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Online Communities of Practice As Agents of Change in Curriculum Development

This paper examines how an online community of practice of tutors can be used to drive and foster change in the complex environment of undergraduate medical curriculum development. The community aims to create a system for hospital-based tutors to collaboratively review and update the medical curriculum. By analyzing the behavior and activity of the emerging online community, the researchers hope to understand how the community can act as an agent of change across the wider community and catalyze improvements in medical education practices.

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0% found this document useful (0 votes)
52 views9 pages

Online Communities of Practice As Agents of Change in Curriculum Development

This paper examines how an online community of practice of tutors can be used to drive and foster change in the complex environment of undergraduate medical curriculum development. The community aims to create a system for hospital-based tutors to collaboratively review and update the medical curriculum. By analyzing the behavior and activity of the emerging online community, the researchers hope to understand how the community can act as an agent of change across the wider community and catalyze improvements in medical education practices.

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Darko Stanic
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Online Communities of Practice as Agents of Change in Curriculum Development

Tim Cappelli and Alisdair Smithies University of Manchester, Manchester, UK Timothy.cappelli-2@manchester.ac.u Alisdair.smithies@manchester.ac.u

Abstract
This paper e!amines ho" an online community of practice of tutors can #e used to drive and en$ender chan$e in the comple! environment of under$raduate medical curriculum development. %arallels are dra"n #et"een the theories that underpin communities of practice and chan$e mana$ement and comparison made of the role of the community "ith that of individuals as drivers and a$ents of chan$e in curriculum practice. The paper is #ased on a case study "ithin the University of Manchester Medical School, "hich aimed to create an online system for hospital #ased tutors. A ma&or issue "ith such a $eo$raphically disparate $roup of practitioners is the a#ility of the University to mana$e and $ain feed#ac from the $roup, as "ell as en$a$e them in any meanin$ful colla#orative tas , such as curriculum revie". To resolve these issues, the pro&ect team created a social-net"or #ased application that allo"ed tutors to colla#oratively "or to$ether to revie" and update the medical curriculum. Throu$h the use of these technolo$ies, the community of tutors can share and adapt practices in medical education and improve $ood practice "ithin the emer$ent Community of %ractice. Throu$h a cyclic process of intervention and evaluation, the pro&ect team have captured the #ehaviour, activity and impact of the community as it emer$es and develops online, improvin$ the practices of those involved. 'o"ever, in order for any chan$es to the curriculum and to practice to #e adopted across the "ider community, the $roup needs to act as an a$ent of chan$e, catalysin$ and drivin$ chan$e throu$hout the "hole community. The research (uestion addressed #y this paper is to "hat e!tent an online community of practice can act as an a$ent of chan$e) *n analysin$ the data from the community of practice, this paper dra"s parallels #et"een these theories and the chan$e process catalysed #y the community.

Keywords: Curriculum +evelopment, Communities of %ractice, Chan$e mana$ement, chan$e a$ents Introduction
This paper arises from "or "ithin the University of Manchester Medical School to create an online system for hospital-#ased tutors involved in the delivery of the under$raduate medical curriculum. This provided a case study in "hich the evolution of a community of practice could #e analysed alon$side chan$es in practice. The tutors in this case are a mi! of doctors, consultants and other healthcare professionals "ho supervise ,th and -th year medical students on placement across the .orth /est of 0n$land. A ma&or issue for this disparate $roup of practitioners is the difficulty of the university to mana$e and $ain feed#ac from the $roup, as "ell as en$a$e them in any meanin$ful colla#oration. The tutors rarely $et involved in such tas s due to competin$ demands on their time and their $eo$raphical spread. 'o"ever, the contri#ution of teacher-practitioners to curriculum development and other activities is a valua#le asset to the a"ardin$ institution, and provides the additional #enefit of assurin$ commitment of the remote partner to pro$ramme outcomes. Medicine is a dynamic discipline "ith continual e!pansion in medical no"led$e and comple!ity of service or$anisation and patient mana$ement. The teacherpractitioners are #est placed to help develop the curriculum to reflect current practice and prevent 1curriculum drift2 34ones et al 25567. To resolve these issues, the pro&ect team developed a social-net"or #ased system that allo"s tutors to "or colla#oratively to revie" and update the medical curriculum. Usin$ /e# 2.5 technolo$ies inte$rated "ith some #espo e soft"are, the system provides a closed, secure environment for the community to

