Start Smart: Expert Advice for Early Career Success

Abstract

marines, nuclear power plants, and some manufacturing plants. Organizations with extremely low failure rates have been found to have many similarities in structure and function; many of these features might be applicable to health care systems. Good surgical care can never occur in the absence of a competent, well-trained, skillful and conscientious surgeon. But even the best surgeon cannot ensure good care if he or she is practicing in a dysfunctional OR, office, or inpatient unit. Understanding the principles that underlie highly effective systems will help the otolaryngologist act effectively to help mediate change in his or her own practice environment.