Journal of Health Sciences Management and Public Health HUMAN RESOURCE DEVELOPMENT (HRD) PROFESSIONALS ROLE EVOLUTION: SHIFTING THE PARADIGM FROM INTROSPECTIVE TO “EXTROSPECTIVE” William G. Wallick1 Abstract The literature related to the roles that HRD professionals perceive they should play in organizations reflects an evolution from an introspective to an “extrospective” approach to defining the various roles. This evolution is evident in role studies conducted in the past and is further evident in the more recent studies of HRD roles. As a new direction toward defining HRD roles unfolds, we must discover and embrace innovative ways to identify the most essential HRD roles that are critical to the success of individual HRD professionals, the HRD profession in general, and the organizations we serve. Keywords: HRD Roles, Introspective, Extrospective Roles of HRD professionals have been studied by a variety of researchers (HRD professionals, consultants, and scholars) over the past three to four decades. The research focused primarily on shaping a framework of roles from which HRD professionals could operate. The framework has been used to benchmark and compare the actual roles with the roles discovered and suggested by the various researchers. However, the vast majority of the studies conducted were “introspective”. This means that HRD professionals looked to fellow colleagues within the profession to identify the roles that could ultimately support and enhance the HRD profession. Others have not substantially verified HRD professionals’ perceptions of their roles outside the HRD arena. “The question of whether or not trainers have correctly identified the roles they are providing organizations has gone unanswered” (Bengtson, 1994, p. 1). The accuracy of HRD professional’s perceptions of their roles in organizations is certainly questionable considering that most of the studies were introspective or self-assessing in nature. It is essential to discover the most appropriate roles for HRD professionals in organizations from the perspective of other key organization members. The focus from primarily an introspective approach to a 1 ABD, CHE, SPHR, Director Undergraduate Human Resources Studies Program, University of Scranton 403 McGurrin Hall, Scranton, Pennsylvania 18510, Tel.: (570) 941-4128, e-mail – [email protected] 70 somewhat more “extrospective” approach to defining roles began to evolve over the past two decades. Wallick (1999) defined the term “extrospective” as a phenomenon whereby HRD professionals look outward to examine how their roles can be enhanced, supported, and shared by others within organizations. “Extrospective” can be thought of as the antonym of introspective whereby HRD professionals reflect inward to examine how their roles can enhance and support the HRD profession. Nine major competency studies were conducted between 1970 and 1989 that helped shape the HRD field and served to help increase practitioner’s awareness of HRD (Gilley & Eggland, 1989). Each of the nine studies included various roles that the researchers found to be important and relevant to the practitioner’s success as HRD professionals. Bengtson (1994) used the eleven roles identified by McLagan and Suhadolnik (1989) to compare the perceptions of HRD roles with those of CEOs in selected manufacturing firms. The main purpose of Bengtson’s (1994) study was to determine if a gap existed between what certain CEOs perceived as appropriate HRD roles compared with the HRD professional’s perceptions of their actual roles. Although there were many limitations to Bengtson’s (1994) study, the results of the research showed that CEOs perceived someone other than the HRD professional to be best suited for seven of the eleven roles identified by McLagan and Suhadolnik (1989). Journal of Health Sciences Management and Public Health The McLagan and Suhadolnik study was the most complete and up-to-date study of HRD roles and competencies at the time Bengtson conducted her research. Since that time other researchers (Rothwell, 1996; Piskurich & Sanders, 1998; Rothwell, Sanders, & Soper, 1999) have further studied perceptions of HRD roles. However, their research included the perceptions of other organizational members such as line managers, staff employees, and information system staff members to assist in determining the most appropriate and valuable roles for HRD professionals in organizations. Additionally, the scope of the more recent studies was greatly expanded to include organizations from around the world. These researchers recognized that the role of the HRD professional could no longer be solely determined by the HRD professionals themselves but required a greater focus on systems thinking, which by its very nature, must include input from a greater representation of organizational members. Initiated by Rothwell (1996), the concept of shared responsibility for HRD roles appears to have produced a favorable trend for the HRD profession. Since his 1996 study (this was the first major undertaking to update McLagan and Suhadolnik’s 1989 work), the two most recent major role and competency studies have included the concept of shared responsibility. The results of this current research demonstrate the value and the potentially positive effect that input from other organizational members can have on the HRD profession. It is equally