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Tuesda October /1, /983 Publishedbr the University of Pennsylvania Volume 30. Number 7 Dental Medicine: Putting Buried Treasures to Work Auctioneers at Christie's don't pound on To do so it will part with some-but not From this question emerged the Pennsylva- tables and shout. They rap softly and nod. all-ofthe Empress Eugenic's bejeweled gifts nia Experiment, in which the school set up Still, the tap of the hammer last week in to her dentist that have lain in a bank vault, too three distinct forms of dental education, ran New York could, in Philadelphia, be heard as valuable to display, for most of this century. It them concurrently, and had the Busch Center the report of a starting gun for the next five will also put up for auction November 15 two test the results. Under $3 million in grants years at the School of Dental Medicine. Manet still-lifes that had gone unidentified in from the Pew Memorial Trust administered by With a new dean in place (below), a $3 mil- storage until the seventies. the Glenmede Foundation, Penn created lion educational experiment tested out, and a Only 13 small pieces of the Thomas W. Model A and Model B, running them along- share in Penn's proposal to develop an 18-acre Evans collection went to the October 3 auc- side the "traditional" that wags inevitably health complex at the old PGH site, the dental tion, but a handful of snuffboxes was enough labeled Model T. Both Model A and Model B school is out to raise funds for endowment. to lead to a $52,000 total, outperforming the called for expansion of clinical facilities, for catalog estimates of $27,000 to $38,000. both were to give selected dental students More of the collection is headed for Christie's hands-on clinical training from the very begin- October 25 sale, for which the International ning. (An oversimplified comparison of the Friends of the School will sponsor a preview three is that in T for tradition, the first two reception there the night before. years are spent on didactics, with supervised Through the sales, the School is shoring up clinical experience starting the third year; endowment for a form of expansion that starts Model A puts the didactic and clinical in par- with getting smaller- 'getting better by get- allel; and Model B--the professionally ting smaller," in the phrase of Robert Levy "ideal" model that planners feared would be when as chair ofthe School's overseers he told too expensive-takes integration all the way to the Trustees of plans-in-progress. the medical model of preceptorship with the Getting smaller is a national trend for dental student on a delivery team.) school enrollments-but not, in all cases, by After two years' testing, the Busch report design as it is at Penn. In the seventies, like was that Model B was in fact more cost-effec- From the Past: At Christie's last week, a 3%" others, the University's dental school was re- tive than either of the others. Professionally, it gold snuffbox diamond-initialed "M" brought to a national was considered advisable to both Model the high of $15,000. sponding manpower shortage keep when it took entering classes as high as 160. A and Model B for their separate strengths, The national shortage (and federal capitation however, and the School now has three instal- grant practices based on it) pushed up the lations: Model A is in its own clinic in the numbers at all the existing schools and led (continued on page 2) some states to start new ones. Meanwhile, the schools and the profession had promoted flu- FY 1985: The text of President Shel- oridation, public awareness, preventive care Stringent and research so that some media don Hackney's October 4 memo telling central successfully administrative units to their 1984-85 costs called a itself out hold dentistry profession working within 2 of this is on 3. The of a percent year's page job. memo does not address School or other aca- What Penn's former faculty and the dean demic budgets, but deals with routes Dr. D. Walter Cohen saw instead was a pro- nonacademic planners are to take-including in- fession that could turn to unsolved problems as house filling of any approved vacancies, coordi- the manpower gap closed. Though caries was nation among central units, and adoption of responding to fluoridation, periodontal disease technologies for cost-effectiveness. Dr. Hack- was growing in significance for an aging pop- ney announces a new grouping of central units, ulation. After made and names an Administrative Review Board to third-party payment plans be chaired Senior Vice' President Helen For the Future: As Penn looks back on the care affordable, the of by problems combining O'Bannon. dental school's