discuss and articulate their thou$hts on the curriculum and ho" it should #e improved. The intention "as that the system "ould help catalyse and support the development of the e!istin$ loose net"or of users into a fully functionin$ Community of %ractice "ith the inherent characteristics specified in the "or s of /en$er 368887. The study also aimed to esta#lish "hether the online $roup, once "or in$ to$ether and evolvin$ into a community, "ould act as an a$ent for chan$e across the "ider community. *f this occurs, the process of catalysin$ and drivin$ chan$e throu$hout the "hole community may #e analysed.

The problem of change in comple organisations


9oth the .ational 'ealth Service 3.'S7 and the 'i$her 0ducation 3'07 sector are ma&or employers in the UK, to$ether employin$ around 6.8 m people. 3Tempest 255-, .:;< 25587. 0ven thou$h #oth are made up of smaller, autonomous #odies such as %rimary Care Trusts or Universities, they share the pro#lem of #ein$ lar$e, comple! or$anisations "ith a stron$ prevailin$ culture. 0n$enderin$ and mana$in$ chan$e in either of these or$anisations is #oth comple! and unpredicta#le 39amford and +aniel 255-, Ke=ar 25567. The "or of this pro&ect straddles the t"o sectors, "ith the teacher-practitioners #ein$ employed #y and "or in$ out of .'S hospitals "hilst at the same time #ein$ directed #y and servicin$ the needs of the University. Chan$e in this comple! situation is accordin$ly more difficult to #rin$ a#out and understand. To support understandin$ of the chan$e process, several chan$e theories and models are #ein$ e!amined to inform the "or of the pro&ect in attemptin$ to predict or e!plain the chan$e that may occur. *n 255>, the pro&ect team completed a ma&or pro&ect for the UK '0 Academy called ?e-chan$e@ 3Cappelli 255>7 that aimed to enhance the (uality of e-learnin$ provision #y implementin$ and em#eddin$ chan$es in the practices of e-learnin$. The activities carried out in selected cases across the university "ere mapped and evaluated. This action-research #ased approach "as adapted for the current case reported here. The e-Chan$e pro&ect evaluated a ran$e of chan$e theories and found that no sin$le model could #e used to successfully plan or predict chan$e in the '0 environment 3Cappelli 255>7. The pro&ect initially too a teleolo$ical approach, attemptin$ to direct chan$e throu$h a esta#lishin$ and implementin$ a ne" set of practices, utilisin$ a 1chan$e team2 or ey individuals as the chan$e a$ents. 'o"ever, in each case, it #ecame clear that this directive approach "as unli ely to succeed, "ith staff (uestionin$ the need for chan$e andAor senior mana$ers un"illin$ to champion the chan$es. *n order to counter this, the pro&ect adopted methods from the political and cultural models of chan$e, see in$ to influence and persuade the ey staff "ithin the or$anisation. This proved to #e a more accepta#le approach and there "as consensus amon$st the sta eholders on its potential. e-Chan$e clearly demonstrated that no one model provides a complete and appropriate approach for implementin$ chan$e in '0. These findin$s are #ac ed up #y a ma&or report #y Ke=ar 325567 "ho ali$ns "or done on chan$e in '0 to the ma&or chan$e theories. She concludes ? it is not feasible to create a change model for every situation within higher education. @ 3Ke=ar 2556, p66,7 #ut concedes that the models that #est predict chan$e in '0 are the cultural and political models, since these emphasise the importance of cultural chan$e and political influence in an or$anisation. These models also reco$nise the comple!ity and fluidity of '0, rather than see it as a rational environment "here linear chan$e can #e predicted and implemented. %arallels can #e dra"n #et"een this vie" of chan$e in '0 and similar "or on chan$e in the .'S 3Mc+onald 255-, Massey and /illiams 255B7 "hich indicate that the comple!ity of the or$anisation necessitates an 1emer$ent2 approach to chan$e, usin$ a mi! of models 39amford and +aniel 255-7 "hilst the prevailin$ culture and political #ac $round ensure cultural and political models predominate. 'ence, althou$h no sin$le model can predict or e!plain chan$e "ithin the .'S or '0 environments, it is clear that in our evaluation of the role of communities in the process of chan$e, close attention should #e paid to the cultural and political chan$es en$endered #y the community and the possi#le conse(uences of this in catalysin$ chan$e.

