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This is based on real world surgical practice

Is it really? What about the expert, critical yet friendly review from other colleagues/competitors; the MDT meeting; the ward round? Most surgical patients have an incentive to never see the surgeon again, and the surgeon is strongly incentiveised to avoid having to see them again in the immediate future (i.e. to fix a postoperative bleed, etc). Is the same thing true of corporate programmers?

All metaphors are wrong. Some are useful. Is this one?

Well it was the inspiration I believe it was IBM - I will have to check my copy of Mc Connell Rapid Software Development

If you’re referring to this part of the comment:

> First we show them, then we explain to them what we did, then they try it with supervision (this is where most of my learning occurs), then we let them do it without supervision.

It strikes me as coming close to the TWI job instruction training method [1] the US developed in the 40’s to train workers for war production.

[1] https://www.allaboutlean.com/twi-job-instructions/

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