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"Coolness" is not a substitute for skill.
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While "pills are not a substitute for skills", the evidence clearly shows the efficacy of medication as part of a comprehensive treatment plan.
The PALSA PLUS guidelines and training were designed principally to facilitate evidence-based syndromic care and cannot substitute for skills-training in counselling.
Integrated care pathways are not a substitute for skills, knowledge or expertise, but there may be a tendency for professionals, particularly those most junior, to interpret them as such.
Gladwell: It seems illegitimate to substitute effort for skill.
In a lengthy interview, Sullenberger says "Fly by Wire" left him with the impression that automation is an effective substitute for pilot skill.
Thorley describes breast pumps as a substitute for the skill of hand expression [ 23].
"A cheap mandoline is a great substitute for knife skills," he said.
Sometimes, however, there is no substitute for testing skills in a real-life scenario and, as with adaptive testing, there may be too few subject experts to create tests in niche areas.
Using students of Economics and Industrial Engineering, we show that clear constructive feedback is a partial substitute for cognitive skills in decision-making.
In other words, job quality in the past was, at least to some extent, a substitute for worker skills; but it is increasingly becoming more of a complement to them over time.
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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