The process of change

This chapter provides an overview of the decisions, activities, events, and issues that influenced the process of change at the eight schools that participated in The Robert Wood Johnson Foundation's "Preparing Physicians for the Future: Program in Medical Education." The author focuses in particular on three stages of the change process: planning and creating the climate for change, making the change, and reinforcing the new model. She describes the different strategies the schools used to work through these stages (in some cases, several iterations of these stages) and the common lessons participants learned about how to successfully implement curricular reforms.