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Whereas the interns felt that supervision was inadequate, their supervisors felt that the interns did not communicate well and in a timely manner.
In general, the respondents working at the CHCs felt that supervision they received from the district level was helpful when it provided information and instructions and identified areas for improvement.
(Director) Others felt that supervision was dependent on service demands "Because of the level of overcrowding in the EDs and increased patient acuity, even though we try to provide large amounts of supervision, it is not consistent.
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They wanted more training in these areas, but felt that the supervision sessions had been useful.
The people working at the CHC felt that supportive supervision in the field is helpful, as they can learn how to do better work.
Participants felt that this supervision model could be expanded to other areas of medicine such as internal medicine, psychiatry and cardiology.
The other two clinical supervisors reported a substantial improvement in the counselling skills of the SHCs and their ability to handle cases independently, and felt that the supervision and joint case consultation had been an effective training mechanism for the majority of cases seen.
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This response also highlighted that MESH mentees felt that the old supervision system tended to put clinicians on the defensive and allowed less time for productive mentorship and learning.
Also, the rural nurses felt that their clinical supervision experiences were valuable in improving their understanding about their practice, as well as increasing their self-awareness and ability to critically reflect [ 31].
(Registrar) Several respondents felt that the level of supervision decreased during unsocial shifts "The main issue here is that on night shifts the RMOs (e.g., PGY 2,3,4) are less supervised than they should be".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com