A recent analysis of the Boeing 737 Max disasters concludes that while technical malfunctions contributed to the crashes, “an industry that puts unprepared pilots in the cockpit is just as guilty.” Journalist William Langewiesche uses the term “airmanship” to encompass an array of skills and experience necessary to the safe and effective guidance of an airplane. “It includes a visceral sense of navigation, an operational understanding of weather and weather information, the ability to form mental maps of traffic flows, fluency in the nuance of radio communications and, especially, a deep appreciation for the interplay between energy, inertia and wings. Airplanes are living things.”
The stroboscope is an ingenious device of rapidly flashing lights that allows engineers and scientists to freeze motion and capture brief slices of time. The resulting image is akin to examining a single frame of a motion picture that provides a sharp image, albeit one without context and with neither past nor future. This is now, sadly, an apt metaphor for contemporary clinical encounters.