He believes there is a strong case for greater supervision: "You have got to have a more pro-active system of auditing," he says.
Our findings concur with other studies into general medicine, supporting the case for education and supervision via videoconferencing, without the need for supervisors being co-located with trainees.
These included multi-level interdisciplinary ward rounds, case conferences and registrar responsibility for supervision and teaching of junior learners.
At one level, the case for more intrusive prudential supervision seems weak.
If Phil Gramm were to feign ignorance in response to that line of questioning, the way Wendy did after the caper at Enron, where she was a member of the audit committee, it would certainly make the case for ever more government supervision of corporate accountability.
Behavioural migraine management therapists had training that included study of and examination on elements of the treatment protocol, role playing of each therapy session until competence had been demonstrated, and treatment of training cases that were tape recorded for supervision until competence was demonstrated.
The students in our study commented very positively on the use of video cases, but also expressed their need for supervision and dialogue as a critical way to achieve effective learning from the use of video cases.
If that is what the market is developing, there is a very strong case for much stronger regulation and supervision.
Their actions don't become the state's actions unless more procedures are followed — in this case, active supervision by someone working for the state.
Having access to continuing education and agency-supported case-focused supervision for licensure were correlated with retention at the 24 36 month post-graduation mark.
