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75 [5.00-4.00] with p=.009, median 5.00 [5.00-4.00] with p=.012, median 4.00 [5.00-4.00] with p=.047, respectively). The experts rated the OCHRA-checklist to be useful for the training (5.00 [5.00-4.00], p=.009), and assessment (4.50 [5.00-4.00], p=.01 of surgical residents. This preliminary study showed that the stepwise LOIHR description constructed using the step-by-step framework was found to be accurate. The LOIHR OCHRA-checklist developed using the stepwise description was also accurate, and particularly useful for the training
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