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Monday, October 26, 2015

Women contribution in Dentistry

Women in Dentistry in Pakistan

By  

Sadia Wali


Dental health is an essential part of the overall health system. With modern lifestyle, dental problems are becoming common among all sections of the society.  Improper dental care creates problems like early tooth shedding, tooth decay, enamel loss, etc. All these problems require proper suggestions of dentists to keep teeth healthy and fit for a long time. Thus, dentistry as a profession has become more demanding and because of its promising nature, a lot of young aspirants especially women are entering this profession. 

Today women are doing as much work as men; they are more productive and efficient. They are acquiring higher merit and are successful in both medical and dental fields.
 The number of women in dentistry continues to grow.  According to the American Dental Association, since 2001, the total market of active licensed women dentists has gone from 26,870 to 47,814, 43.8%increase. By the end of 201I- 12, 29,055 women were members of the ADA.  
  
In Pakistan women have succeeded marvelously in every sphere of life and have proved that they are more dedicated and committed towards their profession. Women form an increasingly important part of the trained workforce in Pakistan.  Over the last one-and-a-half years, women continue to enter dental profession. Pakistan Medical & Dental Council has been registering more women than men. 280 women and 166 men secured PMDC registration of their BDS degrees. From, 2008, to 2012, under PMDC registrations, 872 female dentists were registered. According to Sindh Health Department, In Sindh, 1,900 women hold the license to practice dentistry, there are said to be 1,277 women dental professionals in Sindh, but the number of male dental licensees is relatively low (1,242).  The situation is no different in Punjab and the federal area, where female dentists outnumber male dental practitioners (1,863 to 1,730). The statistics provided show a remarkable fact that currently the country has more female dentists than male one.

One of the reasons that the scope of dentistry is rising among females is that women who are seeking dental care feel more relaxed with a female dentist. Families who have a conservative mindset find it more appropriate that the female members of the family get treated by a woman.

‘Choosing a career is one of the most important decisions of one’s life. Being a professional dentist I believe that success in any field of life requires dedication, motivation and commitment says a young dentist. It is a matter of great pride for our country that talented women are working on an equal footing with men in every field of the life.’

‘I took up the profession of dentistry as I think that career in dentistry is personally fulfilling since a dentist is performing an important community service to help people uphold their health and appearance. I admired this significant role played by dentists. As I always had a good experience with dentist in my childhood, I opt to become a dentist’ says a demonstrator at a dental college in Karachi.

A dental graduate feels that a competent dentist has the knowledge and skills to deal with a patient’s oral health and also more efficiently serve the community. It is her aim to offer free dental services to the needy people.

A professional female dentist practicing full time in a clinic opines, “It is absolutely essential for a young dentist    to avail the opportunity of   learning different new technologies in dentistry to enhance her skills and capabilities.

A young lecturer says that dentistry is an appealing career; the field of dentistry is more preferable and desirable profession for women as it offers the flexibility to balance a professional life and personal goals, either they can work part time or full life. Although a significant majority is currently practicing (96%), about 20% are working part-time.

According to PDC, the number of women clinical faculty members has gradually increased. Until 2000, there had been only two women deans and very few associate/assistant deans .In 20011-12, there were 111 associate/assistant women deans and twelve women deans. These data show a progressive increase in the presence of women in all domains of dentistry, especially in leadership positions in dental education.

Now more women are doing postgraduate studies, FCPS, MDS, MCPS, MSC, Mphil and PhD and are engaged in teaching. Mostly, women opt to teach in the field of both clinical and basic dental sciences simultaneously they also do clinical practice to enhance their dental skills.    However women are still lagging behind in the field of specialization. A few women have learnt modern techniques and have specialized in different fields of dentistry.

Sarwat Imran, a professional dentist, graduated from de‘Montmorency of Dentistry, Lahore. She efficiently handles the cases of orthodontists, dental implantation and replacements and oral surgery. She feels that there is an essential need of female specialist in pedodontists and periodontists, because presently there are none in Pakistan. Female pedodontists provide complete dental care of children from birth to the end of adolescence, whereas female periodontists are specialists in gum diseases, which often occur in pregnant and menopausal women.   

