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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande 10 Oct 2013

    We always knew skill mattered, but not this much. Best rated performance had 1/5th the death rate!http://bit.ly/1cAAqdb 

    12:36 PM - 10 Oct 2013
    • 70 Retweets
    • 35 Likes
    • HelloMD Zach Klaassen Jonathan C. Lau Petter Thornam carolyn johnston Katherine Burns jason wagner Ulrike Bartholomäus marieter
    12 replies 70 retweets 35 likes
      1. Katherine Burns‏ @kburnsmd 11 Oct 2013
        Replying to @Atul_Gawande

        “@Atul_Gawande: #Surgical skill reduces #complications, operative time, death rate. Duh. http://bit.ly/1cAAqdb  prob true in #ortho too

        0 replies 2 retweets 1 like
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      2. Syd Weinstein‏ @DrSWeinstein 12 Oct 2013
        Replying to @Atul_Gawande

        @Atul_Gawande @dr_coops one of the best ratings of #surgical skill is to ask the OR staff.They see the daily reality and deal with the comps

        1 reply 1 retweet 1 like
      3. James Duthie‏ @JamesDuthie1 12 Oct 2013
        Replying to @DrSWeinstein

        @DrSWeinstein @Atul_Gawande @dr_coops More difficult with long term outcomes eg continence post-prostatectomy. Theatre staff love speed too.

        0 replies 0 retweets 1 like
      4. End of conversation
      1. Katherine Burns‏ @kburnsmd 11 Oct 2013
        Replying to @Atul_Gawande

        @Atul_Gawande @dongyue Old adage: there are good fast surgeons/ bad fast surgeons, but no good slow surgeons.

        0 replies 0 retweets 3 likes
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      2. Richard Edwards‏ @PaedNeurosurg 10 Oct 2013
        Replying to @Atul_Gawande

        .@Atul_Gawande So do high volumes make better surgeons or do better surgeons just attract higher volumes? I've always suspected the latter.

        2 replies 0 retweets 1 like
      3. Dr Amal Abou-Hamden‏ @AANeurosurgeon 10 Oct 2013
        Replying to @PaedNeurosurg

        @PaedNeurosurg @Atul_Gawande you need Both to make better surgeons

        1 reply 0 retweets 0 likes
      4. Richard Edwards‏ @PaedNeurosurg 10 Oct 2013
        Replying to @AANeurosurgeon

        @AANeurosurgeon @Atul_Gawande. But throwing lots of cases at poor tech surgeon not solution. Clearly not linear relationship vol vs outcome

        1 reply 1 retweet 0 likes
      5. Dr Amal Abou-Hamden‏ @AANeurosurgeon 10 Oct 2013
        Replying to @PaedNeurosurg

        @PaedNeurosurg @Atul_Gawande absolutely!! There's a bit more to it.. See my other tweet where I reveal #thesecret ;)!!

        0 replies 0 retweets 1 like
      6. End of conversation
      1. Paul Kind‏ @Quality_Outcome 17 Oct 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Dead good. Olde News http://www.ncbi.nlm.nih.gov/portal/utils/pageresolver.fcgi?recordid=1382072742859543 …

        0 replies 0 retweets 1 like
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      1. Sally Price‏ @saspist 12 Oct 2013
        Replying to @Atul_Gawande

        @Atul_Gawande Any evidence to help a trainee become more skilled? More elegant? Numbers, obviously. But how can one learn style?

        0 replies 0 retweets 1 like
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      1. Jan Połoniecki‏ @JanPoloniecki 11 Oct 2013
        Replying to @Atul_Gawande

        Message is if there is a high death rate, asses the technical skill before assuming it's the surgeon to blame and re-train @Atul_Gawande

        0 replies 0 retweets 1 like
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      1. Nicholas Klemen‏ @NicholasKlemen 10 Oct 2013
        Replying to @Atul_Gawande

        @Atul_Gawande 5th quintile surgeons might be shocked to learn their rank, as most people think they are above ave. That info might motivate

        0 replies 0 retweets 1 like
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      1. Richard Edwards‏ @PaedNeurosurg 10 Oct 2013
        Replying to @Atul_Gawande

        @Atul_Gawande UK dogma:'y'% of practice must be procedure 'x' to maintain quality is nonsense & outcome data confounded by skill variations

        0 replies 0 retweets 0 likes
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      1. Marilynn Marchione‏Verified account @MMarchioneAP 10 Oct 2013
        Replying to @Atul_Gawande

        @Atul_Gawande But how can the average patient tell good from bad when picking a doctor for weight-loss surgery? #obesity

        0 replies 0 retweets 0 likes
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      1. Physicians Insurance‏ @PhysicianInsure 10 Oct 2013
        Replying to @Atul_Gawande

        @Atul_Gawande What can be done to increase surgical skills and improve patient safety? Mentorship? Simulations?

        1 reply 0 retweets 0 likes
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      1. Lisa Fields‏ @PracticalWisdom 10 Oct 2013
        Replying to @Atul_Gawande

        HT @Atul_Gawande Sur Skill Complication Rates after Bariatric Surgery @nejm http://www.nejm.org/doi/full/10.1056/NEJMsa1300625?query=featured_home#t=abstract … cc: @TomVargheseJr #ACSCC13 @jcolbertMD

        0 replies 0 retweets 0 likes
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