medical record, now firmly entrenched (and for the better!) in most of our practices. I spent decades recording my anesthetics on paper and would still feel perfectly comfortable doing so. Ask most trainees today to do that, and they will melt down in angst before your very eyes. It is clear that, for better or worse, newer emerging technologies have consequences on some of our fundamental skills. However, are we becoming "de-skilled" or "super-skilled"? This intriguing proposal has been described by Steven Shafer (Our Future: De-skilled or Super-skilled? ASA Monitor, March 2021). In the context of the current topic, we are now so skilled (super) with airways that, due to the assistance of videolaryngoscopy, we can intubate essentially anyone. But does this come at the expense of a loss (de-skilling) of basic direct laryngoscopy skills? As our trainees do more and more intubations using video assistance, what is happening to the direct laryngoscopy skills of the next generation of anesthetic clinicians? Unintended consequences of our trajectory toward safe practice? A perplexing conundrum indeed.

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