“The Lone Commando Who Answers to No One and Breaks Rules to Save Patients Is No Longer a Viable Job Description”

(p. D5) A keen sense of loss permeates “Code Black,” an affecting love letter from a young doctor to his hospital. Over the years, plenty of similar romances have been immortalized in book form, but this may be the first to play out as a documentary, and is surely the first to emerge from our newly reformed health care climate. You’d think you’d be in for some celebration.
But not in the least. In fact, among all its familiar themes, the film’s most striking is the profound sense of estrangement between the young doctors on the screen and all the recent efforts at improving the health care system. The spirit that brought them to medicine and keeps them there, they say over and over, was never even part of the national discussion.
. . .
. . . , as their department chairman points out, the day of the cowboy doctor is over; the lone commando who answers to no one and breaks rules to save patients is no longer a viable job description. Newly smothered in paperwork and quality control, many of these young doctors grieve for a self-image that has ridden off into the sunset.

For the full review, see:
ABIGAIL ZUGER, M.D.. “Saving Lives and Pushing Paper.” The New York Times (Tues., July 1, 2014): D5.
(Note: ellipses added.)
(Note: the online version of the review has the date JUNE 30, 2014.)

Did Intel Succeed in Spite of, or Because of, Tension Between Noyce and Grove?

(p. C5) . . . , much more so than in earlier books on Intel and its principals, the embedded thread of “The Intel Trinity” is the dirty little secret few people outside of Intel knew: Andy Grove really didn’t like Bob Noyce.
. . .
(p. C6) . . . there’s the argument that one thing a startup needs is an inspiring, swashbuckling boss who lights up a room when he enters it and has the confidence to make anything he’s selling seem much bigger and more important than it actually is. And Mr. Malone makes a compelling case that Noyce was the right man for the job in this phase of the company. “Bob Noyce’s greatest gift, even more than his talent as a technical visionary,” Mr. Malone writes, “was his ability to inspire people to believe in his dreams, in their own abilities, and to follow him on the greatest adventure of their professional lives.”
. . .
Noyce hid from Mr. Grove, who was in charge of operations, the fact that Intel had a secret skunk works developing a microprocessor, a single general-purpose chip that would perform multiple functions–logic, calculation, memory and power control. Noyce had the man who was running it report directly to him rather than to Mr. Grove, even though Mr. Grove was his boss on the organizational chart. When Mr. Grove learned what was going on, he became furious, but like the good soldier he was, he snapped to attention and helped recruit a young engineer from Fairchild to be in charge of the project, which ultimately redefined the company.
. . .
Remarkably, none of this discord seemed to have much effect on the company’s day-to-day operations. Mr. Malone even suggests that the dysfunction empowered Intel’s take-no-prisoners warrior culture.
. . .
So while the humble, self-effacing Mr. Moore, who had his own time in the CEO’s chair from 1975 to 1987, played out his role as Intel’s big thinker, the brilliant visionary “who could see into the technological future better than anyone alive,” Mr. Grove was the kick-ass enforcer. No excuses. For anything.

For the full review, see:
STEWART PINKERTON. “Made in America; A Born Leader, a Frustrated Martinet Built One of Silicon Valley’s Giants.” The Wall Street Journal (Sat., July 19, 2014): C5-C6.
(Note: ellipses added.)
(Note: the online version of the review has the date July 18, 2014, and has the title “Book Review: ‘The Intel Trinity’ by Michael S. Malone; A born leader, an ethereal genius and a tough taskmaster built the most important company on the planet.”)

The book under review is:
Malone, Michael S. The Intel Trinity: How Robert Noyce, Gordon Moore, and Andy Grove Built the World’s Most Important Company. New York: HarperCollins Publishers, 2014.

Early Cars Were Playthings of the Idle Rich

The-Life-of-the-AutomobileBK2014-06-05.jpg

Source of book image: http://www.2luxury2.com/wp-content/uploads/2014/02/Steven-Parissien-The-Life-of-the-Automobile-678×1024.jpg

(p. C14) Mr. Parissien writes that Frenchman Nicolas Cugnot may well have built the first mechanical vehicle in 1769, a two-ton, steam-driven colossus that reportedly went out of control and crashed into a wall. It wasn’t until 1885 that Karl Benz, the acknowledged father of the automobile, debuted the first gasoline-powered motorcar, in Mannheim, Germany. It carried passengers just slightly quicker than they could walk.

