Managing Organizational Change
Change in itself is constant in a medical school setting. We are constantly changing diagnoses and treatments. Even changing leaders—deans, chairs, directors, etc.—is usually well tolerated in a medical school. However, organizational change such as major revisions in the curriculum or practice plan creates predictable and considerable upheaval for the faculty and sometimes for students. As Machiavelli pointed out, change creates anxiety for both those who are comfortable with the old system because they may lose prestige and power and for those in the new system because their future is unpredictable.
Organizational change requires careful preparation, strong commitment of leadership, internal and external stimuli, champions of the need for change, constant communication with faculty and students, and institutionalization of the change.