Gawande, in several essays, discusses the interesting concept of being a “positive deviant”–someone whose performance is exceptional without having more knowledge. This emphasis on performance can be just as valuable to managers as to physicians. The book focuses on two main questions: how does one improve a practice and how can we do things better when we don’t have all the information we’d like. The book consists of a dozen short essays, many originally published in The New Yorker. The beauty of Better is that it lets you see and feel what it’s like to face the near-constant uncertainty of being a physician. But there aren’t, so let’s be grateful for this book (as well as its excellent predecessor, Complications: A Surgeon’s Notes on an Imperfect Science). With so many people in these professions, one would think that there would be thousands of books like Dr. Think law, management, medicine, teaching, many types of engineering.
Atul Gawande’s Better: A Surgeon’s Notes on Performance does a wonderful thing that is rarely done: it tells us what it is like to be in a practice.Ī practice is uneasily poised between a profession and a craft, with some science and art mixed in.
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