important to gain the input from the highest levels in the organization to further add to the value that HRD professionals can provide to an organization. Foundational Role Studies In 1962 Leonard Nadler completed work on his doctoral dissertation which focused on the needs of selected training directors employed by the Commonwealth of Pennsylvania. Nadler interviewed training directors, their subordinates, and their administrators to determine what training directors did and the “know-how needed to accomplish these tasks” (Nadler, 1962, p. 1). He looked at tasks and know-how in terms of expected, actual, and ideal. He determined that training directors performed the following tasks: obtain and control a budget; choose, purchase, and evaluate training equipment; provide leadership and supervision to training staff; determine needs, plan curriculum, conduct training, and evaluation; obtain and share information concerning training planned and accomplished (Nadler, 1962, p. 1-2). In order to accomplish these tasks training directors needed to know: general administrative principles and practices; curriculum development, instructional materials, instruction, and general philosophical positions in education; how to use data gathering techniques to determine training effectiveness; how adults behave in work situations; the communication process (speaking, writing, reading, listening); the objectives of the state agency (Nadler, 1962, p. 2). Nadler’s original research was important for three reasons. First, it served as the basis for further research. Lippitt and Nadler (1967) used the original research as the basis for a discussion of the emerging roles of the training director. Second, the concepts of tasks and know-how were now described as roles. And third, the work of Nadler and Lippitt (1967) served as the foundational framework for Nadler’s Model that described the three major roles of the human resource development (HRD) specialist. The three major roles (as cited in Gilley & Eggland, 1989) were Administrator, Consultant, and Learning Specialist. Nadler’s Model also inspired the research and development of other models, including enhancements and refinements to his own model. The U.S. Civil Service Commission (USCSC) conducted another foundational study of trainer roles in 1973. The purpose of the study was to investigate “(barriers) to effective employee development in the federal government” (Chalofsky & Lincoln, 1983, p. 37). “The roles included career counselor, consultant, learning specialist, program manager, and training administrator” (Gilley & Eggland, 1989, p. 310-311). Nadler’s Model was used as the basis for the USCSC study. The USCSC study was important because it “provided a structure for the federal government (roles, competencies, and tasks), and it provided a standard of performance for HRD specialists” (Gilley & Eggland, 1989, p. 311). 71 Journal of Health Sciences Management and Public Health In March 1976 a subcommittee of the Ontario Society for Training and Development’s Professional Development Committee was formed to investigate core competencies of trainers. The investigation resulted in the identification of four roles and eleven competencies that the subcommittee believed necessary to effectively perform the identified roles. The four roles identified were instructor, designer, manager, and consultant (Kenny, 1976, p. v). In 1982 Kenny authored an article in which he discussed the notion of trainer certification. In that article, Kenny described the 1976 study of roles and competencies but stated that “we finally settled on 12 areas of core competency” (Kenny, 1982, p. 145). The competency apparently missing from the 1976 report was research and development. There was no explanation given by Kenny (1982) as to why the twelfth competency (i.e., research and development) was not mentioned in the original study. This may have simply been an oversight on the part of the author. Although the specific methodology used to identify the roles and competencies was not discussed, Kenny (1976) described a seven member working committee, six other members, and eight corresponding members who communicated about the perceived roles and competencies of trainers. Additionally, the American Society for Training and Development’s Professional Development Committee as well as people in various community colleges were contacted for input regarding the study. Lastly, a review of the then current literature was conducted and a partial listing was noted at the conclusion of the article in the bibliography. The Ontario Society for Training and Development study has been and continues to be quoted as an important study in the field of training and development (Chalofsky & Lincoln, 1983; Gilley and Eggland, 1989; McLagan, 1983; Pinto & Walker, 1978; Rothwell & Cookson, 1996; Rothwell & Sredl, 1992). Major Role Studies The major studies described below were all commissioned by the American Society for Training and Development (ASTD) and are discussed in chronological order. 