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We have since instituted mechanisms to improve training retention, including conducting employment verification checks with potential trainees' institutions prior to enrolment and admitting trainees from institutions that have shown clear understanding of the program and which commit themselves to support the trainees to undertake the training.
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After a placement comes to an end, we support the trainee's transition out into the community by facilitating further training or helping them to find voluntary or paid employment wherever possible.
This acts as a form of commitment for both institutions to support the trainee with respect to attendance of face-to-face sessions, project implementation, and mentorship support as required.
An academic mentor is a member of staff of MakSPH or one of the facilitators whose role is to facilitate, guide, and support the trainee in problem identification & prioritization, proposal development, project implementation and report writing.
These preliminary discussions enabled the institutions to appreciate the program from an early start and to commit themselves to supporting the trainees in implementing their projects.
In addition, the strengthening of the telecommunications infrastructure (especially more reliable and efficient e-mail) has facilitated the ongoing technical support for the trainees from an expatriate technical advisor who is no longer resident and has substantially improved communication with other technical experts outside Zimbabwe.
What he failed to recognise was a perceived loss of role by the pupils and the inevitable lack of support for the trainee.
This level of decomposition is critical from the perspective of ITS design as the ITS must have the ability to determine which underlying skill components are contributing to overall performance in order to provide appropriate tailored training content and support to the trainee.
3 In addition, there has been a lack of teaching provision of knowledge and consistent educational support as the trainee has approached the major compulsory examination of their early professional career, Membership examination of the Royal College of Surgeons (MRCS), normally taken during the first 2 years of basic surgical training.
During such visits, discussions are held with the management of the institution with regard to the support available to the trainees to complete the projects and any prospects for scale-up/continuity of project activities initiated by the trainees beyond the current unit/department where they are based.
The literature also supports that trainees, both medical students and residents, can acquire these skills.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com