the grades still represent one's knowledge.
 
Kind of a silly argument. Of course the dentist who graduates with a 3.8 will be more knowledgable at the start than one who graduates with a 2.8. Yes there is some subjectivity (maybe even tricks) in dental school grading but overall the grades still represent one's knowledge.

agreed, if grades didnt matter then why is it the most dental school successful applicants have the high GPAs/high DAT scores.
 
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this thread has kind of gone down south but here's the advice I can offer:

1.) just keep chugging along and learn. You think you might not do a specialty now but come third year or fourth year you might have an epiphany and start having a sudden interest in say pediatric dentistry.

2.) In CA, I have noticed both husband and wife work to make ends meet. Both could have debt or both may not, it really depends. Central CA and upper Northern CA are in need of dentists (at least relative to the rest of the state) and the houses are affordable.

3.) I've noticed on SDN, many people want to send their kids to a private school. No offense but going to a private school doesnt guarantee that a kid is going to be bright or staying out of trouble. You would be better off using the money to pay for a homeschool private tutor.

4.) One does not need a Mercedes to get from place A to place B. Nothing depreciates in value faster than a car

5.) If one really wants that CA lifestyle but cant afford it be like me, work in AZ or NV (only an hours flight away to SF/LA). Hint: work in Southern NV or Northern AZ, people are bat**** crazy here is Southern AZ, probably my only short term regret.

6.) Learn CAD/CAM, enough said
 
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@CMistry @DocJL

Most of my feelings come from the perspective of having studied the physical sciences. In the physical sciences you learn first principals and expand from those ideas to develop a very deep knowledge in key areas. You are tested by solving novel problems and providing explanations to open ended questions. I would agree with your assessment of the utility of dental school exams if they assessed true understanding; however, in my opinion they do not.

There is a lot of research that has found multiple choice exams to be poor tools for examining knowledge. They rely on superficial knowledge, breadth, and do not reward depth. Therefore the incentives for a student, who has a finite amount of study time, who wishes to perform at A level are self evident. As JL mentioned lab is also a component of a students grade; however, because this is a requirement for achieving an A, yet alone is not satisfactory, we're still left with the limitations of multiple choice exams as a determinant of achieving the highest grades. Taken together this is a garbage-in garbage-out situation where actual knowledge is not tested and, due to the limitations of multiple choice exams, shallow level learning and test taking strategies are rewarded. Students who have a firm grasp of concepts, have integrated them, and studied non-tested resources out of their own interest or to supplement their learning will not be reflected in the students grade.

This is my last post on the issue and I hope I have explained my thoughts in a clear enough way. I didn't intend to suggest that a 2.8 student is superior to a 3.8 student (although I would not say it isn't a possibility). Rather, when I examine where I could be educationally if I didn't need to get the A I think my study time could have been better spent towards leaning along the depth dimension and supplementing courses with additional readings and studies that are not tested.

I didn't mean to derail this thread. Thank you for the opportunity to express my thoughts and for the benefit of reading yours.
 
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You make large sweeping claims of having a deep understanding of dental school education, while citing your studies in "the physical sciences". By your status of "Pre-Health (Field Undecided)" this could mean you are simply taking one or two community college courses a year while you hold down a full time job in the food and beverage industry. Why the secrecy?

I respect the clinical opinions of dentists with more proven experience than myself in a given discipline, and I respect the business acumen of those who have built thriving practices. Real life experience matters.

It's quite simple: Are you a dental student or practicing dentist? see my post concerning how that relates to your generalizations concerning dental education.

Dental school is unique. Not necessarily in a good way either. Having talked to dentists and physicians from many different schools, dental school is unique in the hazing of its students by the staff. We eat our young. Until you have gone through this trial by fire, as it were, I would not consider you qualified to speak on the subject.
 
You make large sweeping claims of having a deep understanding of dental school education, while citing your studies in "the physical sciences". By your status of "Pre-Health (Field Undecided)" this could mean you are simply taking one or two community college courses a year while you hold down a full time job in the food and beverage industry. Why the secrecy?

I respect the clinical opinions of dentists with more proven experience than myself in a given discipline, and I respect the business acumen of those who have built thriving practices. Real life experience matters.

