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indicating mastery (nonlinear regression P less then 0.0001). CONCLUSIONS Endoscopists experienced in EDGE are expected to achieve a reduction in procedure time over successive cases, with efficiency reached 54.5 minutes and a learning rate of 9 cases. After 25 to 35 procedures, a plateau may be reached indicating mastery.According to the Sackett's model, evidence-based decision making in medicine includes the clinical judgement, scientific evidence and the patient's values and preferences. In rehabilitation medicine, it is well establi