BEYOND CORPORATE-STYLE DOWNSIZING - A BETTER WAY FOR MEDICAL-SCHOOLS TO SUCCEED IN A CHANGING WORLD

There is a critical need for medical schools and universities to consi der strategies beyond corporate-style downsizing to address revenue ne eds and reposition their organizations. The author presents considerab le evidence and three reasons to reject downsizing as a way to facilit ate long-term organizational success, Instead, she recommends that ins titutions use a comprehensive approach to individual and organizationa l development to assure a flexible, enduring organization. Specificall y, medical schools and universities should take an institution-wide pe rspective and approach to continually training, retraining, or reasign ing faculty and should continually adapt their organizational structur es and procedures as necessary to achieve changing institutional goals . The result will be the retention of able and dedicated faculty, who will be crucial in helping their schools continue to be successful whi le adapting to a changing world.