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The Great Urban Outdoors is a management development exercise with a difference. Most outdoor exercises take place in an“unfamiliar” rural setting. This one is set in an urban environment, which is reasoned to have an air of unfamiliarity to many health care managers. Stresses the need to clear learning objectives and active tutoring. For this exercise, proposes a framework based on a model of managerial leadership. Explains how the location and tasks to be carried out can be varied to suit the participants. Particular stress is laid on the debriefing phase, to ensure that the learning objectives have been met and can be applied to real health care challenges.

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