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The traditional model for creating  lectures in higher education has been  that of Craftsmen where educators are Artisans who produce individually sculpted lectures relying on their personal research and network to capture the wisdom and knowledge of educators using journal articles and books from the past. For one hour of lecture the artisan invest between 15 to 25 hours of preparation. In general the lecture developed for the first time is not very good, as we might know one aspect, e.g. epidemiology, but know little about the immunology.  This is similar for any discipline.