Thanks for this response! The thing is, even when rigor and precision is really important, the way we assess it and train for it still betrays a really limited view of what being rigourous/talented/hard-working really means. Like, yes, 100%, I want a surgeon who is well trained and well-assessed and very precise…but I also want to make sure that the methods of ensuring that don’t close out disabled surgeons who are very accurate but whose bodies aren’t well suited to the current testing environment (for example, surgeons in wheelchairs). But yes, on principle, 100% agree that this distinction between rigor and growth of skills does matter.

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