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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In the meantime, be sure to read Complications and Better; I know you will be better off for having done so. Open in a separate window. This is the introduction to a look at a child with cystic fibrosis and how her family sought the best care for her.

Notify me of follow-up comments by atu. Primary Source The New Yorker. In an interview with AMA News last summerthe author pointed out the corollary to the bell curve: As always, I am interested in your views.

Gawande has it dead-on right in my opinion, and the sooner we all come to grips with curvf reality, the better. Will we be expected to tell our patients how we score? But evidence of the bell curve is starting to trickle out, to doctors and patients alike, and we are only beginning to find out what happens when it does.

National Center for Gawsnde InformationU. I believe they can. Gawande has become a nationally sought-after motivational speaker for downtrodden physicians, researchers in the health services, policymakers, and, for that matter, everyone else in our business.


What has taken it to the right edge of the bell curve? Beol answer to all these questions is likely, yes. Will being in the bottom half be used against doctors? 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.

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 wtul to embark on their post graduate experiences.

Yes, but other centers also pay close attention to the latest research and methodologies. Learn how your comment data is processed. The lesson from Minneapolis is that these may be the easiest parts of care.

Musings of the Hearth: Atul Gawande: The Bell Curve

What I like about his books, in addition to the incisive writing, is his unflinching willingness to confront many of our most tightly held myths about medical practice. This book became a finalist for the National Book Award.

Other hospitals work very hard to provide top-quality care, both in and out of the hospital. Can the lessons Gawande learned in his analysis of health care outcomes be generalized to apply to other fields? It belies the promise that we make to patients who become seriously ill: Will those at the bottom be paid less than those at the top?

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. Today, despite his busy surgical practice, Dr.


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In BetterDr. Your email address will not be published. Atul Gawande, goes on not only to tell their story but also the story of the way in which the understanding of this disorder has increased and the unusual rigor with atlu centers that specialize in the disease are evaluated.

Form, Function, and Ethics.

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 death rates in various cystic fibrosis CF specialty programs in the U. And what makes Warwick so special? It is distressing for doctors to have to acknowledge the bell curve. If you have not been lucky enough to see him in person, I suggest finding a national conference that he is headlining. Summary Subtitled “What happens when patients find out how good their doctors really are,” this article starts with an important statement: Support Center Support Center.

Even doctors with great knowledge and technical skill can have mediocre results; more nebulous factors like aggressiveness and consistency and ingenuity can matter enormously. We foster learning communities.

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