InnovAiT, 11(6), 349 Book Review Dr Jonathan Mills Academic Clinical Fellow, Lincoln Email: firstname.lastname@example.org again, carry on and learn from it. We learn more by actively doing Authors/editors: Matthew Syed tasks ‘bottom-up’ in real life, rather than from ‘top-down’ theory. We Year of publication: 2015 learn by practising skills and we should therefore not expect to be ISBN number: 1473613779 perfect ﬁrst time. ????? Syed discusses the story of how David Beckham continuously practised his footballing skills, kicking a football many thousands of How would you rate this book? (5 star means excellent book useful for times, learning from each attempt, before moving onto a new skill. In all GPs in training – a must have item; 1 star means poor book that business, Sir James Dyson made thousands of reﬁnements before you would not buy yourself) patenting his vacuum cleaner (that made him a multi-billionaire), each iteration learning from the former to make improvements What is good about this book? before arriving at the end product. The key point, illustrated by Black Box Thinking challenges the culture, sadly present in medicine, these examples, is that we must practise many times, and learn from that when mistakes occur ﬁngers of blame must be pointed. Mistakes each attempt, reﬁning and re-iterating, reﬂecting on what went well have a ‘signature pattern’, but one of the tragedies in medicine is how and what didn’t, before we progress towards mastery of a skill. This is a closed minded and defensive approach stops change that may pre- true not only in sport or business, but in medicine; as clinicians, we vent recurrent errors. This book emphasises how failure to learn is a must be prepared to learn from each clinical encounter as we gain large obstacle to progress. It also raises the important topic of ‘cogni- competency. tive dissonance’, and how when a mistake is presented clearly to us, the need to ‘save face’ impedes development. This book would be of beneﬁt to a wide variety of people, not just What is bad about this book? GPs and other allied healthcare professionals. It challenges the reader Opening with cases of airline crashes, medical error and miscarriages to view errors as opportunities to learn rather than apportion blame, of justice does not make for light reading. While some of the examples and to be open minded about changing ineffective processes. Syed given in the book are predictable, the book makes the point that tragic makes the point that we learn from actively doing things; that we learn events tend to recur. This highlights the importance of embracing a from action. He also makes the point that young children do not have culture of honest appraisal, of being receptive to change and of ﬁnd- a fear of failure; the fear of failure is an acquired trait and not some- ing the root causes of error, rather than looking for scapegoats. The thing we are born with. As clinicians, we talk about children progress- take-home message is somewhat repetitive: Do not fear failure and ing through developmental milestones. Children don’t fear falling over embrace your mistakes so you can learn from them. when trying to walk, they try walking and when they fall, get back up InnovAiT, 2018, Vol. 11(6), 349, ! The Author(s) 2018. DOI: 10.1177/1755738017711466 349 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav journals.sagepub.com/home/ino
InnovAiT: Education and inspiration for general practice – SAGE
Published: Jun 1, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera