Third, the questionnaire did not include a number of factors that could affect the inclusion of S/H in the medical curriculum, such as curricular time, funding, training support, questions about curricular competencies, methods to evaluate these competencies, and type of teamwork available within the school.
Although measures of teamwork are available, the QI team was not equipped to employ these measures and was unsure if they would be sensitive to the changes proposed.
It requires teamwork and more readily available technical skills from the transcranial and transsphenoidal surgeons.
These results indicate the efficacy and sustainability of the Therapeutic Education program, that was completely carried out by a single pediatrician; in addition, it met with an elevated participant acceptance, suggesting a convenient therapeutic solution for skilled pediatricians and selected obese children, when Behavioral Therapy is not available or teamwork is poor.
A "sustainable" therapeutic education program (i.e., requiring limited time and professional resources), carried out by a single, skilled pediatrician, might represent a feasible and convenient therapeutic solution for selected obese children when Behavioral Therapy is not available or teamwork is poor or not possible.
The intermediate outcomes were as follows: patients with rehabilitation needs were given more adequate priority; increased readiness for future implementation efforts; increased general competence in cognitive behavioural therapy and teamwork, which thus became available to patient groups other than those included in the RG.
Several instruments are available to assess teamwork in health care settings [ 20, 26].
Even though Behavioral Therapy shows some efficacy, it requires a prolonged teamwork that is not always available in public health settings.
We developed an "intensive" and reasonably simple, one-man (i.e., carried out by a single skilled pediatrician), therapeutic strategy for selected obese-overweight children, in the attempt to devise a possible alternative to multi-professional teamwork, that sometimes is not available or may be unpleasant for the children's families.
Simulation is a technique recommended for teaching and measuring teamwork, but few published methodologies are available on how best to design simulation for teamwork training in surgery and health care in general.
There are several interventions available for improving interprofessional teamwork [ 12, 52, 91, 92], but there are only a few studies on this issue [ 93].
