The literature surrounding dental education in the United States is replete with calls for change in the way that dental students are being educated. These calls are being echoed with curriculum models and examples of best practices, but what is missing is specific information about how to implement a desired change-that is, discussion of the change process itself. Knowledge of the organizational change process in other settings, particularly in higher education and professional education, may be of interest to academic program managers in dental schools who are planning or are engaged in change. Historical and theoretical perspectives on organizations and change are presented in this article as groundwork for more detailed discussion about management of change. Seventeen research-based principles of change in higher education and factors in dental education that influence change processes and outcomes are presented and synthesized into guidelines for a hypothetical model for change in a dental school environment. Issues pertinent to the practical management of change are presented, including reframing organizational complexity, change leadership, values/competence/commitment, and organizational learning. An appreciation for change as an ongoing and manageable process will enhance a dental school's viability in a rapidly changing world and ultimately benefit dental graduates and the communities they serve.
"The art of progress is to preserve order amid change and to preserve change amid order." -Alfred North WhiteheadPolitical Key stakeholders, divergent interests, scarce resources, Identify and engage, both formally and inforareas of uncertainty, individual and group agendas, sources mally, key individuals with influence. Bargain, and bases of power, power distributions, formal and negotiate, build coalitions, set agendas, and informal resource allocation systems and processes, manage conflict. influence, conflict, competition, politicking, coalitions, formal and informal alliances and networks, interdependence, control of rewards and punishment, and informal communication channels.