Usually the fridge magnets and other tchotchkes go to the physicians for advertising purposes, so I was puzzled at first. On closer inspection, it turned out to be a picture frame fridge magnet. The idea is that your bad kid, who is totally humping the pooch at school and is going to die in an alley, has just become a model of studious perfection and will now get a picture on the fridge in this special frame that says: I'm an achiever!
I think some Photoshop is in order. I'll try to think some things up. In the meantime: