To explore the adequacy of skills acquisition for students in the University of Minnesota Rural Physician Associate Program RPAPP), this study compared RPAP students' performance on a scenario-based Objective Structured Assessment of Technical Skills (OSATS) with that of traditional surgery block clerkship students (Course 7500).
The OSCEs were used solely to test the assimilation of knowledge and adequacy of skills at the completion of training.
In rural areas midwifery recruitment and retention were highlighted as issues, as were midwifery skill maintenance, and staffing adequacy and skill mix.
Team design in terms of goal and role definition, customer coverage, empowerment, heterogeneity, skills adequacy, and leadership indirectly influences performance, mediated by team processes.
Furthermore, when looking at the two sub-domains within role security, one could expect it to be easier to improve role adequacy (knowledge and skills) than role legitimacy (Additional file 1).
Human resources in health care system in sub-Saharan Africa are generally picturing a lack of adequacy between expected skills from the professionals and health care needs expressed by the populations.
The few studies which have examined professionals' (nurses' and doctors') attitudes and experiences show that against a backdrop of largely positive views about the concept of ACP, there are worries about the timing, initiation, conduct and recording of ACP discussions and concerns about adequacy of communication skills and the availability of resources [ 20- 22].
Questions relevant to this analysis focused on how care was organised in terms of staffing, for example: adequacy of staffing; skill mix; and the influence or impact of part time or casual staff.
There were, however, significant differences on 2 of the subscales of the AAPPQ: "adequacy of knowledge and skills in working with drinkers" (intervention 31.71, s.d. 4.44 vs. control mean 26.29, s.d.6.88, p < 0.05) and "self esteem in working with drinkers" (intervention mean 29.56, s.d.5.16 vs. control mean 25.64, s.d. 4.74, p = 0.021).
Furthermore, planning components entirely contingent of their specific actors, and therefore inherently difficult to grade, such as operator skills or control adequacy, are included as quality components, which work as multiplying parameters of the overall risk.
