 Okay, we're recording. So over here. I wanted to welcome everybody to Wonderful morning here with Dr. Leo Rouse. So we're really grateful that he can spend some time with us Considered a good friend. He's been a little bit of a mentor to me. He's amazing individual I think one of the virtues if you remember that when dr. Hayden was here talked about Dr. Ross definitely for all the accomplishments that he's had over his career is very humble I just wanted to kind of let you know a few things that he does and currently is doing So dr. Rouse serves currently as the past president of the American College of Dennis and He's the current president of the American College of Dennis Foundation, which is a little bit different He's a professor and the emeritus of the Howard University College of Dentistry and he graduated in 1973 from Howard University College of Dentistry He's retired as a colonel in the US Army Dental Corps in 1997 with a final assignment as commander of US Army dental command He served as a staff member and a senior scholar in residence American Dental Education Association He's the past chair of the idea guys Foundation advisory committee Liaison to the idea council of deans and most recently an idea consultant mom ombudsman in March of 2010 and then I remember when he was installed in this Dr. Rouse was elected president elect of Adela and if I'm not mistaken You were elected right after dr. Hunt if I'm not mistaken and I have to talk to Andrew correct that if I'm wrong He Was the first African-American president of idea and when he was installed in March of 2011 Dr. Rouse presently serves on a lot of boards including the Board of Regents of uniform services University of Health Sciences Board of Advisors University of Pittsburgh School of Dental Medicine and the Board of Advisors of the Harry Medical College There's three pertinent awards that he has received from idea including the 2017 idea distinguished service award the 2009 idea presidential citation and the 2015-19 idea chairman of the board citation and he just recently received that 2020 distinguished service award from the American Dental Association and All amazing Accomplishments he has so much more to tell about his career probably won't get into everything But I'm going to leave the time with him to go over the things that we've talked about I think you will find it very interesting very enlightening and very forward-thinking Dr. Rouse, it's all yours now Good morning Dean Smith Brad. Thank you so very much and good morning To your outstanding student body at Midwestern University in Phoenix. It is good to be with you all this morning And I want to thank dr. Dove L David has done a remarkable job getting you set up. I'm I'm a zoom person I have been using zoom for the last two years since the pandemic and I have zoomitis, so I have a special aesthetic glasses that I use when I'm on my computers and more importantly This morning, it's all about you. It's all about you and I thank you Brad for the wonderful introduction You know, yes, I've served the uncle Sam's on me and I really gotta tell you everything I've learned about the leadership is from the US Army medical system And I've had opportunity and very fortunate to be a dean of a dental school And so I've been truly blessed for the last 49 years since I've been out of dental school and I gotta tell you We have a lot to talk about this morning ladies and gentlemen and I'm so glad you're here and If you have any questions go home for the Q&A, but more importantly, I Have an outline and I like to talk might use any slides today Dr. Dove L and I work to see initially two weeks ago or the guestings that I put there are some good This is anything else in the world, but it's all good Let me just tell you what my theme is for today and this is important. This is my theme My theme is you know I Know who you are and I will get more into that a little later Because it's so important that we kind of talk about ourselves. So I'm going to cover the following topic Leadership I'm going to talk about ethics Talk about mentorship I'm going to discuss professionalism I'm going to discuss health equity and I'll also talk about DEI diversity equity and inclusion and Even though I'll talk about person-centered care and I know at your institution You all are very fortunate to have a great faculty and a fantastic dean I've known Dean Smith for many years And I got yesterday I want to do a shout out because I got a nice email from Dr. David Hancock And I think Dr. Hancock professor Hancock is your ethics teacher and he's American College fellowist We are the faculty are Midwestin and it was good to hear from him And we if you might have me it wouldn't be first and then a few years ago, but more importantly You're fortunate now. I need to ask you I should have asked David yesterday Bradley you all have a Spear chapter at the Midwestin Dean Smith Okay, well if we can communicate that back to me, that'll be great Speed chapter student professional ethics association. It's a national organization, but I do I do hope you do have one there so Let me give you some breaking news Colleagues and I refer you as college because I do consider you guys polly, you know ladies and gentlemen You are our colleagues in the health profession and so I refer to you as colleagues Just this morning. I Got a email from the American Dental Association, which I get every morning It's the morning news and interesting enough This morning's paper talked about the Program at the North Dakota School of medicine and health sciences and what they're doing is they are launching a Free virtual lecture series in January to train state dental providers to incorporate Certain primary care services such as blood pressure screening and discussions of obesity and diabetes doing patient visits What was kind of missing from this was The reverse let's also talk about oral health and oral health diseases and things of that nature So we kind of flip the screen but what I'm happy about is that our medical colleagues are basically looking at this whole notion of person-centered chair and There it affects the folks in North Carolina the rural community the indigenous population, etc I want to share it with you this morning as a start So I'm going to use a lot of quotes I've had many mentors both in the military and out of the military And I'm going to start with a quote from one of my major mentors General Colin Powell. I think many of you may know him. He passed away last month He was a four-star board chairman of the board of the joint chiefs of staff as well as a Secretary of State and also one of my mentors when I was in the Army War College I got to really reacquaint myself with general Powell and when I became a dean at Howard University, General Powell Was on a board of trustees and there's a photograph that I could have shown you on this if you could do the camera But general Powell got to know him in the early 2000 that I became a dean and we reflected back on our military experiences I like always quote general Powell when it comes to leadership Leadership Colleagues it's all about people It's not about organizations It's not about plans It is not about strategies It is all about people Motivating people to get the job done You have to be people-scented and we'll talk about person-scented care a little later But I want to share one more quote from general Powell You know you're a good leader When people follow you out of curiosity and that's important and so as I spoke with Dr. Donnell last week I Learned and I know I knew the previous dean prior to Brad That your school has a wonderful program where the D4s and D3s are in a mentor-mentee Relationship and I think that is so important because what it allows you to do is To have a continuity of patient care as the D4s graduate and the D3s become D4s And it continues on from there. That to me is Fantastic and I want to commend all of you who participate in that process because We get into a discussion About diversity equity and inclusion DEI we're going to talk about mentors and mentees And what you can do as a member of the health care profession To assist your institution Midwest and others as a mentor to facilitate Your admissions and recruitment activities for a future that those who will come behind you to replace you But I want to jump into ethics and I know that Dr. Hancock is probably already covered this with you guys and ladies But there's five principles Of ethics the American Dental Association And I just wanted to say this remind us. I know you know this but as a reminder Just to get us all the same sheet of music Patient autonomy the self-government governance aspect We as dentists and you as double students and preacher dentist Has a duty to respect the patient's rights non-molificence Do no harm The dentist has a duty to refrain from harming the patient that is so important as We talk about health equity and health inequality during these pandemic time. Okay beneficence Do good The dentist has a duty to promote the patient's welfare as you do so well at the Midwest University dental Institute, okay justice simply fairness The dentist has a duty to treat people fairly To treat people fairly and the last for the fifth is the rat for acidity Truthfulness just simply truthfulness We have the duty to communicate Truthfully without patients And I will talk more about that a little later colleagues because I know as students and you As students who are involved in institution that's well well the truthfulness fantastic at your school and I know just for Dr. Hancock your ethics program is Out of sight because you use a lot of the ethical dilemmas From the American College of Dentist and I know you are familiar what I'm talking about So, you know, I Just get so excited when I talk about leadership because I'm a people person. I Wish I could have been there in person in Phoenix with you folks and Dean Smith and your wonderful faculty What we're doing it virtually and I have to do it by speaker or fortunately, but I hope you get the question I'm making to you colleagues because it's so important that you Understand where we're going with this discussion and it's very important so We talked about leadership we talked about ethics and I don't want to beat that drum too hard But I want to go into a discussion now about Professionalism and I think you all know the definition of professionalism You know as healthcare providers We must always conduct ourselves in a professional manner We'll give them the right to state licenses to treat patients Even though we have gone through the certification process and the credentialing process to earn a license You must also maintain a professional if you will demeanor professional mantra That your patients will respect you and your community will respect you so I'm going to focus on another quick thing and Again part of my discussion with you today to sort of get you to get you prepared for this discussion later on person in Senate care and on the topic of Diversity equity and inclusion again, please forgive me. I throw a lot of quotes out. I do it intentionally because these men and Women that I know I work with have been really Mentors to me and have allowed me to do what I do well in terms of sharing information And that's what we're doing is sharing information