These elements may contribute for maintenance of the trainee activity along the procedure practices, and to motivate and stimulate the student learning and skill improvement.
While new technologies and teaching methods may help bridge the gap, it will be only through accurate monitoring of trainee activity in the clinical setting that standards in surgical training can be maintained and future challenges met.
The roles and responsibilities of supervisors in CBE varied according to the sponsoring institution's objectives as did trainee activities the different institutions (Table 3).
Overall, bedside teachers believed bedside encounters offer numerous opportunities to observe trainees performing activities, which are unrealized without bedside rounds: " It's the key learning situation of the day in a case-based, patient-centered fashion".
By focusing on patient- and trainee-centered activities, bedside teachers use the established and commonplace combined education and care-delivery method as a vehicle to achieve the prerequisites of competency-based education.
Most trainees recorded these activities as 'things to do' either by making a mental note, a post-it note or a note in the patient record.
To increase motivation, a series of "awards" are provided after completing an increasing number of training activities; trainees can view these by clicking on the Awards icon.
All facilities had consistent leadership at CBE sites, such as inspectors, in-charges of health units and political leaders, as well as facility staff and supervisors for the communities where trainees conducted outreach activities.
The activities they endorsed are the same activities that trainees often carry out with minimal or no supervision in their day-to-day clinical work.
A university spokeswoman, Terry Guess, said that the trainees involved in the activity, which took place last Sunday, were students from Northeastern University in Boston.