It's quite simple: Are you a dental student or practicing dentist? see my post concerning how that relates to your generalizations concerning dental education.

Dental school is unique. Not necessarily in a good way either. Having talked to dentists and physicians from many different schools, dental school is unique in the hazing of its students by the staff. We eat our young. Until you have gone through this trial by fire, as it were, I would not consider you qualified to speak on the subject.

First let me start off by completely agreeing that each dental school is unique in its experience and how they approach teaching, grading ect. My dental school (UoP) is what I would call a 'high DAT preference school' with an emphasis on getting the same clinical experience in just 3 years and very little emphasis on producing specialists. However, overall patterns I noticed from dental school.

1. Exams from basic science professors were miles better than tests from dentist. Dentists are among the worst test writers I have ever seen in my life. Questions were almost never thrown out even when 95% of the class missed questions (I examined many post test analysis reports).

Dental school exams overall tend to emphasize rote memorization and regurgitation with buzzwords and less emphasis on good differential diagnosis. Take a medical school test like the new oral surgery entrance exam NBME CBSE and you will probably want a refund from your dental school for the basic science they 'taught' you.

2. Clinical grades are fairly subjective since they are not conducted like licensure exams where the examiners never see the candidate. The classic example is old retired dentists grading young female students in nonprofessional attire.

3. I completely agree that a student with a 3.8 is a better dentist than one with a 2.8, but there can be less of a difference than you think. Another common example: Someone who struggles initially with hand skills, but spends a lot of time practicing to improve-- and they do. However, they improve at the cost of study time for didactics, but still has a solid understanding of basic dentistry. Another example: someone who has excellent handskills, but slacks off with patient management or hitting all the goals for required numbers (just completes the minimums of certain areas and works hard in other areas of interest).

4. Additionally, education is lifelong. If you graduate #1 but stop learning after school, then many others will continue to learn and be better dentists. I know a guy who graduates from a school that only made him do 1 endo on an anterior tooth (absolutely pathetic). This same individual knew his dental basics well, but lacked experience and confidence due to his dental school. He went to a 2 year AEGD and came out a much better dentist than many other dentists of the same graduation timeframe.
 
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I have been following this post and want to weigh in a little bit. I am married and am a second year dental student and live about 30 minutes away from my dental school. I have the capabilities for all intents and purposes to be top 5 in my dental school as I have a very good memory and can reguritate facts easy peasy. I am NOT the top in my class because Half of the bologna taught in the first year of dental school doesn't even apply to being a dentist so I have absolutely 0 desire to learn it I put in as much effort to not be worried about passing any class and the rest of my time trying to assist in the clinic to learn and being with my wife. The amount of effort I would have to put in to remember irrelevant facts to me just doesn't seem worth. We actually had a 3 credit course called profession, practice, and community where we did outreach to various schools for a couple of hours that had learning disabled kids such as autism, etc which was fine but then we would have lecturers that included such topics as local charter schools around the area, diversity and privilege, refugees, the amish, etc. and had an actual examination that asked about the charter schools and how many students there were. For the life of me I could not put in any effort in that bologna.

My lowered GPA due to not putting in any effort into those types of courses (we had 3 the previous semester that were all higher credits) does not make me lazy or a poor student. I am actually hoping to specialize while in the military, so when actual dental related courses start I can actually do what I came to dental school to do (learn how to be a dentist) and get my GPA up.
 
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First let me start off by completely agreeing that each dental school is unique in its experience and how they approach teaching, grading ect. My dental school (UoP) is what I would call a 'high DAT preference school' with an emphasis on getting the same clinical experience in just 3 years and very little emphasis on producing specialists. However, overall patterns I noticed from dental school.

1. Exams from basic science professors were miles better than tests from dentist. Dentists are among the worst test writers I have ever seen in my life. Questions were almost never thrown out even when 95% of the class missed questions (I examined many post test analysis reports).

Dental school exams overall tend to emphasize rote memorization and regurgitation with buzzwords and less emphasis on good differential diagnosis. Take a medical school test like the new oral surgery entrance exam NBME CBSE and you will probably want a refund from your dental school for the basic science they 'taught' you.

