Health care team building is not something thatjust happens. Cliques and small groups are a common happening amongthose inpatient care and staff personnel. To promote an environment that isconduciveto open communication in the best interest of the patient themedical staffand other members of the health care team it is sometimesnecessary to accessthe help that is available from those specializing in buildingrelationshipsand problem solving. Training anddevelopment is the field which is concerned with organizationalactivityaimed at bettering the performance of individuals and groups inorganizationalsettings. It has been known by several names including humanresource development