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What approach should health professional schools take to the change process? Should we start from the top-down or the bottom-up?

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What approach should health professional schools take to the change process? Should we start from the top-down or the bottom-up?

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One approach to implementing a change process is unlikely to be successful for all institutions, however, those that use elements of both top-down and bottom-up approaches usually have the greatest prospects for success in transforming organizations or institutions. Kotter’s model for transformational change has been selected as a model for the work of the Collaborative for Community Community-Engaged Scholarship in the Health Professions due to its broad acceptance across a range of organizations, and research demonstrating that the model fits well with efforts of medical schools to redefine scholarship.

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