EMCrit Podcast 212 – Thoughts on Deliberate Practice and Expertise - a podcast by Scott D. Weingart, MD FCCM

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

Update:



* A fantastic review of Deliberate Practice



Now on to the Podcast...

Further episodes of EMCrit Podcast

Further podcasts by Scott D. Weingart, MD FCCM

Website of Scott D. Weingart, MD FCCM