Is It Time for New Target Volumes in Radiation Oncology?

Practice makes perfect. Whether in sports, music, or medicine, deliberate practice is required to achieve mastery in a given field. Author Malcolm Gladwell popularized this phenomenon, calling it the 10,000 hour rule, with the implication that roughly 20 hours per week of practice over 10 years is needed to reach an elite level of performance (1). Others have debated the exact number of hours required and the relative contributions of practice versus innate skills, but the overarching premise is well-established: repeated practice, with appropriate motivation, effort, and feedback, leads to improvements in performance (2).

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