(856) 264-9890
Download Our Free E-Book
Join The Academy Buy Our Books Attend A Seminar Contact Barry

The Dental Warrior

April 26, 2021

Every morning I awaken to the Serenity Prayer downloaded onto the desktop of my computer. To many this has become a boring, humdrum banality that we take for granted…unless of course you have a problem with alcohol. During these very difficult days of the Covid-19 Pandemic I began to read it more closely and observed how much sound judgment it contains.

Many people associate it with Alcoholics Anonymous. When I was in dental school during the seventies I used to pass an AA Meeting Hall on the way home. I never had a drinking or drug problem…but I was curious and went in one night. They welcomed me in and served up some good coffee and donuts. I remember the meetings starting with a reading of the Serenity Prayer. Recently I looked up the origin.

The prayer was written by a protestant theologian, Reinhold Niebuhr in the mid-thirties. He needed a topic for discussion for an upcoming sermon. It was meant for everyone…not just alcoholics. Alcoholics Anonymous(AAadopted the prayer in 1941 when an AA member saw it in The New York Herald Tribune and asked the AA secretary at the time, Ruth Hock, to see if it could be printed in distributable cards. And so it has since become the mantra of AA.

When I read The Serenity Prayer these days I see ancient wisdom. I see Epictetus when I read it.

Who? You might ask. Epictetus was one of the most prominent Stoic philosophers…a slave and the teacher of Marcus Aurelius. He is known for his handbook The Enchiridion which is meant to keep the philosophy close at hand. For those literary types he was also the center of the main theme of one of my favorite books, Tom Wolfe’s mega-bestseller A Man in Full.

My new book, The Porch is a tribute to Epictetus and the Enchiridion. It’s a reminder for dentists about how to use and apply philosophy in dental practice. You can order a copy of The Porch right here and for just a short time get a free copy of my book The Art of Case Presentation.

Those two books helped me to realize that philosophy…specifically Stoicism, was more about practical application than about thought, meditation and reflection. Real philosophers are warriors not librarians. Philosophy can guide us …offer us help, but only if we make it accessible. Alcoholics needs actionable counsel…and so do we during these most difficult times.

Epictetus 101 tells us to “control what you can and ignore the rest.” Like the Serenity Prayer he was all about knowing what we can and can’t control. He advised his students to carry his handbook with them…so the counsel would always be at hand— accessible – hence I keep the Prayer on my desktop. It reminds me of what Socrates and Dan Goleman, the neurobiologist, consider the fundamental rule of “know yourself.”

Let’s break down the simplicity of the Serenity Prayer. It includes some very key words like, courage, acceptance, wisdom and serenity. The first three words remind me of Aristotle’s Four Cardinal Virtues. Notice that the virtues are verbs – they require some actions. Let’s examine the warrior nature of these virtues.

First courage. It takes courage to get through each day. It takes courage to act in the presence of fear…to do the right thing. Mostly, it’s harder to do what we know is right than to sit back and do nothing. Aristotle considered courage the chief virtue because without it the other virtues could not be practiced. The Jospeh Campbell, the mythologist, would tell us that we should “slay the dragon ‘thou shalt,’ as a sign of maturity and courage.

Second virtue: acceptance. That does sound fairly passive…but I would substitute the virtue of gratitude here. To understand acceptance we have to look at its opposite…denial. The word denial implies a world of “should.” When the world doesn’t behave as we think it should…we get upset, angry and frustrated. The answer is acceptance. Accept everything…take nothing for granted…only as granted. Accept as if we had actively chosen the outcome. For that mindset we must be grateful for everything.

My father taught me as I was growing up, that life is unfair. If it were fair…s**t wouldn’t happen. But, as you know…”s**t happens”. But through acceptance I never feel victimized. I deal, accept, move on and take positive action…of what is within my control. Acceptance and gratitude are liberating virtues.

Finally the virtue of wisdom. Wisdom gives the warrior clarity and perception. To know what is up to us and what is not up to us. Without clarity we don’t know how to act. Socrates considered wisdom the chief virtue.

This is a blog primarily for dentists who are trying to reconcile their work lives and their personal lives. I hope this helps…because it truly is about the universal reward for being a warrior philosopher, and that is the final word in the prayer…serenity. After some tumultuous years in practice I realized that serenity was what I was looking for.

The great Stoic philosopher Seneca said, “Our character is the only guarantee of carefree happiness.”

Bill W. the founder of AA used to say of the Serenity prayer, that it tells us “accepting the things we cannot change.” Acceptance must not be confused with apathy. Apathy fails to distinguish between what can and what cannot be helped. Apathy paralyzes and acceptance liberates. But acceptance, he used to say, required moral courage, to carry on when things look hopeless.

