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Fixen's model of implementation makes a distinction between skills' transfer during training and implementation of the skills in practice.
To assess readiness to change, the residents rate themselves at the beginning and end of each week using importance and confidence scales regarding the implementation of the skills for that week.
The format of each session included review of implementation of skills from the past week, a review of symptoms, discussion of success or difficulty with implementation of the skills already covered, and introduction of new skills for the week to follow.
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Tulsky et al. [ 99 ] used an audiotape CD-Rom training program that allowed physicians to observe the demonstration of an effective communication skill and review or reflect upon their own conversations and implementation of the skill.
While the focus on generic competences has largely related to definition and standards development, the implementation of these skills is seen as a teaching and learning issue.
As testimony to the skillful and faithful implementation of the coping skills curriculum, this intervention had a significant positive effect on the depressive symptoms of victimized adolescents (though not on their aggression), conceptually replicating previous evaluations of the curriculum's beneficial effects on emotional coping (e.g., Frydenberg et al., 2004).
One particularly impressive initiative is the extension of the implementation of life skills education through the education system in the province of Papua.
Findings from this South African study suggested that IMCI training course was an effective way to learn skills but follow-up was needed to improve implementation and retention of the skills.
The focus on capacity development has resulted in reasonably well-functioning committees with a clear understanding of YHDP mechanisms primarily for the implementation of the MFMC life skills intervention.
During each of the follow-up teleconferences, physicians shared their experiences, discussed opportunities to improve the implementation of the newly-acquired skills, and provided one another with social support.
A question arising during our work with the newly established clerkship preparation skills course was whether a further differentiation of the course with the implementation of specific skills for individual medical specialties might be feasible and useful.
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