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. 2021 Nov 30;181(4):1449–1457. doi: 10.1007/s00431-021-04324-4

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© The Author(s) 2021

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Fig. 1 — Suggested elements for program development. Infrastructural elements allow for support of effective curricular development and, through implementation processes, translates to quality care. Structure and process outcomes can be measured to assure benefit to patient, providers and institutions