By becoming a philosophical dental warrior you will gain the most important thing in life: serenity and peace of mind.

Time to Rethink Dental Education

April 19, 2021

Filed under: The Porch,The Stoic Dentist — Tags: , , , , , — Barry Polansky @ 1:30 pm

Adam Grant, in his new bestselling book, Think Again, The Power of Knowing What You Don’t Know (highly recommended), describes a few character traits that set the great presidents apart. Experts found that of the best character strengths the great ones had, that intellectual curiosity and openness to experience distinguished them from the rest. Grant said, “They read widely and were eager to learn about developments in biology, philosophy, architecture and music…”

In other words these leaders had a different mindset…rather than a certain skillset. Maybe dental schools (and other professional schools) should consider focusing more on mindsets rather than skillsets.

For those of you who study philosophy, Stoicism or positive psychology, you will recognize intellectual curiosity, openness to experience and love of learning as character strengths that come under the heading of the core virtue…wisdom.

When I look at the current state of the development of dental education over the past 50 years I see not much has changed. The focus has remained on training dentists in technical skills (techniques, materials and equipment have changed), rather than on training dentists to think more critically and to become better leaders.

It’s time to rethink dental education.

Through my years I have witnessed the coming and going of trends and fads that promised dentists happiness, freedom and success if they mastered the associated skills. From business management and sales and marketing skills to technical skills in cosmetics (veneers, Botox), implants, sleep dentistry and splint therapy, all made the promise of success.

I agree that mastering technical and business skills are the key to mastering dentistry…anyone who thinks otherwise is crazy. It is the job of dental educators to produce competent dentists…first and foremost.

Yet…something is missing…and that is becoming more and more apparent every day. With the rising costs of dental education, the rising incidents of burnout and suicide and the decline in trust by the public…I have to look at the dental education as a way to improve the existing conditions.

Maybe…it’s time to rethink dental education.

A good method of finding insight is to use what the great investor Charlie Munger would do…he would use inversion. His philosophy was to “invert, always invert.” That is not unlike the philosopher Aristotle who would explain the virtues by describing his golden mean by looking at their opposites (see diagram above). So, if our job is to find the truth— then lets look at the inversions of the strengths of curiosity and the love of learning.

First let’s take a look at the opposite or absence of curiosity and learning. Words that come to mind are orthodoxy, complacency, laziness and dogma. Then there is the condition of an excess of a love for learning — know-it-all-ism. Know-it-all-ism can be just as bad as the lack or opposite of a love of learning because it can lead to over confidence and arrogance.

Sometimes it is hard to detect the laziness and complacency in dental education but the arrogance sticks out like a sore thumb. Adam Grant suggests that we look for three behaviors that are emblematic of complacency, orthodoxy and arrogance: preaching, prosecuting and politicking. They all defend their current position until the status quo is upheld.

Preachers love to tell us why their point of view is the right one. Prosecutors take on the role of an attorney defending their position, and politicians just do whatever is popular. Grant recommends that we look at all sides of an issue by becoming scientists.

One of the roles of any doctor or health professional is to be a teacher. The word doctor comes from the Latin word for “teacher,” itself from docēre, meaning “to teach.” Yet, dental schools spend very little time educating students how to become better teachers and leaders.

Never forget that another primary role is to be competent technicians.

By neglecting the role of teacher and leader…who suffers? The patients, the community but mostly the practitioners. And that is what we are seeing in dentistry today.

How can we fulfill our role if we are not trained to be teachers and leaders?

Something else I have noticed through the years is that the best students—the A students, don’t make the best dentists. Just asking ourselves why that is can reveal more about the system than about attaining mastery and excellence.

The late and very great Peter Dawson would talk about teaching dentists critical thinking. Too many dentists focus on the outcomes of treatment and then claim success without waiting long enough to observe that actual results. Critical thinking is about being process oriented so that many future failures can be avoided…this is not only about technical dentistry but behavioral dentistry as well. Maybe it’s time for dental education to heed Dr. Dawson’s advice.

My new book, The Porch, is a tale about a dentist who suffers through depression and burnout until he meets a mentor who teaches him the real tricks to the trade. He then goes on to clinical success and more. What more you ask? Find out by reading The Porch.

Courses in positive psychology and leadership development at the dental student level would go a long way to making the dental profession better. In the end the students will achieve all of the things they became dentists for: mastery, freedom, happiness and peace of mind.

