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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

