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The high reliability observed was unexpected and may, again, be explained by the high levels of functional literacy in the population (97% of women attained primary education, a level usually associated with literacy), the quality of the questionnaire tool and the quality of training the study interviewers received.
One of the most serious problems was a decline in training, the study said.
Specific factors affecting interpretation and clinical application include poor standardisation of observers' technique and training, the study of single signs rather than multiple signs or signs in combination with symptoms, and the tendency to compare physical examination directly with technological aids to diagnosis rather than explore diagnostic strategies that combine both.
Based on years of training, the study group was divided into a junior and senior group.
After completing the US training, the study surgeon worked in the emergency department for 4 weeks managing the study patients.
During the training, the study protocol, definitions and review forms were explained and examples of (preventable) adverse events were discussed.
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Bautmans I. trained the study physiotherapists.
Only registered diabetes educators are allowed to train the study patients.
The questionnaire was piloted for one month to ascertain feasibility of data collection and to train the study assistants.
Few women and men trained in the study of scripture would hesitate to affirm that the Bible has its share of pressing problems.
They were trained before the study by the principal investigator.
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