Third, it helps out-of-work Americans by extending unemployment benefits to help them support their families while looking for work and reforming the system with training programs that build real skills, connect to real jobs and help the long-term unemployed.

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Maintaining and growing that talent become top concerns, and one that can be addressed through functionality such as the ability to initiate and manage training programs and work-related events through the HR system.

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Third, the American Jobs Act of 2011 helps out-of-work Americans by extending unemployment benefits to help them support their families while looking for work, and by reforming the system with training programs that build real skills, connect to real jobs, and help the long-term unemployed.

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Much of the 'training' you get from the franchise organization is how to work with their central reservations system and fill out their required forms, anyway.

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Yet, the medical system seems perfectly OK with leaving this work to family members who often have no training at all.

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It became a training ground for a number of Toyota and GM managers, who learned how to work with Americans under a manufacturing system that placed an emphasis on quality and efficiency.

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The hospital said since 2009 it had developed better training for junior doctors and nurses, improved how the medical and surgical teams work together and improved a night bleeper system for emergencies.

BBC: Hayley Fullerton