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To analyze all published prospective, randomized, and blinded clinical studies on the proficiency-based progression (PBP) training using objective performance metrics. The benefit of PBP methodology to learning clinical skills in comparison to conventional training is not settled. Search of PubMed, Cochrane library's Central, EMBASE, MEDLINE, and Scopus databases, from inception to 1st March 2020. Two independent reviewers extracted the data. The Medical Education Research Study Quality Instrument (MERSQI) was used to assess the methodol

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Our results showed that individuals who attained lowest levels of education (8 and 8) had a higher probability of becoming cognitvely impaired compared with people attending 8 years (OR = 2.96 and 1.85). Even within a setting of low levels of formal education, small differences in educational attainment can still be associated with the risk of cognitive impairment. Given the homogeneity of the OOA, these results are less likely to be biased by differences in socioeconomic backgrounds. Even within a setting of low levels of formal