Doctor are known to be terrible pilots. They don't listen because they already know it all. I was lucky: became a pilot in 1970, almost ten years before I graduated from medical school. I didn't realize then, but becoming a pilot makes me a better surgeon. I loved flying. As I flew bigger, faster planes, and in worse weather. I learned about crew resource management, or CRM, a new idea to make flying safer. It means that crew members should listen and speak up for a good result, regardless of positions.
众所周知，这位医生是个糟糕的飞行员。他们不听，因为他们已经知道了一切。我很幸运：1970年成为一名飞行员，差不多10年以后我从医学院毕业。当时我没有意识到，成为一名飞行员让我成为一名更好的外科医生。我喜欢飞行。当我飞行更大更快的飞机，天气恶劣时，我学习了机组资源管理（crew resource management，CRM）——一种让飞行更安全的新观念。这意味着，无论职位如何，所有机组成员都应该倾听并大声发言，以追求好的结果。

I first read about CRM in 1980. Not long after that, an attending doctor and I were flying in bad weather. The controller had us turn too late to get our landing ready. The attending doctor was flying; I was safety pilot He was so busy because of the bad turn, he had forgotten to put the landing gear down. He was a better pilot - and my boss - so it felt unusual to speak up. But I had to: Our lives were in danger. I put aside my uneasiness and said, "We need to put the landing gear down now!" That was my first real lesson in the power of CRM, and I've used it in the operating room ever since.
我在1980年首次了解到CRM。不久之后，一名主治医生和我飞行在恶劣的天气下。控制塔让我们转向的时机太迟了，无法准备着陆。主治医生正在飞行；我是安全飞行员，因为转向不好，他有些慌乱，忘了放下起落架。他是一名更好的飞行员，也是我的老板，所以说出来感觉很不寻常。但我不得不这么做：我们的生命处于危险中。我放下不安，说：“我们现在需要放下起落架！”这是我第一次真正体会到CRM的力量，从那时起，我就在手术室使用它。

CRM requires that the pilot/surgeon encourage others to speak up. It further requires that when opinions are from the opposite, the doctor doesn't overreact, which might prevent fellow doctors from voicing opinions again. So when I'm in the operating room, I ask for ideas and help from others. Sometimes they're not willing to speak up. But I hope that if I continue to encourage them , someday someone will keep me from ”landing gear up”.
CRM要求飞行员/外科医生鼓励其他人发言。它进一步要求，当意见来自相反的方面时，医生不要反应过度，这可能会阻止其他医生继续发表意见。所以，当我在手术室时，我会向别人征求意见和帮助。有时候他们不愿意说，但我希望，如果我继续鼓励他们，总有一天会有人阻止我“升起起落架”。