Matos J, Petri CR, Mukamal KJ, Vanka A. Spaced education in medical residents: An electronic intervention to improve competency and retention of medical knowledge.
Ms. Burns White leads the implementation of an integrated structure that involves a multi-prong approach including community engagement, cultural competency, recruitment and retention of minority faculty, and training.
A process evaluation will assess skill retention, competency and confidence of clinical team members in delivering the intervention.
At the operational level, the HRH action framework (which includes the human resources management systems) helps to address issues related to staff shortages, uneven staff distribution, skill and competency gaps, low retention, and poor motivation [ 14].
While the idea of recruiting medical students from rural areas and training them at hospitals close to the rural population is highly advocated based on the findings that it had positive implication on rural retention, but competency of graduates from such programmes have rarely been investigated.
Innovative health workforce approaches address the shortage in human resources by enhancing their knowledge, skills, and competencies, while aiming at their retention in LMICs.
However, Jensen et al. found that 6 months of clinical experience had a significant effect on the retention of Advanced Life Support ALSS) competencies [ 31] and Semeraro el al. found that anaesthesiology consultants retained newly acquired ALS-knowledge better than anaesthesiology interns [ 32].
"Generally, the work force thought there was a sufficient number of staff to manage safety," one report concluded before adding, "There were, however, some questions surrounding the retention of skilled personnel, competency levels for some personnel, and of processes in place for competency development and assurance".
Direct resident teaching has been shown to increase competency, comfort, and long-term skill retention.
Long-term retention of knowledge and competency were not tested in this study.