With the arrival of that breakthrough, however, the race was on for who could come up with a sturdier, faster, more reliable motor car. Many of the innovators’ names are still familiar: Renault, Bentley and Daimler among them. Even piano makers Steinway & Sons tried their hand at building cars. Other companies appeared for a time and then vanished–Durant, Lanchester, Panhard and De Dion-Bouton–victims of bad guesses or bad timing. Much of Mr. Parissien’s story is devoted to the personalities, and eccentricities, of the men who created what for many years amounted to a plaything of the idle rich. Italian luxury builder Ettore Bugatti refused to sell one of his cars to King Zog of Albania because “the man’s table manners are beyond belief.”
It is the despotic Henry Ford who looms large in automotive history, not only for the introduction of his Model T but for his revolutionary system of shoveling raw materials in one end of his half-mile long Rouge River, Mich., factory complex and sending “Tin Lizzies” out the other end.

For the full review, see:
Patrick Cooke. “Book Review: ‘The Life of the Automobile’ by Steven Parissien; The history of cars, from playthings of the idle rich to emblems of the working man.” The Wall Street Journal (Sat., May 24, 2014): C14.
(Note: the online version of the review has the date May 23, 2014, an has the title “Book Review: ‘The Life of the Automobile’ by Steven Parissien; The history of cars, from playthings of the idle rich to emblems of the working man.”)

The book under review is:
Parissien, Steven. The Life of the Automobile: The Complete History of the Motor Car. New York: Thomas Dunne Books, 2014.

Entrepreneur Gutenberg’s Press Creatively Destroyed the Jobs of Scribes

(p. 32) Poggio possessed . . . [a] gift that set him apart from virtually all the other book-hunting humanists. He was a superbly well-trained scribe, with exceptionally fine handwriting, great powers of concentration, and a high degree of accuracy. It is difficult for us, at this distance, to take in the significance of such qualities: our technologies for producing transcriptions, facsimiles, and copies have almost entirely erased what was once an important personal achievement. That importance began to decline, though not at all precipitously, even in Poggio’s own lifetime, for by the 1430s a German entrepreneur, Johann Gutenberg, began experimenting with a new invention, movable type, which would revolutionize the reproduction and transmission of texts. By the century’s end printers, especially the great Aldus in Venice, would print Latin texts in a typeface whose clarity and elegance remain unrivalled after five centuries. That typeface was based on the beautiful handwriting of Poggio and his humanist friends. What Poggio did by hand to produce a single copy would soon be done mechanically to produce hundreds.

Source:
Greenblatt, Stephen. The Swerve: How the World Became Modern. New York: W. W. Norton & Company, 2011.
(Note: ellipsis, and bracketed word, added.)

How Sega Came Out of Nowhere to Leapfrog Near-Monopolist Nintendo

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Source of book image: http://images.eurogamer.net/2014/usgamer/original.jpg/EG11/resize/958x-1/format/jpg

(p. C10) “Console Wars” tells how Sega, an unremarkable Japanese manufacturer of games played in arcades, came out of nowhere to challenge Nintendo for dominance of the videogame world in the first half of the 1990s. Nintendo, which had revived the stagnant home videogame category a few years earlier, had something close to a monopoly in 1990 and behaved accordingly, dictating terms to game developers and treating retailers as peons. Sega, in Mr. Harris’s telling, was a disruptive force in a highly concentrated market, introducing more advanced gaming technology, toppling Nintendo from its perch and becoming the largest seller of home videogame hardware in the U.S. by late 1993.

