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Since the Hospital Authority officially took over the management of the public hospitals in December 1991, it initiated numerous schemes aimed at improving the quality and efficiency of its staff and healthcare services. This included implementing a new management structure in most of the hospitals under its jurisdiction, including Patient Care Hospital. A few of the steps taken to improve the delivery of medical services were successfully and smoothly implemented, but a few met with resistance and complaints from the medical staff. This case takes a look at the management of medical professionals, and also at the role of medical professionals as managers. It introduces students to the culture of medical professionals, and aims to help students understand the reaction of medical professionals towards changes that affect their work routine.