with you. I Would hope that some of you have read I have been informed about the 2000 Document on oral health in America public by then certain general David satcha and In 2000 we have not had any discussion at all prior to that time The value of carries and carries being I don't want disease of children or How do we integrate oral health and total health which I know you are fully aware of That is so important. This is the foundation what we do today trying to facilitate a conversation as the folks are doing and not the coder at the medical school of bringing in dentists to kind of collaborate on Those medical exams that have done that they want to help us understand what we already know this But what's wrong with having the collaboration and the partnership and relationship? You're talking about individuals who have diabetes. I think it's good to know that we already know as they'll do this and dentist We know the effect of diabetes on the periodontium It's not rocket science, you know what happens there. We know about hypertension. We know about metastatic cancer We know about cancer that but has this is from remote sites into the oral cavity And this is why we are so concerned about doing a full oral exam at the same time doing a complete medical history of Our patient I do remember when I was a dental student at the dental school 1969 some aging myself But I will tell you the first thing I heard the dean didn't say The last thing we look at in a patient Is his or her teeth? We do a complete medical history We do a full exam and that was years ago and here we are now Look about how do we integrate primary care and oral health care? And there are schools like you folks do around the country that are teaching that particularly comes to inter professional education IPE what Brandon not share with you Dean Smith in 2008 I served on the expert panel Along with other health care members physicians osteopathic Allopathic nurse practitioners public health members of the community Social workers and we were working on the core competencies to facilitate Interprofessional education and through those competencies. We talked about how do we create an environment where we can just talk With each other not to but with each other about total health So my first story I'm going to share with you and I'm not sure whether you all know this but February 27th 2007 a Young male 12 years of age a special needs student and a special needs high school in my state of Maryland Went to a clinician With an acute episode he had a cute Carious lesion that had pulpitis in this case irreversible pulpitis and he went to this clinician and Believe it or not The young man was denied Dental care and why was he denied dental care? Well, he was not dental care because he was no longer Medicaid eligible and The individual Practitioner could not find it in his or her heart To just basically treat the tooth from a gratis point of view. He's talking about caring and Trying not to do the wrong thing. He's talking about the values of Veracity and beneficence and so forth the ethical Proponents that you learn every day and hear about in your school and hopefully you practice those things with your patients So make a long story short This young man the amount he driver Literally Was denied care Went to the National Children's Medical Center in Washington, DC He got very sick From a care eugenic legion that bacteria migrated to his brain and he died of a brain access then simple procedure Perhaps maybe a little Perfected me perhaps maybe even an extraction which wasn't done And I do remember getting a phone call from then Congressman Elijah Cummins who passed away a couple years ago Congressman from Baltimore and In my office and he says to be Dean I do hope that you and your Dean colleagues are teaching young people the value of Community service the value of giving to those who no longer have the insurance Or the access to care Etc. And I know you folks in Midwest and understand what I'm talking about so I Got a little chewed out by a congressman and He and Since have been caught in from Maryland based on the our health caucus and from that caucus They got involved with state of Maryland and the federal government To facilitate the chips program, which is the children health insurance program and In this case of Maryland the F chip program the state children's health insurance program I tell you that story because there's a value to when someone Comes into your practice or into your clinic and They're seeking health care and all you can do is concern yourself about the dollar There's they're going to make money. This will be successful financially But this is about heart. I Think some of you are participants in in the mom program, you know, which is a mercy For your communities if not it's a great thing that's happening around the country I think some of you may be involved with veterans veterans who may come to Midwest and universities doing the two Because they know they're going to get Double the type of care from a good student and from a great faculty member So many schools and they are migrating towards treating veterans in their communities I know there are veterans in the Phoenix community So it's important that I tell you that story because it's about caring it's about Allowing yourself to give to someone, you know, we talk about access to care almost on a daily basis We talk about who's providing the care Etc. And I get so excited when I hear About programs where their mentors and mentees such as your D4 and D3 program Where the patient continuity is not dropped as the senior leaves and the new senior a new D4 comes in That to me is phenomenal so You know, I asked you early about Professionalism, I just have a quick I have a quick phrase for that that I use Professionalism is simply doing one's job doing one's job with skill competencies Ethics and courtesy gills Competencies ethics and courtesy think about that Because oftentimes we sort of forget about That individual who's in our dental chair or in our office or in our clinical space that that individual is there because They assume and they know because you are licensed that you are competent ethical and courteous and I add us another term empathy empathy That's why I said earlier my fee Know thyself know who you are It's so important. You know part of the accreditation process is this humanistic criteria Humanistic standard. Okay, I know you're well aware of that and sometimes we don't practice humanism We we talk about it and we go into a whole different corridor as If we have blindness on That's so important. So professionalism colleagues Ethics and leadership your title is all together And you have an individual in your case future clinicians future dinners Who literally Are in a whole different zone when it comes to healthcare delivery? Now I'm gonna use another quote from Dr. Martin Luther King, Jr. And I think you all know this and you may have heard it you may have read it of all the forms of Inequality of all the forms of inequality Injustice in health care is the most shocking and inhumane Think about that Injustice in health care is the most shocking and inhumane I go back to the 12-year-old game I see driver you think about that in terms of what dr. King was talking about way back in 1966 and I got to tell you that sticks with me I use it in every presentation that I'm invited to present Well, I'm talking about health care. I'm talking about oral health care. I'm talking about integrated health care I bring it up because it's a reminder to me as a health care provider That I must look at the person as a Person who's there to see me and in your case there to see you because of your skill set Because of your professionalism because of your competency because of your ethics And the fact that you're just a courteous individual who cares about people We swing back to leadership again All right, and so I share it with you because it's so important You know another one of my great quotes from dr. King and I use this all the time Life's most persistent and Urgent question is now think about this now life's most persistent and Urgent question is what are you doing for others? Let's think about that. Some of you not even born with dr. King was alive and Doing his thing as a civil rights activist but years ago he focused on Just the most important thing and make sure everybody gets quality health care quality health care And when you think about that When someone's in your dental chair You know who you are But do you really know who you are? We won't get into a discussion about unconscious or conscious bias implicit or explicit bias Intersexuality you won't get into those discussions, but they'll come up doing some other comment because I want you to think about these things because You are the provider. I Had a wonderful tour of duty. I use that term as the president elect and the president of the American College who did this Even though we did everything virtually I didn't do I couldn't travel a lot because of the you know pandemic But I must tell you I learned a lot About what students are doing as I spoke to student groups around the country and Ladies and gentlemen colleagues. I am so so happy To tell you that what I hear and what I've seen For from our young students Regardless of the pandemic and what we went through in terms of virtual learning Missing out on some clinical activities during the last 20 months It was painful another quick set for you for me and I'll bring it up now because I Know Dean Smith and his faculty Are preparing you well and I know during the pandemic. I got so upset when we were not considered as essential as essential providers and I really took you know the governor outstate in Maryland to task and the county execs etc See you know we we have dentists We have to close their practices. We have schools that have wonderful clinics that have become safety nets For a lot of the communities they reside in and they can't even do the immunization or testing Well, some of the great states and governors around the country got engaged and they changed that I Know that some of you when you graduate what do you take the rev or the apex or the etiquette examinations? I lied hates that they can no longer part of the process. I've been involved in that system That was a freshman dental student The idea of having to go through so many exams For different states and then we regionalized that and now it's sort of nationalized with to eliminate that which the folks from asda and a deer Student chapters work so diligently to transform and that's important. So again another one of those points in life I'm not a politician, but I pay very close attention to those things that I think Will affect the profession and I love the profession of dentistry And I know you do also. That's why you admit Western so quick segue Advocacy Advocacy and I'm quite sure many of you were involved with your dean and faculty and Your state dental associations in Arizona related to Ensuring that well, we can get immunization. Well, we can now do testing for Colbert 19 Because we are essential We are essential and during my military career, I spent 28 plus years in the military and Got involved in several conflicts You know what conflicts mean and in conflicts as a dentist We don't do class twos and