Professional Documents
Culture Documents
DPHS 201
Student #: 1235665
Critical Incident Essay
This past quarter, I had the invaluable opportunity of shadowing Dr.
Rubenstein, the director of UWs Maxillofacial Prosthetic Service. One of
fewer than 10 in his subspecialty in the country, Dr. Rubenstein is an
exceptional human being (to say anything otherwise would be an
understatement) My first experience shadowing an oral maxillofacial
prosthodontist, the magnitude of knowledge that I acquired these past 10
weeks at times felt overwhelming, but for which I am incredibly grateful and
lucky to have gained. In this essay, I recollect my most memorable
experiences shadowing Dr. Rubenstein from this past quarter, moments
which have not only confirmed my interest in dentistry but which I will
continue to learn from in all aspects of my life. I look forward to shadowing
Dr. Rubenstein beyond the spans of this class this summer.
On my very first day of shadowing, the outstanding level of care and
consideration Dr. Rubenstein provided to his patients astounded me. Dr.
Rubensteins charisma, attention to detail, patience, and concern for each
patients satisfaction, came off as truly genuine and embodied everything I
would hope to find (as a patient) in a healthcare provider. With each and
every patient, Dr. Rubenstein made an effort to make him or her feel at ease
in what would seem to many, an uncomfortable setting. Between the jokes
and humorous analogies, Dr. Rubenstein took it upon himself to not just get
the job done well, but to also make light of often very serious and complex
cases presented to him. As an example, that same day, a 76 year old man
came in with his wife to take an impression for a device called an obturator
that would replace the gap an ameloblastoma tumor had once filled. Dr.
Rubenstein managed to summarize what wouldve been a lengthy
explanation about a tedious process, into a short series of simple and
amusing analogies, one of which included using the floors of the health
sciences building to describe the separation between the sinus and maxilla.
From this particular experience I learned how important it is to establish a
good rapport and communication with ones patient, especially if that means
making familiar analogies and using layman terms to help them better
understand each step of the procedure, as this gives them a sense of
reassurance and adds a level of comfort to their care.
In this next example, I recall two encounters with patients whom were
unsatisfied with the fit of their prostheses. The first involved a middle-aged
woman who came in after 3 months complaining that her denture just didnt
feel right. For nearly an hour, Dr. Rubenstein continued to make the
adjustments his patient asked for. But each time, she still complained that
it just didnt feel right. While I might have expected a little frustration from
Dr. Rubensteins side, he remained calm throughout and later explained to
me that a lot of dentistry is psychological and being able to understand what