• James Ducharme, Jenny Buckley, Robert Alder, and Cindy Pelletier.
• MedEmerg International Ltd. in Mississauga, and a clinical professor of medicine, McMaster University, Hamilton, Ontario.
• Healthc Q. 2009 Jan 1; 12 (2): 70-7.

AbstractIn a project funded by the Ontario Ministry of Health and Long-Term Care, MedEmerg facilitated the introduction of three new providers into six emergency departments. A managed change process that included team development was carried out. Increased team awareness and a higher acceptance of the provider roles were some of the key successes. Challenges included role confusion and the learning curve for the new providers. While overall the project was a success, lessons learned included the need for physician buy-in, communication, planning for unintended consequences and management of expectations. The project emphasized the importance of a managed process, including team development, in the implementation of change.

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