The Student Professionalism & Ethics Association (SPEA) is a student organization that helps prepare dental students for the difficult choices they will face in practice. When you look at your patient’s medical history, the state of their teeth and gums, their finances and their commitment to hygiene, you are incorporating these variables into a decision for treatment. You try to make the decision that is best for the patient and for you. One challenge of providing oral health treatment is combining the many variables into the best treatment decision. Dentistry is not a binary profession with simple inputs and outputs. Comprehensive care requires comprehensive thought and foresight. The actions we take as professionals affect the patient, us and the profession. What ought to be done and what you will actually do may differ. SPEA is there to help guide those decisions.