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We thank Professor Iedema for highlighting that a gap exists in providers having the skillset to ‘work smarter.’1 We agree that novel approaches to healthcare improvement that move beyond gadget-based solutions and that require a new set of skills of providers and provider organisations are required. The suggestion of videotaping one's performance to review how the system (and its participants) currently operates and to reflect on how to (re-) design their workflows is intriguing. It …