The role of change agents


Most literature on or$anisational development identifies the chan$e a$ent as #ein$ essential to the success of chan$e 3Ctta"ay 68>D7. The concept and definition of a chan$e a$ent "as first articulated #y Eippitt, /atson and /estley 368->7 "ho sa" the a$ent very much as a person or #ody, "hich e!isted outside of the or$anisation. *n this and other papers of the period, chan$e a$ents "ere seen as professionals and e!perts in the field of #ehavioural sciencesF there to chan$e #ehaviours, attitudes and perceptions on #ehalf of the client or$anisation 3Ctta"ay 68>D7. Eater "or in the field of or$anisational chan$e ta es a #roader vie" of the chan$e a$ent, reco$nisin$ that an a$ent can #e ?any individual or $roup operatin$ to chan$e the status (uo@ 3Ctta"ay 68>DG pDB,7 and that chan$e a$ents can often #e una"are of their part in the chan$e process. This seems to #e particularly common in the "orlds of '0 and the .'S. As Atlay 3255B7 says of chan$e in '0, ?0very person is a chan$e a$ent. Chan$e is too important to leave to the e!perts.@ 3p6D87. Alon$side these ne"er definitions, the properties and activities of successful chan$e a$ents #e$in to #e defined, "ith Haltman and +uncan 368II7 concludin$ that effective chan$e a$ents need to stimulate pro#lem-solvin$ processes and foster colla#oration. 'aveloc and 'aveloc 368ID7 see four primary "ays in "hich the chan$e a$ent can act. These areG 6. 2. D. ,. As a Catalyst, proddin$ people to chan$eF As a Solution :iver, providin$ ideas on ho" chan$e should occurF As a %rocess 'elper, supportin$ the chan$e processF As a ;esource Ein er, helpin$ people find relevant resources and #rin$in$ people to$ether.

Eater definitions of chan$e a$ents, particularly those associated "ith the cultural and political models mentioned a#ove, emphasis the chan$e a$ent2s role in challen$in$ and influencin$ values, #eliefs and rituals 3Ke=ar 2556, Massay and /illiams 255B7. *n the cultural model of chan$e, for e!ample, desi$nated leaders or 1chan$e mana$ers2 are identified as those "ho can 1re-create aspects of the culture.23Ke=ar 2556G p-67. 'o"ever, these leaders are not al"ays desi$nated. /or #y Thompson, 0sta#roo s and +e$nar 3255B7 demonstrates similarities #et"een the perceived role of chan$e a$ents in healthcare and that of e!istin$ opinion leaders, facilitators and champions. They concluded that increasin$ the availa#ility of no"led$e "ill lead to #ehaviour chan$e in staff, and that in essence, each of the roles e!amined is a form of chan$e a$ent. Some chan$e pro&ects see to e!ploit this #y tar$etin$ such individuals as their 1champions2 of chan$e. A study #y Mc+onald 3255-7 sho"s ho" one .'S Trust deli#erately identified these ey 1influencers2 and put them throu$h a trainin$ pro$ramme aimed at 1empo"erment2 or 1selfresponsi#ility2. The #elief "as that once these influencers had accepted or #ou$ht-in to the idea of 1selfresponsi#ility, this culture "ould (uic ly spread. This model of chan$e a$ent had returned to the traditional Eippitt et al vie" of #ehavioural and #elief chan$e, althou$h here the a$ent "as no lon$er an outside specialist to #e employed #y the or$anisation, #ut rather an internal influencer to #e directed 3some mi$ht say manipulated7 #y the or$anisation. %olitical models of chan$e also emphasise the role of the chan$e a$ent as someone "ho influences #eliefs and values, #ut in this approach the processes of #ar$ainin$, persuasion, formation of ey relationships and net"or s are seen as the mechanism for chan$e 3Ke=ar 25567. Althou$h virtually all studies or models of chan$e accept the need for senior mana$ement support, most of these also accept that senior mana$ement directives are unsuccessful. 3Cappelli 255>, Ke=ar 2556, Atlay 255B7. *nstead, chan$e occurs throu$h the leaders or chan$e a$ents $eneratin$ a 1po"er-#ase2 #y developin$ relationships and net"or s "ith ey people "ho "ill facilitate chan$e 3Ke=ar 2556, Mc+onald 255-7. /hereas the cultural model is much more inclusive, reco$nisin$ the need for everyone to act as chan$e a$ent, the political model su$$ests that 1many people "ill choose to #e inactive in the process2 3Ke=ar 2556 p,D7 "ith chan$e 3in practice and in culture7 precipitated #y a fe" ey individuals.

