Every PLM migration has a go-live date, a data plan, and a training schedule. What most don't have is a strategy for the people who will resist, stall, or quietly undermine the whole thing.
At Propulsion 2026, Caroline Byrd, VP of Regulatory, Quality, and Clinical at Nextern, brought the room to life with a refreshingly candid look at what organizational change management actually looks like in practice. With a career spanning Boston Scientific, St. Jude Medical, Abbott, and Leica Biosystems, Caroline has navigated some of the most complex regulatory and operational transformations in medical device history.
Caroline tells the story of a huge migration from Oracle Agile to Propel, managing a 700-person global organization across the US, Vietnam, Costa Rica, and China, with 45 customers, 375 SKUs, 700-plus suppliers, and 6,500 change orders processed last year alone. In this session, she breaks down the grief curve, the technology adoption spectrum, and the real personas in every organization who will make or break your implementation, plus the creative, human-centered tactics Nextern is using to bring everyone along for the ride.







