Journal Logo

LETTERS

So You Want To Be an Expert

Luce, Edward A. M.D.

Author Information
Plastic and Reconstructive Surgery: August 2010 - Volume 126 - Issue 2 - p 688-689
doi: 10.1097/PRS.0b013e3181e096b6
  • Free

Sir:

The recent editorial (Plast Reconstr Surg. 2009;125:1719) by Dr. Rod Rohrich was well written and timely. He did not cite the work of a well-respected investigator and academician, and we probably should do so.

The best-selling book published last year by Malcolm Gladwell entitled Outliers1 contains a chapter entitled “The Ten Thousand Hour Rule.” In that chapter, Gladwell refers to the work of K. Anders Ericsson, a professor of psychology at Florida State. Because of my interest in the aging surgeon, I have reviewed some of Ericsson's work and publications in the past. Ericsson has written extensively on the subject of acquisition of expertise, including a contribution as an invited address at proceedings in 2004 entitled “Research in Medical Education” published in Academic Medicine.2 In that article, he reproduced the graph (Fig. 1)3 used in other articles authored by Ericsson of the relationship between hours of “deliberate practice” and level of expertise required, but applied that concept more specifically and discussed his views on integration of his theories into the practice of medicine. That discussion would be of interest to the readers of Plastic and Reconstructive Surgery involved in graduate medical education.

Fig. 1.
Fig. 1.:
From Ericsson KA. The scientific study of expert levels of performance: General implications for optimal learning and creativity. High Ability Stud. 1998;9:75-100.

Ericsson postulated that the level of expertise obtained was dictated by the willingness of the individual to engage in those activities specific to their sport, art, or profession and to continue to do so on a sustained basis. The stratification of amateur to professional to world class (a sports designation but analogous to surgery) occurs because an individual accepts a given level of expertise obtained and plateaus in performance ability at that point. A broader discussion on this topic is his book The Road to Excellence,4 a compilation of presentations at a 1995 symposium, “The Acquisition of Expert Performance.”

My interest is as follows: does a relationship or strongly positive correlation exist between plastic surgical skills at the top stratum of the Ericsson curve and the desire to practice forever? However, that authorship will have to await another day.

Edward A. Luce, M.D.

80 Humphreys Drive, Suite 100

Memphis, Tenn. 38120

REFERENCES

1. Gladwell M. Outliers: The Story of Success. New York: Little, Brown; 2008.
2. Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004;79:S70–S81.
3. Ericsson KA, Krampe RT, Tesch-Romer C. The role of deliberate practice and the acquisition of expert performance. Psychol Rev. 1993;100:363–406.
4. Ericsson KA. The Road to Excellence: The Acquisition of Expert Performance in the Arts and Sciences, Sports and Games. Mahwah, NJ: Lawrence Erlbaum; 1996.

Section Description

GUIDELINES

Letters to the Editor, discussing material recently published in the Journal, are welcome. They will have the best chance of acceptance if they are received within 8 weeks of an article's publication. Letters to the Editor may be published with a response from the authors of the article being discussed. Discussions beyond the initial letter and response will not be published. Letters submitted pertaining to published Discussions of articles will not be printed. Letters to the Editor are not usually peer reviewed, but the Journal may invite replies from the authors of the original publication. All Letters are published at the discretion of the Editor.

Authors will be listed in the order in which they appear in the submission. Letters should be submitted electronically via PRS' enkwell, at www.editorialmanager.com/prs/.

We reserve the right to edit Letters to meet requirements of space and format. Any financial interests relevant to the content of the correspondence must be disclosed. Submission of a Letter constitutes permission for the American Society of Plastic Surgeons and its licensees and asignees to publish it in the Journal and in any other form or medium.

The views, opinions, and conclusions expressed in the Letters to the Editor represent the personal opinions of the individual writers and not those of the publisher, the Editorial Board, or the sponsors of the Journal. Any stated views, opinions, and conclusions do not reflect the policy of any of the sponsoring organizations or of the institutions with which the writer is affiliated, and the publisher, the Editorial Board, and the sponsoring organizations assume no responsibility for the content of such correspondence.

©2010American Society of Plastic Surgeons