2. Clinical grades are fairly subjective since they are not conducted like licensure exams where the examiners never see the candidate. The classic example is old retired dentists grading young female students in nonprofessional attire.

3. I completely agree that a student with a 3.8 is a better dentist than one with a 2.8, but there can be less of a difference than you think. Another common example: Someone who struggles initially with hand skills, but spends a lot of time practicing to improve-- and they do. However, they improve at the cost of study time for didactics, but still has a solid understanding of basic dentistry. Another example: someone who has excellent handskills, but slacks off with patient management or hitting all the goals for required numbers (just completes the minimums of certain areas and works hard in other areas of interest).

4. Additionally, education is lifelong. If you graduate #1 but stop learning after school, then many others will continue to learn and be better dentists. I know a guy who graduates from a school that only made him do 1 endo on an anterior tooth (absolutely pathetic). This same individual knew his dental basics well, but lacked experience and confidence due to his dental school. He went to a 2 year AEGD and came out a much better dentist than many other dentists of the same graduation timeframe.

Great post.

FWIW, I have worked with UOP grads in the military, and in civilian group practice, and consider them to be very well clinically trained dentists. There were a couple of schools that I worked with graduates of (multiple grads) where I was shocked at how much less actual clinical experience / requirements they had prior to graduation. I won't name these schools in this post as I see nothing to be gained by insulting graduates of them.

And yes 90% of my instructors were male, with probably half of them being old retired military, and they were easily swayed by the attentions of an attractive young lady. I still remember the semi-hot female student in the cubicle next to mine would always wear a very tight and short skirt in the clinic, we were good friends and I would frequently say something like "I see you are doing a little fixed pros this afternoon...... (a very tough department in my school)". She would smile coyly, because she knew she was taking advantage of her "people skills" that students like myself didn't have. Always lots of giggling and touching the instructors arm and shoulder when he sat in her cubicle too......



@yappy has been a regular, and insightful, poster around the forums and is a dental student.

My biggest disappointment in dental school has been related to the grading schemes that goes on at the expense of true learning. His arguments definitely hold water and the gist of what's being stated is quite true in my experience. Dental school grading and ranking is largely due to: access to test banks (and willingness to use them), hustling the easy dental professors for sign offs, and keeping a good rapport with faculty so they are kinder to you when grading you subjectively. Combining aspects of those three is what gets you the high grades in the first half of dental school. It's an arms race - those who figure this out early on tend to have their options more open due to higher rank, grades, etc. Hand skills and business acumen obviously improve and come later.

Good points, and every school probably has some differences in the culture.

One common thread from talking to many different dentists, is that dental school is pretty much a miserable experience, lol.

I remember in my early days in the Navy, walking up to another officer, and he looked at my insignia (leaf with acorns - Navy dental corps insignia), and said, "Dentist, huh?" I saw he too was a dentist. Then he said, (obviously he could tell we were both recent grads) "Man, didn't dental school just suck balls??". It was a great ice breaker, lol, and so true.

I have been following this post and want to weigh in a little bit. I am married and am a second year dental student and live about 30 minutes away from my dental school. I have the capabilities for all intents and purposes to be top 5 in my dental school as I have a very good memory and can reguritate facts easy peasy. I am NOT the top in my class because Half of the bologna taught in the first year of dental school doesn't even apply to being a dentist so I have absolutely 0 desire to learn it I put in as much effort to not be worried about passing any class and the rest of my time trying to assist in the clinic to learn and being with my wife. The amount of effort I would have to put in to remember irrelevant facts to me just doesn't seem worth. We actually had a 3 credit course called profession, practice, and community where we did outreach to various schools for a couple of hours that had learning disabled kids such as autism, etc which was fine but then we would have lecturers that included such topics as local charter schools around the area, diversity and privilege, refugees, the amish, etc. and had an actual examination that asked about the charter schools and how many students there were. For the life of me I could not put in any effort in that bologna.

