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The document discusses some of the challenges of change for engineering schools and universities. It lists factors that are important for successful change, including vision, consensus, skills, incentives, resources, and action plans. However, it also notes that lacking certain factors can lead to issues like confusion, sabotage, anxiety, resistance, and frustration. The document questions how engineering schools can contribute to a better world and overcome organizational challenges. It outlines a potential framework involving vision, addressing organizational structure, and developing an action plan.