history during fall auctions of quality care with quality delivery of care still treasures, the new nineteenth-century dean who called for measures such as the development has arrived to take the School its next through of new roles for auxilliary personnel and of - steps is Dr. Jan Lindhe, who was dean at Swe- INSIDE formal programs in dental care systems (both den's University of Gothenburg at the time of his " Research Teamwork: Herpes et al., p.2 of which Penn did). Research was growing, selection. A clinical research scientist with inter- American Dentist In Paris, p.2 at Penn (see 2). Dental educa- ests in periodontology and epidemiology, Dr. especially page " Limitations on Central Budgets FY 85, P. 3 Lindhe adds tion had work to do; but could it be to a growing international outreach clearly " Leges Sine Moribus Vanae, p. 4 for the School of Dental Medicine through done on the small-enrollment base that was " Speaking Out: GAPSA on ATO, p.5 and teaching research recognized abroad. educationally more desirable than the over- " Appointments/Promotions 1982-83, pp. 6-8 crowding of the seventies? " Call for Honorary Degrees, p. 7 prosthetics to restore speech, and combined Evans Building at 40th and Spruce, while gentleness with early uses of anesthesia to spare Model B has a in Graduate Hospital practice pain, it was not just as the classic grateful patient the initial one at the Dental Care Center in plus that the Empress gave him some of objects he treas- leased quarters on Locust near 40th-where a ured most. During theturmoil of revolution in 1870, practice begun with 200 patients treated 6600 after Napoleon was captured at Sedan and France last year. fell to Prussia, the mob had stormed the Tuileries in who was to Clinical operations for Models A and B, and search of "the Spaniard." (The General of their success and set a need have protected her turned up instead as president growth, helped up the for on the PGH site if the the Provisional Government.) Escaping through expansion City ap- Louvre, she made her the made Dr. Thomas way circuitously through proves plans being by streets to one of the few addresses she knew: her Langfitt and others. "The participants in plan- dentist's. fling have been Children's Hospital of Penn- But Tom Evans was no ordinary dentist; he was sylvania, Children's Seashore House, the Uni- the dentiste americain who through skill and charm versity, the Veterans Administration Hospital, raised himself and eventually others up from the and the Barness Organization," The Vice rank of "bleeders and barbers" to that of respected President for Health Affairs said. "We have professional. And he was loyal. At the time the reached his home that established in principle a program which will Empress with her lone woman and a lug- the entire 18 acres of open land. When night companion occupy of two handkerchiefs, he was out-making fi- the have been will gage plans fully prepared, they nal for an Ambulance (hospital) he submitted to the of for arrangements be City Philadelphia had donated to care for the Franco-Prussian War review." wounded. But he quickly took charge of escape Temporarily at least, a move of the clinical plans, and next morning found a larger hat to shield practice faculty to PGH would separate them the well-known face, bundled the women into his from their basic science colleagues in the well- carriage (the one now at New Bolton Center. still saw them to Deauville and fitted modern Leon Levy Oral Health Center. used on rare occasions), an to take them But it would bring them closer to the Medical The American Dentist In Paris persuaded English yachtsman across. Gerald Carson tells the whole adventure in School, and provide for expansion of faculty Dr. Thomas W. Evans-a West The Dentist and the Empress. that has been another key ele- Philadelphian group practice who himself to a at 14 and When he returned to Paris after settling the ment in the School's his apprenticed goldsmith planning. Throughout went on to become dentist and much-decorated Empress at Camden Place, his own property had Dr. Cohen used a for what he deanship, phrase friend to the royal households of Europe in the nine- been spared-probably in gratitude for his provision see at Penn: a Clinic of den- of the wanted to "Mayo teenth century-was the School of Dental Medi- of a hospital so advanced (thanks to study four tistry" drawing people for care they would not cine's first benefactor, willing his considerable Paris American Civil War's volunteer system) that find anywhere else. Some members of the fac- real estate fortune to found 'an institute second to out of five treated there had survived.

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