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performance.",[215],{"type":216,"data":217},"free_text",{"readDurationInSeconds":218,"text":219},101.6,"\u003Cp>This writing was inspired by a recent post by Chris Nickson on Kevinmd.com, which was entitled \u003Ca href=\"http:\u002F\u002Fwww.kevinmd.com\u002Fblog\u002F2010\u002F10\u002Fart-medicine-observation.html\">“The Art of Medicine is in Observation”\u003C\u002Fa>. In his post, Chris cites one of the most famous teachers and practitioners of medicine:\u003C\u002Fp>\u003Cblockquote>\u003Cp>\u003Cem>\u003Cspan>\u003Cstrong>“Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice alone can you become expert.” - \u003C\u002Fstrong>\u003C\u002Fspan>\u003C\u002Fem>\u003Cspan>\u003Cstrong>William Osler\u003C\u002Fstrong>\u003C\u002Fspan>\u003C\u002Fp>\u003C\u002Fblockquote>\u003Cp>But what type of practice is Osler talking about? Countless studies have shown that the mere number of years of experience is a weak predictor of expert performance. This has been nicely elaborated in Geoff Colvin’s book \u003Ca href=\"http:\u002F\u002Fwww.amazon.com\u002Fgp\u002Fproduct\u002F1591842948\u002Fref=as_li_tl?ie=UTF8&camp=211189&creative=373489&creativeASIN=1591842948&link_code=as3&tag=medmastery-20&linkId=DN5RVHJCMNABEDWU\">“Talent is Overrated”\u003C\u002Fa>. True expertise—according to Colvin—always derives from “deliberate practice”. What exactly is deliberate practice? There are several key elements that characterize it:\u003C\u002Fp>\u003Col>\u003Cli>It is activity specifically designed to improve performance, often with a teacher’s help.\u003C\u002Fli>\u003Cli>It can be repeated a lot.\u003C\u002Fli>\u003Cli>Feedback on results is continuously available.\u003C\u002Fli>\u003Cli>It’s highly demanding mentally, whether the activity is purely intellectual such as chess or business-related activities or heavily physical, such as sports.\u003C\u002Fli>\u003Cli>It isn’t much fun.\u003C\u002Fli>\u003Cli>Pre-performance preparation is essential.\u003C\u002Fli>\u003Cli>It requires self-observation and self-reflection during the activity.\u003C\u002Fli>\u003Cli>It involves careful reflection on performance after the practice session is over.\u003C\u002Fli>\u003C\u002Fol>\u003Cp>\u003Ca href=\"http:\u002F\u002Fen.wikipedia.org\u002Fwiki\u002FK._Anders_Ericsson\">K. Anders Ericsson\u003C\u002Fa>, the godfather of expertise research found that ten years of deliberate practice are necessary in order to acquire true expertise. Countless examples of famous and successful individuals are specified in Colvin’s book from Mozart to Tiger Woods to Jack Welch. They all needed at least ten years to get to the level of performance that would make them icons in their respective fields. They all followed the deliberate practice approach. There are some very important takeaways for medical doctors from Colvin’s and Ericsson’s writings.\u003C\u002Fp>\u003Cul>\u003Cli>Don’t assume that you will automatically become an expert over time.\u003C\u002Fli>\u003Cli>Design your practice activities. (e.g., Think about the therapeutic approach you would choose before calling the specialty consultant and then compare their choice with yours. Subsequently, think about which approach is better and why. Read published cases to improve your diagnostic skills. Find your weak spots, think about how you could improve them, and then practice accordingly, etc.)\u003C\u002Fli>\u003Cli>Get feedback from a mentor or colleague who is more advanced. Write down your patients’ names and diagnoses and follow up with them in order to re-evaluate your diagnostic accuracy and treatment strategies in retrospect.\u003C\u002Fli>\u003Cli>Fit in deliberate practice activities into your daily routines, but be aware that 4 hours per day is the maximum amount a person can engage in.\u003C\u002Fli>\u003C\u002Ful>\u003Cp>We are sure that you will be able to think of many more implications and would be happy to read about those in the comments section. Most of us spend a lot of time with our patients, so we might as well redesign our practice of medicine in order to make it a true and valuable learning experience.