Dr. Asma Ahmad has won the distinction as the first female laser dentist artist of Pakistan dentistry. She said that it is necessary for the young dentists to acquire professional training in the field of laser dentistry and then educate the masses about the benefits of this technology.
  
Prof Dr. Shakila Nazir and Prof. Nazia Yazdanie have done PhD.  Some other female specialist dentists are Dr Ninette Banday, Dr. Tasleem Hossein, Dinaz Gandhi, Dr Nadia Hussai ( model) and Dr. Urooj Mumtaz( cricketer).

A demonstrator in a dental college emphasized that dental graduates must opt for postgraduate studies as it provides the knowledge of modern developments in the field of dentistry. Moreover, earning prospects also rise up.   

An Associate female professor in a dental college thinks that women need to be more proficient in clinical and communication skills,   develop more patience, concentration and accuracy in their work. Strong interpersonal skills will help them to pursue their profession more efficiently.

The demand for dental services is growing in Pakistan. We need more women dentists who could provide awareness to women and children regarding dental care. Pakistani women dentists being highly qualified and experienced have changed the perception of the world.

With their promising talent, they have developed their potentials and expertise in the field of dentistry, thus establishing the fact that they can excel men in any field of life. To boost up the scope of dentistry among women, the Government and PMDC with their collaboration should provide education and research programmes of advance level to the teaching faculty. The post graduate studies and research work will helps to prepare the best teaching faculty that could provide knowledge and vast learning to young dental students.  To improve their clinical practices, women must be encouraged to opt for specialization in different fields of dentistry.  Workshops, seminars and dental courses will help to promote their clinical expertise and practical skills.









Wednesday, October 21, 2015

The profit pickle


Get the message to Garcia!

Choose to live a life of excellence- Success- Inspiration- Accomplishment- 

               Get the message to Garcia!

By  Sadia Wali                                                                                       


Many people wonder how success happens and how successful people become more successful. Being persistent leads to success.
In his rise from being the son of a candle maker to a legend among men, Benjamin Franklin became America’s original self-made man.

Abraham Lincoln likewise captured the public imagination when he made the improbable leap from lowly log-cabin to the White House. Yet the concept really took hold in American culture during the post-Civil-War period.

While in India, Alexander met a Jain monk seemingly aloof and lost in his meditation.  Alexander saw the man and thought, “what a waste of time, this man is doing nothing and wasting life”. He asked him, hey what are you doing? The monk replied, I am experiencing nothingness but what are you doing? Alexander then replied, ‘I am conquering the world’. Alexander was taught to be like Achilles, whose presence in any battle meant assured victory.

Elbert Hubbard’s essay, A Message to Garcia 1899, denoted a dedicated soldier who took the initiative to accomplish a daunting and difficult task without questions or objections and graciously accomplishes the task.

Success story of these legends showed their perseverance, dauntless courage, and resolute   towards achieving a goal. As it is mentioned in Bible, “You are going to succeed because you decide to succeed. You are going to succeed because you make the choice that you will not let life choose for you. I will choose for myself. You can choose to live a life of choose a life of excellence.
Reading an excerpt from Elbert Hubbard’s essay, A Message to Garcia made us realize that people haven't changed in the last 100 years; people are not committed to the pursuit of occupational competence. Promotional ambitions lead to depersonalized detachment rather than an honest involvement and association with the work.  

Let us ponder over the consequences of ineffective learning and unsuccessful academic achievements of a teacher in modern times. Education is just impossible without a proper and appropriate teacher; education reformers around the world believe that we need to rethink, reinvent and revive schools and universities.  Teachers need to redefine their roles and responsibilities to meet changing needs and demands.  In the present day world, we are facing a dearth of dedicated  and committed teachers who could shape the society, motivate and inspire students by providing a safe, secure, and loving environment   which builds a foundation for life-long learning) and foster human values and norms .i.e. goodness, benevolence and virtues.

