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Table 4 Competencies common to all MUHAS graduates

From: The Doctor of Medicine curriculum review at the School of Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania: a tracer study report from 2009

Competence

Figures in cells are the percentages agreeing, mean (SD) of Likert Scale from 1 to 5, where 1 = strongly disagree and 5 = strongly agree

Graduate

n = 147

Supervisor

n = 48

Supervisor

n = 48

I was “trained to”

“Professionals are expected to”

“Graduate is able to”

B1: Relationships with patients

Establish constructive relationships and communicate effectively with patients, clients and/or communities in order to address their needs and preferences

84.9 %

95.6 %

80.0 %

4.29 (0.90)

4.71 (0.73)

3.98 (0.89)

Provide service to individuals and groups that is appropriate to their different backgrounds

80.6 %

95.5 %

72.7 %

4.17 (1.02)

4.70 (0.73)

3.82 (1.10)

Communicate health issues and polices effectively to the public

69.2 %

95.3 %

72.1 %

3.92 (1.08)

4.74 (0.73)

3.79 (1.08)

B2: Relationships with colleagues

Listen to and take advice from colleagues

84.2 %

97.7 %

68.3 %

4.34 (1.06)

4.82 (0.66)

3.68 (1.16)

Motivate colleagues

72.6 %

97.6 %

56.8 %

3.97 (1.11)

4.68 (0.72)

3.55 (1.13)

Contribute effectively to team work

82.2 %

97.7 %

65.9 %

4.27 0 (.90)

4.88 (0.62)

3.86 (0.95)

Work effectively with other health professionals

84.7 %

97.7 %

75.0 %

4.30 (1.00)

4.82 (0.66)

4.07 (.90)

B3: Teaching

Prepare and deliver effective health promotion messages to educate communities

67.8 %

95.3 %

52.3 %

3.84 (1.08)

4.58 (0.76)

3.50 (1.02)

Teach a course for health professionals or students

65.3 %

86.4 %

46.5 %

3.78 (1.26)

4.50 (0.93)

3.51 (0.93)

B4: Good practice

Systematically evaluate one’s own performance and practice

64.8 %

95.5 %

34.1 %

3.69 (1.11)

4.57 (0.76)

3.27 (1.06)

Regularly seek information necessary to improve professional practice (life-long learning)

75.3 %

97.7 %

59.1 %

4.05 (1.10)

4.77 (0.68)

3.66 (1.14)

Apply evidence-based decision making

74.3 %

97.6 %

59.5 %

4.03 (1.04)

4.67 (0.72)

3.57 (1.00)

Participate in applied research activities

67.8 %

90.2 %

50.0 %

3.88 (1.16)

4.51 (0.75)

3.41 (1.23)

Use information technology to optimize learning

50.7 %

97.6 %

55.0 %

3.48 (1.20)

4.71 (0.60)

3.65 (1.08)

Show leadership and managerial skills

56.6 %

95.3 %

47.7 %

3.66 (1.15)

4.65 (0.65)

3.30 (1.17)

B5: Health care systems

Show knowledge of how the health care system functions (structures, policies, regulations, standards and guidelines)

60.0 %

90.7 %

44.4 %

3.80 (0.94)

4.56 (0.73)

3.44 (1.08)

Work effectively in various health care delivery settings and systems (hospitals, government, ministries, NGO’s, communities, industry)

63.2 %

97.7 %

64.4 %

3.83 (1.00)

4.72 (0.59)

3.82 (1.01)

Coordinate and implement health service delivery and health interventions within the health care system

66.9 %

97.7 %

53.3v

3.83 (1.048)

4.60 (0.62)

3.47 (0.94)

Incorporate considerations of cost effectiveness into health service delivery

63.4 %

88.4 %

52.3 %

3.83 (1.02)

4.51 (0.77)

3.45 (1.00)

Incorporate considerations of patient cost burden into health service delivery.

67.6 %

90.9 %

50.0 %

3.83 (1.04)

4.50 (0.73)

3.39 (1.06)

Promote quality care in health systems through audits, accreditations, and/or evaluations

48.3 %

93.0 %

46.5 %

3.43 (1.22)

4.56 (0.70)

3.33 (1.15)

Identify system challenges and implement potential solutions

55.2 %

94.9 %

46.5 %

3.59 (1.18)

4.56 (0.79)

3.44 (1.16)

Maintain ethical standards (confidentiality, informed consent, avoid practice errors, avoid conflicts of interest)

94.5 %

97.7 %

73.9 %

4.59 (.70)

4.77 (0.68)

3.87 (1.24)

Apply entrepreneurial skills for advancement of practice and the profession

51.0 %

88.1 %

51.1 %

3.46 (1.28)

4.38 (0.901)

3.47 (1.16)

Show sensitivity and responsiveness to diversity (culture, age, socioeconomic status, gender, religion, and disability)

70.3 %

97.7 %

63.6 %

4.03 (1.03)

4.65 (.72)

3.73 (1.17)

Show respect, compassion, and integrity while interacting with patients, clients, communities and health professionals

88.3 %

97.7 %

68.9 %

4.44 (0.86)

4.74 (0.69)

3.80 (1.14)

Advocate and implement fair distribution of health care resources in Tanzania

64.3 %

90.7 %

51.2 %

3.85 (1.14)

4.63 (0.72)

3.47 (1.12)