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You can't make a recipe for something as complicated as surgery. Instead, you can make a recipe for how to have a team that's prepared for the unexpected.

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
Something
Surgery
Make
Unexpected
Complicated
Motivation
Prepared
Instead
Inspiration
Recipe
Team
Recipes

More quotes by Atul Gawande

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We recruit for attitude and train for skill.
Atul Gawande
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One of the consequences of if the Affordable Care Act is repealed, is that all of us now are at risk of being a preexisting - of having a preexisting condition waiting to happen. Life, increasingly, is a preexisting condition waiting to happen, now that we have more and more of this data available.
Atul Gawande
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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
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This is the reality of intensive care: at any point, we are as apt to harm as we are to heal.
Atul Gawande
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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
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I learned about a lot of things in medical school, but mortality wasn't one of them.
Atul Gawande
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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
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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
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The possibilities and probabilities are all we have to work with in medicine, though. What we are drawn to in this imperfect science, what we in fact covet in our way, is the alterable moment-the fragile but crystalline opportunity for one's know-how, ability, or just gut instinct to change the course of another's life for the better.
Atul Gawande
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What about regular professionals, who just want to do what they do as well as they can?
Atul Gawande
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Arriving at an acceptance of one's mortality is a process, not an epiphany.
Atul Gawande
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Man is fallible, but maybe men are less so.
Atul Gawande
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Life is choices, and they are relentless. No sooner have you made one choice than another is upon you.
Atul Gawande
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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
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Coaching done well may be the most effective intervention designed for human performance.
Atul Gawande
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Human interaction is the key force in overcoming resistance and speeding change.
Atul Gawande
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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
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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
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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
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Having great components is not enough, and yet we've been obsessed in medicine with components. We want the best drugs, the best technologies, the best specialists, but we don't think too much about how it all comes together.
Atul Gawande