ABSTRACT

In order to learn to drive a car, an individual must first learn the basic operations of the vehicle before going on the road. Initial simple rules are that 'stepping on the gas pedal makes the car go faster' and 'removing your foot from the gas pedal or stepping on the brake will slow the car.' The driver then begins to apply the basic principles within a variety of increasingly complex situations. With time and experience, he or she can learn to drive in a variety of conditions without much thought.1 Likewise, physicians in training pass through different develop­ mental stages. They progress from needing to think about everything they do to a state in which the care that they provide becomes 'automatic.'