Mr. Harris’s hero is a former Mattel executive named Tom Kalinske, who became president of Sega of America, then a small subsidiary, in 1990. Mr. Kalinske assembled a team of crack marketers who would not have gone near Sega but for his reputation and persuasiveness. Within a year and a half, according to Mr. Harris, Mr. Kalinske’s leadership, along with a new gaming system called Genesis and a marketing assist from a mascot named Sonic the Hedgehog, made Sega the U.S. market leader in videogames.
And then, after only three years at the top, Sega fell from its pedestal. Sega’s management in Japan, suffering mightily from not-invented-here syndrome, rejected Mr. Kalinske’s proposals to collaborate with Sony and Silicon Graphics on new gaming systems. Instead, over his objections, Sega pushed out its ill-conceived Saturn game console in 1995. While Saturn flopped, Sony struck gold with its PlayStation; Silicon Graphics sold its chip with amazing graphics capabilities to Nintendo; and the game, so to speak, was over.
. . .
The author admits he has taken liberties: “I have re-created the scenes in this book using the information uncovered from my interviews, facts gathered from supporting documents, and my best judgment as to what version most closely fits the historical record,” he writes. The result is more a 558-page screenplay than a credible work of nonfiction.

For the full review, see:
MARC LEVINSON. “Sonic Boom; How a no-name company took on Nintendo, tied its fate to a hyperactive hedgehog, and–briefly–won.” The Wall Street Journal (Sat., May 24, 2014): C10.
(Note: ellipsis added.)
(Note: the online version of the review has the date May 23, 2014, an has the title “Book Review: ‘Console Wars’ by Blake J. Harris; How a no-name company took on Nintendo, tied its fate to a hyperactive hedgehog, and–briefly–won.”)

The book under review is:
J., Harris Blake. Console Wars: Sega, Nintendo, and the Battle That Defined a Generation. New York: HarperCollins Publishers, 2014.

“Long, Lonely Odyssey “from Heresy to Orthodoxy””

MadnessAndMemoryBK2014-06-05.jpg

Source of book image: online version of the NYT review quoted and cited below.

(p. D5) As the Nobel committee put it in the 1997 citation for Dr. Prusiner’s prize in physiology or medicine, he had established “a novel principle of infection” — one so controversial that a few experts in the field still continue to search for that elusive virus. But as far as Dr. Prusiner is concerned, the Nobel confirmed that his long, lonely odyssey “from heresy to orthodoxy” was over.

The journey he details was full of hurdles. Some were of the kind likely to befall any researcher: insufficient laboratory space, poor correlation between needs and resources. (At one point, Dr. Prusiner calculated that for a single year’s worth of experiments he would have to house and feed 72,000 mice, an impossible multimillion-dollar proposition.) He submitted a grant application that was not just rejected for funding but actually “disapproved,” often the kiss of death for a train of scientific thought.
Some of his problems were a little darker but still universal — graduate students captured by competing labs, data appropriated and misrepresented by erstwhile colleagues, bitter authorship battles.
Some of Dr. Prusiner’s shoals, however, seem more particular to his personal operating style. As a teenager he was blessed with what he describes as indefatigable self-confidence, and this trait apparently endures, to the considerable irritation of others.

For the full review, see:
ABIGAIL ZUGER, M.D. “Books; A Victory Lap for a Heretical Neurologist.” The New York Times (Sat., May 20, 2014): D5.
(Note: the online version of the review has the date May 19, 2014.)

The book under review is:
Prusiner, Stanley B. Madness and Memory: The Discovery of Prions–a New Biological Principle of Disease. New Haven, CT: Yale University Press, 2014.

Open Source Guru Admits to “Mismatched Incentives” and “Serious Trouble Down the Road”

RaymondEricOpenSourceElder2014-06-02.jpg “Eric S. Raymond said that the code-checking system had failed in the case of Heartbleed.” Source of caption and photo: online version of the NYT article quoted and cited below.

(p. B1) SAN FRANCISCO — The Heartbleed bug that made news last week drew attention to one of the least understood elements of the Internet: Much of the invisible backbone of websites from Google to Amazon to the Federal Bureau of Investigation was built by volunteer programmers in what is known as the open-source community.

