The main themes identified relating to the current challenges of CVD were poor patient disease knowledge, difficulties in implementing primary prevention and poor patient lifestyles.
Individuals diagnosed with autism spectrum disorder (ASD) show significant impairments in social knowledge, difficulties in pragmatic communication, and social deficits in behavior and activities [Fine, Bartolucci, Ginsberg, & Szatmari, 1991 ], overshadowing language delay in syntactic or structural linguistic knowledge [Baron-Cohen, 2005; Geurts & Embrechts, 2008 ].
Engaging in metacognition allows learners to recognize gaps in their knowledge or difficulty in acquiring new information, as well as to identify and integrate new knowledge into their existing cognitive framework.
The stressors mentioned by students in the focus group coincide with those found in the literature such as competition, knowledge overload, difficulty in budgeting time among a large number of activities and too little time for leisure activities, individualism, responsibility and social expectations of the doctor's role [ 14].
For example, fragmentation of knowledge and difficulties in connecting and using knowledge may be more significant than alternative conceptions (Bell, 2001).
Increased personal risk, lack of necessary skills, knowledge gaps, difficulties in dealing with staff worries and concern about loosing other patients are the most frequent complaints [ 8- 12].
Lack of insight and knowledge implies difficulties in understanding the relevance of gender in medical work, and not understanding the relevance makes you less interested in, and more sceptical about, education on gender.
For each area, the percentage of students with correct knowledge (dark gray), difficulties (medium gray), or LOE (light gray) is presented in Figure 2. Results show that with the three selected assessments, RED coding is capable of detecting differences in the proportion of students with correct knowledge or difficulties in the five experimental design areas (Table 2).
Language ability, as assessed by IELTS, does have some influence on MRCP UK) and MRCGP outcome, but the effects are small, and overall the conclusion is probably similar that of the 1986 PLAB review: "The failure of candidates was due in the main part to their lack of professional knowledge rather than difficulty in communicating in English".
Comments from stakeholders such as graduate students who lacked basic knowledge and have difficulties in integrating knowledge learned or gained to solve engineering problems are highlighted.
