Book excerpt: The learning and development (L&D) needs of the healthcare industry are dramatically different from those of other businesses, making for unique challenges for the talent development field. Patients are not customers, for example, and healthcare’s learning audience is extremely segmented. Additional hurdles to designing and delivering training include the changing dynamics of healthcare—for example, new regulations and the increasing number of individuals accessing healthcare services and its payment structure. This issue of TD at Work will explain how: · learning needs in the healthcare field differ from other professions · the ADDIE model can be modified for the healthcare sector · to align training with current reporting requirements · to choose the correct tools to evaluate the effectiveness of L&D programs. (long copy includes): “Learning and Development in Healthcare” includes two job aids: a training project planning tool and a Kirkpatrick program impact rating tool.