#DidacticsRevolution: Applying Kotter’s 8-Step Change Management Model to Residency Didactics

Introduction: Leading change effectively is critical to advancing medical education. Residency didactics often require change in order to meet stakeholder’s needs. Kotter’s change management model (KCMM) is an 8-step method for implementing change that can be applied to educational initiatives. This...

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Main Authors: Mary R. C. Haas, Brendan W. Munzer, Sally A. Santen, Laura R. Hopson, Nathan L. Haas, Daniel Overbeek, William J. Peterson, James A. Cranford, Robert D. Huang
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2019-12-01
Series:Western Journal of Emergency Medicine
Online Access:https://escholarship.org/uc/item/26x651zr
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author Mary R. C. Haas
Brendan W. Munzer
Sally A. Santen
Laura R. Hopson
Nathan L. Haas
Daniel Overbeek
William J. Peterson
James A. Cranford
Robert D. Huang
author_facet Mary R. C. Haas
Brendan W. Munzer
Sally A. Santen
Laura R. Hopson
Nathan L. Haas
Daniel Overbeek
William J. Peterson
James A. Cranford
Robert D. Huang
author_sort Mary R. C. Haas
collection DOAJ
description Introduction: Leading change effectively is critical to advancing medical education. Residency didactics often require change in order to meet stakeholder’s needs. Kotter’s change management model (KCMM) is an 8-step method for implementing change that can be applied to educational initiatives. This innovation improved an emergency medicine residency didactics curriculum through application of KCMM. Methods: An initiative to improve residency didactics curriculum was titled the “Didactics Revolution” and implemented according to KCMM: establish a sense of urgency, form a powerful guiding coalition, create a vision, communicate the vision, empower others to act on the vision, plan for and create short-term wins, consolidate improvements and produce still more change, and institutionalize new approaches. Data from the Annual Program Review was utilized to assess the impact of the KCMM strategy. Results: The percentage of residents who agreed or strongly agreed that lectures provide a valuable learning experience increased from 39.1% in the year prior to 88.0% in the year during the implementation (p < .001), and remained relatively high at 73.5% in the year following. The percentage of residents who agreed or strongly agreed that they felt well-prepared for the written boards increased from 60.9% in the year prior to 92.0% in the year during the implementation (p = .01) and remained high at 73.5% in the year following. Conclusion: Residency didactics can be improved through the use of KCMM, a change management model originally developed in the corporate context.
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spelling doaj.art-3480196dd93b43cbad1a0c0fd6319b3f2022-12-22T03:45:53ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-90182019-12-0121110.5811/westjem.2019.11.44510wjem-21-65#DidacticsRevolution: Applying Kotter’s 8-Step Change Management Model to Residency DidacticsMary R. C. Haas0Brendan W. Munzer1Sally A. Santen2Laura R. Hopson3Nathan L. Haas4Daniel Overbeek5William J. Peterson6James A. Cranford7Robert D. Huang8University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, MichiganUniversity of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, MichiganVirginia Commonwealth University Health System, Department of Emergency Medicine, Richmond, VirginiaUniversity of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, MichiganUniversity of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, MichiganUniversity of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, MichiganUniversity of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, MichiganUniversity of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, MichiganUniversity of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, MichiganIntroduction: Leading change effectively is critical to advancing medical education. Residency didactics often require change in order to meet stakeholder’s needs. Kotter’s change management model (KCMM) is an 8-step method for implementing change that can be applied to educational initiatives. This innovation improved an emergency medicine residency didactics curriculum through application of KCMM. Methods: An initiative to improve residency didactics curriculum was titled the “Didactics Revolution” and implemented according to KCMM: establish a sense of urgency, form a powerful guiding coalition, create a vision, communicate the vision, empower others to act on the vision, plan for and create short-term wins, consolidate improvements and produce still more change, and institutionalize new approaches. Data from the Annual Program Review was utilized to assess the impact of the KCMM strategy. Results: The percentage of residents who agreed or strongly agreed that lectures provide a valuable learning experience increased from 39.1% in the year prior to 88.0% in the year during the implementation (p < .001), and remained relatively high at 73.5% in the year following. The percentage of residents who agreed or strongly agreed that they felt well-prepared for the written boards increased from 60.9% in the year prior to 92.0% in the year during the implementation (p = .01) and remained high at 73.5% in the year following. Conclusion: Residency didactics can be improved through the use of KCMM, a change management model originally developed in the corporate context.https://escholarship.org/uc/item/26x651zr
spellingShingle Mary R. C. Haas
Brendan W. Munzer
Sally A. Santen
Laura R. Hopson
Nathan L. Haas
Daniel Overbeek
William J. Peterson
James A. Cranford
Robert D. Huang
#DidacticsRevolution: Applying Kotter’s 8-Step Change Management Model to Residency Didactics
Western Journal of Emergency Medicine
title #DidacticsRevolution: Applying Kotter’s 8-Step Change Management Model to Residency Didactics
title_full #DidacticsRevolution: Applying Kotter’s 8-Step Change Management Model to Residency Didactics
title_fullStr #DidacticsRevolution: Applying Kotter’s 8-Step Change Management Model to Residency Didactics
title_full_unstemmed #DidacticsRevolution: Applying Kotter’s 8-Step Change Management Model to Residency Didactics
title_short #DidacticsRevolution: Applying Kotter’s 8-Step Change Management Model to Residency Didactics
title_sort didacticsrevolution applying kotter s 8 step change management model to residency didactics
url https://escholarship.org/uc/item/26x651zr
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