\u003C\u002Fp>",null,{"id":222,"name":223,"image":224,"profession":225,"relativeUrl":228,"specializations":229},1563,"Franz Wiesbauer, MD MPH","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cef0-41ee-4005-9e4a-d8711c816401",{"name":226,"description":227},"Internist","Franz is the founder and CEO of Medmastery. He is an internist with a specialization in cardiology and a master’s in public health from Johns Hopkins University.","\u002Fteachers\u002Ffranz-wiesbauer-md-mph",[230,231,232,233,234],"Nephrology","Professional development","Cardiology","Ultrasound","Emergency medicine and critical care",109,"2m",[238,260,279],{"id":239,"title":240,"text":241,"image":242,"author":250,"path":253,"readDuration":254,"readDurationFormatted":255,"internal":256},1351,"Starting statins as first-line therapy for hyperlipidemia","Starting statins: how to choose the right agent for your patient, match statin intensity to cardiovascular risk, and monitor effectively after initiation.",{"alt":243,"title":244,"size":245,"location":247},"Healthcare provider discussing starting statins with a patient and reviewing a medication bottle","",{"width":246,"height":246},660,{"bucket":248,"key":249},"public-drupal-medmastery-assets-production","\u002F2026-05\u002FC121(2)_magazine image.png",{"id":222,"title":223,"relativeURL":228,"image":224,"professionLong":227,"profession":251,"weight":252},{"name":226},4,"\u002Fmagazine\u002Fstarting-statins-first-line-therapy",238,"4m",{"created":257,"updated":258,"published":259},1778960150,1779196374,1778961827,{"id":261,"title":262,"text":263,"image":264,"author":270,"path":272,"readDuration":273,"readDurationFormatted":274,"internal":275},1350,"How to recognize INOCA (ANOCA) on an exercise stress test ","Angina, abnormal stress test, clean coronaries—that's INOCA (or ANOCA), and it carries real risk. Learn to recognize and report it with exercise stress ECG.",{"alt":265,"title":244,"size":266,"location":268},"Illustration of the heart's coronary vasculature showing large coronary arteries and the extensive network of smaller vessels affected in INOCA (ischemia with nonobstructive coronary arteries).",{"width":267,"height":267},1200,{"bucket":248,"key":269},"\u002F2026-05\u002FC17(1)_magazine image_0.png",{"id":222,"title":223,"relativeURL":228,"image":224,"professionLong":227,"profession":271,"weight":252},{"name":226},"\u002Fmagazine\u002Fexercise-stress-ecg-inoca",141,"3m",{"created":276,"updated":277,"published":278},1778115738,1778799792,1778118255,{"id":280,"title":281,"text":282,"image":283,"author":289,"path":291,"readDuration":292,"readDurationFormatted":293,"internal":294},1348,"Hyperlipidemia screening: who, when, & what to measure","Testing for hyperlipidemia can help you mitigate your patients' cardiovascular risk. Learn who to screen and when, which measures to request, and how to stratify risk.",{"alt":284,"title":244,"size":285,"location":287},"Lipid panel blood sample tubes used to test for hyperlipidemia in a laboratory setting",{"width":286,"height":286},600,{"bucket":248,"key":288},"\u002F2026-04\u002FC121_magazine image.png",{"id":222,"title":223,"relativeURL":228,"image":224,"professionLong":227,"profession":290,"weight":252},{"name":226},"\u002Fmagazine\u002Ftest-for-hyperlipidemia",246,"5m",{"created":295,"updated":296,"published":297},1777403036,1777572381,1777412421,{"seo":299,"og":301},{"title":300,"description":213},"True expertise: what doctors can learn from Mozart, Woods & Welch | Medmastery",{"title":302,"description":213,"image":303},"True expertise: what doctors can learn from Mozart, Tiger Woods, and Jack Welch | Medmastery",{"alt":244,"title":244,"size":304,"location":307},{"width":305,"height":306},2670,2848,{"bucket":248,"key":308},"\u002Fmigrated-images\u002Fshutterstock_88681660-2.jpg",{"id":310,"created":311,"updated":312,"published":311},41,1416403274,1730214338]