1. Who Moved My Cheese? Spencer Johnson, M.D. Co-Author of The One Minute Manager

2. The Handwriting on the Wall Change Happens Anticipate Change Monitor Change Adapt to Change Quickly Change Enjoy Change! Be Ready to Change Quickly

3. Change! …from singing or playing the notes …to making music

4. Changing the Score! …acquire an extensive, integrated knowledge base …readily apply the integrated knowledge base to analysis and care of patients’ problems …be effective and efficient in skills for problem solving or clinical reasoning clinical procedures self-directed learning team participation

5. Nature of Changes Addresses increasing complexity of the role of SLP and communication Specifies oral and written communication skills of students Specifies professional issues, ethics, and research Reduces specificity in course hours in specific areas and clock hours in clinical practice areas

6. More focused on outcomes than on processes Requires continuing education

7. Players Have Changed Too! Not all 21 year olds Multi-tasking 90+% female Cultural diversity Technology savvy Unambiguous expectations Service oriented; more experience with children than with elderly

8. Different Players Plus New Scores Schedule/program flexibility Accessibility Efficiency Effective development of competencies Employability Satisfying, rewarding work

9. Orchestration Increasing matrix organization Knowledge, tools, and skills through practice Intra- and Inter-disciplinary curriculum planning and teaching teams Cohesion/integration of learning environments and strategies

10. Support groups within and between Departments, Schools and/or Communities Continuing quality improvement based on research and practice

24. Resources –Barnes and Christenson, 1994 –Wasserman, 1994 –Websites Harvard Business School wacra.org indiana.edu ubib.buffalo.edu –Pew Charitable Trust