carried out scaling on the battlefield. We do try triage And I use that augment Without statement that's in this here in Rowland and we did ship in Rowland as to Then it's had the means of injections. We do it your own sexes. We've done IV sedation We've had anesthesia training yada yada yada They said well, you know, we know, you don't understand the big picture You have doctors, that's what the DMD or DDS stands for they're doctors they're not technicians and While I'm saying this to you colleagues, they'll let anyone make the assumption that you are technician You are fully vetted well-trained health care provider and as an advocate You need to be continuously advocating for your profession to make sure that people realize This is why the folks hit not the coder this morning was announcing the ADA news are bringing their dental colleagues in on this and funding To sort of get to know what they do to integrate them about the value of Patient screening for diabetes everything else that's all right. So it's a wonderful wish and so I do a lecture on the two C's the two C stands for collaboration and communication when we communicate With each other we're able to collaborate and make things happen. Okay, I another like to call the two E's Exposure and experience. I've had a wealth of exposures, which has given me tons of experiences and Some of those exposures were not great either But they taught me how to use that to create an experience and I respect Brad Smith. I gotta say you have a remarkable D and Because I know his compassion for profession I knew the previous being prior to that to Brad very well. Also, he came from Tennessee and And we always talk about his plan from Midwestin his vision for this Western, you know He had a vision and Brad is continuing that vision But adding his own vision to what you are learning to make sure that you are a competent well-trained Guild and courteous health care provider and for that, you know, I have to always you know pay homage to your Dean because Brad's Brad's one of those cool guys Who knows how to get stuff done and I happen to meet Dr. Dowdell last week pull ass and I feel the same way about David So thank you very much for that I'm gonna go into a second story and of course These are building blocks colleagues The second story is about And you may have heard about her back in December of last year her name is dr. Susan Moore Dr. Moore is an African-American 2002 University of Michigan Medical School graduate She died in December of last year this time last year After battling with COVID-19 at a hospital in Indiana a hospital by the way where she practiced You may know the story she published a video about her care as an inpatient on Facebook What I would say is she experienced unequal treatment or Racial disparities in health care because of her race She has falconosis Which you know is an inflammatory disease that attacks the lungs What I'm telling you though is that Health disparities are Preventable differences in the burden of disease injury violence and in opportunities to achieve optimal health experience by socially disadvantaged racial Ethics and other population groups and Cultures we all know that these disparities are on just unfair and directly relate to the historical and Kermit on equal distribution of social political economic and environmental Advantages, why do I tell you this story? think about you as a future dentist out in the community and Regardless of the person's ethnicity gender sexual practices Whatever the case might be always back to our theme Know who you are know thyself And what I'm saying here is she was treated by a peer a Physician after to be a white physician Who may be assumption? That dr. Moore was just wanting drugs as if someone from the street who comes in Because what that ethnicity is there are folks we know who abuse opioids and folks who use drugs, etc But the point is he made a dispassionate Decision about her health care and forgot about her being in that bed as an inpatient and one of his peers Now I'm not going to talk about systemic racism in this conversation. I'm not going to do that. We don't do that Okay, but the important thing is that she literally Had the right to let the world know how she was being treated and she died She died of COVID-19 Secondary to a chronic illness of of sarcadoses Just like general Coleman Powell my mentor from a leader and friend That at Walter Reed here with Desmond Maryland COVID-19 He had a chronic illness a multiple myeloma, which is a blood disease blood cancer. And so you think about the person This is why we're talking about person-centered care in a few minutes you think about the person that person is a human Who is there to seek and get the best health care that he or she can receive and I think it's important that you understand that okay, you know About the king also said I I loved your reference dr. King because Not only is he a person that I happen to know when I was a little boy When dr. King came to DC and did the I have a dream speech Back in the 60s rather and I was at Howard University as an undergrad when he died when he was assassinated in Memphis You always say the time is always right to do what is right Now more than ever I'll think about what you've read and seen in her over the last several years related to the pandemic and The inequality of health care and people who are refusing to get vaccinated. That's not a discussion for me That's a personal decision. Well, we're professionals in the healthcare providers. Okay? It is crucial even now more than ever that we as a community a Nation Take a stand and be willing and able to do what is right toward and for each other Brad knows this Dean Smith knows this. I have an expression. I always say it Do the right thing always write the first time if that's possible That's been my mantra of mine Because I was in the military years ago and here's not the king is saying Always be willing to take a stand And be able to do the right thing toward and for each other That's what community is all about This is back to What you do at midwestern with your D4 D3 mentor mentee like this shit You're you're Preparing each other and that patient that you're working with They're transferring a patient crap. I just love that. I just too. We love that That's fantastic And you take that with you when you leave at western. What do you go into a residency program? Would they go into a private practice go to an Indian reservation? Go to a community health clinic Go into a family qualified health clinic You take that with you because that's so so so important And you know, I always say this to Students and faculty when I have opportunity to speak with them. I always say, you know, well I'm going to ask you a question. What are you doing for others? What are you doing for others? And that's so important So we we've talked about ethics. We talked about leadership We we got into discussion about mentorship and I got it. I got a feeling that Dean Smith and his faculty out there Midwest and you guys are phenomenal phenomenal individuals when it comes to mentorship And that's so important and that helps the university that helps your community that helps you as an individual It's so important Now I want to switch down to our Another quick topic And it's not to bore you and I hope you're not getting bored, but I can talk forever But this is important to me and it occurred to me during the pandemic And before I go into that discussion, I think some of you may realize now because of what's going on with the omicron variant that's out Was watching the news last night. I was reading stuff in the New York Times newspaper this morning the number of nurses and healthcare providers that are leaving their profession because they're feeling burned out I'm worried about their well-being And the folks that are coming into the hospital who they know done well could have should have been vaccinated Not my discussion point for today. You all know the conversation But we're losing men and women who have committed and dedicated their lives to helping people helping others helping the communities And sometimes colleagues I get a little passionate about this Because I know a ton of nurses and nurse practitioners. I know a ton of dentists. I know a ton of physicians And it just hurts my heart when you watch the news and people are acting out if you will And not doing the right thing right the first time I don't have a big sign in front of me saying Get vaccinated. I'm an advocate. I'm fully vaccinated including my booster my family is What is about Protecting your community again back to the community Expect to you as dental students future dentists future providers of healthcare Who are out there on the front lines? Doing the right thing always right the first time I need to call my good friend Marco Boijic at the ADA who is the vice president for Health and Professions Institute to find out health institute rather the ADA recommend association to find out Do we have data yet to track how many dentists are Leaving their profession because of the pandemic And because of the fact that they're Having issues with the mandates, etc. I'm just curious to know because You need to be aware of these things too As clinicians to be who are out there very soon to be you before This coming year and your D3s and next year That's important. So important So have any of you considered or a plug to your faculty members there who are I know you guys Have been doing things virtually have been in person doing clinical care, but During the pandemic have you thought about your well-being if you thought about resilience of your faculty and yourselves your classmates your colleagues your dean Have you thought about asking them? How are you doing? How are you feeling? How is your day going? What can we do to help you? What can we do to make the world better for you? You know, it's it's it's it's the kind of thing that I worry about because as brad won't tell you D Smith will tell you I was liaison to the council dean. I was once a dean as you know And I worry about my colleagues. I still consider all the deans my friends and my colleagues and I worry about them They're deans who are retiring the deans that are resigning there are new deans coming on board And you know, this is a challenge to build education. It's a major challenge to build education These are opportunities To explore individual and organizational interventions To combat burnout and loneliness And to enhance resilience amongst the faculty students and staff I would hope that some of you have been thinking about this You know those who are in the student council the student council leaders the class leaders Because you know, you need to look at yourself first of all and your and your colleagues, but think about your faculty Think about the administration and Midwest it You know, do this say hey dr. Dodell, how are you doing today, sir? How are you feeling? I mean, we've gone through a lot you know virtual curriculum virtual lectures Trying to come in share clinical space So I want to say and shut down for a few days Because we got another problem with the with the virus Sometimes we we're not selfish men and women. We're not I know you're not But think about that. Have you asked the question? Dean Smith, how you doing, sir? How