{"id":622,"date":"2008-08-07T09:41:36","date_gmt":"2008-08-07T14:41:36","guid":{"rendered":"http:\/\/www.gardnercampbell.net\/blog1\/?p=622"},"modified":"2008-08-07T09:41:36","modified_gmt":"2008-08-07T14:41:36","slug":"better","status":"publish","type":"post","link":"https:\/\/www.gardnercampbell.net\/blog1\/better\/","title":{"rendered":"Better"},"content":{"rendered":"<p><a href=\"http:\/\/www.amazon.com\/Better-Surgeons-Performance-Atul-Gawande\/dp\/0312427654\/ref=pd_bbs_sr_1?ie=UTF8&amp;s=books&amp;qid=1218119884&amp;sr=8-1\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/ecx.images-amazon.com\/images\/I\/417XFgrgQnL._SS500_.jpg?resize=500%2C500\" width=\"500\" height=\"500\" \/><\/a><\/p>\n<p>As I prepare for my new job at Baylor University, I&#8217;m even more alert than usual to the many analogies, metaphors, and parables out there that help me think about education.\u00c2\u00a0 My reading this summer has been unusually rich in that regard. Over the last few days I&#8217;ve been deep into Atul Gawande&#8217;s <em>Better: A Surgeon&#8217;s Notes on Performance<\/em>. I don&#8217;t think I can recommend this little book too highly. Parts of it are expanded versions of essays that originally appeared in <em>The New Yorker<\/em>. Parts of it are new to me. All of it is insightful, inspiring, thoughtfully cautionary.<\/p>\n<p>Two parts I&#8217;ve blogged about before, in their <em>New Yorker<\/em> incarnation: the <a href=\"http:\/\/www.gardnercampbell.net\/blog1\/?p=421\">story of Virginia Apgar<\/a> and her scoring system for assessing newborns&#8217; health, and the <a href=\"http:\/\/www.gardnercampbell.net\/blog1\/?p=77\">story of Warren Warwick<\/a> and his zealous devotion to the best possible outcomes in treating cystic fibrosis.\u00c2\u00a0 Both of these stories strongly influenced my work in the classroom over the last eighteen months, and both have helped me think more complexly and imaginatively about the vexed issue of assessment in education. I suppose that&#8217;s one reason I bought Gawande&#8217;s book earlier this week: I had just finished working with a colleague on a conference proposal for a seminar on assessment and I wanted to revisit Gawande and test my current thinking against his. I was inspired anew.<\/p>\n<p>At an even deeper level, though, Gawande&#8217;s book strikes me as perfect reading material for all of us who live in what Nassim Taleb calls, with haunting precision, &#8220;the antechamber of hope.&#8221; Why do we struggle? To what end? With what hope of success? Why do some intense efforts yield extraordinary, lasting results while other lead to muleish opposition and setback after setback? To cite just one of Gawande&#8217;s examples: why have the enormous strides in antisepsis in the operating room not been matched by widespread, thorough habits of handwashing in doctors? Why are some simple, basic barriers to dramatic improvement so immoveable?<\/p>\n<p>The Virginia Apgars and Warren Warwicks of the world seem to breathe a purer oxygen than most of us do. They are awake, and indefatigable. They also love the idea of improving our processes of improvement, what <a href=\"http:\/\/www.bootstrap.org\/\">Doug Engelbart calls the &#8220;bootstrapping&#8221; level of augmentation<\/a>. Most of all, they are curious, game, scrappy, always thinking, always pushing. They are what Gawande calls &#8220;positive deviants&#8221;: outliers who make change possible, and life better, for everyone.<\/p>\n<p>Here&#8217;s how Gawande sums it up at the end of his story of medicine in India, where truly dire conditions have not blocked great innovations among the doctors there:<\/p>\n<blockquote><p>True success in medicine is not easy. It requries will, attention to detail, and creativity. But the lesson I took from India was that it is possible anywhere and by anyone. I can imagine few places with more difficult conditions. Yet astonishing success could be found. And each one began, I noticed, remarkably simply: with a readiness to recognize problems and a determination to remedy them.<\/p>\n<p>Arriving at meaningful solutions is an inevitably slow and difficult process. Nonetheless, what I saw was: better is possible. It does not take genius. It takes diligence. It takes moral clarity. It takes ingenuity. And above all, it takes a willingness to try.<\/p><\/blockquote>\n<p>And as Gawande notes in the story of Warren Warwick and the treatment of cystic fibrosis, it takes a willingness to be open with one&#8217;s efforts and candid about one&#8217;s failures.<\/p>\n<p>So there&#8217;s the adventure: become a <em>positive deviant<\/em>. The two words describe the task well, for they suggest the tension and difficulty inherent in making true deviation truly effective, and not simply an exotic nuisance (or worse, a scapegoat).<\/p>\n<p>I haven&#8217;t quite finished the book. I see the Afterword approaching: &#8220;Suggestions for Becoming a Positive Deviant.&#8221;<\/p>\n<p>I&#8217;ll report back.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>As I prepare for my new job at Baylor University, I&#8217;m even more alert than usual to the many analogies, metaphors, and parables out there that help me think about education.\u00c2\u00a0 My reading this summer has been unusually rich in &hellip; <a href=\"https:\/\/www.gardnercampbell.net\/blog1\/better\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[5],"tags":[],"class_list":["post-622","post","type-post","status-publish","format-standard","hentry","category-general"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/s4bHwM-better","jetpack-related-posts":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.gardnercampbell.net\/blog1\/wp-json\/wp\/v2\/posts\/622","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.gardnercampbell.net\/blog1\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.gardnercampbell.net\/blog1\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.gardnercampbell.net\/blog1\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gardnercampbell.net\/blog1\/wp-json\/wp\/v2\/comments?post=622"}],"version-history":[{"count":0,"href":"https:\/\/www.gardnercampbell.net\/blog1\/wp-json\/wp\/v2\/posts\/622\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.gardnercampbell.net\/blog1\/wp-json\/wp\/v2\/media?parent=622"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.gardnercampbell.net\/blog1\/wp-json\/wp\/v2\/categories?post=622"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.gardnercampbell.net\/blog1\/wp-json\/wp\/v2\/tags?post=622"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}