Dismiss Notice

Interview Feedback: Visit Interview Feedback to view and submit interview information.

Interviewing Masterclass: Free masterclass on interviewing from SDN and Medical College of Georgia

Dismiss Notice
Hey Texans—join us for a DFW meetup! Click here to learn more.

Excellent article by Atul Gawande

Discussion in 'Pre-Medical - MD' started by butac, Dec 8, 2008.

  1. butac

    2+ Year Member

    Joined:
    Jun 6, 2008
    Messages:
    56
    Likes Received:
    0
    Status:
    Pre-Medical
    I have always been a big fan of Atul Gawande since I read his book Complications. This article is about the importance of checklists in modern medicine, and the surprising fact that many hospitals in the US still don't use them despite their proven success. I love his writing because it gives personal insight into being in an ICU or surgery, etc. He also addresses ethical and administrative concerns that are often overlooked. It's a little long, but it is an enlightening read.

    http://www.newyorker.com/reporting/2007/12/10/071210fa_fact_gawande?printable=true
     
  2. Note: SDN Members do not see this ad.

  3. jult24er

    2+ Year Member

    Joined:
    Jul 25, 2007
    Messages:
    857
    Likes Received:
    1
    Status:
    Pre-Medical
    that was a great article. i like that guy's writing ...
     
  4. chewsnuffles

    chewsnuffles is a series of tubes
    2+ Year Member

    Joined:
    Apr 9, 2006
    Messages:
    456
    Likes Received:
    1
    MDApps:
    Status:
    Pre-Medical
    Everything by Atul is great
     
  5. not so calm now

    5+ Year Member

    Joined:
    Oct 8, 2007
    Messages:
    603
    Likes Received:
    1
    Status:
    Medical Student
    thanks for that link. Have you read his more recent book, Better? It's also really good - I love his style of writing.
     
  6. funkydrmonkey

    funkydrmonkey They Call Me Dr. Funkmonk
    7+ Year Member

    Joined:
    May 10, 2007
    Messages:
    6,292
    Likes Received:
    4
    Status:
    Resident [Any Field]
    butac, you are EVIL!

    I spent my time reading this rather than studying...


    Really good article though.!:thumbup:
     
  7. armybound

    armybound urologist.
    Physician Moderator Emeritus 10+ Year Member

    Joined:
    Jan 1, 2007
    Messages:
    4,777
    Likes Received:
    386
    Status:
    Resident [Any Field]
    It's an interesting concept. Vanderbilt is trying to build electronic checklists for the prevention of some serious complications like ventilator-associated pneumonia. They had similar results as the article mentioned.
     
  8. ILikeFood

    ILikeFood NSU Class of 2013
    10+ Year Member

    Joined:
    Jul 18, 2008
    Messages:
    2,864
    Likes Received:
    54
    I've seen his books around. Just googled him.

    stanford undergrad, harvard med, harvard mph, rhodes scholar, macarthur fellow, national book award finalist, staff writer for the new yorker...

    what a freak...
     
  9. scarletgirl777

    10+ Year Member

    Joined:
    Mar 25, 2008
    Messages:
    2,326
    Likes Received:
    123
    Status:
    Medical Student
    Yeah, you gotta admire someone with that kind of breadth of honors.
     
  10. MeFixYouUp

    2+ Year Member

    Joined:
    Apr 18, 2007
    Messages:
    52
    Likes Received:
    0
    MDApps:
    Status:
    Medical Student
    That was a great article. Thanks for the link.
     
  11. iTool

    2+ Year Member

    Joined:
    Dec 7, 2008
    Messages:
    56
    Likes Received:
    0
    Status:
    Pre-Medical
    wow, awesome read. i may have to rent/buy some of his books now...
     
  12. Pedsbro

    7+ Year Member

    Joined:
    Apr 7, 2008
    Messages:
    860
    Likes Received:
    3
    Status:
    Fellow [Any Field]
    amazing article... "Complications" is a great book if any of you haven't read it!
     
  13. Ailleurs

    7+ Year Member

    Joined:
    Jan 8, 2007
    Messages:
    316
    Likes Received:
    38
    Status:
    Pre-Medical
    But, wait! You must not forget:

    • After 2 years of med. school he chose to act as health care lieutenant to Clinton for his 1992 campaign.
    • Senior Advisor in the Dept. of Helath and Human Services after Clinton was elected president
    • Directed 1 out of 3 committees in the Clinton Health Care Task Force, supervising 75 people and defined benefits packages for Americans and subsidies and requirements for employers.

