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EMCrit Podcast 212 – Thoughts on Deliberate Practice and Expertise


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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
[easyazon_image align="none" height="160" identifier="0553380966" locale="US" src="http://emcrit.org/wp-content/uploads/2017/11/51lC2BbJe3lL.SL160.jpg" tag="emcrit-20" width="100"]

a [easyazon_link identifier="0553380966" locale="US" tag="emcrit-20"]book by Neil Stephenson[/easyazon_link]

We need a primer
Update:

* A fantastic review of Deliberate Practice

Now on to the Podcast...
...more
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EMCrit FOAM FeedBy Scott D. Weingart, MD FCCM

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