Heartbleed originated in this community, in which these volunteers, connected over the Internet, work together to build free software, to maintain and improve it and to look for bugs. Ideally, they check one another’s work in a peer review system similar to that found in science, or at least on the nonprofit Wikipedia, where motivated volunteers regularly add new information and fix others’ mistakes.
This process, advocates say, ensures trustworthy computer code.
But since the Heartbleed flaw got through, causing fears — as yet unproved — of widespread damage, members of that world are questioning whether the system is working the way it should.
“This bug was introduced two years ago, and yet nobody took the time to notice it,” said Steven M. Bellovin, a computer science professor at Columbia University. “Everybody’s job is not anybody’s job.”
. . .
(p. B2) Unlike proprietary software, which is built and maintained by only a few employees, open-source code like OpenSSL can be vetted by programmers the world over, advocates say.
“Given enough eyeballs, all bugs are shallow” is how Eric S. Raymond, one of the elders of the open-source movement, put it in his 1997 book, “The Cathedral & the Bazaar,” a kind of manifesto for open-source philosophy.
In the case of Heartbleed, though, “there weren’t any eyeballs,” Mr. Raymond said in an interview this week.
. . .
The problem, Mr. Raymond and other open-source advocates say, boils down to mismatched incentives. Mr. Raymond said firms don’t maintain OpenSSL code because they don’t profit directly from it, even though it is integrated into their products, and governments don’t feel political pain when the code has problems.
With OpenSSL, by contrast, “for those that do work on this, there’s no financial support, no salaries, no health insurance,” Mr. Raymond said. “They either have to live like monks or work nights and weekends. That is a recipe for serious trouble down the road.”

For the full story, see:
Perlroth, Nicole. “A Contradiction at the Heart of the Web.” The New York Times (Sat., April 19, 2014): B1 & B2.
(Note: ellipses added.)
(Note: the online version of the story was updated APRIL 18, 2014, and has the title “Heartbleed Highlights a Contradiction in the Web.”)

Raymond’s open source manifesto is:
Raymond, Eric S. The Cathedral & the Bazaar: Musings on Linux and Open Source by an Accidental Revolutionary. Sebastopol, CA: O’Reilly Media, Inc., 1999.

“The World’s Greatest Inventor, World’s Greatest Damn Fool”

(p. 290) One of his employees recalled walking past him one day as the inventor stepped briskly between buildings at the lab. He cheerfully greeted his employer: “Morning, Mr. Edison.” Edison gave him a glance, raised his finger to show a major pronouncement would follow, and said, “The world’s greatest inventor, world’s greatest damn fool,” then hurried on.

Source:
Stross, Randall E. The Wizard of Menlo Park: How Thomas Alva Edison Invented the Modern World. New York: Crown Publishers, 2007.

Harvard Rejects Christensen’s Advice to Try Disruptive MOOCs

PorterMichaelHBS2014-06-01.jpg “Harvard Business School faced a choice between different models of online instruction. Prof. Michael Porter favored the development of online courses that would reflect the school’s existing strategy.” Source of caption and photo: online version of the NYT article quoted and cited below.

(p. 1) Universities across the country are wrestling with the same question — call it the educator’s quandary — of whether to plunge into the rapidly growing realm of online teaching, at the risk of devaluing the on-campus education for which students pay tens of thousands of dollars, or to stand pat at the risk of being left behind.

