Abstract : In this final, fourth lecture the many effects on radial tokamak plasma transport caused by various physical processes are noted first: transients, collision- and microturbulence-induced transport, sources and sinks, and small three-dimensional (3-D) magnetic field perturbations. The main focus of this lecture is on the various effects of small 3-D fields on plasma transport which is a subject that has come of age over the past decade. Finally, the major themes of these CEMRACS 2014 lectures are summarized and a general framework for combining extended MHD, hybrid kinetic/fluid and transport models of tokamak plasma behavior into unified descriptions and numerical simulations that may be able to provide a "predictive capability" for ITER plasmas is presented.