I 100% agree. I help out at the local vocational school that has an EMT/Paramedic training program. I'm constantly telling my students, "you will perform how you practice." I see it on the street too. The students who are engaged and take what I'm teaching to heart usually succeed. The students who make excuses, slack off, don't do their work usually don't make it through the program. Likewise the way they treat their training scenarios in the classroom is how I see them behave in the back of the ambulance with me.

The other thing to consider is the adage, "practice makes perfect." I disagree with that. "Perfect practice makes perfect." If you keep practicing something the wrong way you'll perform the wrong way when it's time to use those skills.