In the first year of the experiment, we focused on the practical part and greater importance was given to the graphic project in order to reach the desired competences.
Table 5 shows the strategies to ensure experiential learning and attainment of desired competences: assessment competence, collaborative skills, knowledge, clinical skills, teamwork, and learning assessment methods.
Some of the CBE curricula documents were unclear about the learning outcomes or desired competences, so it was unclear if the actualized curriculum included them.
Considering short-term in-service trainings using novel approaches for ensuring desired competences for large number of providers in short time period is imperative.
Regarding implementation strategies, PBL is ideal for CBE as it effectively brings out the desired competences of the ideal CBE curriculum.
For CBE, there is a challenge of designing assessment such that it adequately reflects the desired competences, the instruction methods and the eventual professional role, while making it retain reliability and validity across different settings and assessors [ 27, 28].
The absence of the health professionals' clinical/surgical skills as one of the desired competences for senior medical officers, the immediate supervisors of medical and clinical officers, the heavy workload/low pay, coupled with long working hours, could motivate junior medical officers to quickly work towards promotion or departure to better settings [ 22- 24, 33, 34, 36].
Teamwork is a 'soft skill' employability competence desired by employers.
Burnett supplied neither the distance nor the competence desired on the team's first night without Joba Chamberlain, who will miss at least three weeks after being placed on the disabled list with a strained flexor muscle in his right arm.
