I Think The Extreme Complexity

Just Using A Checklist Requires [doctors] To Embrace Different Values From Ones We've Had, Like Humility, Discipline, Teamwork.

In Psychology, There's Something Called The Broken-leg Problem. A Statistical Formula May Be Highly Successful In Predicting Whether Or Not A Person Will Go To A Movie In The Next Week. But Someone Who Knows That This Person Is Laid Up With A Broken Leg Will Beat The Formula. No Formula Can Take Into Account The Infinite Range Of Such Exceptional Events.

Coaching Done Well May Be The Most Effective Intervention Designed For Human Performance.

We Look For Medicine To Be An Orderly Field Of Knowledge And Procedure. But It Is Not. It Is An Imperfect Science, An Enterprise Of Constantly Changing Knowledge, Uncertain Information, Fallible Individuals, And At The Same Time Lives On The Line. There Is Science In What We Do, Yes, But Also Habit, Intuition, And Sometimes Plain Old Guessing. The Gap Between What We Know And What We Aim For Persists. And This Gap Complicates Everything We Do.

Sometimes We Can Offer A Cure, Sometimes Only A Salve, Sometimes Not Even That. But Whatever We Can Offer, Our Interventions, And The Risks And Sacrifices They Entail, Are Justified Only If They Serve The Larger Aims Of A Person's Life. When We Forget That, The Suffering We Inflict Can Be Barbaric. When We Remember It The Good We Do Can Be Breathtaking.