Which brings us to the third skill that you must have but haven’t been taught—the ability to implement at scale, the ability to get colleagues along the entire chain of care functioning like pit crews for patients. There is resistance, sometimes vehement resistance, to the efforts that make it possible.
Vehement resistance???? Talk about assuming facts not in evidence. Is Gawande projecting from his early career as a surgeon?
Partly, it is because the work is rooted in different values than the ones we’ve had. They include humility, an understanding that no matter who you are, how experienced or smart, you will fail. They include discipline, the belief that standardization, doing certain things the same way every time, can reduce your failures. And they include teamwork, the recognition that others can save you from failure, no matter who they are in the hierarchy.
Gawande is flat out wrong to imply we've not had these values before. My earliest mentors taught the value of humility. Multidisciplinary was a buzzword early in my career.
Teamwork is important, but as DB points out we must be careful not to devalue individual expertise and judgment.