Jan recognised the limitation of the Checklist approach to Medicine in his second year as a doctor. He took Ownership of the limitation and a truism of life: if you want different and better results, you need to do something that is different and better. He took Ownership of his dissatisfaction with the current system and his responsibility to do his absolute best for his patients – which meant becoming the absolute best he could be. He took Ownership of his observation skills – the same skills that had allowed him to turn around his life at the age of 14. He noticed that diseases had a particular sequence of features, in addition to when the features showed up. This meant that if a doctor could learn the sequence of features unique to each …show more content…
No existing approach required medical students or doctors to ask for the sequence and taught how to recognise its results. So someone had to create the technique. Jan spent the next few years during his training, working on recognising the sequences. He asked questions that annoyed or baffled most of his seniors in the training program. He withstood a tremendous amount of punishment, since his questions and reactions were at times perceived to be due to laziness, fear, denseness or worse. He toiled along in obscurity until he had finished his observations and analysis of the sequences. He called these the Timelines, and applied them to his work. The results were as he expected: they surpassed the limitations of the traditional checklist approach for diagnosis and …show more content…
As he also Owned his relative youth and inexperience, he was aware of his limitations and consulted his Professor on his suspicions. They both took Ownership of the child’s poor health, urgency to make the diagnosis and the rather unusual features in the child’s test results. They reached out to international experts who unanimously stated that it was Omenn Syndrome. After a long, concerted effort by a team of specialists, the child was cured. This was held up as an example of excellent medical care in the national newspaper two years later. Jan and his colleagues were reluctant to be interviewed and when they finally agreed, the newspaper sent Jan the draft of the article. Jan Owned his awareness of the limited role he had played in the child’s outcome. He also Owned the consequences of taking credit for his colleagues’ efforts – specifically, to be viewed and treated as a glory hound. He Owned his awareness that this was knowledge he had; the newspaper did not. Thus he explained these points to the newspaper. He then insisted that they not lionise him and give more credit to the team who labored to cure the child, which the newspaper