Atul Gawande delivered this year’s commencement address at Harvard Medical School:
The core structure of medicine—how health care is organized and practiced—emerged in an era when doctors could hold all the key information patients needed in their heads and manage everything required themselves. One needed only an ethic of hard work, a prescription pad, a secretary, and a hospital willing to serve as one’s workshop, loaning a bed and nurses for a patient’s convalescence, maybe an operating room with a few basic tools. We were craftsmen. …
[Today] we train, hire, and pay doctors to be cowboys. But it’s pit crews people need.
The Dish 