![]() ![]() For a physician to learn how to do a central line, he or she must have a first patient to try it on. Subclavian central line insertion is difficult to do correctly the first time (particularly before the advent of bedside ultrasound). Gawande’s own experience of central line insertion is highlighted in an early chapter. Some fallibility arises from there being a learning curve for every skill, particularly those learned in surgery.ĭr. Fallibility, the tendency to make a mistake or to be wrong, exists everywhere, including in medicine. The first section, Fallibility, includes several personal experiences and insights from the early days of his residency. Gawande divides the book into three sections that correspond with the general topics of his essays and anecdotes. The essays he wrote were published in The New Yorker and later, in 2002, compiled into the book Complications: A Surgeon’s Notes on an Imperfect Science, the first of Dr. During medical school and residency, when the rest of us were struggling to show up with clean clothes and combed hair, Atul Gawande, MD, MPH, was keeping a journal and crafting the tales of his experiences and special interests. ![]()
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