"The common approach in a field like medicine is what I call the pedagogical approach. You are going to go to school forever. You're going to get your 10,000 hours of practice in internship and residency, in some apprenticeship or training, in one way or the other. And then you're going to be set loose on the world. And part of being a professional is the expectation that you will improve yourself,"
"I'm a tennis fan. Roger Federer was my hero. And Roger Federer - number one player in the world - had a coach. And sports is the classic example - but hardly the only one - where the very top people in the profession, at every step of the way, not only did they have someone they hired and paid for to give them advice, but they would observe them, pull apart where they've fallen short, and help them get to improvement on the assumption"
Medicine commonly follows a pedagogical model of prolonged formal education and apprenticeship, followed by an expectation that professionals will continue to improve themselves independently. That model emphasizes accumulation of practice hours, adaptation as technology and skills evolve, and individual responsibility for ongoing improvement. Elite sports and similar fields instead employ professional coaches who observe, analyze, and correct top performers continuously, assuming individuals cannot fully self-improve. Continuous outcome tracking can reveal steady early-career gains but often flattens around a mid-career point (roughly 10–12 years), prompting consideration of external coaching to diagnose and remediate performance shortcomings.
Read at Big Think
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