He may yet temporarily step down during the trial, though at present he is denying any such plan.The trial will certainly trigger fresh debate over executive pay, relations between the management and supervisory boards, and the role and competence of each board.
If the revelations in the Oklahoma case are typical, it is not unreasonable to question the actual role and competence of the physicians engaged in this work.
The aim of our research was to explore the experiences, attitudes and perceived role and competence of GPs providing health services to patients with ID, with a special focus on patients with ID and MBP.
This relevance was confirmed by Lohmann and zur Muehlen (2015) as well as Müller et al. (2016) who recently investigated which BPM roles and competences are demanded by industry.
Firstly, this Delphi study reinforces the CanMEDS Roles Framework based on the high percentages of relevance of the different roles and competences.
This could be controversial, because it creates a possible risk to artificially divide roles and competences, and therefore lead to a fragmentation of performance [ 30].
For medical doctors, specific roles and competences have been defined in both undergraduate and postgraduate training, as well as in continuing medical education.
These roles and competences are classified in frameworks such as the CanMEDS (Canadian Medical Education Directives for Specialists) Roles Framework [ 1], the six core competences identified and described by the Accreditation Council for Graduate Medical Education (ACGME competencies) [ 2] and Tomorrow Doctor's at the UK [ 3].
The findings from this survey should go part-way to informing the process of defining roles and competences, as part of the wider agenda of developing health care professionals and service provision.
Improving IPC in primary care is a challenge because of multiple barriers such as definition and awareness of one another's roles and competences, shared information, confidentiality and responsibility [ 12, 14].
