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 don't have the physical skills but because they don't have the moral skills - to practise and admit failure.
Interpretation
The quote emphasizes the importance of moral integrity and the ability to acknowledge mistakes in the surgical profession.
Atul Gawande expresses that while technical proficiency is crucial for surgical trainees, it is their moral courage and willingness to recognize and learn from failures that truly define their capabilities as future surgeons. This highlights a vital aspect of education and training in medicine, underscoring that success is not solely about skill but also about character and ethical responsibility.
In practice
In a medical training seminar, you can use this quote to discuss the importance of ethical conduct in surgery.
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.
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.
Just using a checklist requires [doctors] to embrace different values from ones we've had, like humility, discipline, teamwork.
When I do an operation, it's half a dozen people. When it goes beautifully, it's like a symphony, with everybody playing their part.
At times, in medicine, you feel you are inside a colossal and impossibly complex machine whose gears will turn for you only according to their own arbitrary rhythm. The notion that human caring, the effort to do better for people, might make a difference can seem hopelessly naive. But it isn't.
We look for medicine to be an orderly field of knowledge and procedure. But it is not. It is an imperfect science, an enterprise of constantly changing knowledge, uncertain information, fallible individuals, and at the same time lives on the line. There is science in what we do, yes, but also habit, intuition, and sometimes plain old guessing. The gap between what we know and what we aim for persists. And this gap complicates everything we do.
What we can do is provide the tools, through our educational system, for people to be able to tell sense from nonsense. These tools include the scientific method, skeptical questioning, empirical evidence, verifying sources, etc.
There is nothing of any consequence in education, in the economy, in city planning, in social policy that does not concern black people.
There is nothing obscure about the objectives of educational exchange. Its purpose is to acquaint Americans with the world as it is and to acquaint students and scholars from many lands with America as it is-not as we wish it were or as we might wish foreigners to see it, but exactly as it is-which by my reckoning is an "image" of which no American need be ashamed.
People who don't vote have no line of credit with people who are elected and thus pose no threat to those who act against our interests.
The greatest gift that Oxford gives her sons is, I truly believe, a genial irreverence toward learning, and from that irreverence love may spring.
When you're a kid, you learn whatever your parents think until you start taking in media. Because all your friends are your age as well, media is the third parent that you ever have. So I think about that a lot, what visual imagery is teaching us, and media in general having a huge impact.
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