Lindberg M A
John A. Burns School of Medicine, University of Hawaii, Honolulu 98622, USA.
Acad Med. 1998 Sep;73(9 Suppl):S4-10.
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.
本章概述了影响参与罗伯特·伍德·约翰逊基金会“为未来培养医生：医学教育项目”的八所学校变革过程的决策、活动、事件和问题。作者特别关注变革过程的三个阶段：规划并营造变革氛围、实施变革以及强化新模式。她描述了各学校在经历这些阶段（在某些情况下，这些阶段会反复进行）时所采用的不同策略，以及参与者们从如何成功实施课程改革中学到的共同经验教训。