A young teacher entering teaching believes strongly in the importance of cultivating intelligence and creativity in pupils. Nevertheless within a year, she decided to give up teaching because of dissatisfaction, cynicism and career frustration.

Changes in the financing of education and conditions of work often lead to self- estrangement among teachers. They have difficulty in reconciling their actual achievements with their personal expectations. Teachers’ anxiety concerning their professional competence is heightened by a value system that links self- esteem with salary and remuneration. Teachers do not show interest in doing additional work like put up bulletin boards, wall displays, data entry or maintain file of students, after school timings spend some time to set the classroom for the next day.  A teacher while looking up at ten- foot high cupboard of classroom said, ‘I am paid to teach, not to look after this lot “And so mostly groan and wail over their career frustration in the staffroom; being sour, bitter and cynical complain lack of recognition by administrators for hard work and accomplishments. Consequently, they shout or scold at rowdy children to discipline them. They also hesitate to give extra attention to weak students after school. They have formed a negative occupational identity that threatens their self- esteem.

A group of teachers feel isolated due to their powerlessness within the organization i.e. their inability to influence the decision – making process. They think that fellow teachers are working in their little world. “Everybody is doing their own thing; nobody is working with colleagues to make this a whole school.” I have been bullied in my current workspace by other faculty members. After over five years I was finally able to realize it was work place bullying, I face an emotional trauma every day. If your current position causes you so much stress that you fear your mental health is at stake, get out of there fast!” opined an under- stressed teacher

Feeling intellectually starved, there are many teachers who have already opted for alternate profession and there are quite a few on the verge of shifting profession. "Once you stop learning and not growing in your job, it's time to look for something else” you can judge if something is actually a better opportunity "feels like home or fills a deeper need avail the chance.”
It is a sad reality that people haven't changed in the last 100 years, Every time they are given a task they start asking irrelevant questions or make excuses or show dissatisfaction while fulfilling the job. Today our society is degenerating due to lack of direction, intellectual vision, wisdom, intelligence and correct understanding among young people. We are really in search of proactive individuals who realize the significance of collective and individual potential to bring change in society.

There may be a few individuals who are extraordinary like Rowan who is always ready to accomplish the task without asking questions or showing excuses and justifications; those who don't just do what is expected of them; they surpass the expectations of others in their pursuit of excellence without considering any reward, compensation or salary. How chance aids them at every turn! They do not see the trails, failures and struggles, have voluntarily encountered in order to gain experience and realize the vision of their heart. They do not see the long and arduous journey, darkness and heartaches; they only behold present goals and call it a good fortune.

Being strong –minded and innovative teachers, we need to realize our priorities and responsibilities like Rowan who delivered the message to Garcia without asking, "Where is he? What does he look like? Who are his contacts? How do I get there?" He simply took the orders and did what he was asked to do. To put away with aimlessness and weakness and to begin a purposeful life with persistence and strength  is the message conveyed by Rowan; who believed that success is a journey and not a destination; this journey has been has no end.   

 A profound study on the subject of excellence found in ‘The book of Matthew’ tells God does not expect us to do only what comes naturally. He expects us to do far beyond that which is convenient and comfortable. When we have the option to be better than most? Why don’t we make optimum efforts throughout the year to show up the best?

An earnest plea to the teachers of today: Be a Rowan. Do it! Just make a decision. Make a choice. Even if task is challenging, should not give up. Quitting is not even an option. “Keeping firm and persistent, I will accomplish the task that is set before me. I will pursue excellence in every area of my life. Even though if I fall down, I will get back up and keep myself pressing ‘I can do it!”

“Are you willing to make the decision to get the job done with excellence? Are you prepared to carry the message to Garcia?




