Atul Gawande writes eloquently about the need to scale ideas in medicine through increased face-to-face peer interaction. To achieve scale with some ideas, building trust must go beyond social media and clicking the “like” button. Some of the the biggest ideas would not have succeeded without “boots on the ground” talking to each other.

“In the era of iPhone, Facebook, and Twitter, we’ve become enamored of ideas that spread as effortlessly as ether. We want frictionless, “turnkey” solutions… We prefer instructional videos to teachers, drones to troops, incentives to institutions. People and institutions can feel messy and anachronistic. They introduce uncontrolled variability… But people talking to people is still the way that norms and standards change. “

Atul Gawande, “Slow Ideas”
New Yorker