you feeling? How's the family? Do things to enlighten their loads do things to brighten their days Do things to brighten the days of your classmates Do things to brighten the days of your patients Do things to brighten the day of your faculty the administrators and staff That's nothing harmful about that whatsoever Again, it's about doing the right thing right always the first time because it's a problem right now We're very concerned about burnout loneliness and resilience Well-being is critical to your success as students to their success as faculty those responsible for teaching and educating you to become a healthcare provider and I thought it in because You know as I read and I hear things About what's going on inside today And I think and I think again Dean Smith for asking me to do this You know, I don't I don't use power points. I have not used a power point now in the last two years Because I've been all virtual And when I see and I wish I could see your faces today And we just had a little hiccup. That's okay. I'm good but more importantly we're sharing information and I mean, I'm just an individual who cares about people That's the leadership in me That's the mentoring in me I share with you information that I think you need to hear and know I I read a lot And I stay abreast of the profession I'm not going to discuss AI with you today. I want to finish you and tell this one question. You are well aware It's going to AI and that's going to affect you Digitization I didn't go up in the digital world. I was a Dell student. No, they're Brad Okay, no that David Dadell no that David Hancock. I mean we just this begins to happen over years Now we're digitized you know, uh, I can tell you a story that That happened one of the schools I knew up had a had a hacking experience and the school's fully digital and of course digital went down everything went down service went down and they still had to see patients and the question was asked well How do you that's right? Well go downstairs and use the old tube head Well, I developed now you're going to the dark room adult x-ray and I kind of chuckled But you know, we think about do we have redundancy type system to use the things go back When you have a patient who's now in you know, your EHR And you don't have access to his or her cell number a home number And you're panicking because how do I communicate with the patient? I'm back in the clinic now need to get They're back online obviously, but these are things that happen and You know, I learned in the military They're going to be times when things happen And you have to have alternative ways of getting things done And that's just my point Even though we get caught up in the digitization process Something goes down in terms of the servers But a digital stops working And I say with you because I had to kind of laugh because You can see it coming. What's your backup plan? You know when when I was in uniform, we always had alternate plans Plan B plan Z and D because something goes wrong. You do a plan F And you say, okay. I think we're going to get this done now So again back to my point About unexpected things that can occur In a situation that can drive you just playing crazy. Okay We talked about leadership ethics mentorship professionalism I'm going to When you talked about student faculty burnout, you know, well-being resilient and I just gave you a few pearls I do a lecture also on the pearls of wisdom I we did that and I caught now and I was in dental school my dean In 69 so long as his freshman the five fingers of dentistry And they include community support advocacy, all right competency All right being courteous empathy and I relabeled that the five fingers of healthcare providers And you think about all those things, you know being cynically responsible means you're in the community involved Like this because you're a clinician providing healthcare But you got to be involved with the community You talk about advocacy I mean you need to understand What should happen if you're in the house of duggies for the ada or the arizona deltas associate deltas society Association rather You have to be able to advocate for the common good for your patients and your community and your patients You know being focused and having you know the courteous the ability to to go into The boy scouts the girl scouts the ymca a youth program Where literally You can use your mentoring skills to motivate Young men and women the way you motivate it. You talk about them You talk about steam the steam not the big thing. I used to love when I was a dean getting folks that were applied to the deltas school who had degrees in the fine arts music Non-traditional science majors Who applied to those schools? Of course they go through a little program to get their science courses to be eligible to apply to deltas school But I found to be a lot more analytical More specific able to seek things out. I remember myself as a student. I was totally involved in both memory You know, I could take great anatomy kind of memorize it Okay, duh You say what's wrong with him? And then you ask me a question the next day. I forgot Okay, so the the reality is We we we do things as men and women and again I switch gears again about advocacy What are you doing to help the community of Phoenix the community of arizona? Community where you're from whether it's main montana, texas, florida, california to promote if you will the stem and steam subjects for young people And I always focus on a lot of the folks in the underrepresented communities Our indigenous population our african-american population Our latino latinx population our asian-american pacific ala population You know, we're all in this together. This is this is america. We're all in this together. And so One of the beautiful things I learned about my military experience. I was exposed to oh my god multiple Cultures I lived in the far east I spent time in the middle east I spent time in europe I spent time in north africa an opportunity to learn other cultures And you know it makes you proud to be an american but what my point is When you're out Professionally and this is where we kind of roll into my dei discussion diversity equity and inclusion I'm not sure I think your your dean dr. Smith brassmith has talked with you Maybe you will soon if you haven't already discussed in it. There's some in there who are called ambassadors For the idea the american don't education association climate survey I'm supposed to be i'm a grand ambassador. They get one of these old guys i.e. me To go out and talk to deans and Out like for the directors about the advantage of this. This is about knowing about us in our profession as educators Again, are we doing the right thing right always the first time? Are we exposing ourselves to the notion of diversity and diversity is not about blacks browns asian americans indigenous population diversity is about cultures It's about how we learn from each other and you have a diverse institution I'm going through the names here On the participant list And something I can't pronounce, but that's okay But I can tell you Dean Smith has a very diverse dental school at midwest And so that itself exposes you to different cultures If I was king of the hill I would encourage every young person to travel the world Just to be exposed. I learned so much living in asia I've been to china. I've been to singapore. I've been to japan. I've been to hong kong I've been to europe I had to spend a little time in moscow russia when I was a commander then kong I've been in north africa I've been to central america, but we call med rips honduras or salvatore I was exposed to cultures I said my god This is so cool This is an experience to scandinavian countries. Denmark, swedish Okay, it's got our canadian our borders our members above the you know our coastal members of mexico and canada Think about the world where we will be today if we just totally respected and understood Everyone's culture. That's what diversity is DI is just not an acronym It's about how we see the world from a cultural perspective To eat for equity. We talked about health disparity. We talked about quality of health care You look at folks and I'll say this to you guys if you probably notice But there are people in the african-american community who have been sort of like anti-vaxation Anti-vaxation or an anti-vaxation because of what they remember the toshiki experience at toshiki alabama the civic experience They remember henryetta lax the woman in volleyball maryland The john happens took her cells and those cells are all over the world doing great wonderful things And they think that it's about someone trying to use them For a purpose. It's not the case This is how we talk about equity and health disparities I'm pretty sure when you see a patient Who has prayer at all pockets Of more than six to eight millimeters in depth And you see jenior totally recessed And you may experience Peter orish You guys think about diabetics or diabetes And I hope that's part of your discussion when you talk to a patient When you look at someone's intraoral cavity and you're examining The floor-to-mouth the bocce mucosa You're looking at the oral pharyngeal area And you see lesions and it makes you think about okay. Do I get a biopsy here? Is this coming from a another site within the body? You're talking about now This is why we do oral cancer screenings Folks respect us for the fact that we can go into the optical. I used to get so excited When I would get lettuce and I'm quite sure dr. Smith does also being smith When I would get lettuce from patients Who have just left a hygiene clinic? who've had their Vital signs reviewed and had their blood pressure taken And you get something like a hundred and fifty seven over a hundred and twenty and you go whoa, what's wrong here? And you know, you do you refer that patient out for a consultation With this to an internal medicine or cardiologist patient with whatever the case might be again the collaboration between Other health care providers and you and we and I get lettuce saying Dear Dean, I am so happy that your students took my blood pressure this morning I went over to the hospital And I discovered that I was getting ready to go into stroke city Okay, it's things like that that we know Okay, and we'll get into a comments about person-centered care in a few minutes But think about the patients you are seeing on a daily basis At your dental institute just think about it. Okay And and and when you're in the clinical experience when you're out there in the community doing your thing What you're learning and what you're being taught is so significant I will tell you that you probably already figured it out. I am a full proponent of primary care integration with total health care I'm one of those proponents I'm big on IPE I'm big on IPEC in a professional education collaboration between the associations Is now 22th association to include our health science librarians So everyone is on board in terms of IPE And how we focus on the person The person person-centered care How we engage The mouth with the rest of the body or the rest of the body with the mouth It's so important We're just not from the neck up to the top of the head We're concerned about the body from the top of the head all the way down to