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The difference between doctors and programmers is that programmers get to build/leverage tools that are abstractions of other tools, hence you can have orders-of-magnitude differences in productivity between programmers who use the best tools and those who don't. I assume that there's not that much variation between the way two different doctors carry out the same task like there is with programmers.

Actually, doctors do have order-of-magnitude tools for improving certain metrics, such as recovery and infection rates: http://www.newyorker.com/reporting/2007/12/10/071210fa_fact_...

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