Maybe—just maybe it’s time to rethink dental education.

If you have any thoughts or feelings about this important issue please leave comments below….just don’t preach, prosecute or politicize.

Jeopardy! and Dentistry-The Ultimate Game of Life

April 12, 2021

Filed under: Philosophy,The Porch,The Stoic Dentist — Tags: , , — Barry Polansky @ 1:52 pm

The Pandemic, with the creation of new time schedules, has had most of us crying out to develop new habits. That is not an easy task, so I decided to entertain myself by reverting back to an old habit: watching Jeopardy! every night. I was always a big fan of the show and its iconic host Alex Trebek. I used to be a better player…my recall isn’t as good as it used to be. These days I watch with a different perspective…how the game of Jeopardy is like the game of life.

Recently I watched a smart young attorney competing. In order to prepare she admitted to doing the NY Times Crossword Puzzle for one thousand consecutive days. Now that’s gritty. Apparently it worked as she plowed through the questions and reached Final Jeopardy in a “no lose” situation. She was $3000 ahead of the second place contestant…but she had only accumulated $10,000…a paltry sum when you consider the amounts most formidable contestants earn.

I was impressed with the amount of knowledge she had accumulated…it just didn’t transfer over to dollars. Isn’t that the point of the game? To win as much as you can and return for another day. I made a note that her style of play would cause her to lose the next night when she would play, not necessarily a more knowledgeable opponent, but one who knew how to play the game…the ultimate game.

Through my years in dentistry I have met many talented professionals who did okay, like the attorney above, but never reached their full potential because they never realized the game they were playing. When you know your ultimate game…your entire game plan changes. Let me explain through the Jeopardy example.

Take a look at Jeopardy’s three most successful champions in the photo. The guy on the left, James Holzhauer, long before he racked up $1.69 million as a contestant on Jeopardy!, he made a living as a sports gambler in Las Vegas. Holzhauer also has a very high IQ…but a big part of his game was taking big risks.

I’m not suggesting that we have to be gamblers…but in life we all need to take appropriate risks. All three of the greatest Jeopardy players were risk takers…and do you know what they were betting on? They were always betting on themselves. Our attorney, even when she was confident rebuffed the idea of taking a risk. In that moment of truth…something interfered. She had what the cognitive psychologists call loss aversion. It’s very common. Everyone likes to win but some people are just afraid to lose.

This isn’t a good strategy for Jeopardy, and it isn’t a good strategy for life or for a career. We have to take risks. I remember my career…every course I took I lost a little sleep over how I would pay for it or how much I would lose by being out of the office. Every new technique I learned I worried about the outcome and considered staying with techniques I knew. Taking risks is what moves the ball downfield. Our attorney contestant was smarter than she believed.

The guy on the right in the photo, Brad Rutter is the highest money winner of all time across any television game show, with total “Jeopardy!” winnings of $4,688,436. He has never lost “Jeopardy!” to a human opponent. Watching him play was amazing. He never lost his cool. He would ring the buzzer mostly when he knew the answer. So many contestants on Jeopardy these days don’t seem to have the emotional stamina to compete. Every answer is an adventure. Maintaining emotional composure in life is no easy task…especially when we take risks.

Serenity, tranquility and steadiness are worthy goals in life. Yet…so many of us chase the external returns.

I have seen Brad Rutter go “all in” and lose. He shrugged his shoulders and actually crawled back to win the game. Too many contestants just “lose it” after a bad call, as if their complete identity were at stake. Once again, as in life, we have to play to come back another day…so peace of mind and tranquility at all costs is the objective of the ultimate game as well as the prize money.

And then there is the guy in the center. Everyone knows Ken Jennings.  He  holds the record for the longest winning streak on Jeopardy! with 74 consecutive wins. That was no accident. Jennings knows how to play the infinite game. This is a game where there are no winners and losers as author Simon Sinek tells us. Jennings watched other contestants like Holzhauer and learned how to take the proper risks…and he watched Rutter and learned to stay calm under pressure…but mostly he watched the host Alex Trebek…who he became.

Trebek died on November 8th, 2020 after a long-standing illness. He hosted Jeopardy! for 37 years. He was loved and respected by all. Ken Jennings has stepped in to be his “temporary” replacement. And what a job he has been doing. Jennings knew how to play the infinite game and he watched the exemplars in the game…until doors opened for him where he didn’t even know the doors existed.

Life has rules. Wisdom…the virtue that Socrates thought was the chief virtue in life, is the virtue that guides us in knowing the game we are playing…the ultimate game…the infinite game. Life is the essence of risk and struggle…all of us must master fear…even the attorney who lost her championship the next night.