the toes And that's what we're all about You may be in those who become a dentist But part of your profession Is to become a great doctor who understand how to integrate Our health and total health that's that's the goal. That's the goal. That's where we are today That's where we are today So we're talking about the diversity Talk about equity and not high inclusion You know Basically means you know diversity means, you know, you you you invite someone to your party Okay Inclusion means they're now coming to your party and you're asking them to dance Okay, I mean that's a simple way to put it. All right And you think about DI today, there's a lot of stuff with DI is all over the place at me If I was 25 years younger, I'd probably go out and get a degree in DI. I don't know But I can tell you the folks that I work with had a deer The access diversity and inclusion unit at a deer I can tell you they've done so many Fantastic thing. I'm quite sure hopefully all of you are a dia members Hopefully you belong to closer The council of students residents and fellows at a deer Hopefully you're also an idea member which is free And you take advantage of the idea website To see what's on the website and to really enjoy What's being presented not only for you as a student But what's going on with stakeholders around the idea system? Our ally colleagues Those who are doing the system they'll hide these out their purpose our their laboratory technicians To know what the family is exposed to again That's the inclusion piece Bring everyone together as a team as a full family And when there's a hiccup idea tends to respond to it What there's a situation of uh, George Floyd in minnesota a few years ago Or anyone else that you know asian pacific alma who may have had some negative experience we respond because It's part of the responsibility as educators to expose everyone To diversity equity and inclusion And so we're engaged now in the climate survey the a deer climate survey We have a national consulted a reputable consultant Who will garner all the data and hopefully by next september The data will be collected and we'll have a conversation It's not about Right or wrong good or bad It's about information To share and what can we do To improve, you know, our DI that you will status within our institution Everyone's very good at telling their story And I think you as students I can I know you folks are really engaged in social media and you're quick learners. You're very quick learners And so I appreciate when I hear back from students About things that bother and you know, I gotta tell you I know D. Smith is going to talk to you about this He may have already done so So we have task force that's being developed now to look at the future bill education post pandemic I'm quite sure at midwestern there's a discussion right now with Dean Smith and his faculty Post pandemic. How are we going to look what we're going to how do we turn this into? Fully hybrid it's going to be totally virtual. It's going to be a combination of both the in person I think sometimes we get very comfortable sitting at home with our laptops and ipad On the side of our bed Looking at a lecture and learning a hope But more importantly, you know, there's certain things in dentistry you can't do Virtually you just can't do it Now I would suspect one day Um, who knows maybe there'll be a system out there where maybe AI will be part of this discussion Where we can do things I do remember the fact Again the story I told you earlier about the school that lost that had been hacked And the inability to take a digital impression and push a button to the lab. Well, now you got to take the actual impression And you got to pour the model You got to trim the dice And you guys have to laugh and you go away the second I wasn't here to learn. I wasn't here. I'm not here to do that But you got to always have a backup to the backup And so they're back online now, but those things do happen Because we're in that digital we're in that digital family now. We're in the digital learning And uh, you know, I'm a boomer, you know I'm 74 years of age And so I I've seen it all but I try to stay as current as I give it I have two little granddaughters who wanted six and one is eight And I got to keep up with those little girls in this here place given and they really When you look at them managing the ipad And their phones It freaks me out. It's scary And so that's the world we live in today Okay um I've been talking now, uh, Dean Smith for about an hour Um, I have a few more things I want to share with the students Is this a good time to allow the students to take maybe a break dr. Dodele Yep, I think it would be Fine to do that now. Um, you want to rejoin in maybe five over 10 minutes What would what would you do would be let's do let's do a 10 minute break So right now it's 12 or 9 or 12 10 eastern time and it's uh, basically it's I guess it's 10 10 your time mountain time So we'll come back in about 10 minutes sounds good and I'll stay on okay Okay, thank you very much dr. Dodele So dr. Rouse says actually someone who wants to say hi to you give me a message. I can turn her microphone on me. Okay Um See you got to find her in the list here of the hundreds that are connected How many students are on? Tell you in a second. Let me let me get her connected for you. Please do My husband can you hear us? I can hear you. Yes. Yeah, we can hear you. You can say hi Okay, hi dr. Rouse Who is this? This is my husband Hengali Oh my goodness. How are you? How are you? You remember me. Yes, I remember you Wait Are you on the faculty now there? I am I am in which department? Um, I'm on the clinic. We're sort of department. Okay Clinical faculty. Oh my goodness refresh my memory. What year do you graduate? Oh three I graduated. Oh my goodness. My name is new graduated. Do you graduate the year I became a dean? Exactly Dr. Sanders was the dean. Yes. Oh my god. Dr Oh my god, it is so good to hear your voice. It's so good to hear you. I was so excited when I saw your name and Dr. Durdell, is it just us or are we ever You and a couple hundred people so I have a story to share with you dr. Rouse. So I will tell you that In private, but you did change my life Well, thank you so very much. You know, I'm on LinkedIn and I'm on twitter I don't do I don't find you. Yeah, I don't do facebook But my goodness is You're I'm just so happy to see you're there at midwestern with dr. Durdell and Seeing smith and all the students. I know you're doing a fantastic job. Oh my thank you. Thank you It was so nice to hear from you too, dr. Rouse. I hope everything is well Thank you so very much for letting dr. Durdell know you want to speak with me. Well, that's good Okay, so Leo was Leo was kind of a funny story so Um, I haven't got a new ID badge so she couldn't swipe into our systems and that's kind of my job Right. Oh, she was here today because normally she works in one of our off-site clinics Gotcha And she walked in and she set my office while you were talking and I was muted obviously And she goes let's tell me that oh, you were the dean and etc. And she and I said, well, why don't you say hi? I said absolutely when we get a break you can say hi That is fantastic. Well, I tell you it's so good to hear and good to know that You know, you're out there in gaze in teaching and learning that is fantastic. Yes. Yes. Thank you. Thank you We um, definitely had a great, um, learning experience at Howard and prevent me well That makes me that makes me proud and I'm glad you're there sharing the wealth with your colleagues and your and your students That's fantastic. Yeah, thank you, dr. Rouse. Oh, well, thank you my goodness That's 20 years ago. That's almost Hey, we're aging each other. Okay You agey well. Well, thank you. Thank you so much Yep, I will All right, ladies and gentlemen colleagues that we're back and I have the opportunity to uh Talk with one of my former students who's a faculty member of yours and out there is mid-master and I'm so happy to hear her um Well, I tell you It is amazing. This has been just a ball And again, I thank dean Smith and dr. Dodele for the privilege of Being with you today. I wish we could be able to see each other but uh, I think sometimes it's not the distant future. I need to come out there and visit school and Spend some time with dean Smith and dr. Dodele and my house and I mean with one of my former alum This is great. This is great. So let's let's go on. This is quick repeat. We we've covered ethics We've covered leadership. We talked about mentorship about professionalism Talked about health equity. We talked about dei And we talked about student faculty burnout resiliency well-being What you can do to support yourselves your colleagues your faculty administrators, etc and so Now I want to go into this discussion of Person-centered care and and and I'm not trying to sell you anything. I'm talking about this from a point That's very important There's a very important article By one of my former colleagues dr. Antony Pallada Who was the chief learning officer at a deer? He's now independent consulted on his own and he did the guest editorial for the november edition of the journal of dental education And I've known Anthony now. Oh god It's a good seven eight years now And even then I left my deanship and went to a deer to be the senior scholar in residence We talked about the person-centered approach to transforming dental education And again, it's this his way and I'm a full believe in this because I've been involved in this IPE discussion for a long time as well as your dean brad smith You know we historically colleagues In 1926 Dr. William guys Wrote a wonderful book And it was on health education And some of you may know about the guys know the name at least guys And during that time If you didn't know the history Dentistry was part of medicine And one of the things that that I talk about today with my colleagues One of the things that dr. Guys did not do He did not talk about the integration of oral health And total health he didn't do that We just said, okay dentistry dentistry medicine is medicine And if you get a chance if you love to read know about history of healthcare read the flexional report Okay, which is all about medicine medical schools, but when you get a chance Do google and it's about 499 pages Read the book by them guys about healthcare and so I think about this Every day now that if I was then in 26 with dr. Guys who was by way of biochemist not a dentist or physicians of biochemist Acklam University I would be talking about How do we make sure that the two Professions are blended Okay, and not separate And so one of the things that Dr. Palada did Anthony Palada Is he talked about the concept of person sent to the care model And the goal was to focus beyond the disease but to the whole person And again, it's about the whole person You know someone comes in and he said earlier they have a diabetic and they have in this is great So a quick story I think many of you may know that western university is not too far from you all of arizona It's in Pomona, california and the dean is like dean brassmith dean physics says a good friend of mine And I remember doing the commencement there a few years ago We did a combined commencement address to pharmacy and dentistry And