Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
#DidacticsRevolution: Applying Kotter’s 8-Step Change Management Model to Residency Didactics
- Author(s): Haas, Mary R. C.
- Munzer, Brendan W.
- Santen, Sally A.
- Hopson, Laura R.
- Haas, Nathan L.
- Overbeek, Daniel
- Peterson, William J.
- Cranford, James A.
- Huang, Robert D.
- et al.
Published Web Locationhttps://doi.org/10.5811/westjem.2019.11.44510
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.