Abstract
The bottle-neck to change in medical education is not a lack of innovative ideas but rather a lack of understanding of the innovative process and the factors which facilitate the process.
This paper attempts to provide medical educators with:
(i) an appropriate strategy or model for educational change–the participative problem-solving approach to educational change.
(ii) a checklist of factors which facilitate the process of innovation. These relate to the attributes of the innovation itself, the environment into which the innovation is being introduced, the characteristics of the potential user and the method of dissemination of the information.
The checklist represents a synthesis of empirical factors, based on the successful implementation of the objective structured clinical examination as a case study and theoretical factors identified in the literature.
We conclude that the proposed model and the checklist will enhance the medical teachers' understanding and management of the innovative process.