Non- Threatening environment at schools

Student self-respect: How we ruin it

By Sadia Wali

  “A child only pours herself into a little funnel or into a little box when she’s afraid of the world—when she’s been defeated. But when a child is doing something she’s passionately interested in, she grows like a tree—in all directions. This is how children learn, how children grow. They send down a taproot like a tree in dry soil. The tree may be stunted, but it sends out these roots, and suddenly one of these little taproots goes down and strikes a source of water. And the whole tree grows." 
John Holt writes in his book, How Children Fail (1967)


Bearing in mind, our belief that the harmonious development of a child’s personality grows up in an atmosphere of happiness, love and understanding the question continues to ponder in my mind is that do we treat our children as individual?

The physical and mental maturity of the child nurtures in a care-free and non-threatening environment.  A book prepared by Society for the Protection of the Rights of the Child (SPARC) “State of Pakistan’s Children 2014 claims that 35,000 Pakistani children drop-out of schools every year, and nearly 50 percent of them, run away from schools due to the prevalence of harsh environment at schools, or commit suicide due to the fear of punishment or failing in the examination.

A comprehensive study of both government and private schools in Pakistan showed that the standard of education is falling due to monotonous and unexciting class room environment. Overcrowded classrooms, multi-grade teaching, poor quality textbooks, and lack of facilities and equipment hamper the efficiency of the teachers and compel them to use physical violence in classrooms. The most common form of physical punishment handed out to children are: Beating on the palms of the hand with a stick. Slap on the face. Kicking and punching. Pulling hair. Boxing ears. Forced to stand or bend down in an uncomfortable position.
The following definition, by the Committee on the Rights of the Child, is the most widely accepted understanding of what we mean by corporal punishment:

“Any punishment in which physical force is used and intended to cause some degree of pain or discomfort, however light. Most involves hitting (smacking, slapping, spanking) children with the hand or with an implement—whip, stick, belt, shoe, wooden spoon, etc. But it can also involve, for example, kicking, shaking or throwing children, scratching, pinching, burning, and scalding. In addition, there are other non-physical forms of punishment which are also cruel and degrading and thus incompatible with the Convention. These include, for example, punishment which humiliates, degrades, threatens, scares or ridicules the child.”

According to the Annual Report of Global Initiative to End All Corporal Punishment of Children year 2013- 2014 says that 33 states have legally banned Corporal Punishments in all settings. Pakistan is one of the 26 states where the current legislation does not fully prohibit corporal punishments in all the settings. Over 70 per cent of teachers in Pakistan agree with the statement that corporal punishment is useful.

While surveying the schools in different localities of Karachi, I was stunned to see the plight of the children in the classroom facing brutal and unsympathetic behavior of the teachers. As reported by the school heads that corporal punishments are banned in their schools, it did not seem to be true as I saw a teacher brutally shouting and verbally humiliating the child. Another teacher slapped the child, twisted his ears and threw a book on his head; a boy’s head was smashed on the table by the teacher to make him sit straight, a child beaten by a stick thrice which caused severe shoulder injury. A boy was talking to his fellow when he got a heavy kick on his back which made him unconscious.

Feeling irritably cranky and despondent as I observed these atrocious behaviors, I went to the principal room and asked her why she did not take surprise visit of the school and see what was going on in the classrooms. Parents do not send their children to these expensive schools to face humiliation and disgrace, rather they want their children to be valued and respected.  The School is a nursery which builds up the personality and character of a child and develops humility, tolerance, respect and civility in children. It is a sacred place where children learns values, norms and conduct to live a positive life.  Teachers are considered to be the good exemplars with whom the pupils get inspired, acquire good traits and virtuous characteristics.

Our children are our future. Raise them well with good values and character. It's a legacy we've been entrusted with. So don't neglect it.
Mufti Menk

Can we justify what we are doing with our posterity?
Some case study and responses of children regarding physical punishments in school really brought tears in my eyes as how inhumanely and miserably children are treated at schools.
  