Communities of Practice
Communities of %ractice, as a construct, emer$e from Eave and /en$er2s 368867 "or on Situated Eearnin$ Theory. Situated learnin$ is used to descri#e the transformation of identity of an individual as they enculturate into a $roup, adoptin$ and developin$ the "or in$ practices shared "ithin it. *t centres upon the concept that $ood practice is developed socially, throu$h dialo$ue and interaction "ith other practitioners "ho share a common set of values or #eliefs. /en$er et al 325527 define Communities of %ractice, as, groups of people who share a concern, a set of problems, or a passion about a topic, and who deepen their knowledge and expertise in this area by interacting on an ongoing basis. 3/en$er et al, 2552Gpp,7 The community in this case study are $eo$raphically disparate, #ut have in common their affiliation "ith the UniversityF a shared responsi#ility for curriculum delivery to under$raduates in the clinical "or place. Thus, the community of medical practitioners is centred around the domain of Medical 0ducation. The practice of teachin$ medical students has #een found to #e socially shared at a local level, "ith many teams, constellations of communities 3/en$er, 688>7 ma in$ up the "ider community. Collectively, this community e!ists as a relatively flat or$anisational structure not #ound to the formal hierarchy and duties of mem#ers2 .'S positions #ut to the University. The University identified the cultivation of a Communities of %ractice approach as a means of developin$ a common sense of identity, usin$ curriculum development to enhance no"led$e sharin$ and practice development across the re$ion. /en$er et al 32552Gpp6,7 identify some of the #enefits of community cultivation as to an or$anisation asG Connect local poc ets of e!pertise and isolated professionals +ia$nose and address recurrin$ #usiness pro#lems "hose root causes cross team #oundaries, Analyse the no"led$e-related sources of uneven performance across units performin$ similar tas s and "or to #rin$ everyone up to the hi$hest standard Ein and coordinate unconnected activities and initiatives addressin$ a similar no"led$e domain

These ali$ned closely "ith the University2s re(uirements to redevelop the curriculum, a Communities of %ractice approach havin$ the potential to $ro" a rich, proactive and mutually #eneficial no"led$esharin$ forum.

