The article investigates the multi-year experience of the courses on "Management of network health organizations" provided by the Polytechnic University of Marche, framing it within the theoretical debate on organizational training. The first paragraph presents three different per-spectives on training, rooted in as many conceptions of organization. When considered as a process of decisions and actions, training cannot be separated from the specificities of the or-ganizational context to which it is addressed. To this end, the second paragraph focuses on the network-based configuration of the Marche regional health system and on the related training and learning needs. Finally, the third paragraph highlights the main features of the courses on "Management of network healthcare organizations" arguing why they are in line with the pro-cessual view of managerial education within a network organisational system.
Keywords: Formazione manageriale; approccio processuale; reti organizzative; apprendi-mento organizzativo; sistema sanitario regionale marchigiano; cambiamento organizzativo.