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What Doctors Can Teach Us
on Continuous Learning
Johnny Graber
@j_graber
https://www.ImproveAndRepeat.com
Lack of Time
Professionals
Legal Requirements for Doctors in Switzerland
Art 40 MedBG on professional duties:
They deepen, expand and improve their
professional knowledge, skills and abilities
in the interest of quality assurance
through lifelong training.
• Doctors must do continuous medical training
Federal Law
• 80 Credits per year, 50 must be declared
FMH / SIME
• 5 credits per publication, max 10 credits / year
Professional Society of Intensive Care
Rules for Devs
Therac-25
Consequences
Expectations
To learn something, you need to
spend 10,000 hours doing it.
The 10,000 Hours Rule
on deliberate practise
master
A 20 Hours Approach in 4 Simple Steps
1. Deconstruct the skill
2. Learn enough to self-correct
3. Remove practice barriers
4. Practice at least 20 hours
Book: The First 20 Hours by Josh Kaufman
sleep work
all other
things
We work as many
hours as we should
sleep.
Why do we think sleep
deprivation is the only
way to learn?
How do doctors learn new procedures?
Not by taking patients home to
operate them on the kitchen table!
Categories of Continued Training
• Attending Events and conferences
• Lecturing and teaching activities
• Participating in a quality circle
• Scientific publication
• Poster presentation
• Intervision / Supervision
• Other training activities
• Clinical-practical training
• In-Training-Exam / Self-Assessment
Conferences
Lecturing
Publications
Poster
Diagnostic
error
Communication Specific diagnosis
Failure in hand-off
communication Difficult to diagnose
Organisational issues
Faulty reasoning
Quality Circle
Failure to consider
alternative diagnoses
Diagnostic equipment
unavailable
Intervision
Combine
What offers your
company?
Your Work Routine
Task Code
One Input, multiple Outputs
Task Code
Tests ADR
Doc
Share
.txt
Alternative I: Learn the Technology Stack
We do automated testing to ensure that our application works
as expected by using
• NUnit and Moq for unit and integration testing
• Selenium and Specflow for user acceptance tests on the UI
• Netsparker to check for security flaws and misconfiguration
on the server
Alternative II: Project Dependencies
• Find the libraries your projects depend on
• Order them by frequency
• Learn the most used first
Alternative III: Basic Parts of your Work
• Speed-reading
• Touch typing
• Daily used tools
Semmelweis
Actionable
Adapt to Adopt
Remember
• Your work offers much to learn
• Make learning a habit
• Persist your knowledge
• Don’t cut sleep
Thank you!
Questions?
JG@JGrber.ch | @j_graber
https://www.ImproveAndRepeat.com
Photo Credits
• Aron Visuals
• Piron Guillaume
• darkmoon1968
• Semanticscholar.org
• TheVerge.com
• rawpixel
• Andrej Lišakov
• Teemu Paananen
• Shutterstock 483030007
• Dmitrij Paskevic
• fitfloptw.info
• Free-Photos
• Bru-nO
• Public Domain
• Howlingpixel.com
• CleanHandsSaveLives

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What Doctors Can Teach Us on Continuous Learning