The Academy panel acknowledges that the program may backfire: It will sustain expertise in working with highly infectious organisms that could be applied to developing bioweapons.
The relative rarity of CFS/ME in any one practice population (especially compared with, say, asthma or diabetes), would make it inefficient and difficult for practice nurses to develop and sustain expertise, and this is recognized by the practice nurses in this study.
Income generated in this way by the organisations employing pathologists is often used to provide the resource to train future pathologists and thereby sustain the expertise in this area.
Agents have expertise and lawyers have expertise.
For a country like Iran to pursue a nuclear program is not a whimsical decision brought about overnight by a politician or political party; it requires sustained capital, technical expertise, and broad-based political support over many years.
If that is to happen, the United States needs to develop and sustain appropriate modeling expertise and access.
The establishment of multidisciplinary SFES training pathways may prove to be an important approach in sustaining the SFES model for building expertise and effective efforts in science education within college and university science departments.
But second, as a result of this leveled competitive field, the quest for synergistic influence through the advertisement of such elite synergistic expertise powerfully sustains the cross-generational persistence and expansion of this expertise, with everyone emulating the most appreciated performers to the benefit of all.
These are core consulting competencies like client focus, building and sustaining interpersonal relationships together with the application of expertise and knowledge work together to build trust (see Institute of Consulting).
Therefore, a focus not only on meeting human resource demands as programs scale, but on developing internal human resources management to improve retention and maintenance of program expertise is likely to be essential for sustaining delivery at scale.
