The Red Beads cover illustration

The Red Beads

A single complication cannot grade a surgeon. Deming's red beads, M&M, and why surgical quality lives in the distribution, not in one bad outcome.

Master the Eggs cover illustration

Master the Eggs

Or: Why Mastery Is Knowing Which Details Are Load-Bearing 1. The Tamago Years In Jiro Dreams of Sushi there is an apprentice, Daisuke Nakazawa, who spends

The Endless Residency cover illustration

The Endless Residency

Why Surgical Training Never Really Ends 1. A Simple Procedure Early in my residency, I placed a suprapubic tube. It is a routine procedure, the sort every

The Wicked Problem of Surgical Failure cover illustration

The Wicked Problem of Surgical Failure

Or: Why the Best Surgeons Cannot Escape Variance, and What That Teaches Us About Learning in Complex Systems 1. The Ether Dome and the Statistician On October

Generative Hypochondria cover illustration

Generative Hypochondria

I let ChatGPT analyze a decade of my Apple Watch data. Then I called my doctor.

More on Autonomous Robotic Surgery cover illustration

More on Autonomous Robotic Surgery

When I am sitting at the robotic console during a cystectomy, the relationship between my hands and the instruments is absolute. Every movement—scaled,

Why I Created This Website cover illustration

Why I Created This Website

I created this website to make my educational work easier to find and easier to use. Over the years, material related to my work—articles, lectures, surgical