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There has been considerable discussion as to the applicability and efficacy of self-directed learning of clinical skills [ 21], allied to recognition of the challenges associated with students having the requisite self-awareness to take responsibility for determining their own learning needs and, indeed, the readiness of students to assume that role [ 34].
Once 'root causes' are established by investigators, different levels of local team-based and wider organizational learning needs are determined and a series of improvement recommendations formulated which, if implemented, should minimize the risk of incident recurrence [ 2- 5].
Its benefit in assisting learning needs to be further determined.
Use outreach to determine needs.
Next, physician participants voluntarily completed a needs assessment survey to determine key learning needs and preferred learning formats.
We sought to determine their self-perceived learning needs and how these were related to their training experience.
Each mentor identified a mentee and administered a self- assessment tool to determine his or her individual learning needs.
While the KS allowed staff to determine what percentage of students struggled with basic concepts, the anonymity of the system did not allow identification of these specific students leaving the individual student to determine their own learning needs and how to address these.
Given that more than 46,000 RNs work in community health in Canada [ 16], the lack of mandatory certification for practicing CHNs creates a need for other means to determine their competencies and understand their learning needs.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com