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6%). Intervention group participants who achieved fluency performed significantly better at post-test (M=82.4%) than intervention group participants who did not (M=72.9%). SAFMEDS constitutes a powerful adjunct to usual teaching that produces significant improvement with a short duration of engagement, particularly when students achieve fluency in the target behaviour. Future research should consider the application of SAFMEDS, and other fluency training interventions, more widely within musculoskeletal education and orthopaedic surgery
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