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Repetition is also key, as is feedback on performed behaviour.
Despite efficacy reported here, a number of questions remain unresolved and need to be assessed in controlled studies: effects of monodisciplinary vs multidisciplinary workshops, effects of more interactive training techniques, effects of training techniques teaching a broader range of CS, effects of modelling and effects of regular feedback on performed clinical skills in every day work.
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Individual feedback on actions performed within the system was presented to the intervention group while the control group received no such feedback.
In this situation, FF-NDMA avoids the additional delay that appears in NDMA and H-NDMA under non-ideal repetition processes owing to the fact that FF-NDMA does not rely on feedback to perform repetitions.
We included three new items—'I was instructed in how to perform clinical skills on real patients', 'I was observed performing clinical tasks on real patients', and 'I received feedback on how I performed clinical tasks on real patients', derived from training theory, (Patrick 1992) to elicit more focused feedback on teaching behaviours for formative purposes.
When students received delayed feedback, they performed better on subsequent course exams that contained new problems about the same concepts.
Due to our a priori interest in the response of the caudate nucleus to feedback, we performed an ANOVA on the trial outcome phase (from the onset of feedback until the end of the trial) for a priori spherical regions of interest (ROIs; radius = 5 mm) centered in the left head of the caudate nucleus (−12, 8, 12) and the right head of the caudate nucleus (12, 8, 12).
The correlation between the input and feedback signal is performed on a modulated signal that precedes the training signal because the gain compression of the amplifier makes the accuracy of the correlation over the training signal suspect.
In addition to focused training times, the ultrasound instructor joined the local staff physicians on ward rounds daily during the 9-week period and encouraged utilization of the ultrasound in routine clinical practice and provided immediate feedback on ultrasound exams performed by the local staff.
- I get immediate feedback on how I performed.
In our work with Nyaya Health, we have used a satellite internet connection to provide quality assurance feedback on ultrasound examinations performed (see case study, below).
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