This chapter provides an overview of the decisions, activities, events
, and issues that influenced the process of change at the eight school
s that participated in The Robert Wood Johnson Foundation's ''Preparin
g Physicians for the Future: Program in Medical Education.'' The autho
r focuses in particular on three stages of the change process: plannin
g and creating the climate for change, making the change, and reinforc
ing the new model. She describes the different strategies the schools
used to work through these stages (in some cases, several iterations o
f these stages) and the common lessons participants learned about how
to successfully implement curricular reforms.