And it says periodontist.
Periodontics connect with the maxillofacial surgery the fact that they are both the closest specializations to the medicine. For this reason, it is also my passion.
Do not you think, that the doctors from different specializations should know about it? It is very common that they wonder, when acting locally, they find a preventive action proposal joint with dentist, joint cooperation over the patient and their family. They say: “How is that? Mind that dentists are something completely different, it is a craft”. You have got a toothache, go to the dentist, to treat a man holistically can only a doctor.
I do not know, I do not see it in such black colors (smile). Certainly there are cases such as you describe, but I hope, that there are fewer and that the trend is reversed. We, as dentists, have done a lot to break it, and it have been going on for years, which results can already be seen. Our dentists professors from different fields of dentistry perform with the lectures or presentations on the other medical congresses: cardiology, diabetes, pediatric. Some course book chapters, e.g. from gynecology, are written just by the professors of dentistry from proper fields – this cooperation is visible. There is also well-developed cooperation between periodontologists and cardiologists, there are joint research – also here a lot is going on. We have joint conferences, including those which I have organized in previous years at the Supreme Medical Chamber. They were almost always prepared in collaboration with physicians of various specialties: dentists, cardiologists, diabetologists, laryngologists. If we talk about cancer prevention and treatment of such patients, there is also a need to implement an interdisciplinary activities; we need a lot of professionals, not only doctors but psychologists as well, because patient needs overall care. I think that it is changing and will change even more. The current National Consultant of Pediatric Dentistry, professor Dorota Olczak-Kowalczyk, initiated an introduction to the pediatric specialization of additional elements of programs precisely from pediatric denstisrty, so that the doctors specializing in pediatrics would be more implemented to these issues. What should be improved, are the undergraduate medical education programs. They are poor in dental issues, they include only a few hours of classes on the basis of dental seminar and it is too little.
Are you an enthusiast of the approach to the profession of dentists as a liberal profession? Did it manage to achieve that?
This is a doctors problem in general. Dentists meet the traditional standards of liberal profession, although in many areas they are limited by bureaucracy, which is increasingly overwhelming. It burdens not only us, doctors, but also many other professions. Liberal profession can be variously defined. I think that the main criterion is primarily the freedom of therapeutic decision. It is not good if someone or something influence the therapeutic decision undertaken by the doctor. In the studies of Supreme Medical Chamber Physicians inicated that external institutions, i.e. The National Health Fund, impose a treatment regimen by a written procedure. Dentistry is funded by the National Health Fund, i.e. from the public funds, in a very narrow range and on the low level. Most dentists are working outside the NHF and at this point, they are more “free”, which implies, of course, other limitations and difficulties. This market is not simple, but still there is no external factor that indicates that dictates a course of action. In this spirit, the doctors actually are and should be free. Otherwise, there are numerous positions of national and international professional organizations clearly indicating that nobody and nothing should influence the doctor’s therapeutic decision. What limit us, is the rules of professional ethics (national, as well as international codes of ethics), which are all similar, derived from the Hippocratic Oath – only that should limit us.