Several elements were viewed to be critically important for the program including the following: communication of expectations and development of a robust program structure, dedicated protected time, a dedicated research curriculum, programmatic support, mentorship and oversight as well as accountability/tracking of accomplishments.
The program included the following modules: (1) insulin treatment; (2) self-monitoring with regard to diabetes-relevant behavioral strategies (e.g., nutrition, physical activity, foot care); (3) the recognition, treatment, and prevention of acute complications; and (4) risk factors (e.g., hyperlipidemia, arterial hypertension, smoking) for macroangiopathic diabetes-related illnesses.
In practice, the program includes the following segments of the population: the great majority of community-dwelling elderly persons (>94%), welfare recipients and patients younger than 65 years who do not have access to private insurance (e.g. the self-employed).
The essential elements of an effective mentorship program include the following: socialization, collaboration, operations, validation/evaluation, expectations, transformation, reputation, documentation, generation, and perfection.
The programme includes the following components.
The PREVENT program included the following minimally specified components: (1) dementia care manager (DCM); (2) electronic tracking of patients status; (3) interdisciplinary dementia management resources; (4) collaborative work with the patients' primary care provider; and (5) caregiver support (see Figure 1).
Stern and Papadakis have set out a realistic strategy for a professionalism program, including the following: setting expectations (codes and charters), providing experience (role models) and evaluating outcomes [ 16].
Upcoming programs include the following.
The promises of DLC programs include the following.
Recommendations from the national VMMC program in Kenya that may benefit other African countries implementing comparable programs include the following: Renovations to facilities may be necessary to scale-up program activities, and these improvements can be expensive, so it is important to develop a system to identify and prioritize high-volume, high-impact facilities.
