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It's effectively the opportunity cost to you of achieving competence.
Advanced-level CCE requires that the clinician achieves competence in aspects of echocardiography that are part of standard cardiology-type echocardiography, in addition to achieving competence in elements of echocardiography that are particular to critical care medicine.
Most fellows achieve procedural competence in upper endoscopy rapidly; achieving competence in colonoscopy is more challenging.
The number of procedures required to achieve competence for each group is shown in Table 1, with residents not achieving competence for any procedures except PVL insertion.
Instead, he believed that people are driven by inferiority feelings and compensate by trying to achieve competence, mastery and power.
It's difficult for organizations to achieve competence in multiple fields.
There was unanimous consensus that a trainee needs to achieve competence on each independent drill.
A total of ten hTEE exams performed independently were deemed sufficient to achieve competence.
Colonoscopy is a difficult cognitive-perceptual-motor task and considerable training is required to achieve competence.
Significant differences in multiple motion analysis parameters was shown in medical students who failed to achieve competence despite sustained practice when completing an arthroscopic task in knee and shoulder models compared to those who achieved competence [ 69, 70].
In this study, 250 procedures were required for trainees to achieve competence in colonoscopy within 15 minutes.
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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