Book Review: Better by Atul Gawande

Book Review: Better by Atul Gawande

By: Savanna Perry, PA-C

TL;DR

Better by Atul Gawande looks at what it takes to improve performance in medicine, from diligence to doing right to ingenuity. It's a great read for pre-PA and PA students who want a realistic, motivating look at the work of caring for patients.

Last Updated: June 12, 2026
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What is Better about?

Better is a collection of essays by surgeon and writer Atul Gawande about how people in medicine can do their jobs well, and then do them better. He organizes the book around three ideas: diligence, doing right, and ingenuity. Each section uses real stories from healthcare to show how small, repeated choices add up to better outcomes for patients.

What makes the book stick with you is how honest it is. Gawande doesn't pretend medicine is tidy or that good providers never struggle. He writes about hand washing, about hard ethical calls, and about the messy work of getting a little bit better every day. For anyone heading into the PA profession, that mix of humility and drive is exactly the mindset worth building early.

In this post:

Why should pre-PA and PA students read it?

If you're applying to PA school or already in it, this book is a reminder that being a good provider is about more than test scores. It's about showing up, paying attention to details, and caring enough to keep improving. Those are the same qualities programs look for in applicants and that you'll lean on once you're practicing.

It also reads quickly, which matters when you barely have time to breathe. You can pick it up between study sessions and finish a chapter without losing your place. And because the stories come from real clinical settings, it gives you a feel for the kind of decisions and pressures you'll face down the road.

In Our Experience

In our experience coaching applicants, the students who read books like Better tend to interview better because they can talk about medicine as a craft, not just a goal. I always recommend picking up something by Gawande early in the pre-PA phase. It gives you real language for why you want this work.

Where can I find another perspective on Better?

There's a great companion read written from the perspective of an emergency medicine resident who reviewed this same book. It's worth seeking out because it shows how the lessons in Better land differently depending on where you are in your training and what specialty you're drawn to.

Reading more than one take on a book like this can help you pull out the parts that matter most for your own path. A pre-PA student, a PA student, and a resident will each notice something different, and that's part of what makes Gawande's writing so useful across the whole journey into medicine.


Every Pre-PA Should Know...

Atul Gawande's three pillars of performance in medicine are diligence, doing right, and ingenuity. Keep those in mind whether you're studying or seeing patients.


Free Resume Download → https://www.thepaplatform.com/services/free-resume-download/

Need to Know:

  • Better is a short essay collection by surgeon Atul Gawande

  • It's organized around diligence, doing right, and ingenuity

  • Great for pre-PA, PA-S, and practicing PAs alike

  • Reads quickly, so it fits between study sessions

  • A companion review from an emergency medicine resident offers another angle

  • Helpful for building the mindset of always improving in patient care


FAQ

Who wrote Better?

Atul Gawande, a surgeon and well-known writer on medicine and public health.

What is the book about?

How people in medicine can perform their jobs well and keep getting better, organized around diligence, doing right, and ingenuity.

Is Better good for pre-PA students?

Yes. It builds the mindset programs look for and gives you real language for why you want to work in medicine.

Is it a long read?

No, it's a collection of essays that reads quickly, so it fits around a busy study schedule.

Do I need a medical background to follow it?

Not at all. Gawande writes for a general audience while still being meaningful for future providers.

Where can I find another review of Better?

There's a helpful review written from the perspective of an emergency medicine resident that offers a different angle on the same book.

CLOSING

Better is one of those reads that sticks with you long after the last page. If you're working toward PA school and want a book that makes the work feel real and worthwhile, add this one to your list. And if you ever want help connecting reads like this to your own story for interviews, we're here for that.

New Graduate Coaching → https://www.thepaplatform.com/new-graduate-coaching/

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  • Book Review: Being Mortal

  • Book Review: Complications

  • Recommended Reading for Pre-PA Students

  • What To Expect from PA School

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