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Decision making in continuing professional development organisations during a crisis.

Morag Paton1, Bita Zakeri2, Paula Rowland3,4

  • 1Continuing Professional Development, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.

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Continuing professional development (CPD) organizations adapted their decision-making strategies during the COVID-19 crisis. Key factors for future crisis preparedness include creativity, flexibility, and social connection in CPD.

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Area of Science:

  • Medical Education
  • Organizational Behavior
  • Public Health Crises

Background:

  • COVID-19 necessitated rapid strategic and operational adjustments by continuing professional development (CPD) providers.
  • Despite prior pandemic experience, CPD organizations were largely unprepared for the scale of the COVID-19 crisis.
  • Understanding decision-making processes in CPD during crises is crucial for future preparedness.

Purpose of the Study:

  • To investigate how continuing professional development (CPD) organizations make strategic and operational decisions during a crisis.
  • To identify the factors influencing decision-making within CPD organizations during the COVID-19 pandemic.

Main Methods:

  • A descriptive qualitative study was conducted involving semi-structured interviews with leaders from two CPD organizations: University of Toronto (UofT) and Society for Academic Continuing Medical Education (SACME).
  • Thematic analysis was applied to interview transcripts, utilizing Mazmanian et al.'s Ecological Framework for conceptual insight.
  • Purposive and snowball sampling methods were used to recruit participants in March 2021.

Main Results:

  • Decision-making evolved through four pandemic phases: shutdown, pivot, transition, and 'new reality'.
  • CPD organizations demonstrated a shift from limited initial decision-making autonomy to greater control over strategic pathways.
  • Creativity, adaptability, flexibility, and the need for social connection significantly influenced organizational decision-making.

Conclusions:

  • CPD organizations exhibited significant adaptability in decision-making during the COVID-19 pandemic.
  • The Ecological Framework highlights the temporal and relational aspects critical to crisis decision-making in CPD.
  • Future crises require CPD to adopt creative, flexible, and socially connected strategies, with further research needed on rapid organizational adaptation.