!uilding a community
The development of this community of medical tutors arose from a desire to stimulate this no"led$esharin$ forum. To do so, an online system called e-lla#orate "as constructed, allo"in$ the community mem#ers to "or in a secure, closed environment that they could access from any internet-ena#led computer. 0-lla#orate allo"s tutors to net"or "ith other tutors, #ut also provides a space for them to "or in themed $roups, to "hich mem#ers self-su#scri#e or are invited. *n the $roups, community mem#ers can share resources, revie" and edit documents, chat or contri#ute to a series of threaded discussions. Mem#ers of the community can find each other #y usin$ a num#er of search techni(ues #ased on their profile and then contact any other mem#er via email or #y leavin$ a messa$e on their 1$uest#oo 2. *n this "ay the tool provides a fully inte$rated environment for community communication and interaction. This is important for understandin$ ho" the community2s interaction is facilitatedF ho"ever, the focus of this paper is ho" the community of practice developed and its potential as a chan$e a$ent. The community of practice "as developed alon$side the development of the tool. The tool "as developed usin$ a ;apid Application +evelopment approach, "hich relies on user feed#ac to develop and refine the end product in short iterations. To carry out this development process, a core $roup of users "as chosen to represent the community. They "ere as ed not only to evaluate the initial versions of the

system, #ut also to define the purpose, role and value of the community. As the tool developed and #ecame more sta#le, it "as introduced to a "ider community and a series of interventions underta en to #oth en$a$e and #uild this "ider community into a cohesive community of practice, centred around the online environment. These interventions consisted of "or shops, net"or in$ events and $roup tas s and each "as follo"ed #y evaluation and analysis of the community2s vie"s, activity and #ehaviour, providin$ data for #oth the ne!t iteration of the tool and for su#se(uent interventions. This action-research #ased approach allo"ed identification of the values and activities of the community that characterise an emer$ent community of practice. The #ehaviour of those online and feed#ac from the "ider community sho"ed the principal value of the community to its mem#ers "as 1sharin$2F "hether sharin$ $ood practice or sharin$ resources, #ein$ a#le to e!chan$e information "as seen as the community2s ey #enefit. Sharin$ often too the form of sharin$ teachin$ resources, "ith mem#ers een to e!chan$e videos, ima$es or lesson plans, #ut it also included the e!chan$e of ideas on curriculum development. The record of online activity, and feed#ac from the community, sho"s that discussion and e!chan$e of ideas "as the principal online activity. The research also demonstrated that net"or in$ and moral support "ere valued #enefits of #ein$ part of the community. Mem#ers "ere een to net"or "ith relevant staff, #ased in other hospitals, "ho could provide information or support on particular issues. At the same time, the community "as very een to eep the online community 1closed2, restrictin$ this net"or in$ and su#se(uent discussions to a no"n and trusted $roup of professionals. This, "e #elieve, is connected "ith confidentiality, #ut also a#out sharin$ a set of values and #eliefs, e!pressed in feed#ac from the community. *f the community are confident that their discussions "ere contained "ithin this trusted community, they felt more a#le to e!press concerns or su$$est ideas for ne" "ays of "or in$. The su$$estion of ne" ideas "as a$ain seen as a ey #enefit of the community, particularly around the focus of curriculum development. <rom the activity and tas s that "ere carried out online, and from (uestionin$ the "ider community, it "ould appear that the mem#ers are een to su$$est ne" and novel approaches to ho" the curriculum should #e delivered and are not afraid to challen$e the status (uo. *n fact, "hen specifically as ed a#out their role in curriculum development, the ma&ority of the community felt it should #e in leadin$ curriculum development and providin$ innovation. These elements of sharin$ #est practice, discourse and net"or in$, com#ined "ith a shared set of values and a trusted community, sho" all the characteristics of an emer$ent community of practice. 'o"ever, "e #elieve that this same set of characteristics, com#ined "ith the desire to challen$e and su$$est ne" "ays of "or in$, ena#les the online community to #ecome an a$ent of chan$e, catalysin$ and implementin$ ne" practices in medical education across the "ider community.