I was impressed that there were nine health science schools at western totally lock step Into ipe and I learned about the fact that you know osteopathic health systems. That's how they work. That's how they think that's how they plan to make sure we optimize health care And I was there to visit and this is a true story. I'm over in their primary care clinic Which also housed the dental clinic one of the dental clinics And I'm in the podiatry clinic And a p3 a third year podiatry student had just examined A patient who was really out of control with his diabetes and he had foot ulcers and Etc And when he finished the exam he said, okay now mr. So-and-so I need you to go up to the second floor To see the dentist about your gum disease and I said and I was in the back room with the d and I said Wow And they looked around and said who's that? Well said that was that was d rouse from howard I was also saying time the deputy provost my health affairs and howard and I was just in awe So then I went over to the school And they had a whole section Where the students from all health care disciplines Basically, we're learning together the same thing was being done at at the minnesota when I was on the Committee up there promoting In professional education and collaboration. It was funny So all these experts that I've had sort of honed in on why I'm shen is with you I think many of you have heard from your dean and your faculty about the social determinants of health The social determinants of health These are conditions in which people are born Grow work live and age it And and these forces and systems shape their daily lives the economics the community you live in You know the whole nice my yard And the world health organization WHO has indicated That they know that the social determinants of health account for more than 70 percent of health outcomes More than 70 that includes oral health outcomes. Think about that So one of our goals is to change the mindset from disease-centric to person-centric And so what we got to do is try to help reshape the future Of oral health providers Socialized in the profession to change that concept I know many of you are aware of the harvard school of dental medicine Harvard school of dental medicine and dean smith knows dr. Bruce donna dean donna dean america's donna former dean harvard We're all very good friends and I remember dean donna Invited me up After we did the x-ray panel in 2009 to speak to the students in the public health community school there And it was a joe henry fellowship joe henry was my dean at howlett And he left how it went to harvard as an interim dean and became a chair of perio, but that's not the story the point is Being donna's point was i'm going to push the concept of oral physician And I thought about that oh my goodness That's going to create a problem He says when you think about the history of our professions medicine industry when we were basically combined and then sort of separated And now we're talking about primary care and oral health care the integration A lot of this is being pushed by our nurse practitioner colleagues I know d smith knows this years back in late to fairly to mid 2000 Dean emeritus mike alfano who was a dean at New York university's dental school And dean judith haver dr. Haver and dr. Alfano decided to combine The dental and nursing school which they did And it was a first push at developing this interprofessional education model And sort of the model that was developed out at western Where you had these nine health science schools Fully integrated fully locked up on total health care Which at the point was oral health care And even to this day Dean haver youth haver dean haver dr. Haver who's a good friend of mine He is still very active and some of you if you do a lot of reading or you do a lot of googling about oral health at Ipe you will probably see a lot of papers that are being published by nurse practitioners related to oral health In nursing and nurse practitioners. I mean it's it's like it's so cool When you read about the things that they have been doing To advocate, this is why I made a comment earlier About the north come up north Dakota medical school inviting Dennis up to Get experience with primary care. Now that's their Objective to try to show that we're working fully with the oral health team And the other total health team which we're all part of and that's important Okay So I share that with you because it's a term that Some of you will be carrying the mail and it don't get me wrong not a politician But I do get a little emotional when it comes to the fact that One of the core competencies Of ipe or ipe Was to improve in a professional communication that collaboration as one of the core competencies How do we work together think together? I'll share with you a quick story. I'm not sure what the dean Smith is talking about other members of the faculty But one of the outcomes one of the outcomes of the pandemic Particularly in emergency rooms In emergency departments around the country in hospitals We were trying to because you know Folks will go to the emergency room at three o'clock in the morning with an a don't all done a dentic lesion And they made one of doing what in the MRI or a CAT scan Just to see what the bill is instead of calling one of you or one of us a dentist to say Patient has pain lower left quadrant looks like a tooth There's no tooth number, but it could be number 29 And they're doing a CAT scan So give me a break and so during the pandemic They were seeing a lot more emergency dental patients on dynogenic issues Because a lot of the dental practices were closed and some of the schools may have been closed too during that time Here's my point So now the ed physicians are heavy into understanding oral health care and oral health diseases and if these are the mouth so an off shot Of the pandemic is that it has opened the eyes Of a lot of our colleagues in the health care business to say oh my god Should have been paying attention to this a long time ago And I recall that I gave a big taste at University of Missouri Kansas City a few years back of a panel with pharmacists, social worker, nurse practitioners, and physicians And in the audience was a anesthesiology resident And he asked a question during the Q&A time. He says well, you know, well, Dr. Rouse You know, why should I worry about, you know, someone with dental decay? I said, excuse me I was in a residency where I took anesthesia And anesthesia, I'll be training. I can tell you When you're up at zero dark 30 or 6 30 in the morning or 4 o'clock in the morning or 5 30 in the morning You're going to intubate patients for a procedure for one of the surgeons And while you're doing that that Tool is going into the oral provincial area. And what do you see? Do you look? I mean, you're going to pass teeth You're going to pass beating guns. You're going to pass Probably some pathology And you get a responsibility when you Exitate that patient To say, hey, I know some great Pedestals over at Midwestern University I don't want to be afraid of where they get this work done That's what we're talking about We're not talking about taking power away from you or power away from us Talking about how do we collaborate to make sure that the patient Gets the optimal care, the person's Senate care That he or she deserves and he after what he kept to me He thanked me sick. I didn't think about that. I say, well, no problem pediatricians were the first medical specialists specialties to introduce Oral Health into their American Academy of Pediatrics meeting in Boston. I was there And I remember it was a aha moment Because they will now pick attention post beer Monty drivers The young man we discussed earlier a 12-year-old African-American male in Maryland who died of a brain access like a third to her carious lesion And we had a great conversation. So what do they do now every resident in pediatrics? They go to a complete oral health curriculum for their training Why because it's the right thing to do Always the first time If we're interested in someone's Diabetic foot that has ulcers We should understand the end result could be Advanced pyridatal disease This is about person-centered care. How do we focus on the person? And I know you folks at Midwest and get that it's all part of the critical thinking process But I bring it up because I need for you to do a lot more Read about it. If you haven't done so already, I know you introduced to it But think about it and do get a chance to take a look at that journal digital education article published by the year November of this year Like Anthony Pallada just editorial Very important point So we know Even though about the satchel told us in 2000 if you have not read the satchel book Or oral health in America. I I encourage you to do so Google it read it, etc Because David satchel from general said oral health is integral to total health. He said it And then seven years later. What happened on 12 year old died from general disease secondary brain access, okay These are not Made up stories. You can't make this stuff up. This is real stuff colleagues. Okay and so This is the world you're going to living in So I'm going to make a another statement here. I want to make this important To prevent any health risk Originating from poor oral health To prevent any health risk Originating from poor oral health And to improve overall health and well-being to improve overall health and well-being a person-centered care approach that integrates a person-centered care approach that integrates oral health into overall health must be a critical must be a critical element in both care design and delivery I'm referring to it's retaken oral medical has to be taken treatment planning, etc It is so important and These new terms are not I mean these terms are not really new terms. They've been out here for a long time, but I do become a student of a person centered health care Do make that reality If you get a chance Google some of the Harvard school of dental medicine Primary care and oral health care Scenario I'm participating in many of their webinars over the last two years during the pandemic You will find yourselves really being inspired And truly You're all doctors. I did a webinar for Las Vegas last February this past February And one of the students in the Q&A section Asked me a question and and he said Why do people think that we're technicians? I said it's a good question I say, what are your thoughts on that? And our response was well I am a doctor I'm in training to become a doctor of dental surgery. I said, yes, you are I said and what you do to prevent those kinds of comments Where you allow others to assume because you Do veneers you do implants you do class twos class three class four is what the case might be You have to become an advocate for what the profession is all about. We're about total health care delivery That's fully integrated So if you ask my personal opinion colleague, I would say I'm one of those supporters of the chain to say we are oral physicians. I might say we're under the medical family I just use that term because people Another thing I would say I know d smith is all time Whenever I hear someone say doctors and dentists, please correct them There are physicians and dentists. We're both doctors