Karolinska Institutet is in a constant state between continuity and change, and anything else is not really conceivable. With the ambition to be a leading medical university, the organization must be adaptable. This book explores what has happened between 1960 and 2010 and examines the changes that have characterized the institute from a managerial perspective. The differences and similarities between the leadership Sten Friberg and Harriet Wallberg-Henriksson's are assessed, but the main focus of the book is on the institute's main representative--the principal. The six principals that KI has had since 1960 have left their marks on the organization in various ways. The authors have chosen to alternate between a story in which the organization encounters various influential actors and the story of the institution's principals. This interaction sheds light on the internal and external factors that are involved and forming an organization. A focus on only the environment would overemphasize external factors, whereas a focus only on the principals would overemphasize the internal. The book is also a depiction of the dynamic academic world in Stockholm, an environment that has not been studied as much as Uppsala and Lund. It illustrates how an academic environment can be balanced between regional healthcare, national education, and international research responsibilities, as well as the trade-offs that occur between continuity and change. Additionally, the Medical Nobel Assembly at Karolinska Institutet awards the Nobel Prize in Physiology or Medicine.
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