The education programme was strongly collaborative in nature, with patients being viewed as adult learners and the educators perceived that patient engagement was critical to ensure its success.
Further, we believe that the application of the full methodology proposed initially [ 7], particularly including the strongly collaborative dimensions, will add substantial value and veracity to the process and findings.
We recognised that to establish recognition of the features of such an innovative methodology (including a strongly collaborative process, the use of evaluation reports as data and the use of qualitative analysis), it would be important to conduct preliminary studies.
According to the website of the NIH Roadmap, an initiative that strongly encourages collaborative research, NIH plans to make grants that give "principal investigator status to not one investigator, as is now the norm, but to all key members of the research team".
These and other collaborative strategies have been strongly associated with improvement of patients' symptoms [ 11].
Work by Gulati and colleagues have shown that collaborative interorganisational alliances are strongly influenced by trust generated in previous partnerships, and by reputation mediated by a third partner [ 37].
The majority of collaborators (n = 61/97, 62.9%) disagreed or strongly disagreed that collaborative research opportunities between medical schools were easily accessible.
But all three filmmakers, who believe strongly in the collaborative, social nature of filmmaking, insisted that they were in constant communication and worked together on everything.
In particular, we strongly support the collaborative 'networking of science' model, which involves community efforts to identify disease mutations.
In summary, this collaborative study from the Johns Hopkins Hospital and Mayo Clinic strongly supports the use of adjuvant CRT in patients with resected pancreatic adenocarcinoma.