    And then, he returned to finish medical school :laugh:

    (source: http://www.iht.com/articles/1994/05/30/uo.php & wikipedia)

    Amazing guy really! I always see his book, Better, at the Harvard COOP on display :D
     
  14. armybound

    armybound urologist.
    Physician Moderator Emeritus 10+ Year Member

    Joined:
    Jan 1, 2007
    Messages:
    4,777
    Likes Received:
    386
    Status:
    Resident [Any Field]
    is he married?
     
  15. Golden Joe

    7+ Year Member

    Joined:
    Oct 30, 2008
    Messages:
    78
    Likes Received:
    0
    MDApps:
    Status:
    Medical Student
    Great read! Thanks!
     
  16. ImBrianFellows

    7+ Year Member

    Joined:
    Apr 16, 2008
    Messages:
    60
    Likes Received:
    0
    Status:
    Medical Student
    Thanks for posting this! I have read both of his books and they are among my favorite nonfiction reads. I didn't know all of that biographical information about him ... what an amazing guy!

    Unfortunately armybound he is married. :(
     
  17. Thrombomodulin

    2+ Year Member

    Joined:
    Jul 24, 2008
    Messages:
    309
    Likes Received:
    0
    .
     
    #16 Thrombomodulin, Dec 9, 2008
    Last edited: Jun 24, 2013
  18. sixpence

    7+ Year Member

    Joined:
    Jul 8, 2008
    Messages:
    169
    Likes Received:
    0
    just curious, how do tiny air bubbles create problems?
     
  19. Pedsbro

    7+ Year Member

    Joined:
    Apr 7, 2008
    Messages:
    860
    Likes Received:
    3
    Status:
    Fellow [Any Field]
    It can cause an air embolism and stop blood flow if it gets lodged in a vessel or the heart. Look up "air or gas embolism"
     
  20. chewsnuffles

    chewsnuffles is a series of tubes
    2+ Year Member

    Joined:
    Apr 9, 2006
    Messages:
    456
    Likes Received:
    1
    MDApps:
    Status:
    Pre-Medical
    Uh, I'm no doctor, but I thought I read somewhere that the ONLY way for it to cause problems is for it to go to one of the heart chambers and to form an air bubble which would essential block the heart valve from letting blood go through it since there is now a negative air space where there was hydrolic pressure (like why you bleed your brakes on a car). Just how would it get "lodged" in a blood vessel?!?

    Temporary treatment would be to turn the patient on their back or partially upside down so the bubble "rises" to a part of the chamber where it is harmless for the time being. I also heard that it takes a "significant" amount of air to actually do this.

    I can't cite sources for this, so if I am wrong I would appreciate someone correcting me. Thanks.
     
  21. Pedsbro

    7+ Year Member

    Joined:
    Apr 7, 2008
    Messages:
    860
    Likes Received:
    3
    Status:
    Fellow [Any Field]
    http://cmbi.bjmu.edu.cn/uptodate/critical%20care/Embolic%20disease/Air%20embolism.htm

    It can occur in the heart as well as vessels in the circulation. Consider yourself corrected.

    Was it really worth bumping this month-old thread just for that? :rolleyes:
     
  22. Sangria

    2+ Year Member

    Joined:
    Oct 2, 2008
    Messages:
    325
    Likes Received:
    0
    Status:
    Medical Student
    great article. I just read Complications and Better over break. I hope he has another book in the works
     
  23. halekulani

    halekulani Member
    10+ Year Member

    Joined:
    Jul 2, 2006
    Messages:
    1,200
    Likes Received:
    4
    Status:
    Medical Student
    gawande > gupta for surgeon general
     
  24. paramedtech

    2+ Year Member

    Joined:
    Oct 8, 2008
    Messages:
    27
    Likes Received:
    0
    Status:
    Pre-Health (Field Undecided)
    Thanks for that link, that was a great article, he is an amazing writer.
     
  25. TheElement

    TheElement Being Lazzy
    5+ Year Member

    Joined:
    May 27, 2007
    Messages:
    532
    Likes Received:
    0
    Status:
    Medical Student
    Are there any other writers out there that are like him? I've read pretty much everything he has put out and I neeeed moreee.
     

Share This Page