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Most learners prefer the visual mode of learning (some research suggests that this is the preferred learning style of 60% of adult learners) so having visual aids to supplement the discussion can be very powerful.I would ask the IRB to provide more of a rationale of what their concerns are (e.g., is the format of a flip chart per se, the content, the actual visual images or messages, or something else?You will definitely find stunningly attractive women and men.Just like in many Latin American countries, the majority of Dominicans still meet their romantic partners via the tride and true methods, including mutual friends, organizations, work, school, or church, etc; however, this scene is rapidly changing, and online dating is becoming increasingly more mainstream.She looks charming, elegant and most importantly beautiful.

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Her pain severity was measured on a Visual Analog Scale for Pain (VAS) to be 8/10 standing and 10/10 when trying to walk, causing a limp (antalgic gait).

We get to know our patients, their families and their concerns over time, and very often patients appreciate the care they receive.

For example, physicians often redirect patients at the beginning of the visit, giving patients less than 30 seconds to express their concerns.2 Later in the visit, physicians tend not to involve patients in decision making3 and, in general, rarely express empathy.4 Patients forget more than half of physicians' clinical recommendations,5 and differences in agendas and expectations often are not reconciled.

Once you understand more of their concerns ,you can potentially explore other avenues such as multi-media presentations, re-formatted consent documents or other avenues that would still accomplish the goal of enhanced patient understanding while complying with the IRB’s policies.

The transcripts in table 1 and table 2 were drawn from actual physician interviews as part of a study in which standardized patients (actors) were sent covertly into physician practices, with prior informed consent,9 to examine different physician interaction styles.

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