Marium is a student of grade two in a prestige school of Karachi. The concerned mother narrated the harsh behavior of the teacher. “That barbarous and cruel teacher hit my daughter on the face so severely that cheek bones and nose got damaged, her face and eyes swelled. The daughter came home with bruises on her face. The punishment was given for not learning the lesson”.

Waqar’s father said that he admitted his son in one of the best private schools of Karachi which appeared to be different than other schools. However he soon realized that schools are only meant to destroy the natural intelligence and creativeness of a young child. His nine years old son, Waqar studies in grade four, complained that the teachers in his school mistreat children for even small matters. Students are hit on the legs and beaten on the palms of the hands if class work and home work is not done or notebooks are not properly maintained. Waqar is reluctant to go to school and he tried to come up with different excuses such as ‘feeling sick’, “I have a headache.”  I hate my teacher!” “School is boring.”  and other remarks.

Ayesha and her friends in grade six related the cruel behavior of social studies teacher. “She always give difficult assignments.  When students ask her to explain the assignment, she verbally abuses children by saying, “Kia mae aap ki naukar hoan.” “I am not your servant to explain you every time.”   When students ask her to purchase maps or other required material she stubbornly said “Is it my duty to do your assignment or ‘purchase the material from the book shop?”
  
Imran hate his mathematics teacher. Students of grade eight found this teacher unbearable.  When the teacher explained some mathematical terms and if weak students do not follow it up, the teacher impolitely remarks: “Were you sleeping when I was explaining.” In an insulting manner she says “Tumhary parent’s ki naukar hoan bar bar explains karon, pehlay kaahan thay.” When I was insulted in front of the other classmates, I became so upset and felt as if I am not a human being and I have no feelings”. All the students hate that teacher and are least interested in attending her class.’

A10-year-old girl said, “Teachers beat us badly when we are late, my friend has scars where the teacher hit her so hard.”
A 14- year old girl felt, “It brings harm to children, weakens their cognitive and emotional development, damage their self- esteem and confidence and develops insecurity in children.”  

The worst situation is observed in schools of under privilege areas where children continue to study for seven hours, i.e. from 7.30 p.m. to 1.00 p.m. without any lunch break. Sustainable source of clean water is also not provided and children are exposed to various atrocious punishments and had to face verbal abuse as well.

As I feel in mostly schools, corporal punishments are practiced for the sake of keeping the class disciplined.
“I do beat. It is my duty to make sure children behave well. If I don’t punish they will get out of control. When nothing else works, I use a stick and twist the ears of the child.” This was the harsh attitude of a head master who had fifteen years of teaching experience.

Concerned about bullying? A coordinator of the senior section of the school said, “We have to adopt strict and harsh behavior with some rowdy children who being too violent harm other children and also disrupt the class environment. We either suspend the child for the misbehavior. Report it to the parents or expel the student to show that bullying is prohibited in school.”

The principal of O level section said. “Being the head of the school, I and the benefactor of the school have to wisely deal with  the teachers,  not to threaten or warn a teacher who needs to correct  his or her behavior towards manipulating a child. In some cases we accommodate the teacher as we find her command on teaching the subject well although she lacks class control. There we find the classroom environment a bit disorganized and undisciplined. But we do help and support the teachers to improve their teaching skills.”
A senior teacher said,

“Corporal punishment in school would not promote well-disciplined students, but only promote a culture where violence is accepted and encouraged. The actual consequences is that corporal punishment only increase violence and students lose their self- confidence and self- esteem.”

World-renowned therapist Alice Miller has devoted a lifetime to studying the cruelties inflicted on children. Alice Miller in her book, ‘Child Mistreatment, Child Abuse’ writes,
 “Almost all small children are smacked during the first three years of life when they begin to walk and to touch objects which may not be touched. This happens at exactly the time when the human brain builds up its structure and should thus learn kindness, truthfulness, and love but never, never cruelty and lies. Teachers and guardians who abuse their children, both physically and mentally, leave them embarrassed and hurt.

