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Using Kotter's Change Management Framework to Redesign Departmental GME Recruitment
Matthew C Miles1,2, Karl M Richardson1,3, Rachel Wolfe1,4
1All authors are with the Wake Forest University School of Medicine and Atrium Health Wake Forest Baptist Medical Center.
Graduate medical education (GME) recruitment adapted to a virtual format using Kotter's 8-Step Change Model. This approach maintained high program fill rates and enhanced candidate engagement during the COVID-19 pandemic.
Area of Science:
- Medical Education
- Change Management
- Recruitment Strategies
Background:
- The COVID-19 pandemic necessitated significant changes to graduate medical education (GME) trainee recruitment.
- Kotter's 8-Step Change Model, a proven framework for change management, had not been previously applied to GME recruitment redesign.
Purpose of the Study:
- To implement substantial changes in GME program recruitment during the COVID-19 pandemic.
- The objective was to maintain successful Match outcomes and ensure a high-quality candidate experience throughout the recruitment process.
Main Methods:
- Kotter's 8-Step Change Model was applied to redesign recruitment for 15 internal medicine GME programs in 2020.
- Match fill rates were collected, and Google Analytics tracked website traffic. Post-interview surveys provided candidate feedback for descriptive analysis.
Main Results:
- The implementation successfully transitioned GME recruitment to a virtual format, maintaining high program fill rates.
- Website engagement metrics improved, with doubled peak monthly page rates, increased average time on site for several programs, and a significant decrease in bounce rates.
- Candidate feedback from post-interview surveys was positive, indicating a successful candidate experience.
Conclusions:
- Applying Kotter's 8-Step Change Model effectively guided the transformation of GME recruitment across 15 programs.
- This strategic change was associated with sustained Match fill rates and demonstrably increased website engagement, highlighting the model's utility in GME recruitment.
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