ABSTRACT
Background
A disaster such as Hurricane Katrina can result in extensive devastation to graduate
medical education programs. While clinical services largely determine the recovery
of each residency program, program director leadership is important.
Methods
A qualitative survey of program directors was conducted to determine the leadership
lessons most instrumental after a disaster.
Results
Gaining control, establishing communication, designing a vision for the recovery,
maintaining physical accessibility, and identifying leaders within the program were
identified as critical leadership attributes associated with a residency program’s
recovery. Understanding the logistics and finances of resident placement was also
important.
Conclusions
Preparing for a disaster is the best approach, but where a disaster policy is incomplete
or inadequate, it will be the leadership skills of the program’s director that will
define the success of failure of the residency program.
KEY INDEXING TERMS
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References
- Surviving Hurricane Katrina: reconstructing the educational enterprise of Tulane University School of Medicine.Acad Med. 2007; 82: 757-762
- The medical education commission report 2005 and 2006: Katrina kinetics change graduate medical education.J La State Med Soc. 2007; 159: 88-93
- Baylor college of medicine’s support of Tulane University School of Medicine following Hurricane Katrina.Acad Med. 2007; 82: 733-744
ACGME Common Program Requirements. Available at: http://www.acgme.org/acWebsite/dutyHours/dh_dutyhoursCommonPR07012007.pdf
ACGME Institutional Program Requirements. Available at: http://www.acgme.org/acWebsite/irc/irc_IRCpr07012007.pdf
The Balanced Budget Act (BBA) of 1997 (HR 2015); Sec. 4621 (b)(1)(vi)(II)
- The tipping point: how little things can make a big difference. Little, Brown and Company, New York2000
- The sacred canopy: elements of a sociological theory of religion. Anchor Books/Random House, New York1967
- The seven habits of highly effective people. Free Press, New York1989
- Overview of graduate medical education. Funding streams, policy problems and options for reform.West J Med. 1998; 168: 428-436
- Medicare financing of graduate medical education.J Gen Intern Med. 2002; 17: 283-292
- Exposure to hurricane-related stressors and mental illness after Hurricane Katrina.Arch Gen Psychiatry. 2007; 64: 1427-1434
- Symptoms of posttraumatic stress disorder in a New Orleans workforce following Hurricane Katrina.J Urban Health. 2007; 84: 142-152
- Trauma and stress response among Hurricane Katrina evacuees.Am J Public Health. 2007; 97: S116-23
Article info
Publication history
Accepted:
May 22,
2008
Received:
May 1,
2008
Identification
Copyright
© 2008 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
