Understanding the Dynamics of Change and the Impact on Psychiatric Education

Abstract

Academic departments of psychiatry are experiencing unprecedented changes that are difficult and challenging for faculty and administrators. This article examines the factors that influence change and the barriers to effective change. The author reviewed the business literature on change in organizations and examined the psychodynamic factors that mediate individual and organizational response to change. Several business models for effective change management exist and can be utilized by psychiatric educators. The psychodynamic models of change are useful for understanding the psychological impact of change on organizations and individuals. Effective management of change requires careful attention to the goals of the organization, development of a detailed plan to implement change, adequate resources to carry out the change, effective leadership and communication, and contingency plans for unforeseen events. Individual and organizational needs must also be considered. A model for dealing with change in education is presented.

Business model framework applications in health care: A systematic review

“…(1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) The frameworks were conceptualized in the context of collaborative boundaryspanning networks in health care systems, (1,3,5,13,17,19) e-health, (2,4,11,15,18) biopharma,(7) orthopedic care, (9,16) and health care management research. 8Other areas of application included education, (6,14) or decision processes related to a hospital corporation (10) or physician group practice management. (12) No articles used an established framework, although four were inspired by previously established frameworks.…”

“…(12) No articles used an established framework, although four were inspired by previously established frameworks. (2,4,5,14) No data was used to populate the frameworks.…”

Collaborative Health Care and Emerging Trends in a Community-Based Psychiatry Residency Model

“…Community advisory boards not only allow for a more shared program development process but also a tool for empowerment for those involved [17][18][19][20]. This solid foundation linked with the dynamics associated with the local desire for improved health care created the necessary agents for departmental change [21] and opportunity for the department to advance its role regarding serving the public good and initiating innovations within the psychiatric residency training program.…”