Alice Miller opened our eyes to the devastating effects of of spanking and other disciplinary traumas. In her book,’ For Your Own Good: Hidden Cruelty in Child-rearing and the Roots of Violence’ she wrote, Our bodies retain memories of humiliation, causing panoply of physical ills and dangerous levels of denial. This denial, necessary for the child's survival, leads to emotional blindness and finally to mental barriers that cut off awareness and inability to absorb new ways of learning. Cruelty to a "bad child" will make that child into a bad adult and later create a bad world, unless an enlightened witness comes to the rescue. A child respected and taken seriously will create a different world.”

Should we expect our schools to be changed?

The idea of peaceful classroom begins with getting rid of violence in schools. (Source: Kaufman, M. (2000) Conflict resolution- finding better ways to help boys and girls solve problems, UNICEF)
Prohibition of the Corporal Punishment Bill 2013 was approved by the National Assembly (NA) is a positive step towards abolishing extreme form of violence from schools. The bill has declared any form of corporal punishment of children in academic institutions illegal. Individuals found to be involved in the acts would be sentenced to one year in prison, Rs 50,000 fine or both. 

Section 89 of the PPC (Pakistan Penal Code 1860) (No XLV) empowers parents, teachers and other guardians to use corporal punishment as a means to discipline and correct the behavior of under-12 children. However, such punishment is required to be moderate and reasonable.In case the punishment inflicts serious injuries as defined in PPC, then the adult can be booked under sections 334 and 336 of the PPC respectively and can be penalized and imprisoned for it.

UN Committee on the Rights of Children also recommended Government of Pakistan in concluding observation and recommendations in 2009 to prohibit all forms of corporal punishment in all settings.
NGO sector, the media and other relevant professionals such as educationists, writers, scholars and human rights activists have strongly condemned the corporal punishment in schools, declaring it a "cruel, dehumanizing, and degrading" practice. They have called for strict implementations of the laws in educational institutions to abolish harsh punishments. They also urged that respective provincial governments should take serious notice of these unlawful punishments and that the person involved should be fined and imprisoned.    

 An educationalist, M.Khalid Rehman said,
“We as teachers must have sufficient understanding of child psychology so as to avoid even any corporal or mental punishment in order to let the child grow in a peaceful environment. If we feel that we could use punishment as an academic too, then we can rest assured that we are not fit to be a teacher at all, and we must find some other job. I understand that a child who is exposed to an aggressive environment is more likely to be an aggressive individual in every phase of life. A child who is lucky enough to receive empathy and kindness from the parents and teachers, tends to develop as a kind human being having an empathetic attitude. Penalizing a child is certainly a drastic measure that should be avoided at all costs” 

Educationalists and child right workers said that Teachers need to be educated on how beating and abusing students has a negative impact on young innocent children. They emphasized that   teacher training institutes should create awareness in teachers to cultivate a friendly and nurturing environment in the classroom, and teach students with love and affection."

Regarding these initiatives, Teachers Development Centre has organized workshops for teachers which aim at discouraging the trend of corporal punishment in schools; while encouraging teachers to adopt invitational education which focused on collaborative learning and cooperation.

‘The Charter of Children Recognition’ proposed by Educationalist, Salman Asif Siddiqui drew attention towards all the threatening factors, physical and emotional violence at school and at home. The aim of the charter is to create awareness in parents and teachers regarding the hazards the children are facing in an unsafe and unprotected school environment thus emphasized over the need to set up child-friendly schools.

More mutual consensus from schools, teachers and parents is needed to implement corporal punishment laws in schools. If these laws are sincerely implemented, it will help to adopt more positive ways of disciplining children without undermining their confidence and self-esteem and bring revolutionary changes in our educational institutions. In an optimally inviting classroom environment, children get respect, they behaver better and learn more from the feelings of accomplishments than feelings of failure, rejection and humiliation.


Ralph Waldo Emerson said, “The secret of education lies in respecting the pupil.”