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Table 1 Internal and external facilitators and barriers to team building in NTSP

From: Building cohesion in distributed telemedicine teams: findings from the Department of Veterans Affairs National Telestroke Program

Strengths & Facilitators

Interacting with other stroke professionals

Being supported by program administration

Having trust in fellow specialists

Having trust in program’s medical director

Flexible scheduling of telestroke shifts

Staying current with stroke literature via group

Weaknesses & Barriers

Unpredictable timing of program changes

Little communication of long-term patient outcomes

Opportunities

Improving onboarding

Increasing in-person interaction among specialists

Adding video to meetings

Expediting call routing as demand increases

Threats

Depending on other groups for technology integration and management