Barely Significant
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Use of Simulation in Canadian Neonatal-Perinatal Medicine Training Programs.

Cureus · 2017 · PMC5590774 · PMID 28929032

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a clear trendno p-value reported
There is a clear trend towards the increased use of simulation in medical education.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.