Better:-A Surgeon’s Notes on Performance

“The struggle to perform well is universal,but in medicine, where lives are on the line with every decision.”

Atul Gawande,himself a surgeon points out, the real challenges before doctors today lay not in breakthrough technology but in the proper application of what they already have. This is not to say doctors are misapplying things. As the title implies, doctors (and all medical professionals) have room for improvement–for being better–at how they apply the tools they have.

Gawande brings us to one Cystic Fibrosis clinic in America and then another, so we can see how different approaches produce different results.Gawande divides the essays into three sections — “Diligence,” “Doing Right” and “Ingenuity” — based on the essential components “for success in medicine or in any endeavor that involves risk and responsibility.”Each essay focuses on a problem — the importance of hand-washing, health care delivery in India, the role of physicians in executions — that Gawande uses to anchor wide-ranging reflections.Gawande has the ability to deconstruct and explain the most difficult issues while preserving, even celebrating, their complexity. He applies a sly sense of humor to even the most unsettling topics.

For all the awesome tools at the disposal of doctors today, he writes, “it can be hard not to feel that one is just a white-coated cog in a machine — an extraordinarily successful machine, but a machine nonetheless. … So not surprisingly, in this work one begins to wonder: how do I really matter?”

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