title: Revolutionary versus evolutionary change: the experience of a university hospital department of psychiatry.
abstract: In the spring of 1991, the Department of Psychiatry at Sunnybrook Health Science Centre chose to undergo a major reorganization in an attempt to better meet the needs of patients as well as the academic and research requirements of the University of Toronto. This brief report describes the circumstances leading up to the decision to make a "revolutionary" change, the department's experiences during the period of radical change and the impacts of the change process.
authors.affiliation: Sunnybrook Health Science Centre, Toronto, Ontario.
authors.forename: M
authors.initials: M
authors.lastname: Rook
authors.forename: K I
authors.initials: KI
authors.lastname: Shulman
mesh_terms: D002170:Canada; D006746:Hospital Bed Capacity, 500 and over; D006754:Hospital Restructuring; D006785:Hospitals, University / Q000458:organization & administration; D007857:Leadership; D009936:Organizational Innovation; D010563:Personnel Turnover; D011567:Psychiatric Department, Hospital / Q000458:organization & administration*; D000078329:Workforce