The Knowledge Project with Shane Parrish #42 Atul Gawande: The Path to Perpetual Progress
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Oct 2, 2018 
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Hernia Factory Example
- Atul Gawande discusses a hernia factory in Toronto where non-surgeons performed hernia operations.
- They achieved better results at lower costs than trained surgeons, highlighting the importance of teams and organization.
Evolution of 'Good Doctor'
- Atul Gawande's view on being a 'good doctor' evolved from focusing on individual error to systemic factors.
- He realized the healthcare system plays a crucial role in patient outcomes, sometimes even more than the doctor's individual skill.
System Change Complexity
- We often overemphasize training and mandates in system improvement, neglecting systematization.
- True system change requires ownership, data-driven analysis, and understanding system complexity, like in healthcare.