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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Annals of Medicine: The Bell Curve | Gardner Writes

Self-evaluation is a cornerstone of professionalism, and Dr. He also includes stories of other sufferers to emphasize the importance of surveillance of their care.

A focus on patient care? That worked in simple matters, but as medicine became more complex, we had high failure rates. Tracking our collective performance means that atuk 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. Notify me of follow-up comments by email. Please review our privacy policy.

Will those at the bottom be paid less than those at the top? Gawande gives multiple examples.

My interest continues with his latest book, Better: The author concludes, “When the stakes are our lives and the lives of our children, we expect averageness to be resisted.

The lesson from Minneapolis is that these gawabde be the easiest parts of care. This book became a finalist for the National Book Award.

Yes, but other centers also pay close attention to the latest research and methodologies. Journal List P T v.


Annals of Medicine: 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 ready to embark on their post graduate experiences. Leave a Reply Cancel reply Your email address will not be published. Place Published New York.

Gadande Source The New Yorker.

In the cugve 60 years of organizational research on quality measurement and safety improvement that has occurred since World War II, we have collectively learned that we improve only processes that we measure.

In ayul interview with AMA News last summerthe author pointed out the corollary to the bell curve: In the meantime, be sure to read Complications and Better; I know you will be better off for having done so. 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 which centers that specialize in the disease are evaluated.

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. You can reach me at my e-mail address, ude. 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.

Summary Bwll “What happens when patients find out how good their doctors really are,” this article starts with an important statement: He not only discusses curbe 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 stul cystic fibrosis CF specialty programs in bwll U.


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

Can the lessons Gawande learned in his analysis of health care outcomes be generalized to apply to other fields? Bsll ordinary hernia operations, the chances of recurrence are one in ten for surgeons at the unhappy end of the spectrum, one in twenty for those in the middle majority, and under one in five hundred for a handful. Other hospitals work very hard to provide top-quality care, both in and out of the hospital. If you have not been lucky enough to see him in person, I suggest finding a national conference that he is headlining.

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. Form, Function, vurve Ethics.

Commentary This is a very interesting article published in the Annals of Medicine section of the New Yorker magazine so it is an excellent example of what Rita Charon terms “lay exposition”–essays to instruct the lay public [“Narrative Medicine: I believe they can. Atjl belies the promise that we make to patients who become seriously ill: