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Table 2 Primary methods, when the expert utilized them, and what was salient for trainees

From: From novice to expert: methods for transferring implementation facilitation skills to improve healthcare delivery

 

Timing

What was salient for facilitation trainees

Active methods

Teaching

Mostly in the first 3 months

“It would have been very helpful to me to have had a much more intensive...knowledge and information from the very, very beginning of the process.”

Modeling

Throughout the process but most frequently from 2 to 8 months after she began working with them

In addition to modeling implementation facilitation activities, one trainee said, “So I have seen from her the modeling of how to be, I think, a very efficient, high powered but yet person centered and warm leader.”

Coaching

In the beginning for some of the less complex tasks. For more complex tasks, she used modeling first and later coaching, both prospectively and retrospectively

“I think by her sort of coaching… well this is how I would approach it, or this is what we need to do and sort of learning how to navigate within those systems but yet not coming across as critical, but coming across as being more helpful, to influence change.”

Participatory methods

Working together

During the first year, the expert worked with trainees on facilitating less-complex processes. Their work was more collaborative generally after the first year.

“It has also switched…to…more of a collaborative, we’re working on this and less of a, I am mentoring you through this.”

Providing consultation

As trainees developed their skills, they conducted more activities independently but consulted with the expert as needed. The expert spoke little about this process.

Both trainees felt that being able to obtain consultation was one of the most important aspects of the expert’s work with them. One said, “….having somebody that is knowledgeable…if I get stumped…I can call.”