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6WinTerstandards.Whilethisisentirelyappropriateforanaccredita-tionsystemIwonderifapointhasbeenreachedwheremorethantheminimumrequirementsisneededPerhapsweshouldbethinkingaboutbuildingupontheCODAsystemthroughastrictlyvoluntaryLEED-stylesystemavailabletointeresteddentalschoolsinordertomaketheirspecificmissionsvisionsandvaluesmoretransparentandrelevanttothepublicinclud-ingtoprospectivestudents.AccordinglymyproposalisnotintendedasareplacementfortheCODAaccreditationprocessbutratherasasupplementtoitforinterestedinstitutionsandindividuals.WecanthinkofCODAassimilartoacity-issuedpermittoconstructanewbuilding.CODAtherebyremainsfundamentalbutitisonlythebeginning.APenchantforankingsThedesirebydentalschoolapplicantsforcomparativeinfor-mationisreflectedbytherankingsofdentalschoolsfoundonwebsitessuchashttpstudentdoctor.netorhttpdental-schools.findthebest.com.Theygrabwhateverdatatheycanbutnoneofthedataarebackedbyacredibleorresponsibleagencynorisparticipationvoluntaryfortheinstitutionsnamed.Weightisaccordedanygivenattributebasedontheinterestsandidiosyncrasiesofthepersonsmakinguptheranking.AgoodcaseinpointisthenowdiscontinuedU.S.NewsandWorldReportrank-ingofdentalschoolsthatwasformulatedonnothingmorethanaskingdentalschooladmin-istratorstorankallschoolsbasedontheirsubjectiveimpres-sionsofthefewschoolstheyactuallyknewaboutaswellasthemajorityofschoolsaboutwhichtheyknewpreciselynothing.Despitethesedefectshoweverperhapstheimpulseunderly-ingrankinglistsandthecountingupofcommendationsoughttobelistenedtoasanexpressionofalegitimateneed.MaybethepenchantforrankingsistellingussomethingimportantInsufficientcomparativeinformationisavailabletomakein-formedchoicesbypeoplewhoneedtoknow.Maybesomecrediblemethodisneededfordistinguishingamongaccreditedprogramsnotwitharankingbutwitharating.Maybeafewcategoriesofratingscertifiedsilvergoldplatinumorsome-thingsimilarwithwell-definedcriteriawouldofferapplicantsandthepublicmoreinformationthantheygetnowandmightgiveinstitutionsatangiblegoaltostrivefor.AratingsystemcoulddifferentiateprogramsthatofferaneducationfromthoseofferingtechnicaltrainingadistinctionaptlydescribedbyR.BruceDonoff1whostatedthathefa-voredshiftingthebalanceawayfromtrainingandtowardedu-cation.Donoffcontraststhequalitiesofhighereducationwiththoseofvocationaltrainingandarguespersuasivelythattheeducatormustusedifferentmethodsfromthoseofthetrainer.Educationencouragescriticalthoughtwhereastrain-ingcanbebasedonimitationorparroting.Recognizingthisdistinctionmightbeimportantbecausethedifferencesbetweenaccrediteddentaleducationprogramsandthephilosophiesthatinspirethemarebecomingasgreattodayastheywereintheearly20thcentury.SomeDDSDMDprogramsseemtobemovingtowardaprofit-generatingvocationaltrainingmodelwhileothersareemphasizingandinvestingintheirstatusasmaturecompo-nentsofthenationsfinestresearchuniversities.Someseethemselvesasaddressingtheincreasinglyapparentandprob-lematicdisparityinaccesstodentalcarebetweentherichandthepoorwhereasothersremainorientedtowardthetraditionaluniversityvaluesofresearchteachingandservice.Itshardtoimaginethatthedivergencenowtakingplacewouldbecompletelyirrelevanttothestu-dentsinvolvedortothepublic.Anextremelyvariableandin-consistenteducationalsettingsometimesdrivenbypropri-etarymotivesiswhatnecessi-tatedthelandmarkGiesReportof1926withitsattendantcommitmenttomakingeducationinthebiomedicalsciencesascentraltothestudyofdentistryasitwastomedicine.There-sultwasthatinnumerablenon-university-affiliatedproprietarydentalcollegesclosed.TheseclosedcollegeshadnameslikeBarnesDentalCollegeCentralCollegeofDentistryGerman-AmericanDentalCol-legeHomeopathicHospitalCollegeInterstateDentalCollegeSanFranciscoDentalCollegeSoutheasternDentalUniversityNationalMedicalUniversityofIllinoisandmanymore.TheywouldbereplacedbyanothercategoryofinstitutionwhosemembershadnameslikeHarvardUniversityColumbiaUniversitytheUniversityofPennsylvaniatheUniversityofMichiganandtheUniversityofCalifornia.Notallprofessionsfollowedthesamepattern.Forinstanceindependentchiro-practicandosteopathicschoolshavemaintainedamodelPerhapsweshouldbethinkingaboutbuildingupontheCODAsystemthroughastrictlyvoluntaryLEED-stylesystemavailabletointeresteddentalschoolsinordertomaketheirspecicmissionsvisionsandvaluesmoretransparentandrelevanttothepublicincludingtoprospectivestudents.