Okay, and if you want to take rouse off This being my presence and There's a doctor. There's a dentist I kind of go into a complete discussion About the fact that we're all health care providers The correct time for him is or her in position correct time for us is dentists. We're both doctors We have advanced degrees advanced training, etc And that's my way of protecting their profession Because I told young lady lots bigger said don't ever be shy about correcting someone at that moment That's what we do. That's about learning. It's about teaching. I'm always in a teaching mode Brad won't tell you that these people tell you that I stay in a teaching mode all the time And as I get older wife, he's saying to me says, you know, you become an artery also I said, no, it's about protecting my profession. I love this profession And I want to see these young folks who are Future leaders In this profession and I use the term legacy you to tell my graduates I want you to do what I do today much better than me as legacy I'm not the end all of success I may be doing a presentation, but I'm quite sure a lot of you will be doing the same position Several years from now or 20 years from now or 30 years from now Having a conversation about the value of person-centered care Ladies and gentlemen, it's now 1244 my time It looks like it's 1044 your time I think I will stop here now. Dr. Daudel. I want to make a final comment before I do that I want to make two quick points and I'm very proud of this Make a monumental difference in society. That's my point. I rouse this point to you Make a monumental difference in society And you heard me say it earlier today Do the right thing Always write the first time And ladies and gentlemen the future of this profession is in your hands Thank you so very much the opportunity to serve and to be with you today It's been a hoot Thank you, Dr. Daudel for what you've done to get me ready for this. Thank you Being Brad Smith for the opportunity to be a part of this Very important session I do hope that you've learned something ladies and gentlemen. I guess we can go into a q&a now David if that's be quiet Yeah, let me open it up Well, it's open. Um, if anyone has any questions for dr. Rouse If you want to write in the q&a or if you want Just raise your hand and I will open up your microphone and we could do it that way so you could ask If any of you have any questions Individually, let me see if anyone's raising their hand Don't be shy, colleagues. I'm also a former faculty member. I see your names in the participant list And I'm not shy about calling on someone If that's okay, Dean Smith Let me get Brad's mic on hold on one second Brad, you're I love it, I call on people all the time. So I'm going to call on student Dr. John Francis. Is he one of your students? He's actually one of our faculty. Oh, I'm sorry. Oh, right. I'll leave him alone. You can pick on him. I don't care. Go ahead. I'm sorry, Dave. So I would say you can pick on John, but go ahead, pick a student. Okay. How about student Dr. Josh Frantz? Josh Frantz. Let me find him. Here he is. Hey, Josh, you're live, so you've been picked on. So Josh, it's nice to meet you. What year are you, Josh? Josh. Are you a D3 or D4 or D2? Josh? Can you hear me? Yeah, I can hear you. Yeah. Josh, Josh, Josh, you keep muting and muting yourself. Let me do it. Josh, you're unmuted, so go ahead and just talk. All right. I'm a fourth year student. Thank you, Josh. Congratulations to you. Thank you. What's your question, Josh? I'm going to ask you a question, Josh. So what are the takeaways for you, Josh? You're getting ready to graduate here next May. What's your takeaway, Josh, from the presentation? Josh, did you hear the question? You're on the spot, Josh. Just give me one of your takeaways. Talk to me, Josh, about the value of the mentor, mentee that you were engaged in as a D4, which is D3 colleague. David, is he having a hard time? No, he's unmuted. Okay. You still there, Josh? And then his microphone disappeared. No, no, he's still there. Can you hear me okay, Josh? They won't ask. Maybe talk to someone. Let's go to the student, Dr. Cappy Lee. Cappy. Okay, I've unmuted you, Cappy. Hello, Cappy. How are you? Are you a D2, D3, D4? She's unmuted. Okay. I see that. Yeah. Are you there, Cappy? Well, obviously, I have a problem with the communication to you, David. I heard both of them respond initially, and then they kind of both went out. Yeah. Is Cappy's back on mute again? Yeah, I muted her. Okay. Let's see if there's any, nobody, anyone raised. Oh, wait a minute. Some people, someone raised their hand here. Hold on. We've got a log in. Okay, great. Gregory, you're unmuted. Go ahead. Can you hear me? I can hear you very well, Gregory. Okay, thank you. First off, thank you for talking with us today, Dr. Rouse. I thought the quote from MLK was interesting about inequality, and I'll have to do some research about that. But going into the Navy afterwards, after school here, what made you want to stay in for 28 years? And I know it's kind of 120,000 military, but how did you and if you were, your spouse deal with the moves and all the stress? Okay. Well, Gregory, first of all, thank you for your service and thank you for being part of the Navy. My dad was in the Navy's world or two back. God bless his soul. But I can tell you now, through my experience in the military, actually it was a joint decision between my spouse and I. I was a ROTC graduate in 1969. I was commissioned. And I chose to go into the Army Dental Corps, probably because I had some fantastic mentors who literally convinced me while I was in dental school. They were some retired colonels in Air Force Navy and one Army. And I also had some retired Tuskegee Airmen back in the day when I was in dental school. But I chose the military because I was excited about the opportunity to work in a multidisciplinary, a multidisciplinary environment. And I can tell you from my Navy colleagues, I have many Navy colleagues. In fact, one of my dearest friends is Sean Meehan, who was the former director of the Navy Postgrad College out in Bethesda, Maryland. And the new dean at West Virginia University is Stephen, who is a retired admiral, once thought. So I tutored, Stephen tutored. But for my family, it was exciting because I enjoyed the opportunity to move around the world. You know, you're going to do some ship duty six months out on the fleet somewhere and doing your thing. But it was a camaraderie, Greg, that I enjoyed. It was the opportunity to get advanced training. It was the opportunity to be global, to go around the world. I lived all over the world. And it was cool, particularly when I was dental commandant. And when I was dental commandant, I got to tell you, I was responsible for 4,000 people with a $350 million budget. And I had 7,000 board of commands around the globe. And that was a two-year command. And it was just fantastic to work with dentists in South Korea, to work with dentists in Europe. I got some dear friends in Germany, some great friends in the UK, in Italy. And so my wife and my son thoroughly enjoyed the opportunity. But in fact, my wife misses the military more than I do. But you will find it to be very rewarding. Are you an HPSB student, by the way? I am, yes, sir. Fantastic. So you're basically leaving dental school, hopefully, I hate to say it to all your colleagues, but you're leaving dental school basically debt-free. And you have a commitment. And do you plan to specialize? I do not. I'm actually going to be, I found out this week in Bethesda next year for the GPR program. Man, it's fantastic. It's a great program. In fact, Charlotte will be retiring this summer. So you may get to see it before he leaves Bethesda. But what an opportunity that is. It's a phenomenal program. It's a very important program. Everything in the military now, Greg, is joint. Joint everything. So you're going to Walter Reed, which is a joint assignment. The naval post-war dental company is a joint assignment. So you'll be there with colleagues from the Army, even Army Air Force and so forth, and maybe public health service, all right? And maybe a few Marines. But I wish you well. What are your other questions about that? I mean, my family enjoys the military. I think also, you know, I heard that as you kind of grow in the Army or in the dental corps that you do less and less dentistry. You know, is that something that you found difficult in your time in there? Or did you kind of enjoy the more leadership aspect of sub-learning? That's an excellent question, Greg. I can tell you two things. One of the things I got my experience to be in dental education from being in the Army, I spent five years at what we call the Army Medical Department Center and School. So everyone with a healthcare discipline came through the school. I had the fortune of being the chair of the Department of Dentistry at the Army Medical School, which gave me, you know, as a faculty member in the military, it's a different process. But I learned how to do curriculum, test writing, examinations, progress of instruction. And so for my first 10 years, I was a full-bore clinician at my residency. I did a residency in comprehensive dentistry, two-year residency. With a secondary in prosthodontics. And so when I left my residency, I went to Fort Devon in Massachusetts, where I was the prosthodontist for two and a half, three years. So then I went back to San Antonio to the schoolhouse, where I was on the faculty for five years, and I got what's called a faculty designation. And I got my interest in dentistry from an educational perspective. I taught the hygiene course in the Army, the two-year program there. And so I was fortunate. Then I got out of the schoolhouse, admitted to my other commands. My alma mater called me and said, I need a clinical dean when you come back. And so I retired and went back to Howard and the rest of history. So I've been blessed to have the experience of both clinical training and academic training while in uniform. And to your question, Greg? It did. Thank you very much. I really appreciate it. You all up with that, sir. Thank you for your question. Thank you. You're welcome, sir. Any other questions, David? Yeah. Actually, Josh, who we tried to talk to before, just messaged me another way and said, he thinks he picked his microphone, so we're going to turn it back on. Josh, you hear us? Yeah. Can you hear me? Yeah, we can hear you. Josh, I can hear you, Josh. Yes, I can hear you very well, Josh. All right. I know, previously, you'd asked me about the D3, D4 mentorship. Yes, sir. I mean, I know, granted, it's the only experience that I have in dental school. So, you know, when you talk to a lot of people who don't have that or other schools that don't do that, I guess it's more unique than we probably realized. But with that being said, I think it's kind of monumental because for me coming in as a D3, the faculty there, they really try to make you lean on the fourth year when you first come to clinic and they try to get you guys to figure everything out and take responsibility for certain things. But I will say over the last year or the last or many months it is since the D3s have come over and we've moved up to D4s, it's kind of forced you to have the, take more responsibility than you probably want to because