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These answers suggest a considerable effect of training courses on both the "can-do" and the "will-do" component of motivation.
When asked about the effect of training courses they had taken over the past two years, nearly all health workers in Kenya and Benin mentioned that they felt more comfortable and confident with their work afterwards.
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The types of training courses attended by trained respondents included orientation sessions (36.1%), certified short training courses (43.7%), academic training courses (university courses including diploma and degree level training) (37.3%) and other training courses (such as on-line) (11.4%).
The duration of training courses was varied (one-day vs four-day course).
Standardize the conduct of training courses for PEs.
Information on length of training courses and development of training materials was also incomplete.
The main weakness of this study is the short time period which added difficulty for us to study the possible effect of the training course on the quality of patient care.
To determine if the role playing task influenced self-reported constructs, repeated-measures ANOVAs were undertaken on each year cohort, investigating the effect of training (pre, post), courses and question (1 10) and their interactions.
Like the Year 2 students, there was a significant effect of training (P = 0.006) and question (P < 0.001), but also a course effect (P < 0.001).
Studies that have reported an effect of training on other physician behaviors have used more extensive training, including a two-week Spanish immersion course [ 22] and a multi-session training with practice time between sessions [ 23].
This was done to maximize the effect of the planned training course.
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