This overall model describes the relationships of the produced outputs of the three clusters, in the second stage (input), and the produced overall competency of the system.
In this case, in Fig. 3 we see that the learner is trying to increase the competency level for the overall competency of division.
Accepting these limitations however, their performance in comparison with their peers is reassuring and suggests not only the overall competency of the grade but also adequacy of their undergraduate training.
After reviewing each portfolio, the evaluators simply rated the overall competency of each fellow between 1 (Novice/Knows what) and 5 (Expert/Mastery) referring to two widely used competency level frameworks suggested by Dreyfus H [ 22] and Miller GE [ 23].
Although the portfolio evaluation results showed significant improvement in the overall competency of the fellows, we found a tendency for the fellows to overestimate their own competency in the self-assessment results.
Thus, our training program had improved the overall competency of these two groups of nurses in pediatric CPR but they failed to retain the same competency even for a short duration such as 6 weeks.
