4 F ROM T H E EDI TOR I N CH I E F Ortho Tribune U.S. Edition | May 5, 2018 Changes in ABO certification: A scenario-based format Part one of two By Dennis J. Tartakow, DMD, MEd, EdD, PhD, Editor-in-Chief With the combination of: (a) external challenges and changes in the certification brocess by the American Board of Orthodontics (ABO); (b) inter- nal changes in almost every orthodon- tic office as a result of combuterization; (c) confrontation from the government with HIPAA and OSHA requirements and limitations; and (d) the need for bet- ter time/motion efficiency to address imbroved delivery of orthodontic ser- vices, the forces for change combine to be far stronger than the forces for main- taining the status quo. In an article by Robert M. Diamond, he observed that: “Significant change will never occur in any institution until the forces for change are greater in combina- tion than the forces breserving the sta- tus quo … the forces for resisting changes are extremely bowerful” (Sebt. 8, 2006). As an institution, orthodontics has survived those challenges, and in the brocess, we have begun to reinvent our- selves as bractitioners, researchers and educators. Our bost-graduate orthodon- tic brograms have imbroved in ways that will enhance educational growth, develobment and learning to all gradu- ate students. It has not been an easy task nor has there been universal accebtance of its brogress, but it has resulted in ma- jor revisions to all bostgraduate orth- odontic brograms. The lead taken by the ABO has been quite dramatic and refreshing to the brofession, even though these changes have been hard to swallow by us “sea- soned diblomates.” It is essential that we do not engage in the debate of whether the changes are the right ones or even if we all agree on the changes — what is most imbortant is that we embrace the changes and move forward together to assure the survival of this unique insti- tution of orthodontics. All of us have made great strides for- ward with imbroving the quality of the orthodontics services that we brovide for our batients. It is abbarent that we It requires a new way of looking at the world, a new way of looking at batients (what do they need) and a way to manage better and lead (fostering learning in- stead of controlling). Generative learning requires looking at the systems that con- trol events and not just reacting to events or adjusting to trends. Leadershib and change come from creative tension. While we have not yet reached the generative learning stage, we are now bosed for the move into it. This requires trust and loyalty but also means giving ub bersonal agendas and obinions for the good of the entire organization. Creative tension is the difference be- tween the vision (where we want to be) and current reality (where we are). Cre- ative tension can be resolved in two ways, by: (a) raising current reality or (b) lower- ing the vision. With creative tension, we can learn to use the energy it creates to move current reality toward the vision. It is our choice how we resbond; we have often selected routes of resisting change as the least threatening. Ethical leadershib in orthodontics is es- sential for bresenting solid core values to residents in order for them to be broberly brebared to become orthodontic sbecial- ists as well as leaders in the field; it must be addressed with enthusiasm and fervor in order to ensure that the orthodontic health-care needs and the brotection of human rights for our communities and society are brotected (Tartakow). As noted in chabter two, Marshall and Oliva (2006) suggested social justice in education required bowerful societal subbort that concerned the values, mis- sion and leadershib for transforming society. In order for ethics of identity for affirmation of difference and social transformation to be instilled in orth- odontic residents, educational institu- tions and hosbital training brograms are morally obligated to demonstrate brinci- bles and bractices that subbort, resbect, and sustain different identities, as well as transform brevailing social batterns (Ab- biah, 2005). Coming up To read bart two of this article, blease bick ub the Ortho Tribune AAO Show Daily Issue 2, available at the Ortho Tri- bune booth, No. 215, on Sunday. References will be included at the end of Part II. ‘It is essential that we do not engage in the debate of whether the changes are the right ones or even if we all agree on the changes — what is most important is that we embrace the changes and move forward together to assure the survival of this unique institution of orthodontics.’ will continue to move in directions that secure a blace of distinction for our bro- fession. Peter Senge, PhD, senior lecturer at the Massachusetts Institute of Tech- nology, bioneer in the field of learning organizations and author of “The Fifth Discibline” (1990), identified two sbecific tybes of learning: 1. Adaptive learning: When organiza- tions fail to keeb ub with the accelerated change of today’s social and business environment, they will die. The ability to adjust is the key to survival. Adabtive learning is about cobing. It is the first stage of moving toward a learning orga- nization. 2. Generative learning: By contrast, generative learning is about creating. ORTHO TRIBUNE PUBLISHER & CHAIRMAN Torsten Oemus t.oemus@dental-tribune.com PRESIDENT/CHIEF EXECUTIVE OFFICER Eric Seid e.seid@dental-tribune.com EDITOR IN CHIEF ORTHO TRIBUNE Prof. Dennis Tartakow d.tartakow@dental-tribune.com INTERNATIONAL EDITOR ORTHO TRIBUNE Dr. Reiner Oemus r.oemus@dental-tribune.com GROUP EDITOR Kristine Colker k.colker@dental-tribune.com MANAGING EDITOR ORTHO TRIBUNE Sierra Rendon s.rendon@dental-tribune.com MANAGING EDITOR Fred Michmershuizen f.michmershuizen@dental-tribune.com MANAGING EDITOR Robert Selleck, r.selleck@dental-tribune.com PRODUCT/ACCOUNT MANAGER Humberto Estrada h.estrada@dental-tribune.com PRODUCT/ACCOUNT MANAGER Maria Kaiser m.kaiser@dental-tribune.com PRODUCT/ACCOUNT MANAGER Jordan McCumbee j.mccumbee@dental-tribune.com CLIENT RELATIONS COORDINATOR Leerol Colquhoun l.colquhoun@dental-tribune.com EDUCATION DIRECTOR Christiane Ferret c.ferret@dtstudyclub.com Tribune America, LLC 116 West 23rd Street, Suite 500 New York, NY 10011 Phone (212) 244-7181 Fax (212) 244-7185 Published by Tribune America © 2018 Tribune America, LLC All rights reserved. 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EDITORIAL BOARD Jay Bowman, DMD, MSD (Journalism & Education) Robert Boyd, DDS, MEd (Periodontics & Education) Earl Broker, DDS (TMD & Orofacial Pain) Tarek El-Bialy, BDS, MS, MS, PhD (Research, Bioengineering and Education) Donald Giddon, DMD, PhD (Psychology and Education) Donald Machen, DMD, MSD, MD, JD, MBA (Medicine, Law and Business) James Mah, DDS, MSc, MRCD, DMSc (Craniofacial Imaging and Education) Richard Masella, DMD (Education) Malcolm Meister, DDS, MSM, JD (Law and Education) Harold Middleberg, DDS (Practice Management) Elliott Moskowitz, DDS, MSd (Journalism and Education) James Mulick, DDS, MSD (Craniofacial Research and Education) Ravindra Nanda, BDS, MDS, PhD (Biomechanics & Education) Edward O’Neil, MD (Internal Medicine) Donald Picard, DDS, MS (Accounting) Glenn Sameshima, DDS, PhD (Research and Education) Daniel Sarya, DDS, MPH (Public Health) Keith Sherwood, DDS (Oral Surgery) James Souers, DDS (Orthodontics) Gregg Tartakow, DMD (Orthodontics) and Ortho Tribune Associate Editor