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The framework considers capacity development as a hierarchy of needs, portrayed as a pyramid of four interdependent levels, starting from the 'easier to achieve' at the apex of the pyramid (tools, skills, staff, and infrastructure) to the 'much harder' to implement at its bottom (systems, structures, and roles).
Lots of skill.
Authenticity exists given bedside encounters allow assessment of trainees at the apex of Miller's educational pyramid – the "does" of clinical skills [ 24, 25].
Apex of rapidly growing shoot.
I am the apex of biological evolution.
This was the apex of buyout mania.
It would be the apex of irresponsibility.
Apex of branches showing gemmiphores, gemmae, and sporangia.
"They're at the apex of the feeding scale.
We're at the apex of our sport.
Five years ago, Elway retired at the apex of his career.
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CEO of Professional Science Editing for Scientists @ prosciediting.com