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To me, these lessons feel very similar to the lessons learned working at a midsized company.

Was there any particular takeaways that are exclusive to working at a FOSS?

While I agree that it's not terribly unique to FOSS, it makes it even more useful IMO since relatively few work on FOSS.

I think the lessons learned and advice given are great for a large number of developers.

The lessons about working with external pull requests feel unique to FOSS to me.