My lowered GPA due to not putting in any effort into those types of courses (we had 3 the previous semester that were all higher credits) does not make me lazy or a poor student. I am actually hoping to specialize while in the military, so when actual dental related courses start I can actually do what I came to dental school to do (learn how to be a dentist) and get my GPA up.

I appreciate your service, and you will definitely have a huge leg up when you go active duty after graduation, but personally I find it a copout to hear people say things of this nature> "I could be top of my class, BUT.........." Also comments like these are more bravado and BS than anything else. It is much easier to talk the talk, than to walk the walk in this situation.

Grades and the effort to get them talk, everything else is BS. And most of the students in dental school are pretty smart, so even if you are used to being tops in your undergrad class, you are in a whole different boat when everybody in your class is smart. I had a 4.0 undergrad GPA and got an early dental school admission. I was literally shocked at how much smarter some of the people in my class were than me. I still worked my tail off and finished in the top 10, but there is no way I could have beaten out any of the top 5 grads in my class. They were THAT smart, and worked THAT hard, and all of the top 5 had good to excellent hands.

If you are planning on specializing in the military, you will still need to have your grades in the upper half to third of your class to have even a shot at the competitive specialties. If you wanna be a "comp dentist" or prosthodontist not so much. To an extent, grades that are not tops can be overcome with a few years of top both officer fitness reports, but those too will take effort to achieve.
 
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That was exactly my point, there are those that work harder to learn and memorize facts about those charter schools in buffalo and how many students there in the charter school and what percentage of women deal with intimate partner violence, and all the other irrelevant facts to memorize that have nothing to do with being a good a dentist. Natural intelligence is only one factor in being "the top" the other, and more important factor is how much you work towards it. I'm not copping out at all, I have respect for those who work there arses off to get those A's, I'm simply stating that it does absolutely nothing in terms of making me less of a doctor in comparison for getting C's and B's in bologna fluff classes that are irrelevant in being a good dentist.

Thanks for the input I have been in touch with several specialists in the army and was also told that I have to be the top 3rd, I am already there currently so not too worried about it, I do get A's in classes that are related to dentistry because that is why I went to dental school. My point is, I would rather spend time with my wife and in the clinic assisting/asking questions then learning irrelevant minutia to get A's in everything and I am talking purely about the unnecessary classes in dental school (I think I had about 8 last year). We actually have classes into the summer and they are perio, restorative, head and neck assessment, etc which I am working my arse off to learn but I am not in the top 5 because again, I could care less about memorizing stats that are irrelevant and information not pertaining to dentistry.

I was just trying to reiterate the point of yappy that in some instances, dental school is ridiculous and grades don't matter in terms of being a good clinician or not. Though I think that really only applies to the 1st year. This summer semester and the fall are completely dental related courses so those who do not apply themselves in them to me aren't that interested in being competent dentists and just want to "get through" which to me isn't good enough in this profession. Granted some aspects of grading will be faculty related so you could get screwed in that regard but really dentistry is a people profession so if you aren't able to get along and woo your faculty that is apart of life as there will be patients that are similar and it is your job to convince them of your skill and your treatment plan.
 
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Thanks for the input I have been in touch with several specialists in the army and was also told that I have to be the top 3rd, I am already there currently so not too worried about it, I do get A's in classes that are related to dentistry because that is why I went to dental school. My point is, I would rather spend time with my wife and in the clinic assisting/asking questions then learning irrelevant minutia to get A's in everything and I am talking purely about the unnecessary classes in dental school (I think I had about 8 last year). We actually have classes into the summer and they are perio, restorative, head and neck assessment, etc which I am working my arse off to learn but I am not in the top 5 because again, I could care less about memorizing stats that are irrelevant and information not pertaining to dentistry.

I was just trying to reiterate the point of yappy that in some instances, dental school is ridiculous and grades don't matter in terms of being a good clinician or not. Though I think that really only applies to the 1st year. This summer semester and the fall are completely dental related courses so those who do not apply themselves in them to me aren't that interested in being competent dentists and just want to "get through" which to me isn't good enough in this profession. Granted some aspects of grading will be faculty related so you could get screwed in that regard but really dentistry is a people profession so if you aren't able to get along and woo your faculty that is apart of life as there will be patients that are similar and it is your job to convince them of your skill and your treatment plan.

