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Thursday, 14 January 2010

Particularly in uncertain times, there is a significant tension between playing it safe versus doing something very different. A couple of recent examples have brought this to mind, and seem to have great parallels to a lot of business decisions and critical work on business strategy.

The two examples in my mind are recruitment, and what I find one of the most annoying things about job advertisements; and a recent medical breakthrough that is one of the best examples of knowledge transfer I’ve seen recently.

The medical breakthrough

A few weeks ago, I quoted Seth Godin having a dig at some in the medical profession, and, more broadly, those who look for solutions exclusively from within their own area of expertise. He said:

One study found that when confronted with a patient with back pain, surgeons prescribed surgery, physical therapists thought that therapy was indicated and yes, acupuncturists were sure needles were the answer. Across the entire universe of patients, the single largest indicator of treatment wasn't symptoms or patient background, it was the background of the doctor.

You can read the full article here

A great example of the complete opposite being true is the case of Tal Golesworthy, an engineer who needed an operation to prevent his aorta splitting. With his engineering expertise, he reflected on what the standard medical approach was, and decided that he could design something better. It’s early days, but his operation went well, it has since been performed on around 20 people, and it could lead to a significant change in the way that heart operations are performed.

Two really significant things stick out of this example. The first is that the patient, despite his supposed lack of expertise in the medical field was confident enough to use his other expertise to challenge convention. The second is that those who were running with convention were open-minded enough to listen and take on board advice from an expert from a completely different field.

Recruitment annoyances

Recruitment is rather top of my mind at the moment, as I’m involved as a governor in the selection process for a head teacher. This has reminded me not only how banal many job advertisements are, but how narrow they are in their approach. For example:

If you want to play it safe, not risk upsetting the applecart, then the right thing to do is to recruit someone who has all of the generic positive attributes, and has as much experience in the field as possible. But, when you need a change, this simply will not do – you need someone with (1) significantly different experiences to draw on; and (2) the ability to make mental leaps and connections between the past and current/future environments.

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It is bound to be nerve-wracking, for many people, to go out on a limb and challenge convention, to challenge people in their area of expertise, or to challenge yourself to really think differently, but that is where the best, most creative, most inspirational, most transformational, and most incredible things come from.

Please leave your thoughts and comments here

There are 7 comments
gravatar Tal Golesworthy – Cheltenham, UK
June 07, 2011 - 08:35
Subject: External Aortic oot Support Project

As many of your readers will be aware, many issues are simplified and sensationalised by the press. My story is no different. It is true that my approach was an engineering approach to what is, in essence, a pipwork problem. It is also true that I got lucky and contacted some open-minded medics. But the work consistently required over a long period to 1_) solve the technical problems, and 2) generate sufficient credibility with the (conservative) medical world to proceed to surgery, is massive. Not only does one have to convince a surgeon, but also convince a Medical Ethics Committee. This R&D project is the longest and most costly in my life so far. A Chartered Engineer should be able to apply himself/herself to any reasonable engineering problem, and that is what I have done. Of course this princippaly includes learning new material, eg the structure, anatomy and biochemistry of teh ascending aorta, and being ACUTELY aware of one's limits: yes, it most certaionly is a wise man who knows the limits of his own knowledge.

Reply to Tal Golesworthy
gravatar Simon Roskrow – North Yorkshire
June 08, 2011 - 08:03
Subject: Re: External Aortic oot Support Project

Hi Tal

Many thanks for dropping by and making a post - it's great to hear back from someone whose story you've used to illustrate a point. I entirely agree with your point about press simplification, but I am still of the option that this is, in essence, about having the courage, conviction, and determination to take a belief that a problem can be solved by approaching it differently, and then work to bring that belief to life.

The risk of relying on established procedures and existing knowledge is that we never make significant leaps in our understanding.

Thanks again for you comment - much appreciated.

Kind regards, Simon.

Reply to Tal Golesworthy
gravatar Tal Golesworthy – Cheltenham, UK
June 08, 2011 - 10:18
Subject: Re: Re: External Aortic oot Support Project

Simon

I entirely agree with you about having the conviction to follow your own conviction and break the conventional mould but you have to have a conviction based on technical competence not just blind faith. How do you instill in people an ability to recognise their own limitations? I am lucky. I am an acutely rational person with a broad R&D engineering background who could see, based on real knowledge, that EARS was possible and practical. The big hurdle for me was convincing sceptical medics that I was competent and that the engineering tools existed to do the job.

I really want to find a co-writer (NOT ghost writer) to write up the EARS story with me as an example of the process of cross fertilisation between disciplines and how it can work.

Kind regards

Tal Golesworthy
C Eng MEI MRSC

Www.marfanaorticrootsupport.org

www.exstent.com

Reply to Tal Golesworthy
gravatar Simon Roskrow – North Yorkshire
June 08, 2011 - 10:19
Subject: Re: Re: Re: External Aortic oot Support Project

Hi Tal

I agree with you as well - I actually wrote a short series of articles on this very subject (a couple of them are here www.trainingreality.co.uk/blog/utter-conviction-in-leadership.shtml and here www.trainingreality.co.uk/blog/doubt-and-uncertainty.shtml). It's vital that determination and conviction are backed up by knowledge and skill, and by the humility to learn the things that you need to learn.

Kind regards, Simon.

Reply to Tal Golesworthy
gravatar Tal Golesworthy – Cheltenham, UK
June 08, 2011 - 10:20
Subject: Re: Re: Re: Re: External Aortic oot Support Project

Simon

It is good to hear you using the word humility. I have been to hell and back through the first 4 years of this project (until my aorta was stabilised) and have experienced just about every general emotion there is including acute humility when other patients started to be treated with EARS. I suppose I expected a triumphal reaction but not a humble reaction………..I am relieved about my own aorta but totally humbled by having contributed to the assistance of others. 2 of our female patients have now safely delivered children: something that would have been perilous had they had the conventional Bentall operation (with its attendant life-long anti-coagulation therapy). Words cannot express how emotionally bemusing this situation makes me feel……..

Kind regards

Tal Golesworthy

gravatar Gareth – Harrogate
January 14, 2010 - 10:58
Subject: Engineer chooses engineered solution, doesn't listen to medics proposing medical one

Does the case of Tal Golesworthy genuinely show him as a genius thinking 'outside the box' (I used the phrase, you didn't!) or is he just exerting the same characteristics of those that Seth Godin targets and getting lucky where 1,000's of others have failed? As an engineer, is he actually another example of a supremely self-confident professional who trusts his own judgement more than the judgement of 1,000's of others?

The Darwin Awards (amongst others) are testament that for every 'Tal Golesworthy'-esque success, there are millions of stories of people suffering abject failure by defying convention!

Is copying those who have been successful before you a more likely source of future success? Perhaps one to consider for a future blog, Simon?

Reply to Gareth
gravatar Simon Roskrow
January 14, 2010 - 11:15
Subject: Re: Engineer chooses engineered solution, doesn't listen to medics proposing medical one

I'm not sure I'd use (and didn't use) the word "genius", but I take your point about the implicit danger in assuming that you know better and that your expertise is more relevant than that of other people.

My reading of this case (which may or may not be correct, but is the one that gets to the useful result) is that it was a case of two sides (medics and engineers) with very different experience and knowledge coming together to create a genuinely better result. This wouldn't have happened without (a) the leap of a transfer of knowledge from one area to another, and (b) the willingness of experts to accept ideas and challenges from outside their field.

As for copying previous success strategies...you're right, one for a future blog!

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