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In this study, operator variability in ECG analysis was partly due to differences in expertise, and partly due to trade-offs made by different cardiologists between sensitivity and specificity.
It is also its most criticized element, given the need to recognize differences in expertise and competence among inquirers.
However, the sharing of regulatory decisions among national regulatory authorities cannot be achieved easily due to factors such as differences in expertise and capacity, legal and risk frameworks, mutual understanding of systems and processes, and sovereignty issues.
A good example of such research is recent work by Nee and colleagues (in press), who compared ex-burglars and university students on a mock burglary using both a real and a simulated environment to examine how differences in expertise influence how these groups go about breaking into a house.
The study aimed to measure how differences in expertise would influence how novice and expert burglars go about burglarizing houses assuming burglars would not only take fewer items that had higher value, but also that they would navigate the house in a more systematic way.
This inconsistency across studies is probably related to differences in expertise among prehospital providers, variations in protocols and heterogeneous patient populations.
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Discussion: The difference in results with other authors might respond to difference in expertise (first experience on our medium), wider inclusion criteria, and number of patients.
Communicating and interpreting genetic evidence in the administration of justice is currently a matter of great concern, due to the theoretical and technical complexity of the evaluative reporting and large difference in expertise between forensic experts and law professionals.
This may be more than a simple difference in expertise as it may also indicate an underlying difference in status.
Thirdly, there was a difference in expertise and clinical experience for therapists in the comparison groups with those in the OR arm more experienced and this could have introduced bias.
The use of different modalities in the literature also reflects differences in local expertise and experience.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com