Developing effective change agents.

With small/rural hospitals employing a multitude of professionals it becomes imperative that trainers explore ways to develop "self-help" or "change agent" groups if training departments are to persist ... indeed exist. The approach described here concentrates not only on developing the training director's skills but also on developing the skills of department managers and supervisors in facilitating change and becoming change agents. It also illustrates the importance of cooperation between department heads and the education and training staff.