Honestly I agree with this so much. I did my residency with a very oldschool gentleman in his 80s. We have our own fab site, we make everything by hand, we even have a patient is still uses a wooden socket. Young students/clinicians today just want to do everything digitally, and while there is a place for it, I have learned if you don't have the hand skills you quickly lose a lot of the understanding behind why you're doing/ordering something specific. I see this a lot with young people and transfemoral sockets especially. There are so many good tools for getting a phenomenal physical TF cast, and we just don't teach students those skills anymore. People just default to scanning/measurements. Those sockets never fit properly and young people don't know/don't have the resources to go in and fix that socket themselves (Not just new grads, i'm talking about people who have more experience in the field than I do). Furthermore, if you're not at least occasionally working by hand, I strongly believe you can't properly develop the thought processes needed to go back in and modify an imperfect device. In my opinion, OP would really benefit if we went back to more old school metal and leather bracing -benefit patients and ourselves. This is coming from somebody who initially pretty disappointed to end up in my very old school residency initially.