The document discusses challenges with the current healthcare system and strategies for improving it. It notes issues like mismatched competencies, poor teamwork, narrow technical focus, and weak leadership. It asks how health professionals can be trained to deal with this complexity and work better together. It advocates aligning education and accreditation across professions and continuing education with a shared core curriculum.

1. Pedro Graça MJ Gregório [email_address] Human resources and practice based strategies for better action

2. “ The problems are systemic : mismatch of competencies to patient and population needs; poor teamwork; narrow technical focus without broader contextual understanding; episodic encounters rather than continuous care; predominant hospital orientation at the expense of primary care; quantitative and qualitative imbalances in the professional labour market; and weak leadership to improve health-system performance…tribalism of the professions - ie, the tendency of the various professions to act in isolation from or even in competition with each other.” The Lancet Commissions (2010) A recent diagnosis of human resources in health care:

4. How can we train and educate our health professionals to deal with this complexity ?

5. (Huynen M et al , , 2005)

6. How can we train and educate other resources (health professionals) to deal with this complexity ?

7. How can we train and educate other resources (health professionals) to deal with this complexity ? How can we train and educate health professionals to deal with this complexity ? How can we make them working together ? +

8. (Frenk J, 2010) A required reform Align education Align accreditation (Frenk J et al , 2010)

9. Nutritionists in Portugal: Same core curriculum (Real H et al , , 2011) Number of pre-graduated students per year in Nutritional Sciences Evolution

12. Continuing education: Same core curriculum

13. (Building the Public Health Workforce for the 21 st Century, A Pan-Canadian Framework for Public Health Human Resources Planning, the Joint Task Group on Public Health Human Resources , 2005) Building a practice based strategies for better action of the public health workforce 2010

14. A required educational reform (Mezirow J, 2000; Frenk J, 2010)

15. Pedro Graça PLATFORM AGAINST OBESITY – DIRECTORATE-GENERAL OF HEALTH, PORTUGAL [email_address]