72 The American Society for Training and Development (1978) “In 1976 ASTD charged the Professional Development Committee with the task of developing a role model for HRD specialists” (Chalofsky & Lincoln, 1983, p. 65). After two years of brainstorming ideas the committee elected to use their work as a foundation for conducting “a national study of what HRD professionals actually do, rather than publish another theoretically based role model” (Chalofsky & Lincoln, 1983, p. 65). The purpose of the study was to determine the competencies needed for effective performance in training and development and to create a research base for enhancing and refining those competencies as the profession continued to evolve. Pinto and Walker (1978) defined role “as a set of activities performed by an individual in fulfillment of the expectations imposed by professional standards of behavior or employer position requirements” (p. 59). They defined competencies as “the specific skills knowledge, abilities and other attributes, such as values and attitudes, necessary for effective role performance” (Pinto & Walker, 1983, p. 65). The roles Pinto and Walker (1978) identified are listed in Table 1. This study was significant first because of the large scope of the research. Pinto and Walker (1978) surveyed over 14,000 ASTD members in the United States and in other countries that ultimately resulted in 2,790 usable surveys or approximately 20% of the surveys mailed. Pinto and Walker (1978) noted that “since the questionnaire was developed for practitioners, a number of academics, consultants, students, vendors and retired members may not have been able to respond appropriately” (p. 60). Second, the researchers used commonly accepted research methods to collect and analyze the data. Lastly, the study has been accepted as foundational and continues to be cited in many references and texts (Chalofsky & Lincoln, 1983; Gilley & Eggland, 1989; McLagan, 1983; Nadler, 1989; Rothwell, 1996; Rothwell & Cookson, 1996; Rothwell & Sredl, 1992; Rothwell & Soper, 1999). Models for Excellence (1983) In 1981 the Professional Development Committee of ASTD commissioned a Training and Development Competency Study known today as Models for Excellence. One underlying reason for the study was to examine relevant Journal of Health Sciences Management and Public Health competencies as a basis for a meaningful discussion on the topic of certification for trainers. Patricia McLagan was named director of the study. She and her team were charged with developing a model that would provide a detailed and current definition of excellence for training and development professionals that could be used as a standard for performance (Gilley & Eggland, 1989). McLagan’s (1983) methodology consisted of a series of studies that were specially designed to accomplish seven steps: 1) Determine the domain of the training and development field; 2) Determine the key roles for the [training and development] T & D field; 3) Identify the major environmental forces expected to affect the field in the near future; 4) Identify the critical outputs which the T & D function is expected to produce; 5) Identify the critical competencies for the T & D field; 6) Develop behavioral anchors for the competencies; and 7) Cluster the roles to reflect common competency requirements (p. 7). Ultimately, McLagan’s 1983 study Models for Excellence defined the training and development field by firmly identifying it as a specialty area within the larger context of the human resources field. Further, the study focused on assisting professionals to change through learning by providing a future-oriented description of the field that could be used to select, manage, and develop professionals (McLagan, 1989). Additionally, the results of the study “defined training and development work in terms of results or outcomes rather than tasks and activities, which was the focus of many other studies” (Gilley & Eggland, 1989, p. 318). The study identified training and development as one of nine specialty areas in the human resources field that consisted of 15 functions or roles that required a body of knowledge to support 32 competencies and 102 outputs (Gilley & Eggland, 1989). The fifteen key roles are identified in Table 1. Models for HRD Practice (1989) The third major competency study called the Competencies and Standards Study was commissioned by ASTD in 1987 to build on and expand the results of the 1983 study. The study is better known today as the Models for HRD Practice. Assisted by a large task force of human resource development (HRD) experts, McLagan and the task force were charged with conducting the study, communicating its results, and developing a plan for applying the results (McLagan & Suhadolnik, 1989). There were key differences between the 1983 and the 1989 studies. Specifically, the 1989 study covered the field of HRD rather than just training and development, included standards of quality for the HRD outputs, and identified major ethical issues facing HRD professionals (McLagan & Suhadolnik, 1989, p. 2). HRD roles were defined as “roles that individuals in HRD will perform in the future and that encompass the range of responsibilities and functions that define HRD work” (McLagan & Suhadolnik, 1989, p. 69). Pinto and Walker (1978) surveyed all ASTD members as a part of the methodology used for their study. In contrast McLagan’s methodology was specified by ASTD to include only a task force of individuals at the forefront of HRD (McLagan & Suhadolnik, 1989). McLagan and Suhadolniks’s (1989) methodology was similar to the methodology used in McLagan’s (1983) study. “Selected HRD experts reviewed and expanded on the results