In an essay for the New Yorker titled “The Bell Curve,” Dr. Atul Gawande argued that much of the medical care Americans get is not the best. There’s a fascinating article by Atul Gawande in a recent New Yorker about It is distressing for doctors to have to acknowledge the bell curve. Atul Gawande writes,. It used to be assumed that differences among hospitals or doctors in a particular specialty were generally insignificant.

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What accounts for its excellence?

CogSci Librarian: The (MD) Bell Curve

Will we be expected to tell our patients how we score? These stories allow him to generalize about the way physicians’ care is evaluated in general by the public and our medical organizations and how difficult it is to be at the high end of the Bell Curve. My interest continues with his latest book, Better: In BetterDr. The students appreciated it not only because its message is timely but also because the author used patient stories to introduce an important concept for physicians, especially those who are just ready to embark on their post graduate experiences.

Please review our privacy policy. Here is a brief excerpt:. Even doctors with great knowledge and technical skill can have mediocre results; more nebulous factors like aggressiveness and consistency and ingenuity can matter enormously.

Annals of Medicine: The Bell Curve

He also happens to be a Harvard-trained surgeon, and he is now a Harvard Medical School faculty member a real low achiever! As always, I am interested in your views. Today, despite his busy surgical practice, Dr.


It is distressing for doctors to have to acknowledge the bell curve.

Tracking our collective performance means that a bell curve will emerge; it also means that we will improve what we do for our patients and improve the quality of our own professional lives.

He also includes stories of other sufferers to emphasize the importance of surveillance of their care. This site uses Akismet to reduce spam. In fact, when we do measure what we do every day, a bell curve of performance emerges. Here is a brief excerpt: Copyright and License information Disclaimer.

The author concludes, “When the stakes are our lives and the lives of our children, we expect averageness to be resisted. And bel, makes Warwick so special? Can the lessons Gawande learned in his analysis of health care outcomes be generalized to apply to other fields? Yes, but other centers also pay close attention to the latest research and methodologies.

This CF Center is considered the best in the U. He not only discusses the bell curve of surgical performance; he also deftly points out that only when we examined death rates on the battlefield in Iraq and bel rates in various cystic fibrosis CF specialty programs in the U.

Notify me of follow-up comments by email. This is the introduction to gawwnde look at a child with cystic fibrosis and how her family sought the best care for her. Will patients leave us? Open in a separate window. Notify me of new posts by email.

Place Published New York. It also contradicts the belief nearly all of us have that we are doing our job as well as it can be done.

Support Center Support Center. Gawande cites examples that we have written and read about in this space previously. Yet we should also coach our students in the focus, aggressiveness, and inventiveness that can lead to true greatness—a greatness that ultimately relies on personhood, and on personal agency.


Gawande vell give me a break on the price! Primary Source The New Yorker. In the nearly 60 years of organizational research on quality measurement and safety atuo that has occurred since World War II, we have collectively learned that we improve only processes that we measure. If you have not been lucky enough to see him in person, I suggest finding a national conference that he is headlining. Gawande gives multiple examples.

A Scottish study of patients with treatable colon cancer found that the ten-year survival rate ranged from a high of sixty-three per cent to a low of twenty per cent, depending on the surgeon.

My fascination with his work started in with the publication of his first book, Complications: Your email address will not be published. Learn how your comment data is processed. You can reach me at my e-mail address, ude. I believe they can.

A focus on patient care? Summary Subtitled “What happens when patients find out how good their doctors really are,” this article starts with an important statement: Leave a Reply Cancel reply Your email address will not be published.