Doing right – despite working in a fundamentally human enterprise, therefore troubled by human failings, it is difficult to know when “right” is to keep striving and when it is to stop.Diligence – giving sufficient attention to detail to avoid error and prevail against obstacles – central to performance & fiendishly hard.The core requirements for success in medicine or in any endeavor that involves risk and responsibility: In medicine, as in any profession, we must grapple with systems, resources, circumstances, people – and our own shortcomings as well. Our decisions and omissions are therefore moral in nature… It’s not only the stakes but also the complexity of performance in medicine that makes it so interesting and, at the same time, so unsettling.
Introduction: From his junior resident experience with a dedicated senior resident, Gawande generates a key question: What does it take to be good at something in which failure is so easy, so effortless? (P.3) Later he suggests complex dimensions of success: Lives are on the line.
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