"competence achieved" is correct and usable in written English.
It is typically used to describe the successful completion of a goal or task that required a certain level of skill or knowledge. For example, "Through hard work and dedication, I was finally able to achieve competence in my new job."
Like its pilot, it balanced stubborn competence, achieved through work (Earhart wasn't a natural flier), and marketable celebrity.
Therefore, it might be better to instead frame the question in a different manner and ask 'how is bone mass and mechanical competence achieved in low weight-bearing skull bones despite continued 'disuse'?' Addressing the latter question leads to a conceptually novel approach to understand the attainment of mechanical competence in limb bones.
Data supporting the effectiveness of various methods of clinician training and those providing estimates of the level of competence achieved by clinicians are scarce.
Data supporting the effectiveness of various methods of clinician training and especially those providing estimates of the level of competence achieved by clinicians are relatively scarce (McHugh & Barlow, 2010) and there are consistent calls for more rigorous research methods to measure such outcomes.
Moreover, to build competence, achieve changes and quality improvements, it would be necessary to organise and perform a structured process of continual reflections and evaluations [ 48].
Absorptive capacity is considered by some authors (Lane and Lubatkin 1998; Zahra and George 2002; Carlsson 2005) a dynamic capability: a capability to renew an organization's competences, achieving congruence with changing environments, which is able to influence the firm's processes to build organizational capability using knowledge.
However, the molecular mechanism by which this competence is achieved, either by direct regulation or indirectly through unknown mediators, is not completely understood.
Competence was achieved by PICU fellows within 27 36 procedures, except for central line insertion that may be improved by routine use of ultrasound guidance.
If one accepts that informed consent is often not truly possible in the paediatric critical care context, obtaining approval in principle (assent) would allow informed consent, when needed, to be deferred and the process continued until parents are available and/or competence is achieved [ 6].