My new book, The Porch, is a fable about a dentist who uses the wisdom of learning about the ultimate game of life. His lessons taught him about the necessary tools to succeed and live a life worth living. Check it out…and if you order now I have a special offer for you.

There Are Teachers and There Are Teachers

April 5, 2021

Filed under: Epictetus,Philosophy,The Porch,The Stoic Dentist — Tags: , , — Barry Polansky @ 10:00 am

These days everyone wants to skip the line. Everyone is looking for instant success rather than putting in the time. I’m for that as well. I mean who wants to put in 10,000 hours to become a master at anything like Malcolm Gladwell and Anders Ericsson suggest in their bestselling books. Who doesn’t want a good hack?

Even when I was in dental school, students were looking for the easy way. Most of us learned dentistry like chefs learn how to cook…very procedure oriented. There is a story told by Stoics of a student who approached the great teacher Epictetus and said, “Tell me what to do.” The wise sage responded,”It would be better to say, ‘Make my mind adaptable to any circumstances.'”

His advice was to learn how to learn. We shouldn’t pay attention to teachers and friends who are only interested in showing us the shortcuts and the hacks. We need to pay attention to the principles…every field has them.

Harrington Emerson once said: “As to methods, there may be a million and then some, but principles are few. The man who grasps principles can successfully select his own methods. The man who tries methods, ignoring principles, is sure to have trouble.”

When we take the time to learn the principles and apply the principles we can solve most any problem that occurs…as Marie Forleo tells us in her best-selling book, Everything Is Figureoutable, yes—everything is figureoutable. This is one of the keys to mastery. Being able to figure out solutions no matter the circumstances.

I am a big fan of Jim Cramer…the Mad Money guy on CNBC. I watch him every morning. Sure, he gives out stock tips, but more importantly he discusses the principles of investing. Every day is a new day in the stock market and only those who adhere to the fundamentals of investing will make money in the long run.

Years ago, I used to go to the racetrack. There is an old horse racing adage that claims you “can beat a race but you can’t beat the races.” There’s a lot of wisdom in that quote, and it applies to just about any field. Some might say the same thing about the stock market. But we don’t want our profession to become a game of chance…that won’t happen if we learn and follow the principles…our “odds” of success will go up exponentially.

How does this apply to dentistry you ask?

Remember, our ultimate game is to win over patients to accept the care they need for optimal oral health and for us to competently provide that care…and in order to win, we need a process backed by principles based on perennial wisdom. Just like the best stock pickers don’t speculate on every stock and the best horseplayers do handicap their spots…the best dentists choose their big cases wisely.

When I go on social media (way too often), I see magnificent cases of stunning dentistry. Some are simple cases and others are intricately complex. Because I am retired, I am like the boxer that Paul Simon described in his classic song…“In the clearing stands a boxer, and a fighter by his trade…” but I do carry the reminders of every case that cut me down and I tell myself that “I am leaving, I am leaving…but the fighter still remains.”

So I look at these cases on social media and wonder. I wonder whether the dentist followed protocols…principles based on a philosophy. I spent fifty years in dentistry…the early years…with no real philosophy. Then after writing The Art of the Examination and clarifying my philosophy, I never broke protocol. And still…

Cases failed. I’m pretty good at picking stocks…and still I pick losers. And horses…I used to be a legend in my time at the track…but still losers.

So I wonder how these dentists do their cases. I wonder whether what I am seeing on social media is an illusion…and whether the cases will stand the test of time. I know from my experience that collective success over time on Wall Street, the racetrack, and work depends on having a guiding philosophy composed of principles we learn from the best teachers and mentors.

I say best because not all teachers are equal, and many will just give you some how-to tips without teaching you how to figure things out.

I have a couple of lifehacks for you…Can you guess what they are?

Clarify the philosophy by which you will approach your dentistry and life.

Ben Graham, Warren Buffett’s mentor and teacher taught him a philosophy for investing. It was pretty simple: 1). Develop a worldview–or a philosophy on how the world really works. 2). Create methods or systems and be consistent. 3). Be aware of your temperament –the world and the markets are very fickle.

Ben Graham was a Stoic.

My new book, The Porch, is a fable about a young dentist who changes his life and career based on philosophical principles…order you’re copy and begin to learn the secret sauce of success in life and dentistry through philosophy.

Use that philosophy to guide you in learning…in communicating…in leading…in solving diagnostic and treatment puzzles…in doing your hands-on work.

As the wise sage Epictetus said, you will make your mind adaptable to any circumstances.