Tuesday, December 2, 2008

MUST READ: Better, by Atul Gawande

I just finished Atul’s 2nd book, Better. It was excellent, the best-written and insightful book I’ve read in a long time. He centered his stories and discussion on the idea of improvement in medicine –not in terms of new treatments or technologies for disease, but in terms of improving the very systems within which clinicians operate. Every aspiring physician should read this book. His enthusiasm for understanding case studies of when certain physicians were able to make incredible tangible, measurable changes in patient care and outcomes with minor costs is awesome. It really does come down to mindset, and at the final pages, he outlines what he thinks are the most invaluable traits in people, certainly doctors, who are looking to improve outcomes for those they care for, and I will re-iterate them here for everyone, the keys to becoming a positive deviant:

1. Ask an unscripted question
2. Don’t complain
3. Count something
4. Write something
5. Change (Be an early adopter)

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