I think average surgeon&#x27;s skills are probably pretty sharp (pun intended), however, in my experience the knowledge of a regular small-town GP&#x27;s indeed usually is not very up-to-date.<p>Regarding the OP&#x27;s question: new hip languages and frameworks evolve way faster than human body, and &quot;it works&quot; is more important in medicine than &quot;iterate and fail fast&quot; (hopefully:)<p>My personal theory is also that partially the high expectations are due to open source &#x2F; hacker ethos (there&#x27;s generally no medical open source movement, or in any profession outside of IT AFAIK, at least on such scale). The cycle goes like this:<p>- some folks want to do something cool for fun and&#x2F;or to get some fame for showing it to the public, or get famous for inventing a known lib&#x2F;framework<p>- companies see they&#x27;re smart and hire them<p>- other companies follow the trend, and require open source contributions or at least building space shuttle over the weekend<p>- a number of devs don&#x27;t want to lag behind, so they join the bandwagon, and they create even more cool stuff and even more open source MVC frameworks<p>- now, the cycle reinforces itself, everyone is doing cool stuff and contributing to opensource, if you don&#x27;t, you&#x27;re excluded<p>edit: fixed typos