The Community of Practice as a Change Agent


%olitical and Cultural models of chan$e provide us "ith definitions of chan$e a$ents that operate in the domain of values, #eliefs and attitudes. At the same time, the definition of a Community of %ractice provides us "ith a $roup that is #uilt on the foundations of values, #eliefs and attitudes. The (uestion is to "hat e!tent do these entities overlap and can the community of practice created in this case study act as an effective chan$e a$ent) The four primary roles of the chan$e a$ent as defined #y 'aveloc and 'aveloc 368ID7 provide a #road and "ell-used model of comparison from "hich to address the a#ove (uestion. These areG 1. Catalyst. This is the initial role of the chan$e a$ent and involves spar in$ chan$e #y (uestionin$ current practices and culture. 3'aveloc and 'aveloc 68ID7. This relates to the process of 1unfree=in$2 in Ee"in2s classical chan$e theory 3Ee"in 68,I7 and is a ey role in many chan$e a$ent models, particularly the cultural and political models that appear to dominate '0. Cur case study sho"ed that $iven the online environment of e-lla#orate, and the specific tas of revie"in$ the curriculum, tutors #e$an a discourse re$ardin$

curriculum content and ho" it2s delivered. *t is throu$h this discourse, that the values and #eliefs of the community #ecame no"n and articulated, and "ere found to often conflict "ith that of the or$anisation. The political model of chan$e predicts that chan$e occurs "hen conflict arises #et"een the #elief system of the or$anisation and that of its staff. 'o"ever, conflict "ith a sin$le individual2s values "ill not cause chan$eF actiona#le conflict can only arise if the consensus of the "hole community is no"n. 0vidence demonstrated that #y e!pressin$ dissatisfaction or su$$estin$ innovation, the online community of practice created in this study made such conflict apparent, not only to the or$anisation #ut also to the "ider community and that these discussions "ere ta en up #eyond the online environment. This, "e #elieve, is a clear indication of the role of the community in catalysin$ chan$e. 2. Solution Giver Cnce the need for chan$e has #een reco$nised, there is a need for a solutionF as 'aveloc and 'aveloc state, ?Many people "ho "ant to #rin$ a#out chan$e have definite ideas a#out "hat the chan$e should #eF they have solutions and they "ould li e to have others adopt those solutions@ 368IDG pB27. The community of practice provides an ideal forum throu$h "hich these solutions can #e $enerated. The online environment not only provides a vehicle for the articulation of such solutions, #ut also allo"s fello" mem#ers to comment and refine the solutions until consensus is reached. *t may #e thou$ht that solutions should #e provided #y the or$anisation. 'o"ever, such a directive approach #y the or$anisation is often set to fail. 9oth Ke=ar 325567 and Atlay 3255B7 ma e this pointF ? Any notion of a vision created by senior managers and then passed down is likely to be, at best, ignored. It may also fuel resentmenta recipe for failure@ 3Atlay 255B p6DB7. This raises the (uestion of "hether any solution that ori$inates from this community of practice is more li ely to #e adopted across the "ider community. There is early evidence from the case study that such solutions are initially adopted #y mem#ers of the online community ma in$ them, accordin$ to ;o$ers and Shoema er 368I67, innovators and early adopters, leadin$ the "ay for others to follo". /hether the rest of the community follo"s depends on ho" the online community of practice is vie"ed. A cultural model of chan$e states that the 1 primary motivator in the cultural model is legitimacy2 3Ke=ar 2556 p-57. The case study sho"ed that the community of practice provides this le$itimacy, "ith respondents statin$ ho" they sa" the community as 1trusted2. This trust is vital to chan$e 3Ke=ar 25567 and is #ased on the fact that the community of practice arises from the prevailin$ culture rather than challen$in$ it, and hence is a#le to validate or le$itimise any ne" practices. 3. Process Helper Cnce a solution has #een found or a$reed, the actions to #rin$ a#out actual chan$e need to occur. As discussed a#ove, the li elihood that these chan$es "ill #e adopted is $reater if the community of practice is seen as le$itimate and arisin$ from the prevailin$ culture. 'o"ever, the community can have a continued role in directin$ and supportin$ those ta in$ on the chan$e. This resonates "ith effective chan$e a$ents in the .'S "here offerin$ support is seen as a ey role in the chan$e process 3Massey and /illiams 255B7. A$ain, our study sho"s evidence of this, "ith support from collea$ues reported as a ma&or #enefit to the community. :ainin$ real support is dependant on #ein$ a#le to as the relevant person. The social net"or in$ element of e-lla#orate facilitates findin$ the ri$ht person and allo"s community mem#ers to as (uestions directly, either privately or pu#licly. This a#ility to net"or and see support is an important element of the e-lla#orate system. 3. Resource Linker The a#ility to #rin$ people to$ether and share resources is another ey feature of the e-lla#orate system and is seen as a ey #enefit to mem#ers of the community of practice. 'aveloc and 'aveloc 368ID7 see this a#ility to connect people and resources as an important, althou$h often overloo ed, chan$e role. This a#ility to smooth the process of chan$e for staff, #y ma in$ the #est use of availa#le resources and connectin$ to the appropriate people "as a$ain echoed in our study. The a#ility to share teachin$ resources and e!periences is somethin$ that "as hi$hly valued #y community mem#ers and seen as a ey motivation for #ein$ part of the $roup. Cf course these are not the only roles of a chan$e a$ent, and the political and cultural models are not the only models. 'o"ever, enou$h evidence "as $athered in this study to su$$est that an online community of practice can act effectively as an a$ent of chan$e in a comple! environment such as '0 and the .'S. This concept of communities of practice actin$ as chan$e a$ents is not ne". Co! 3255B7 su$$ested that