from the 1983 study to produce a preliminary HRD model consisting of future forces, outputs, quality requirements, competencies, and ethical issues for identified HRD roles” (McLagan & Suhadolnik, 1989, p. 7). This review produced an initial draft of an HRD model that was subsequently revised to produce a second draft model, and then a final HRD Model. The results of the study produced a list of future forces likely to have a significant impact on HRD and HRD professionals; 11 functional HRD roles; 74 outputs that HRD professionals must produce or provide to others; 35 competencies necessary to produce HRD outputs; major ethical issues facing individuals in HRD; role profiles for each role that describe the outputs for the role, the quality requirements for each output, the competencies needed to produce the outputs, and the major ethical issues facing individuals in each role; and role clusters that identify roles with similar critical competencies and linkages between them (McLagan & Suhadolnik, 1989, p. 17). The 11 roles identified in the 1989 study are listed in Table 1. The ASTD Models for Human Performance Improvement (1996) The fourth major ASTD-sponsored competency study was 73 Journal of Health Sciences Management and Public Health Table 1. Comparison of Trainer Roles Identified in 6 Major Studies ASTD Models for Human Performance Improvement (Rothwell, 1996). The study builds upon the work of Pinto and Walker (1978), McLagan (1983), and McLagan and Suhadolnik (1989). The purpose of the study was “to lay the foundation for future work on human performance improvement” (Rothwell, 1996, p. 2). Rothwell (1996) used commonly accepted 74 research methodologies to conduct the study. He first prepared an extensive review of literature on relevant competencies. Next, he gathered a panel of experts to select the competencies that they believed were most relevant to the study of human performance improvement. Rothwell (1996) identified four roles tied Journal of Health Sciences Management and Public Health to human performance improvement work, identified 38 competencies, including 15 core competencies, “needed by those who perform human performance improvement work” (Rothwell, 1996, p. 18). One major limitation of the research is its lack of empirical rigor. But Rothwell (1996) clearly explains that the field of human performance improvement is fast and ever changing, requiring almost continual updating. Empirical research may produce reliable and valid results but often results that are too outdated to be useful. “Methodological rigor has been sacrificed to a certain extent in order to obtain faster, more current results” (Rothwell, 1996, p. 2). This study was important to the field of training and development for two major reasons. First, the study suggested that a broader, systems thinking view of the training profession was on the horizon. Traditionally the HRD professional tended to bear the sole responsibility for assessing, designing, developing, and implementing programs and processes for improving performance within organizations. The sole responsibility mindset appears to have been self-imposed. For the first time the focus began to shift from trainers as the exclusive proprietors of employee development. The study included suggested ways for both line managers and employees to participate and share in the responsibility for improving human performance through learning and management solutions. Second, the shared responsibility concept suggested by Rothwell (1996) was used in the subsequent major ASTD competency study conducted by Piskurich and Sanders (1998). They suggested that line managers as well as information systems staff should consider the roles they play in supporting the work of the HRD professionals. ASTD Models for Learning Technologies (1998) The fifth major ASTDsponsored competency study was ASTD Models for Learning Technologies (Piskurich & Sanders, 1998). The study specifically examined the roles and competencies that training professionals needed to enable them to select, manage, and implement learning technologies in the workplace. Piskurich and Sanders (1998) modeled their research methodology on McLagan and Suhadolnik’s (1989) ASTD Models for HRD Practice and Rothwell’s (1996) ASTD Models for Human Performance Improvement. The roles for learning technologies described by Piskurich and Sanders (1998) are listed in Table 1. The study was important for three reasons. First, it was the leading study to specifically examine the role, competency, and output requirements for learning technologies. Second, although the main purpose of study was not to depict the larger field in which training resides (Rothwell, Sanders, & Soper, 1999), it did focus on identifying and describing the competencies required of training professionals to effectively perform their roles in a now technologically advanced field. Finally, the study examined the organizational forces potentially affecting the use of technology in the future as well as some emerging trends in technological advancements (Piskurich & Sanders, 1998). ASTD Models for Workplace Learning and Performance (1999) The most recent ASTD-sponsored competency study is ASTD Models for Workplace Learning and Performance (Rothwell, Sanders, & Soper, 1999). The study describes the competencies, as perceived by practitioners and line managers, needed