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We recruit for attitude and train for skill.
Atul Gawande
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Atul Gawande
Age: 59
Born: 1965
Born: May 11
Journalist
Medical Writer
Professor
Researcher
Surgeon
Brooklyn
New York
Atul A Gawande
Atul Gawande
Recruit
Skill
Train
Skills
Attitude
More quotes by Atul Gawande
People who reach certain levels of frailty, more important than getting their mammogram, more important than getting their blood pressure tweaked, they're at high risk of falling. If they fall and break their hip, they not only die sooner, they die miserably.
Atul Gawande
Writing lets you step back and think through a problem. Even the angriest rant forces the writer to achieve a degree of thoughtfulness.
Atul Gawande
What about regular professionals, who just want to do what they do as well as they can?
Atul Gawande
As economists have often pointed out, we pay doctors for quantity, not quality. As they point out less often, we also pay them as individuals, rather than as members of a team working together for their patients. Both practices have made for serious problems.
Atul Gawande
Coaching done well may be the most effective intervention designed for human performance.
Atul Gawande
I learned about a lot of things in medical school, but mortality wasn't one of them.
Atul Gawande
Culture matters. Of course, if physicians are rewarded or penalized for their service and results, the culture will change. But the key values we doctors are being pressed to embrace are humility, teamwork, and discipline.
Atul Gawande
No one teaches you how to think about money in medical school or residency. Yet, from the moment you start practicing, you must think about it. You must consider what is covered for a patient and what is not.
Atul Gawande
We always hope for the easy fix: the one simple change that will erase a problem in a stroke. But few things in life work this way. Instead, success requires making a hundred small steps go right - one after the other, no slipups, no goofs, everyone pitching in.
Atul Gawande
We have medicalized aging, and that experiment is failing us.
Atul Gawande
Checklists turn out...to be among the basic tools of the quality and productivity revolution in aviation, engineering, construction - in virtually every field combining high risk and complexity. Checklists seem lowly and simplistic, but they help fill in for the gaps in our brains and between our brains.
Atul Gawande
When we, doctors, ask patients what their priorities are if time is short, what we do is we use what is available to us - whether it's geriatric care or palliative care or hospice care - to make sure they're living the kind of life that they want to live.
Atul Gawande
Making systems work is the great task of my generation of physicians and scientists. But I would go further and say that making systems work - whether in healthcare, education, climate change, making a pathway out of poverty - is the great task of our generation as a whole.
Atul Gawande
This is the reality of intensive care: at any point, we are as apt to harm as we are to heal.
Atul Gawande
A failure often does not have to be a failure at all. However, you have to be ready for it-will you admit when things go wrong? Will you take steps to set them right?-because the difference between triumph and defeat, you'll find, isn't about willingness to take risks. It's about mastery of rescue.
Atul Gawande
Man is fallible, but maybe men are less so.
Atul Gawande
Expertise is the mantra of modern medicine.
Atul Gawande
You want to ensure people can do it right 99 percent of time. When we have to fire one of our surgical trainees, it is never because they dont have the physical skills but because they dont have the moral skills - to practise and admit failure.
Atul Gawande
You know, 97 percent of the time, if you come into a hospital, everything goes well. But three percent of the time, we have major complications.
Atul Gawande
I think the extreme complexity of medicine has become more than an individual clinician can handle. But not more than teams of clinicians can handle.
Atul Gawande