the 1communities of practice2 created at the Miami University 3and later else"here7 acted as chan$e a$ents to improve the (uality and scholarship of teachin$ and learnin$. 'o"ever, Co!2s study has limitations and conte!ts that differentiate it from the "or descri#ed here. <or e!ample, the communities of practice descri#ed #y Co! are 1Eearnin$ Communities2, a 1special type of community of practice2 3Co! 255BG p867, "hereas this study defined communities of practice in a more $eneric sense. *n addition, Co!2s communities meet re$ularly in a physical environment "hereas the community esta#lished in this study meets and "or s in an online environment and the technolo$y is pivotal to supportin$ their role as a chan$e a$ent. <inally, a ma&or difference lies in the process of chan$e and the role of the chan$e a$ent. /hereas Co! sees the communities as an immersive chan$e a$ent, creatin$ chan$e #y influencin$ the practices and #eliefs of its participants, this "or vie"s the online community as a #ody that influences and directs the practices and #eliefs of the "ider community of practitioners, even if they are not part of the online environment. 'ence, this study does not contradict or conflict "ith the "or of Co!, #ut rather #uilds and e!pands on his "or to su$$est a #roader concept of communities actin$ as a$ents of chan$e.

Conclusions
The case study presented in this paper provides stron$ evidence of the similarities that e!ist #et"een communities of practice and chan$e a$ents. 'o"ever, these similarities only point to the potential of communities to act as chan$e a$ents and in order to fulfil this potential, communities must e!ist in an ena#lin$ environment. The evidence from this case study also su$$ests that the online system e-lla#orate provides such an environment. Allo"in$ mem#ers to net"or , discuss and share in a trusted yet visi#le forum, provides an articulation of the community2s concerns and solutions. This, "e have demonstrated, can then provide the catalyst and support for chan$e in the "ider community. 'o"ever, political models of chan$e hi$hli$ht the need for chan$e a$ents to underta e #ar$ainin$ and ne$otiation "ith policy ma ers to ena#le chan$e 3Ke=ar 25567 and in this respect the community must also 1lo##y2 ey fi$ures "ithin the or$anisation. There is no evidence of such activity in this case study, althou$h feed#ac from the mem#ers sho"s they vie" this as a possi#le function of the community. This raises the (uestion of "ho determines the a$enda for chan$e. :iven the evidence of this study, an or$anisation may #e tempted to create an online community of practice to #rin$ a#out chan$e in a particular area of practice. 'o"ever, as "e have seen, a 1top-do"n2 vision rarely "or s and instead it is the community "ho realise the vision and #e$in to set the a$enda. <urther study into the motivation and drivers of communities may provide a mechanism for or$anisations to harness the potential of communities as chan$e a$ents and direct the chan$e in a manner that suits #oth community and or$anisation.

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