The Collaboration Paradox: None of us is as dumb as all of us
The Collaboration Paradox
“None of us is as dumb as all of us”
January 7, 2009
If you aren’t prepared to change,
be prepared to be irrelevant.
How do you harness the collective
intelligence of great minds in the
• Different cultures and silos?
• Strong egos?
• Messenger killers?
• Hidden agendas
• Group think?
• Off topic time wasters?
• Diverse levels of understanding?
• A range of bias?
Meetings can take many forms
Boston Scientific’s fast advancing disruptive
technology presented a problem
Advances in technology in
the next 5 years will exceed
those in the previous 50.
The Dilemmas of Medical
New Device Technologies
1. How are new technologies and the procedures
they spawn to be assessed?
2. How can physicians best be trained to employ
new technologies and how to they stay current?
3. How can we keep up with accelerating
4. Who’s going to pay for it … the technology
and the assessment?
Live Demonstration course, Gruntzig, 1978, Zurich
Real time sports style video, expert panel, audience guides procedures
Not many people could see or hear
• Special television cameras & microphones
• Multiple views
- operating site
- physiological data
- inside of the patient
Doctor had a limited & biased point of view
• Panel of contrarian experts
• Simultaneous studies of the latest
research and trial data
Students aren’t familiar with the technology
• Experts explain the new technology
• Graphics & interactive demonstrations
Hard to tell if students really understand
• Audience response system
- Like “Who wants to be a millionaire?”
- Anonymous responses
- Works in parallel
- Teachers adjust
- Students learn relative to peers
- Dig deeper
Now a multimedia, multitasking, totally interactive
extravaganza…in many fields, around the world
Individual Physician success is
Measured by the “masses”
Measured by the establishment
These educational programs are
Not controlled by the
(Universities, Professional Societies, Government)
“War is too important to be
left to the Generals”
Harnessing collective intelligence through
networks is exploding NY Times, Oct 31,
The Kingbridge Mission
“Organizations are most productive when
there is great communication. Great
communication can occur when people are
stimulated, provoked and challenged in an
atmosphere of trust, respect and
“The despotism of custom
is everywhere the hindrance
to human achievement.”
John Stuart Mill
• Personalized, “Welcome to my home”
• Stimulating and provocative art and inventions
• Environment customized to client
• “Conferencing is my passion”
• Learning laboratory with experiments
• Surprise. Humor. Challenge.
• Goal based organization
• Parallel conversations
M • Audience response systems
• Adaptive learning
• Profiling attendees
N • Court jester
• Squirt guns
U • Experiential learning
• Super interactivity
• Audio visual studio
• Hybrid physical/virtual meetings
• Experimentation with clients
• World class techniques
• Learning laboratory
• Information clearing house
• Asking better questions
• Power of great moderating