for successful workplace learning and performance now and five years into the future. Although formal training still occurs, the focus is now on creating conditions in the workplace where managers and employees alike can be more responsible and accountable for learning and high performance. Training focuses on changing individuals by equipping them with new knowledge and skills (Rothwell et al., 1999). Training has traditionally been viewed as an activity rather than a method of producing results in work settings. The concept of Workplace Learning and Performance (WLP) was designed to stimulate a shift toward bridging the gap between activity and results. The research questions inherent in this study centered on the current competencies required for success in WLP as perceived by practitioners, senior practitioners, and line managers and the competencies that will be required in five years (Rothwell et al, 1999). The research methodology used to conduct this study was similar to recent ASTD-sponsored studies, except that part of this study was conducted and data were collected for the first time on the World Wide Web. Rothwell et al (1999) identified seven workplace learning and 75 Journal of Health Sciences Management and Public Health performance roles that are listed in Table 1. Rothwell et al (1999) noted four limitations of the study: (1) the results could not be generalizable to represent the work of all WLP practitioners; (2) levels of experience and expertise of the respondents could not be easily verified; (3) there were varying levels of computer technology among potential participants, many with outdated software that prevented some potential participants to respond; and (4) there was an uneven distribution of responses among disciplines and levels within organizations. Nonetheless, this study is important to the field of training and development for the following reasons: (1) it is the first study that primarily examines future competencies - past studies focused on the then current training environment and suggested additional or enhanced roles based upon current thinking; (2) it is the first major study in the field of training to use a web-based data collection effort; and (3) the study further expanded the idea of “extrospective” thinking and the trend of shared responsibility within a systems approach to the training profession. Rothwell et al (1999) invited both practitioners and line managers to jointly assess the competencies needed for effective workplace learning and performance. Bengtson (1994) examined for the first time CEO perceptions of trainer roles in selected central Pennsylvania manufacturing companies. Limitations to the study were 1) it was designed to examine perceptions and not actual skill and knowledge levels of trainers; 2) manufacturing was the only industry type examined; 3) the organizations in the study employed less than 1,000 employees; 4) the sample size was considered small and did not represent all manufacturing organizations; and, 5) since the sample was drawn from central Pennsylvania, the results could not be generalizable to other areas of the United States (Bengtson, 1994, p. 13). Despite the limitations inherent to Bengtson’s (1994) study, the results are nonetheless significant and subject to further study. Discussion and Recommendations The foundational and major studies examined here establish the bedrock of the body 76 of literature on HRD roles. The various role studies have helped to shape the broader HRD field and continue to serve as indispensable structural and operational guides to the most common HRD roles and competencies. However, if we unconsciously govern our behaviors and the resulting roles by attempting to only fit within the defined boundaries of the studies, we may limit our creativity in defining new and expanding roles. The role studies conducted over the past two decades produced at least thirty-six role descriptions. The number of HRD roles has fluctuated from a high of 15 (McLagan, 1983) to a low of four (Pinto & Walker; Rothwell, 1996) since Pinto and Walker’s groundbreaking study. However, the actual number of roles is far less important to discuss than why the roles continued to evolve and change. Changing expectations of the organizations served by HRD professionals is a major reason why the roles continue to evolve (Rothwell, et al 1999). Not only must HRD professionals be multidimensional and innovative in leading performance improvement efforts in organizations, they must be equally creative in defining their roles in a fast-paced, ever-changing organizational environment. Identifying the most appropriate roles does not mean simply adjusting parts of the traditional HRD professionals’ work. It calls for a fundamental change in how we view and represent ourselves in organizations. One approach to fundamentally altering our own views is to seek input from others outside the HRD profession as to how HRD roles might be enhanced, supported, and shared by others within organizations. Bengtson (1994) attempted to determine Chief Executive Officer (CEO) perceptions of HRD roles in selected Pennsylvania manufacturing companies. CEOs were selected as subjects for the study because “as the top decision-makers in the organizations, [they] have the authority to restrict or expand a function’s scope of responsibility” (Bengtson, 1994, p. 