*2.2.4 Challenge everyone to think about and own the process of change*

During a residency merger, it is not just the institutional structure of the overall program that has to and will change, but also the personal structure of how individuals carry out their daily activities and tasks. This may not necessarily be accepted, but rather "physicians may react to the changes brought about by a merger in a predictable pattern, usually reflecting a combination of denial, anger and frustration as their professional lives become progressively more disrupted by a process they may not support" [9].

Personal commitment to the success of the merger will be essential in overcoming the disruptions presented by the operational and structural changes, which is why it is so important to make sure that all individuals' concerns are heard. The more the merger feels like it is a cooperative effort, the more individuals are willing to push through and own the discomforts of the process.
