People learn in school, then after they estabilish their career, they have kids and other interests and this and that and they get intellectually stuck. Don't grow. Don't learn new things in their field of (supposed) expertise... I see this ALL THE TIME. Now if middle aged programmer refuses to learn new things, it's annoying to work with them, but you'll survive. If a middle aged physician refuses to learn new things, you're kinda fucked. Sadly, the amount of physicians out there who don't keep improving is pretty large given the importance of their job. Yes, the "pretty large" part is mostly anecdotal - my experience and experiences of my friends and family - but if I see the stuck programmers in my field, I'm pretty convinced there must be quite a few of the stuck physicians.

So yeah, 10 years in medicine? Seems like a brand new paper to me. I expect that knowledge to bubble its way to your average physician some time around 2040.