September 18, 2008
Learn from the people
Plan with the people
Begin with what they have
Learn what they know
Of the best leaders
When the task is accomplished
The people remark
We have done it ourselves
~ Lao-tzu
Atul Gawande writes a heck of a book. And that’s off hours from his day job as a surgeon.
I hope to write a post shortly that kicks around his stinging observations of medical malpractice suits– malpractice having been heralded by some as a model for teacher accountability. (Quick summary of my 180 on that idea after reading Gawande: Um, not so much.)
For now, though, I’ll give you the five suggestions he hands off to medical students when they ask for advice on becoming “positive deviants” within their monolithic system.
1) Ask an unscripted question.
” If you ask a question, the machine begins to feel less like a machine. Keep the conversation going.”
2) Don’t complain.
“Resist it. It’s boring, it doesn’t solve anything, and it will get you down. You don’t have to be sunny about everything. Just be prepared with something else to discuss.”
3) Count something.
“One should be a scientist in this world. The only requirement is that what you count should be interesting to you…if you count something you find interesting, you will learn something interesting.”
4) Write something.
“What you write need not achieve perfection. It need only add some small observation about your world. By soliciting modest contributions from the many, we have produced a store of collective know-how with far greater power than any individual would have achieved.”
5) Change.
“It often seems safest to do what everyone else is doing. But a doctor must not let that happen– nor anyone else who takes on risk and responsibility in society.”
Repeating these five to myself– and I do– gives me a jolt of hope. (And, ironically, is the best down and dirty accountability check I’ve run across in a long time.)
Check out the seminal and fascinating article on positive deviance here. (This is not just my geekspeak– it really does rock.) It’s in the Harvard Business Review, but don’t let that frighten you– you’ll feel like they’re talking right to us.
Now, if I can just get to the superintendent…

September 23rd, 2008 at 9:15 am
Just wanted to let you know that because of this post, I purchased Better on Amazon and am now deeply entrenched…….it’s an AMAZING book! Just my kind of nonfiction and about a subject (medicine) in which I’m not employed, but am always fascinated by. Thanks for the review and the suggestion!
September 23rd, 2008 at 9:46 am
[...] Gotta start this out with a resounding THANK YOU to Dina over at The Line. [...]
September 25th, 2008 at 1:24 am
Thank you — the spirit behind this post is exactly the sort of gentle push into the right mindset that I needed.
September 26th, 2008 at 7:52 am
@Ben and Kate: many thanks. The book provided some amazing inspiration in an unlikely place for me. Can’t wait to pick up “Complications.” I’ll keep you posted.
January 13th, 2009 at 2:38 pm
Here’s a link to what my grad school professor of literacy wrote about _Better_ and teaching English. I thought you might be interested…
http://pawnplus.com/atlast.PDF