In my work, I constantly encounter success stories of people who learned a marketable skill under the supervision of a skilled expert -- while earning a steady paycheck.
Only for IHC and FISH/CISH it is easy to differentiate between the tumor cells and adjacent cells (e.g., tumor-infiltrating immune cells); for gene expression or sequencing analyses, a microdissection needs to be performed under supervision of skilled pathologists.
The laparoscopic staging procedure is a complex procedure and should best be learned under direct supervision of a skilled gynaecologic laparoscopic surgeon.
The ultrasound examination was always performed by a local skilled sonographer (ARC) under the supervision of a Rainbow 4 Africa sonographer (AL, EB) experienced in lung, abdomen, and heart ultrasound.
WHO [33] in its Standards for Maternal and Neonatal Care recommends that all pregnant women have at least four antenatal assessments, starting as early as possible in the first trimester, conducted under the supervision of a skilled attendant, and spaced at regular intervals.
Nationally, only 40% of pregnant women attend ANC visits and only 45% deliver under the supervision of a skilled health personnel.
Early identification of high-risk conditions of pregnancy allows providers to recommend delivery at the clinic under the supervision of a skilled midwife or make a referral to a higher level of care.
If a woman is laboring under the supervision of a skilled birth attendant, the diagnosis of prolonged/obstructed labor should not be difficult to make, but in parts of the world where fistulas are common, most women deliver by themselves, in the company of family members, or using other forms of traditional birth assistance [ 56, 57].
The proportion of women delivering in health facilities under supervision of a skilled attendant is also alarmingly low [ 8].
Early and regular attendance of antenatal care (ANC) and delivery under supervision of a skilled attendant (defined as a midwife, nurse trained as midwife, or a doctor) is associated with improved outcome regarding maternal and peri-natal health as well as decrease in maternal and peri-natal deaths [ 1- 4].
The data entry was performed by four skilled personnel from the Rwanda School of Public Health under the supervision of a data entry manager.
