This chapter presents and discusses two cases of regional upgrading involving public-run universities in two Northern European countries, Norway and the Netherlands. More specifically, it illuminates how academic groups associated with the field of medicine took pro-active steps to establish and further develop regional coalitions which, over time, have resulted in situated learning. The focus on processes of university-regional engagement and mutual satisfaction in a context where universities are pressured to be globally excellent allow lessons to be drawn for regions in Southern Europe. Subtle transfer is nevertheless required to account for universities’ autonomies and organisational capacity to embed engagement at the institutional level.
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