Better: A Surgeon's Notes on Performance by Atul Gawande

By Atul Gawande

The fight to accomplish good is common, yet nowhere is that this force to do greater extra vital than in drugs. In his new publication, Atul Gawande explores how medical professionals attempt to shut the distance among top intentions and top functionality within the face of stumbling blocks that typically appear insurmountable.

His brilliant tales take us to battlefield surgical tents in Iraq, to a polio outbreak in India and to malpractice courtrooms round the state. He discusses the moral dilemmas of doctors' participation in deadly injections, examines the impact of cash on glossy medication and recounts the astoundingly contentious historical past of hand-washing. eventually, he provides a brutally sincere perception into lifestyles as a practicing surgeon.

Unflinching yet compassionate, Gawande's research into doctors and their development from reliable to nice presents a close blueprint for achievement that may be utilized by every body.

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Additional resources for Better: A Surgeon's Notes on Performance

Sample text

Empowerment here might usefully be linked into a person’s ‘locus of control’ (Rotter, 1954) and how they choose to approach life. This psychological concept refers to the extent to which people consider they control what happens in their lives. e. g. fate controls their lives). Interestingly, research by Jean Twenge et al. (2004) found that American college students in 2002 had a more external locus of control than 80 per cent of students in 1962. It makes us wonder how far these results are representative of the situation in our own and similar cultures and what the causes are.

Conscious and subconscious 2. 3. The subconscious is like the automatic pilot of my personality. It often works for reasons, based on instructions that it received. But those instructions are not helpful to me now. The reasons (in this case for the anxiety) whatever they might be are a hindrance. What I consciously think about I subconsciously react to. So if I’m thinking about being anxious, my automatic pilot reacts with feelings of anxiety. This is also true if I try not to feel anxious. Thinking ‘I must not worry’ still brings the idea of worry to mind, and therefore I react to it.

Steve once met a Y5 child whose selfconfidence increased after he’d imagined himself as a football that grew wings and flew over a high brick wall. Previously he had only ever constructed the scenario of himself failing to kick the ball high enough (see page 80). There is a rich and vigorous growth in the field of ‘therapeutic metaphors’ and ‘healing tales’. A few books we’d recommend are – The Magic of Metaphor by Nick Owen Stories for the Third Ear by Lee Wallas How Stories Heal (audio CD) by Pat Williams.

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