Work experiences that are thought to contribute to diagnostic reasoning include specialisation by seeing more patients with similar diseases, accurate feedback by using sophisticated diagnostic equipment, interaction with knowledgeable colleagues, involvement in teaching and supervision, and contribution to active research programmes.
The fact that supervision satisfaction predicted professional development is hardly unexpected, given the evidence that institutional support and active supervision seem to be key components of a positive community service experience [ 24, 35].
Training procedures for MDFT therapists have been described before [ 24], and included a two weeks course in using the treatment manual, site visits, and active supervision during the study regarding session planning, case assessment and developing the treatment plan.
The PHNs described meeting with their supervisor as engaging in "reflective clinical supervision", "an active and deliberate process when an individual is challenged and enabled to undertake the process of self-enquiry to empower the practitioner to realize desirable and effective practice within a reflexive spiral of personal transformation" (p.1405) [ 54].
The therapist described the experience of facilitating CBT in a technological milieu as a "learning curve", which was mastered by addressing the challenges of using technology and active clinical supervision.
Active supervision and linkages forged between DHMT, CHEWs, CHWs, and CHC played a key role in the sustainability of the programme.
However, some research works (42) focused their efforts on annotating more documents with high quality, guaranteed by active supervision and correction of mistakes, rather than annotating repeated documents to obtain IAA scores.
Meanwhile, she had turned back to work in her beauty parlor (administration and supervision tasks, no active hairdressing anymore).
An important aspect of this study is that people with type 2 diabetes were able to sustain a more physically active lifestyle without supervision, and this would be expected to influence metabolic risk and glucose control (29).
These were usually be started 7 10 days postoperatively and included assisted active and active circumduction, inversion, and eversion movements of heel under the supervision of a physiotherapist in an effort to re-establish motion of the subtalar joint.