At Harvard Business School, the pros and cons of the argument were personified by two of its most famous faculty members. For Michael Porter, widely considered the father of modern business strategy, the answer is yes — create online courses, but not in a way that undermines the school’s existing strategy. “A company must stay the course,” Professor Porter has written, “even in times of upheaval, while constantly improving and extending its distinctive positioning.”
For Clayton Christensen, whose 1997 book, “The Innovator’s Dilemma,” propelled him to academic stardom, the only way that market leaders like Harvard (p. 4) Business School survive “disruptive innovation” is by disrupting their existing businesses themselves. This is arguably what rival business schools like Stanford and the Wharton School have been doing by having professors stand in front of cameras and teach MOOCs, or massive open online courses, free of charge to anyone, anywhere in the world. For a modest investment by the school — about $20,000 to $30,000 a course — a professor can reach a million students, says Karl Ulrich, vice dean for innovation at Wharton, part of the University of Pennsylvania.
“Do it cheap and simple,” Professor Christensen says. “Get it out there.”
But Harvard Business School’s online education program is not cheap, simple, or open. It could be said that the school opted for the Porter theory.
. . .
“Harvard is going to make a lot of money,” Mr. Ulrich predicted. “They will sell a lot of seats at those courses. But those seats are very carefully designed to be off to the side. It’s designed to be not at all threatening to what they’re doing at the core of the business school.”
Exactly, warned Professor Christensen, who said he was not consulted about the project. “What they’re doing is, in my language, a sustaining innovation,” akin to Kodak introducing better film, circa 2005. “It’s not truly disruptive.”
. . .
One morning, [Harvard Business School Dean Nitin Nohria] sat down for one of his regular breakfasts with students. “Three of them had just been in Clay’s course,” which had included a case study on the future of Harvard Business School, Mr. Nohria said. “So I asked them, ‘What was the debate like, and how would you think about this?’ They, too, split very deeply.”
Some took Professor Christensen’s view that the school was a potential Blockbuster Video: a high-cost incumbent — students put the total cost of the two-year M.B.A. at around $100,0000 — that would be upended by cheaper technology if it didn’t act quickly to make its own model obsolete. At least one suggested putting the entire first-year curriculum online.
Others weren’t so sure. ” ‘This disruption is going to happen,’ ” is how Mr. Nohria described their thinking, ” ‘but it’s going to happen to a very different segment of business education, not to us.’ ” The power of Harvard’s brand, networking opportunities and classroom experience would protect it from the fate of second- and third-tier schools, a view that even Professor Christensen endorses — up to a point.
“We’re at the very high end of the market, and disruption always hits the high end last,” said Professor Christensen, who recently predicted that half of the United States’ universities could face bankruptcy within 15 years.

For the full story, see:
JERRY USEEM. “B-School, Disrupted.” The New York Times, SundayBusiness Section (Sun., June 1, 2014): 1 & 4.
(Note: ellipses, and bracketed name, added.)
(Note: the online version of the story has the date MAY 31, 2014, and has the title “Business School, Disrupted.”)

Some of Christensen’s thoughts on higher education can be found in:
Christensen, Clayton M., and Henry J. Eyring. The Innovative University: Changing the DNA of Higher Education from the inside Out. San Francisco, CA: Jossey-Bass, 2011.

ChristensenClaytonHBS2014-06-01.jpg

“On the topic of online instruction, Prof. Clayton Christensen said: ‘Do it cheap and simple. Get it out there.”” Source of caption and photo: online version of the NYT article quoted and cited above.

They Begged for a Chance to Help Edison Create the Future

(p. 289) He, and anyone working for him, were perceived as standing at the very outer edge of the present, where it abuts the future. When a young John Lawson sought a position at Edison’s lab and wrote in 1879 that he was “willing to do anything, dirty work–become anything, almost a slave, only give me a chance,” he spoke with a fervency familiar to applicants knocking today on the door of the hot tech company du jour. In the age of the computer, different companies at different times–for example, Apple in the early 1980s, Microsoft in the early 1990s, Google in the first decade of the twenty-first century–inherited the temporary aura that once hovered over Edison’s Menlo Park laboratory, attracting young talents who applied in impossibly large numbers, all seeking a role in the creation of the zeitgeist (and, like John Ott, at the same time open to a chance to become wealthy). The lucky ones got inside (Lawson got a position and worked on electric light).

Source:
Stross, Randall E. The Wizard of Menlo Park: How Thomas Alva Edison Invented the Modern World. New York: Crown Publishers, 2007.

French Protest Amazon, but Buy There for Low Prices

(p. B1) LONDON — On weekends, Guillaume Rosquin browses the shelves of local bookstores in Lyon, France. He enjoys peppering the staff with questions about what he should be reading next. But his visits, he says, are also a protest against the growing power of Amazon. He is bothered by the way the American online retailer treats its warehouse employees.
Still, as with millions of other Europeans, there is a limit to how much he will protest.
“It depends on the price,” said Mr. Rosquin, 49, who acknowledged that he was planning to buy a $400 BlackBerry smartphone on Amazon because the handset was not yet available on rival French websites. “If you can get something for half-price at Amazon, you may put your issues with their working conditions aside.”

For the full story, see:
MARK SCOTT. “Principles Are No Match for Europe’s Love of U.S. Web Titans.” The New York Times (Mon., JULY 7, 2014): B1 & B3.
(Note: the online version of the story has the date JULY 6, 2014.)