Chapter 5 - Principles of Deliberate Practice on the Job

Top Gun approach

approach focused on practicing something over and over, away from your real job where mistakes have real consequences

Adaptive thinking

immediately determine the best actions in response to an unexpected attack or another unforeseen event

fewer

==Study:==

Older doctors knew less and did worse in terms of providing appropriate care than doctors with _____ years of experience

interactive

==Study:==

The most effective interventions regarding professional education for physicians were those that had some _____ component, and they improved both the doctors’ performance and their patients’ outcomes

traditional

==Study:==

The experienced surgeons’ greater knowledge and greater experience in ______ surgery didn’t give them an advantage in developing skills in laparoscopic surgery

less

==Study:==

Patients of more technically adept surgeons were ____ likely to experience complications or mortality

inexperienced

==Study:==

You were twice as likely to have your cancer come back 5 years later if you were operated on by an ______ surgeon than if you were operated on by an experienced one

deliberate

The Top Gun school program had many elements of _______ practice

practices

The first step toward enhancing performance in an organization is realizing that improvement is possible only if participants abandon business-as-usual _____

false

The belief that one’s abilities are limited by one’s genetically prescribed characteristics is ______

false

The belief that if you do something for long enough you’re bound to get better is ______

false

The belief that all it takes to improve is effort is ______

hard

Unless you are using practice techniques specifically designed to improve particular skills, trying _____ will not get you very far

opportunities

Learning while real work gets done means that normal business activities can be turned into _____ for purposeful or deliberate practice

accurate

Some radiologists are more ______ than others in distinguishing between benign and malignant lesions

immediate

Training with _____ feedback is an incredibly powerful way to improve performance

knowledge

Traditional approach has been to provide information about the right way to proceed and then rely on the student to apply that ______

performance

Deliberate practice focuses solely on ______ and how to improve it

experience

Neither doctors nor nurses gain expertise from _______ alone

no

There are ____ benefits to continuing medical education for practicing physicians

lectures

Attending _____ and minicourses offers little or no feedback or a chance to try something new, make mistakes, correct them and gradually develop a new skill

skills

The best approach is to develop new ______-based training programs that supplement or completely replace the knowledge-based approaches that are the norm now in many places

expertise

You need to find some patient outcome that can definitely be linked to the behaviour of a doctor to find his/her level of _____

Feedback

_______ is the reason that surgeons get better as they gain experience

important

The ability to recognize unexpected situations, quickly consider responses, and decide on the best one is ______

visualized

The main way surgeons detect problems is by noticing that something about the surgery does not match the way they had _____ the surgery in their preoperative plan

representations

Over time, experienced surgeons have developed effective mental ______ that they use in planning the surgery, performing it, and monitoring its progress so that they can detect when something is wrong and adapt accordingly

quality

The major factor underlying the abilities of the world’s best doctors is the _______ of their mental representations