Physician-related factors, such as age, gender, years since graduation, practice setting, patient population profile and adherence to maintenance-of-competence activities can also affect SM use [ 5, 8, 10- 13].
Alignment of competences and activities of suitable technology partners to realize actual product development is still difficult.
TMIG, Tokyo Metropolitan Institute of Gerontology index of competence; IADL, Instrumental Activities of Daily Living; IA, Intellectual activity; SR, Social role; MFS, Motor Fitness Scale; DVS, Dietary Variety Score; GDS, Geriatric Depression Scale.
All these results suggest that ABP1 activity defines a zone of competence for PLT activity essential to control the transition between the meristem and the elongation zone.
Ten Cate et al. emphasized that "the goal of competency-based education should be linked to observed competence, rather than to the current proxy measure, length of training", and that "as educators, we should recognize that all trainees do not reach the same level of competence for all activities at exactly the same time" [ 29].
A change from "fixed-length variable-outcome programmes" to "fixed-outcome variable-length programmes" has been proposed as a way of dealing with the fact that not all learners reach the same level of competence for all activities at exactly the same time.
A recent review [ 16, 17] highlighted inconsistent delivery and varying levels of competence among physical activity interventionists reporting to deliver a physical activity counselling components.
The AMPS is an observational measure of functional competence in activities of daily living allowing simultaneous assessment of motor and process skills necessary for competent performance [ 10].
The FESV [ 29] is a self-rated, validated reliable questionnaire measuring therapy success in the scales of "depression reduction", "fear reduction", "anger reduction", "competences in planning", "cognitive restructuring", "sense of competence", "mental distraction", "countersteering activities", "relaxation techniques".
The course consists of private study, supplemented with study days and is assessed by demonstration of competence in work-based activities in a written portfolio and observed structured clinical examination.
In the context of STAK, this involves helping the children to derive a sense of competence associated with physical activity.
