Successful change in practice may depend less on clinical and barriers information than on other factors that influence physicians' performances. To further develop the commitment-to-change strategy in measuring the effects of planned change, it is important to isolate and learn the powers of individual components of the strategy as well as their collective influence on physicians' clinical behaviors.

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Delivery of Postsecondary Career and Technical Education (CTE) classes by distance learning has increased dramatically in the last decade as students and workers strive to juggle busy work schedules, school, and family obligations. The trend to offer CTE classes by distance education, especially by e-learning (delivered through electronic means) is rapidly increasing requiring instructors in the faceto- face classroom to make a quick transition to e-learning. Instruction by e-learning requires different practices, theories of teaching, design models, and methods of delivery. The key aspects of teaching and learning in the e-learning environment are discussed with scenarios for application.

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