Sunday, January 6, 2008

Striking across boundaries

Here is a short clip of an interview with Dr. Atul Gawande (, a MacArthur Fellow (see here) and author of Better: A Surgeon's Notes on Performance and Complications: A Surgeon's Notes on an Imperfect Science. I share this interview because it illustrates the importance of an interdisciplinary approach to medicine - in short, Dr. Gawande strikes across boundaries. This boundary spanning represents a wonderful goal for healthcare professionals: we need leaders capable of bridging disciplines and fields to advance our knowledge about and practice of medicine. Gawande bridges surgery, morality, and public health (among others) in an effort to improve performance in medicine.

Personally, in my future medical career, I hope to bridge administration (finance, entrepreneurship, management, and innovation), clinical judgment (decision making, thinking, and human cognition under uncertainty), and patient advocacy (individualization of care, support for victims of abuse, and continuity of care) in order to restore and enhance primary care and the physician-patient relationship (holistic healthcare ecology). In building these bridges, I hope to follow Gawande's lead and "strike across" as many boundaries as possibly via an interdisciplinary inquiry into medicine, healthcare, and philosophy. Informed by these inquiries, I hope that my endless "searches" as a healthcare epistemocrat will enable me to "act" creatively as a real-world practitioner to empower physicians and patients and improve patient care.

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