Tutoring based on the Orton-Gillingham (O-G) approach is highly systematic, individualized, and follows a consistent structure, which is a key part of its effectiveness. A typical O-G tutoring session is composed of several integrated, sequential steps.

The core of O-G tutoring is the diagnostic and prescriptive nature of the instruction, meaning the tutor constantly monitors the student's responses to determine their needs and immediately adjusts the next part of the lesson.

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