Sounds like a reasonable approach.

Only time will tell if this works out for you.

If you find that you really want to get into one of the more competitive residencies later, but get passed over in lieu of the gunners who DID give up their private lives during D1 year (even if they had a wife AND kids) you may have regrets later.

Just food for thought.


Your last bolded comment on people skills is right on point.

I have though about posting a similar statement in the past when people complained about the subjectivity of grading and how it is unfair that this professor or that professor did not like them.

But as you pointed out very eloquently, such is life.


Most of the instructors in dental school seemed to like me. There were some who just seemed to take one look at me and decided I chapped their ass. I suffered accordingly when being graded by them. Move on to the military - there were some senior officers who just loved me, and took me under their wing. There were some who just wanted to hose me at every opportunity (fortunately they were a small minority, lol). Same in private practice: some pts love me and give me a hug whenever they are in the office, and bring gifts to our office and refer 10+ patients, and other pts just clam up at the exam and you never see them again, as you just don't "click" with them. Such is life as a dentist.
 
The harder you work now, the less you'll have to work later. It was easier for me to devote more time to studying and doing research than my dental classmates because I was single, had no kids and didn't have to drive 2 hours to school. Dental specialists generally work fewer hours than general dentists. Many of my GP friends, who have practiced general dentistry for 5-10 years, say they wish they'd spent more time studying in dental school so they could specialize and have an easier job like mine and my wife's. Many have back pain from working long hours every day. They wish they can work less hours so they can spend more time with their kids. By the time they get home from work, they just want to rest and do nothing else. I know a few GPs who are doing better financially than specialists but to get there, these GPs have to work many times harder than the specialists.

I am still at home when I write this post. I don't have to see my first patient until 2pm and I work from 2-6pm today.
Sorry for bumping this old post, but how would you say the outlook of your specialty (or your wife's) will be like in a few years? I'll do more research into these things as I approach dental school, but I'm wondering if specialties will be just as rewarding in the future. Disclaimer: I will still enjoy GP in the future and am not aiming for any specialty at the moment, but I want to know more about the options available.
 
What are the things I should do to maximize my dental school education?.
I know it is a very vague question, but at the moment I feel a bit lost. What would you have done differently in dental school if you knew you weren't going to specialize?

Thank you.

I was like you. I came in Dental School knowing I wanted to be GP. Did a GPR after school because I wanted to be a super GP. After a few years in practice I realized I find being a good super GP is very difficult, and will be returning to school to specialize.
My point is study hard, shadow the specialty departments, keep your opportunities OPEN, you never know what your future holds. This is something I wish I did back in dschool.

gl.
 
Sorry for bumping this old post, but how would you say the outlook of your specialty (or your wife's) will be like in a few years? I'll do more research into these things as I approach dental school, but I'm wondering if specialties will be just as rewarding in the future. Disclaimer: I will still enjoy GP in the future and am not aiming for any specialty at the moment, but I want to know more about the options available.
Patients go see the dental specialist because their family dentists tell them to. Therefore, your business success as a specialist depends on the number of referring GPs you have. The harder you work to keep the GPs happy and make them trust you, the more patients you will get. You must treat the patients well because your works are constantly evaluated by your referring GPs. Unlike the GP offices, your office doesn’t have to be at a highly visible location with a big sign in order to be successful. As a specialist (except for ortho), you don’t have to advertise your office directly to the general public. You can do very well even in oversaturated markets such as SoCal. The more GPs who practice in the same area, the better it is for you. If you love performing certain specialty procedures but hate going door to door to meet the GPs, then I don’t think it’s a good idea to specialize. What’s the point of being a specialist with good clinical skills but have no patients to work on (due to lack of GP referrals)?

I am not too concerned about the new technology and CE classes that enable the GPs to perform more difficult procedures. Having good hand skills is not enough. Good treatment outcomes also require the doctor’s ability to diagnose the dental problems and come up with the right tx plan. There will always be some GPs who don’t feel comfortable handling complex cases and continue to refer them to the specialists. If you work hard to make these GPs happy, you will be fine.
 
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