High volume counts on efficiency, whereas low volume counts on effectiveness . Efficiency is valuable but far more concrete and tangible. Cookbooks and manuals make sense. Methods of measuring, calculating, and tracking serve every practice. They should not be totally ignored.
Effectiveness is the widely ignored part of health professionals background.
The behavior dynamics of change are complex and intervention strategies are not fool proof . A golfer is not made by only taking lessons. Improvement occurs through a system of lessons on theory, practice, adjustment, more theory, more practice, and more adjustment. Some oversimplify processes dramatically diluting the validity and sometimes creating negative results. Truly effective communication coaching is, by nature, highly customized and requires longer relationships.