After Podcast 211 with Anders Ericsson, I promised my thoughts on deliberate practice and expertise…

But first, something sad:

Bob Wears has died

Read a wonderful obituary

Reality behind 10,000

let's think about that… Innate non-physical talent doesn't really matter that much. Can't alter your height, but can alter your brain

Driving a car for 10000 hours doesn't make you an expert driver. We do exactly zero hours of deliberate practice. We have no coach.

Procedures

My fellows filming themselves

Microskill breakdown

Why Purposeful much less deliberate practice is tough in Emergency Medicine

Experts vs. Experts @ Teaching

EM & Crit Care Lacks Feedback

Mental Representations/Mental Models

OODA Loops

experts have very good memory of what has happened

verbalize thinking

sob low sat tachypenic

pt looks bad, start thinking airway

SCAPE, mental status good, pt will respond to BIPAP

CHF

Surgical Scripts Book Abernathy & Hamm

Mental Models Article from Michael Simmons

Shadowboxing

watch stimuli

commit to a course

listen to the expert

Thought Experiment on Computer Based Ratings

Are Experts Actually Experts?

Name Badge Believers

How to Create Purposeful/Deliberate

right time of day

plenty of sleep

deliberate practice is deep work

patience 15-20 minutes, not 4-5 hours at least at first

need a coach or if you can't find an expert performer and ask them how they got good

good teacher builds representations

Mental practice

cric training

given videos

smacc airway workshop

no place your hands here

The Diamond Age

a book by Neil Stephenson

We need a primer

Now on to the Podcast…