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PASSAGE FIFTY-TWO

Doctors are terrible pilots

1.Doctors are known to be terrible pilots. They don’t listen because they already know it all. I was lucky: I became a pilot in 1970, almost ten years before I graduated from medical school.

2.I didn’t realize then, but becoming a pilot makes me a better surgeon. I loved flying. As I flew bigger, faster planes, and in worse weather. 

3.I learned about crew resource management, or CRM, a new idea to make flying safer. It means that crew members should listen and speak up for a good result, regardless of positions.

4.I first read about CRM in 1980. Not long after that, an attending doctor and I were flying in bad weather. The controller had us turn too late to get our landing ready. 

5.The attending doctor was flying; I was safety pilot. He was so busy because of the bad turn, he had forgotten to put the landing gear down. He was a better pilot—and my boss—so it felt unusual to speak up. 

6.But I had to: Our lives were in danger. I put aside my uneasiness and said, “We need to put the landing gear down now!” 

7.That was my first real lesson in the power of CRM, and I’ve used it in the operating room ever since. CRM requires that the pilot surgeon encourage others to speak up.

8.It further requires that when opinions are from the opposite, the doctor doesn’t overreact, which might prevent fellow doctors from voicing opinions again. 

9.So when I’m in the operating room, I ask for ideas and help from others. Sometimes they’re not willing to speak up. 

10.But I hope that if I continue to encourage them, someday someone will keep me from “landing gear up”.

第五十二篇

医生是糟糕的飞行员

1.众所周知，医生是糟糕的飞行员。因为他们不用听，因为他们是知道了一切的。我很幸运:我在1970年成为一名飞行员，几乎是在我从医学院毕业的10年前。

2.我当时没有意识到，成为一名飞行员让我成为了一名更好的外科医生。我喜欢飞行。我驾驶着更大更快的飞机，在更糟糕的天气下飞行。

3.我学到了机组人员资源管理(简称CRM)，这是一种让飞行更安全的新方法。也就是说，不管在什么位置，全体乘务员都应该为一个好结果而倾听和发言。

4.我第一次读到客户关系管理是在1980年。不久之后，我和一位主治医生在恶劣的天气里乘飞机。管制员让我们转得太晚，没能做好着陆准备。

5.主治医生在飞;我是安全飞行员。他太忙了，因为那个糟糕的转弯，他忘了放下起落架。他是一个更好的飞行员，也是我的老板，所以说出来感觉很不寻常。

6.但我必须这么做:我们的生命处于危险之中。我把不安放在一边，说:“我们现在需要放下起落架!”

7.这是我第一次真正体会到客户关系管理的力量，从那以后我就一直在手术室里使用它。客户关系管理要求试点外科医生鼓励他人畅所欲言。

8.它进一步要求，当来自相反意见的时候，医生不要反应过度，这可能会阻止其他医生再次发表意见。

9.所以当我在手术室的时候，我会向别人征求意见和帮助。有时他们不愿意说出来。

  10.但我希望，如果我继续鼓励他们，总有一天会有人阻止我“放下起落架”。