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There is much that can be made up for simply by showing up and putting in extraordinary effort. But that's different than doing a truly outstanding job, which is why I broke the question into parts.
The guy who repaired my rotator cuff is considered THE rock star shoulder guy in Seattle. Every other medical professional I mentioned him to knew him and said he was the best (even another shoulder guy!) I gotta think that top-flight people get there through natural talent PLUS extraordinary effort, and that neither alone will suffice to get you into the elite ranks.
The shoulder guy is an interesting case. He's not at all arrogant (at least to patients), is really friendly, and is perpetually running late because he's a talker. He's a soft-spoken big guy who clearly, at age 68, is still having the time of his life--doing shoulders. He told me he has done over 7000 rotator cuffs. From my vantage point, this guy has his life fully together.
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