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Trochim et al 11 proposed a 'process marker' model that recognises translational research as a continuous process that may be 'bidirectional, variable, (and) complex' with observable milestones along a generalised pathway allowing measurement of time elapsed between them.
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These observable competency-based milestones require real-time, workplace-based assessment of trainees' skills, which include the provision of feedback and reflection across varied content areas to foster the deliberate practice needed to acquire expertise [ 5– 9].
In 2012, the Accreditation Council for Graduate Medical Education Next Accreditation System NASS) established educational "milestones", or observable developmental steps that describe the trajectory of progress and educational development of trainees [ 4].
Studies of language acquisition have discovered crucial milestones: Vocalizations are observable at birth, babbling emerges at around 6 8 months, children utter their first words at 10 12 months, and they begin to make word combinations and form proto-sentences at around 20 24 months (Vihman, 1996).
In addition, milestone assessments are designed to measure observable behaviors and skills.
Second, obesity is easily observable.
Only the latter is observable.
Change is observable time.
They celebrated military milestones.
They have no observable impact.
In their absence, the occupants are observable.
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