Decision making in continuing professional development organisations during a crisis.

Autor: Paton M; Continuing Professional Development, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada., Zakeri B; Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, USA., Rowland P; Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.; The Wilson Centre, University Health Network and Temerty Faculty of Medicine, Toronto, Canada., Tavares W; The Wilson Centre, University Health Network and Temerty Faculty of Medicine, Toronto, Canada.; Department of Health and Society, University of Toronto Scarborough, Scarborough, Canada., Williams BW; Department of Psychiatry, School of Medicine, University of Kansas, Clinical Program, Kansas City, Kansas, USA.; Professional Renewal Center, Lawrence, Kansas, USA., Schneeweiss S; Continuing Professional Development, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.; Department of Pediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada., Wiljer D; Continuing Professional Development, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.; University Health Network, Toronto, Canada.
Jazyk: angličtina
Zdroj: Medical education [Med Educ] 2024 Jun; Vol. 58 (6), pp. 722-729. Date of Electronic Publication: 2023 Dec 17.
DOI: 10.1111/medu.15265
Abstrakt: Introduction: Early in COVID-19, continuing professional development (CPD) providers quickly made decisions about program content, design, funding and technology. Although experiences during an earlier pandemic cautioned providers to make disaster plans, CPD was not entirely prepared for this event. We sought to better understand how CPD organisations make decisions about CPD strategy and operations during a crisis.
Methods: This is a descriptive qualitative research study of decision making in two organisations: CPD at the University of Toronto (UofT) and the US-based Society for Academic Continuing Medical Education (SACME). In March 2021, using purposive and snowball sampling, we invited faculty and staff who held leadership positions to participate in semi-structured interviews. The interview focused on the individual's role and organisation, their decision-making process and reflections on how their units had changed because of COVID-19. Transcripts were reviewed, coded and analysed using thematic analysis. We used Mazmanian et al.'s Ecological Framework as a further conceptual tool.
Results: We conducted eight interviews from UofT and five from SACME. We identified that decision making during the pandemic occurred over four phases of reactions and impact from COVID-19, including shutdown, pivot, transition and the 'new reality'. The decision-making ability of CPD organisations changed throughout the pandemic, ranging from having little or no independent decision-making ability early on to having considerable control over choosing appropriate pathways forward. Decision making was strongly influenced by the creativity, adaptability and flexibility of the CPD community and the need for social connection.
Conclusions: This adds to literature on the changes CPD organisations faced due to COVID-19, emphasising CPD organisations' adaptability in making decisions. Applying the Ecological Framework further demonstrates the importance of time to decision-making processes and the relational aspect of CPD. To face future crises, CPD will need to embrace creative, flexible and socially connected solutions. Future scholarship could explore an organisation's ability to rapidly adapt to better prepare for future crises.
(© 2023 The Authors. Medical Education published by Association for the Study of Medical Education and John Wiley & Sons Ltd.)
Databáze: MEDLINE
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