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Serendipitous Pathways and Elusive Definitions: Leadership in Continuing Professional Development
David Wiljer1, Morag Paton, Tharshini Jeyakumar
1Dr. Wiljer: Professor, Department of Psychiatry and Academic Director in Continuing Professional Development in the Temerty Faculty of Medicine, University of Toronto, Toronto, Canada, Executive Director of Education, Technology & Innovation at the University Health Network, Toronto, Canada, and Scientist, Wilson Centre at the University Health Network and Temerty Faculty of Medicine, Toronto, Canada. Dr. Paton: Associate Director, Maintenance of Certification and Education Consultation Services, Continuing Professional Development, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada. Ms. Jeyakumar: Research Associate and Education Specialist, University Health Network, Toronto, Canada, and PhD Student, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. Dr. Do: Medical Resident, Department of Paediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada. Dr. Maniate: Associate Professor, Department of Medicine and Department of Innovation in Medical Education, University of Ottawa, Ottawa, Ontario, Canada, Researcher and Founding Director of the Equity in Health Systems Lab at the Bruyère Research Institute, Ottawa, Ontario, Canada. Dr. Tavares: Scientist, Wilson Centre at the University Health Network and Temerty Faculty of Medicine, University of Toronto, Toronto, Canada, and Assistant Professor, Department of Health and Society at the University of Toronto-Scarborough, Scarborough, Ontario, Canada. Dr. Schneeweiss: Associate Dean, Continuing Professional Development, Professor, Department of Pediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Introduction:
Although the Continuing Professional Development (CPD) field has rapidly expanded in scope, breadth, and depth, there is a gap in how we understand CPD leadership and the role of the leader. Previous scholarship indicates that there is neither an agreed on set of competencies for CPD leadership roles nor a distinct pathway towards those roles. This study is aimed at answering the following question: How is leadership described or defined in CPD and what are the contextual issues that are and/or should be shaping its evolution?
Methods:
Conducted between 2020 and 2022, CPD leadership program learners and CPD leaders with a range of leadership expertise were identified using convenience and purposive sampling and invited to participate in this study. Semistructured interviews were conducted with consenting participants. Interviews were recorded, transcribed, and analyzed using a qualitative thematic template analysis approach.
Results:
Seventeen interviews were conducted. There were multiple components identified that were important to CPD leadership, such as being visionary, or having strong collaboration skills with some components, such as adaptability and flexibility appearing more unique to the CPD context. The role of CPD leadership and the pathway to CPD leadership remain highly variable.
Discussion:
Attaining a CPD leadership position predominantly involves some degree of "serendipity." While CPD leaders may fundamentally need basic and common leadership skills, an essential attribute of the CPD leader is to effectively respond to the context and the unique needs of the health system. We recommend better articulating and valuing the role of the CPD leader within the health system.
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