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If I became just a brain in a jar - as long as I can communicate back and forth with people, that would be okay with me.
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
Communicate
Became
Okay
Brain
Back
Long
Would
Jars
People
Forth
More quotes by Atul Gawande
Are doctors who make mistakes villains? No, because then we all are.
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We have medicalized aging, and that experiment is failing us.
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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.
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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.
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Coaching done well may be the most effective intervention designed for human performance.
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Human interaction is the key force in overcoming resistance and speeding change.
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Expertise is the mantra of modern medicine.
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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.
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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.
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We yearn for frictionless, technological solutions. But people talking to people is still the way norms and standards change.
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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.
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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.
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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.
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Life is choices, and they are relentless. No sooner have you made one choice than another is upon you.
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I learned about a lot of things in medical school, but mortality wasn't one of them.
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Arriving at an acceptance of one's mortality is a process, not an epiphany.
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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.
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This was not guilt: guilt is what you feel when you have done something wrong. What I felt was shame: I was what was wrong.
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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.
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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.
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