We are at a cusp point in medical generations. The doctors of former generations lament what medicine has become. If they could start over, the surveys tell us, they wouldn’t choose the profession today. They recall a simpler past without insurance-company hassles, government regulations, malpractice litigation, not to mention nurses and doctors bearing tattoos and talking of wanting “balance” in their lives. These are not the cause of their unease, however. They are symptoms of a deeper condition—which is the reality that medicine’s complexity has exceeded our individual capabilities as doctors.
Gawande has two main arguments. First, that when doctors use checklists they prevent errors and quality of care goes way up. Second, that doctors need to stop acting like autonomous problem solvers and see themselves as a member of a tight-knit team. Gawande is one of the few sane voices in the health care debate. However, later on in his speech, he says that the solution to the health care conundrum is not technology. To a large degree, I agree with him. But not completely. Tech still has a big role to play. If we take a closer look at Dune and Star Trek, we’ll see why Qualcomm and the X-Prize Foundation are ponying up 10 million bucks to fund a piece of medical technology that could help make Gawande’s dream of team-based medicine a bit closer to becoming reality. Read More