Routines seldom attract attention, but have an enormous impact on our lives. In the long run, a small but sustained change of routine can constitute a breakthrough. The medical student needs to participate actively in his education. The asking and answering of large numbers of questions, not only to teachers but especially to his peer students, should be part of his daily routine. Study content that is made freely available, and an upscaling of student-student interactions by way of social media-type platforms are indispensable in order to benefit optimally from this approach. Teachers are uniquely positioned to guide this process and, in doing so, to instill a sense of meaningfulness and purpose. If current and upcoming efforts in this direction are pursued with force and perseverance, this will lead to a change of routine that constitutes a breakthrough in medical education. Wolter Mooi (@WJMooi) who has held chairs in pathology at three Dutch universities, currently divides his time between scientific research, diagnostic histopathology and undergraduate teaching.

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