So in case you missed it, here's Gawande's latest piece, Personal Best. In it, Gawande asks why some professions - like sports and singing - have coaches, and others - like his own, surgery - don't. He opens by noting that his own performance as a surgeon has plateaued. He has mastered the physical skills needed, and gained the experience that allows him to deal with exceptions to the norm:
As I went along, I compared my results against national data, and I began beating the averages. My rates of complications moved steadily lower and lower. And then, a couple of years ago, they didn’t. It started to seem that the only direction things could go from here was the wrong one.