We Recruit For Attitude And Train For

We Look For Medicine To Be An Orderly Field Of Knowledge And Procedure. But It Is Not. It Is An Imperfect Science, An Enterprise Of Constantly Changing Knowledge, Uncertain Information, Fallible Individuals, And At The Same Time Lives On The Line. There Is Science In What We Do, Yes, But Also Habit, Intuition, And Sometimes Plain Old Guessing. The Gap Between What We Know And What We Aim For Persists. And This Gap Complicates Everything We Do.

Outsiders Tend To Be The First To Recognize The Inadequacies Of Our Social Institutions. But, Precisely Because They Are Outsiders, They Are Usually In A Poor Position To Fix Them.

No One Teaches You How To Think About Money In Medical School Or Residency. Yet, From The Moment You Start Practicing, You Must Think About It. You Must Consider What Is Covered For A Patient And What Is Not.

What About Regular Professionals, Who Just Want To Do What They Do As Well As They Can?

Life Is Choices, And They Are Relentless. No Sooner Have You Made One Choice Than Another Is Upon You.