Individual engagement with change in medical education: an institutional work perspective.

This paper outlines some initial findings from a study into changes in medical education aimed at providing formal management and leadership training for doctors at all career stages. It sets out some of the evolution of medical education and training in the context of a publicly-funded health service. This is framed within the context of institutional work and how institutional actors engaged with and responded to a change that impacted on the medical profession. It draws on empirical data in the form of interviews with key individual actors engaged in the change. It offers insight into how actors both engage with and resist change at the same time, which could have potentially significant implications for medical training and working with the medical profession.