you have to have those difficult conversations with patients or whatever it is and make sure your things are in order a lot more than you did a year before and you kind of don't have a choice. So I think that's probably the most impactful part of it if that answers that question for you. Yes, sir, it doesn't. Thank you very much, Josh, for responding because I got to tell you, your program is a unique program. And as you suggest, you're going to leave there with a ton of experience in managing, working with, and facilitating responsibility as a leader. What's your plan when you leave the school next summer? So I'm actually in the middle of working out an opportunity that I have here locally in Surprise, Sun City area. Okay. It's a single doctor office and he's asked me to come on. He wants to expand and he has basically room and he's looked out enough to where he can support another doctor. And so that's good for me because my family's here. My wife's family's here and I get to stay local. That is fantastic. So you're going to be trusted into leadership after reporting at Midwestern. So congratulations to you, Josh. Thank you for your response. I appreciate that. Very good. Thank you, Josh. Good luck to you too, Josh. Any other questions? Let me see if anyone else raised their hand. I did see someone else's hand earlier, but they put it back down. Anything, anyone else would like to say something? Just raise your hand. Let me just check the Q&A area and make sure. Oh, wait, someone did put in the Q&A. Hold on. You raise that. That was, uh, can't hear Josh. Okay. Okay. Everyone was making picking on Josh saying we can't hear him. So that was the only thing. We got that working. Anyone else you want to talk to, Dr. Ross? How about Lauren Ashendorf? Is she on the faculty? She's a student. She is a student. Let me unmute her. Lauren. Lauren. So Leo, I would pick someone whose name does not have an exclamation mark next to them. Okay. I'm trying to find another young lady here. How about, uh, how about Michelle Dutton? Michelle Dutton? Yep. I know Michelle well. She's her operator is right next to my office. There she goes. Michelle. Michelle. Can you hear me? Yeah, now we can. We can hear you, Michelle. Hi. Hi, Michelle. What year are you, Michelle? I'm a fourth year. Fantastic. And so, uh, I won't ask you what I asked Josh, but, uh, what are your plans when you leave? Big question. Um, I am currently looking for jobs on the East coast. Okay. Um, either private or DSL, I'm open to both. Okay. Okay. Fantastic. And how are you enjoying your experiences out there? Big question. I think it's been great. Um, I agree with Josh. I think that this is a really unique opportunity that Midwestern gives us and, um, I personally loved the fact that like my partner came in fresh off of like a lot of dental classes and she's been able to remind me about a lot of stuff I haven't thought about for the last year. So you've truly been involved as Josh as a mentor, which is just phenomenal. That is just fantastic. And I do hope that you're a D3 partner when she becomes a D4 when you graduate. That you have the same thing. I think the program you guys are participating in is just fantastic. And it goes to the fact that, you know, it's about leadership. It's about responsibility. Uh, you are learning that very well because you basically you're responsible for that D3 and the patient continuity of care as you leave and move on to wherever you're going to go on the East Coast. So I really commend you all. And I really want to say to Dean Smith, this is just one, I love this program that you have there at Midwestern. Any takeaways from you from this particular discussion today? I actually had a question for you. Yes, ma'am. How do you think you grew in the first few months out of dental school? Oh, what a fantastic question. So when I left dental school, I was at Walter Reed. In 1973, as you say, back in the days, Walter wonderful. And I was around a bunch of great colonels who were all specialists. And I was pressed into this program, which was basically, we didn't call it an A, G, D, DPR at the time, but it was basically like an internship. And I got to tell you, one great experience that I had Michelle at that time in 1973. One of the things that all the department chairs did at Walter Reed, they had the blessing and the fortunate opportunity to examine baby eyes now. And that weekend, I was the dental officer on call. And I got a call from Colonel Bill left with the time. He's retired now. He's deceased. And he says, Captain Riles, I need you to come down to the main center because we have something to do. And I go in and identify with, I saw our media. I said, oh, God, this is Eisenhower. All the department chairs would come in to examine Mrs. Eisenhower. And at the time, Colonel Lessler, now retired General Lessler, was the department chair. And he says, do you think I got to examine baby eyes now? That is undoubtedly marked in my heart forever. 1973, it was a blessing. I was one paranoid, scared to death, young army officer. But it gave me opportunity to learn about how do you work with a dignitary? He used his spouse, the widow of a former five-star general officer and a former president. It was fun. And so, yeah, I had a great experience my first few months out of dental school in the army. I learned a lot. I learned about people. I learned about myself. I learned not to be selfish. I saw an opportunity because I had great mentors who would, I always say, well, you guys have been in army for 15, 20, almost 30 years. Why do you stay here? And that was one of the reasons why I stayed in. So it's a thing. One of my mentors was Colonel Bernie Witzett, who was deceased. But he and his wife, Doran, invited my spouse and I over to his home. And he gave me all the reasons why I should stay in the army as a career dental officer. That was during the end of Vietnam. There were a lot of dentists who were leaving the military and they needed to have more dentists coming in. So I was blessed to have great mentors during that time, Michelle. Thanks for your question. Thank you. And good luck to you. Thanks so much. You're very welcome. Any other questions, David? Don't see if there's any hands up. It was past the hour, Brad, the two-hour mark you gave me, but I'll take one more if I can. That's okay with you, David. No, it's fine with me. I'm not going anywhere. I don't see anyone hands ready, so you may just have to challenge someone. Well, I want to... I don't want to challenge her. I hope she's still on. Let me see someone just so I can maybe raise their hand. Hold on. Oh, yep. Someone raise their hand. Okay. All right. We have a volunteer, so we don't have to go anywhere. Okay. Hello, Michael. How are you? I'm doing fine, sir. Good. What would you do different at the beginning of your career? With all the knowledge? I do different at the beginning of my career. I can tell you... And that's a good question, Michael. I have to be honest with you. I'm not really certain where I would do different. I've had so many wonderful opportunities, but I will say this to you. I have never experienced private practice. And if I could, I would have probably tried to do some moonlighting back in those days to get the feel for a practice environment. I was practicing basically in the military, starting at Walter Reed, all right? So that's what I would probably want to do differently if I would stall over again just to give it a shot, see what I would really like it. I had some great mentors who had never participated in private practice. They were all military members. And so I got to tag along with them. So I got this passion about the military. So it was back to the question that I asked earlier of my colleague going into the Navy. So, yeah. Can I ask you a question, Mike? Sure does. Thank you. Thank you. So where are you going to do next, Michael? I'll be going into general dentistry looking for a private office or DSO to start. Well, good for you. DSOs, let me say this about DSOs. I know about Hotland. I know about Pacific. I know about Aspen. One of the things I do appreciate about DSOs today is they're now doing a more integration with person-centered care. So they're kind of gravitating with some medical people now, et cetera. So I like that concept. But do go and have a good time. And the things that you've learned at Midwestern, utilize every tool that you use to provide quality, optimal person-centered dental or health care. Okay? Thank you. You're welcome, Michael. Okay. Is there anyone else? I think anyone else raised their hand. Nope. No one else. Okay. Well, I got to tell you, David, I thank you. I thank your student body. You've got some great student representation that's been really good. One of the things I've learned is that the mentor, hello, to succeed in a larger tribal community that wants to change the minimum career. At Northwestern, I work with D הוא, and they work for a community scenario at Western and so I commend my dear Buddy, wanted to thank you for taking the time. I also want to thank the students. I'm really, really proud of the students. They work so hard. They are so patient-centered. I get maybe five or six hundred responses from a survey that we use every month, and they always compare our students with outside Dennis. One of the things that they talk about on a regular basis is their empathy and compassion. We have a older patient face, and a lot of them look at our students as their kids or grandkids or great grandkids in some aspects, and they really appreciate their care and their willingness to work with them. It's exciting to work with dental students, but I'm really appreciative of the time that you've taken, the preparation that you've taken in your whole life, because the stories that you tell are worth more than a PowerPoint presentation, and I don't think we could do anything to really pay you back for the wisdom that you've imparted today, so I just want to say thank you. Well, Brad, again, to you, dear friend, thank you very much. Opportunity, I enjoy doing it. I'll be doing several more over the next several months after the first year. Opportunities to share experience with students is very important to me, as you well know, Brad, and I've learned over the years that, and I've had some fantastic mentors. One of the things that I will share with you that I learned from General Powell to all who on this call, and I was in the Army War College back in 1993, and General Powell said to us, as a class, he said, ladies and gentlemen, if it's not broken, break it, and what he meant for, what he meant was, you must be a transformative agent, you must be a change agent. If you've been doing it the same way for the last 35, 40, 50 years, you are now impeding the success of how we make things different in our world, and I'll never forget that long as I live. And then, of course, Mahatma Gandhi, his name is President, you must become the change you want to see, and I fully believe in that. And so I'm all pro for diversity, equity, and inclusion. I'm all for person-centered care. I'm all for the fact that now I know that your school is very involved in a D3, D4 mentor mentee project. I think that's fantastic. That's fantastic. Thank you so much, Brad. All right, David, it's all yours. Okay. Stopping the recording, and...