Tips From the Iceberg: Effecting Culture Change in Health Care Teams

For centuries, fables have been used as teaching aids that bring simple lessons to life through storytelling. The extensive research of John Kotter has been distilled into fable form in the book "Our Iceberg is Melting." Here, we will describe an instance of applying Kotter's eight-step model to overcome relational tension between anesthesiologists and nurse anesthetists and a resultant culture of collaboration at 2 of the authors' academic medical centers.