There is the added value of gaining knowledge about VBHC.Īn explorative mixed-methods study assessing residents’ self-perceived learning effects of conducting VBHC projects according to three main components: (1) CanMEDS competency development, (2) recognition of VBHC dilemmas in clinical practice, and (3) potential facilitators for and barriers to implementing a VBHC project. In this study, we hypothesise that when residents conduct a VBHC project, CanMEDS competencies are developed. Canadian Medical Education Directions for Specialists (CanMEDS) competencies such as leader and scholar are important skills for all doctors. In contrast, Kotter and Cohen recommend a people-driven approach that helps us to see the reason for change.Stimulating the active participation of residents in projects with societally relevant healthcare themes, such as value-based healthcare (VBHC), can be a strategy to enhance competency development. Change: new thoughts change behaviour or reinforce changed behaviour.The cognitive process of changing behaviour is slow. The business changes or drops contradictory elements. Think: information and analysis changes people’s thinking.This could include anything from problem-solving through to teamwork and project communication. Analysis: we gather and analyse information, and prepare reports and presentations made about various aspects of the change project.In traditional approaches to leading change, the focus is often on analysis as a means of changing people’s thinking. There are many models for managing change that can help us to understand the change process and people’s behaviour. On the other hand, where change was less successful, individuals tended to intellectualise change. In the most successful change case, individuals had a sense of passion. That is, emotion is at the heart of change. They argue that people change when they are shown the truth because this influences their feelings. Kotter and Cohen, who co-wrote the Heart of Change, recommend a people-driven approach to leading change that helps people to see the reason for change.

We learn that successful transformational change happens when we change the behaviour of people. In The Heart of Change: Real-Life Stories of How People Change Their Organizations, John Kotter builds on his best-selling book Leading Change and his 8-step change model to introduce compelling real-life stories from leaders in all kinds of businesses.

John kotter the heart of change