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Unit 8
          List it!                           Reading; Train to




           Culture note                                  THE                                         LIST IT!  UNIT 8
           Atul Gawande is a practising                  CHECKLIST MANIFESTO
           endocrine surgeon, public health                                                     BY ATUL GAWANDE
           advisor and a professor at Harvard     1   A doctor in a large hospital walked into an operating theatre where an   examples. Just imagine that an aeroplane crashed because
                                                                                    the pilot had failed to follow basic procedures. Suppose
           Medical School. He is also founder       operation was being performed. Everything seemed to be going well,   a skyscraper fell down because the engineers hadn’t
                                                    but the doctor picked up on one disturbing fact – no one was wearing
           and chair of Lifebox, a non-profit       a face mask. He was a little shocked – wearing a face mask is basic   remembered to do some important calculations. There
                                                                                    would be an immediate inquiry to look into these events.
                                                    hospital procedure. But he didn’t say anything. The operation was
           organisation making surgery safer        a success, but a few days later the patient came down with a fever.   So Gawande’s question is: if pilots and engineers use
                                                                                    checklists, why don’t doctors use them?
                                                    It turned out that she had a serious infection, probably because the
           globally. Since 1998, Atul has been      doctors and nurses hadn’t followed a simple rule. If they’d worn their   4   But when Gawande talked to doctors at eight hospitals
                                                    masks, the patient wouldn’t have been infected.
           a staff writer for The New Yorker      2   Someone who’d be interested in that story is   about a checklist that he had developed, he found that a
                                                                                    lot of them weren’t very enthusiastic. Twenty percent of
           magazine and has written four New        Atul Gawande, who wrote a book called The   the doctors that Gawande talked to said that the list was
                                                                                    too difficult to use and that it wouldn’t help to save lives.
           York Times best-selling books. He        Checklist Manifesto: How to get things right.   But, when they were shown the statement, ‘If I had surgery,
                                                    Gawande is a doctor himself, and in his book he
           is the winner of several awards for      suggests that if surgeons run through a simple   I’d want the surgeon to use this list’, 93 percent of the same
                                                                                    doctors agreed with it! So it’s hard to work out why they
                                                    checklist before every operation, then lives will
           writing about science.                   be saved. And he’s got the numbers to prove   don’t want to use it themselves.
                                                    it. In 2001, at an important American hospital,   5   The Checklist Manifesto is a really interesting and
                                                    there was an experiment that required doctors to use a five-point   well-written book. It reminds us to do basic things to avoid
                                                    checklist before they carried out specific procedures. The checklist   problems. It’s relevant for all of us, not just for doctors.
                                                    was just a list of routine things doctors should normally do without   We should all use checklists now and again, otherwise we’ll
           6   Check/clarify: approach,             thinking – for example, wearing rubber gloves, washing hands before   make mistakes.
             discipline.                            and after every patient, and so on. By making sure that the checklist
                                                    was followed, there were almost no infections over the 27 months of
             Give students time to read             the experiment, and they reckon that around eight lives were saved.
                                                    When the checklist was tried out again in hospitals in Michigan, in the
             through the ideas (a–h) and the        US, infections went down by 66 percent.
             checklist.                           3   In his book, Gawande looks at other professions, too, to support
                                                    his argument that checklists reduce accidents and improve
             a 5   b 3   c 5   d 1   e 2, 4, 5   f 2     success rates. He points out that people like engineers and pilots
                                                    use checklists all the time, and he comes up with some good
             g 2, 3   h 2
           7  As you monitor, make a note of
             some interesting checklists to
             come back to during feedback.        The ‘goal-setting’ checklist
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             Allow students to compare ideas      When you go on a journey, you wouldn’t say to yourself, ‘I don’t know
                                                  where to go to, but I’ll start my journey anyway.’ You will never know if
                                                  where to go to, but I’ll start my journey anyway.’ You will never know if
             in small groups and encourage        your destination is where you wanted to be, if you don’t set yourself goals.
                                                  your destination is where you wanted to be, if you don’t set yourself goals.
                                                  This is important for all of our ‘journeys’ in life. The ‘goal-setting’ checklist
             them to give each other ideas on     This is important for all of our ‘journeys’ in life. The ‘goal-setting’ checklist
                                                  helps you think clearly about what it is you want to achieve and how
                                                  helps you think clearly about what it is you want to achieve and how
             how to improve their checklist,      you’re going to achieve it.
             e.g. do they need to be more         6  Max has a new project. He wants to learn to play the piano.
             specific?                              Look at these ideas that Max has written and match them with
                                                    items 1–5 in the checklist. (Some include more than one idea
                                                    and some could go in more than one place on the checklist.)    1   What I want to achieve
                                                    a  I’ll be able to play about 20 songs.     2   Things I need in order to
              Homework                              b  approach it as something to be enjoyed   achieve this goal
                                                    c  I’ll feel really good about my achievement.
           Ask students to make a list of goals     d  learn to play the piano            3   How I need to act or
                                                                                            behave in order to achieve
           for the week and to keep a journal       e  positive comments from family and friends   this goal
           detailing what they need to do to        f  a friend who will teach me         4   Things that tell me I have
                                                    g  discipline to practise daily
           achieve their goal, their progress       h lessons streamed from the internet    achieved this goal
           each day and whether or not they       7   SPEAKING   Think of something you want to achieve.     5   Results of achieving this
                                                                                            goal, for myself and for
                                                    SPEAKING
           achieved it by the end of the week.      Use the checklist to help you define your goals more clearly.   others
                                                    Compare your ideas with a partner.
                                                                                                            75
           Activity idea  Extension
           Ask: What goals have you set
           yourself in the last year? Have your   Activity idea  Extension
           parents ever set goals for you?    Point out that goal-setting is often done in groups as well as by individuals.
           What goals have they set? Why is   Divide the class into small groups and tell students they are going to set a goal
           it important to set goals? Students   for the group as a whole. Give examples: form a band, organise an end-of-term
           discuss the questions with a partner.   party, set up a study group, start a tennis club, etc. Students work together to
           Invite volunteers to report back to   create a checklist to help them achieve their goal. Regroup for students to share
           the class on their discussions and   their ideas.
           encourage reactions from the rest of
           the class.
                                                                                              more
                                                                                  Worksheets
                                                                                  Project Top ten list
                                                                                  Communication Making lists
              Learning to Learn                                                   Get     ing What kinds of lists do you
              Taking control of own learning                                      make?
              Setting goals and planning for learning.
                                                                                               Unit 8 | List it! T75
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