1). If an HRD professional’s perceptions of their roles are incongruent with the perceptions of the top leadership, it is perhaps useless for HRD professionals to continue to prepare themselves for roles that CEOs perceive as inappropriate for their organizations. It would, however, be very advantageous for HRD professionals to prepare themselves for roles that are consistent with HRD profession as well as for their specific Journal of Health Sciences Management and Public Health organization. Although CEO perceptions of HRD roles are indeed critical in determining appropriate and meaningful HRD roles, other key organizational member’s perceptions may be equally important. The perceptions of other top leaders, e.g., Chief Operating Officers (COO), Chief Financial Officers (CFO), as well as managers and staff employees could also provide valuable input and insights into the most appropriate HRD roles as direct consumers of the efforts of HRD professionals. The best way to advance an extrospective approach to discovering new HRD roles is through research and further research is indicated in this area. Suggestions for research include: 1. Survey organizational members to determine their opinions about the most appropriate roles that they believe HRD professionals should play and compare the roles that they identify to the roles identified in the major studies. 2. Survey organizational members to determine their opinions about the most appropriate roles that they believe HRD professionals should play and compare the roles that they identify to the actual roles of HRD professionals in an organization. 3. Choose a specific type of industry (e.g., Pharmaceuticals) and survey the senior leaders to determine their perceptions about the most important HRD roles. Compare the senior leader perceptions to the actual HRD roles in the selected companies. 4. Conduct in-depth interviews with consumers of HRD products (e.g., managers or staff members) to determine the value they receive, as a direct result of the HRD professional’s efforts. New and unique roles may emerge from this type of research. References 1. 2. 3. 4. 5. 6. 7. 8. 9. Bengston, B.L. (1994). An analysis of CEO perceptions concerning trainer roles in selected central Pennsylvania manufacturing firms (Doctoral dissertation, Pennsylvania State University, 1994). Dissertation Abstracts International, 56, 478. Chalofsky, N.E., & Lincoln, C.I. (1983). Up the HRD ladder: A guide for professional growth. Reading, MA: Addison-Wesley Publishing Company. Gilley, J.W., & Eggland, S.A. (1989). Principles of human resource development. Reading, MA: Addison-Wesley Publishing Company. Kenny, J.B. (1976). Core competencies of a trainer. Canadian Training Methods, Special Issue, i-xvi. Kenny, J.B. (1982). Competency analysis for trainers: A model for professionalization. Training and Development Journal, 36(5), 142-148. Lippitt, G.L., & Nadler, L. (1967). Emerging roles of the training director: Is training sufficiently creative and innovative to serve its full purpose? Training and Development Journal, 21(8), 2-10. McLagan, P.A. (1983). Models for excellence. Washington, DC: The American Society for Training and Development. McLagan, P.A., & Suhadolnik, D. (1989). The models for HRD practice: The research report. Alexandria, VA: The American Society for Training and Development. Nadler, L. (1962). A study of the needs of selected training directors in Pennsylvania which might be met by professional education institutions. Dissertation 10. 11. 12. 13. 14. 15. 16. Abstracts International, 24(2). (University Microfilms No. 63-3766) Pinto, P.R., & Walker, J.W. (1978). What do training and development professionals really do? Training and Development Journal, 32(7), 58-64. Piskurich, G.M., & Sanders, E.S. (1998). ASTD models for learning technologies. Alexandria, VA: The American Society for Training and Development. Rothwell, W.J. (1996). The ASTD models for human performance improvement: Roles, competencies, outputs. Alexandria, VA: The American Society for Training and Development. Rothwell, W.J., & Cookson, P.S. (1996). Beyond Instruction: Comprehensive program planning for business and education. San Francisco, CA: Jossey-Bass Publishers. Rothwell, W.J., Sanders, E.S., & Soper, J.G. (1999). ASTD models for workplace learning and performance. Alexandria, VA: The American Society for Training and Development. Rothwell, W.J., & Sredl, H.J. (1992). The ASTD guide to professional human resources development roles and competencies (2nd ed., Vol.1). Amherst, MA: HRD Press. Wallick, W.G. (1999). Review of literature: An analysis of CEO perceptions regarding trainer roles in Fortune 500 companies. Unpublished manuscript. 77 Journal of Health Sciences Management and Public Health adamianuri resursebis ganviTarebis sferoSi moqmed menejerTa saqmianobis Taviseburebebi uiliam uoliki Catarebuli analizis safuZvelze dadginda, rom adamianuri resursebis ganviTarebis sferoSi moqmed profesionalTa movaleobebis Secvla aSkarad asaxavs im evolucias, romelic ganicada am profesiam ukanasknel wlebSi. am sferoSi momuSave menejerebis moqmedebis efeqturobis obieqturi kriteriumebis dadgena unda daexmaros rogorc calkeuli profesionalis, ise mTlianad am profesiis rolis gansazRvras samedicino dawesebulebis saqmianobis warmatebulad warmarTvis saqmeSi. 78
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