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div. section text # proj. size # Ann.
0 TIAB Leading Change to Address the Needs and Well-being of Trainees During the COVID-19 Pandemic The coro 4 1186 6 show
1 Body The coronavirus disease 2019 (COVID-19) pandemic challenged program leaders, as stewards of trainee 4 1268 6 show
2 Modified Maslow's Framework Maslow identified 5 fundamental human needs: physiological, safety, belonging, esteem, and self-actu 4 360 2 show
3 Physiologic Needs We defined physiologic needs during the COVID-19 pandemic to include food, sleep, physical health, m 4 128 1 show
4 Physiologic Needs Food The Accreditation Council for Graduate Medical Education (ACGME) requires access to food while 4 457 1 show
5 Physiologic Needs Sleep The ACGME recognized the importance of adequate rest to protect trainees and patients when it 4 275 1 show
6 Physiologic Needs Physical health Trainees are exposed to and at risk of COVID-19 illness and death.7 Screening and ra 4 509 6 show
7 Physiologic Needs Mental health Trainees are at greater risk of depression, anxiety, insomnia, and distress during the 4 469 5 show
8 Physiologic Needs Childcare School and childcare closings have added to trainee stress. Provide trainees with informat 4 246 1 show
9 Safety Threats to safety include sequelae related directly to COVID-19 infection as well as loss of routine 4 115 2 show
10 Safety Personal Protective Equipment (PPE) Concerns about adequate access to PPE are widespread and often e 4 368 1 show
11 Safety High risk conditions Accommodating high-risk individuals is important, but challenging, because crit 4 523 2 show
12 Safety Family safety The risk of infection that trainees pose to their loved ones and families is an import 4 330 2 show
13 Safety Financial insecurity Financial stress on trainees may be compounded by worries about compensation if 4 296 1 show
14 Safety Routine schedule Shifting schedules, including uncertainty about covering adult patients, challenges 4 337 2 show
15 Sense of belonging Social distancing and cancellation of regular activities create isolation from colleagues, families, 4 191 1 show
16 Sense of belonging Social support from program Institutions, departments, and programs have adopted virtual technology, 4 451 0 show
17 Sense of belonging Social support from families and friends Engagement with family and friends is important for trainee 4 304 2 show
18 Esteem Needs Suspension of program activities, physical distancing, and isolation may limit opportunities for ach 4 176 0 show
19 Esteem Needs Appreciation by and for others Physicians are being recognized world-wide for their dedication and s 4 709 2 show
20 Esteem Needs Self-esteem Being sidelined can impact personal and professional identities of trainees, which can b 4 565 2 show
21 Self-actualization Maslow defines self-actualization as the “desire for self-fulfillment….to become everything that one 4 1202 0 show
22 HOW to Lead Educational Change Using Kotter's 8-Step Change Management Framework Kotter's 8 step change management framework can offer guidance on HOW to effectively lead change dur 4 487 1 show
23 Establish a sense of urgency The COVID-19 pandemic upends traditional medical education, creating challenges to direct in-person 4 406 2 show
24 Create a guiding coalition In addition to program leadership, decide which additional stakeholders should be included. Consider 4 571 0 show
25 Create a shared vision Create a shared vision to direct the educational change effort by prioritizing multiple potentially 4 338 1 show
26 Communicate the vision Communicate frequently and regularly, utilizing multiple communication modalities. Consider consolid 4 456 0 show
27 Empower others to act Many individuals and institutions recognize the unprecedented disruption in trainee's lives from COV 4 665 1 show
28 Create short-term wins Empower your guiding coalition to experiment and model the way for others. For example, consider sch 4 473 0 show
29 Consolidate improvement Build on momentum created with short-term wins to create further change. Consider sharing best pract 4 648 2 show
30 Institutionalize new approaches Articulate the relationship between new behaviors and success. For example, consider sharing feedbac 4 359 0 show
31 Conclusions Using a framework such as Maslow's hierarchy allows program leaders to systematically address traine 4 711 3 show
32 Caption-Table 1 Examples of Potential Interventions to Address Resident/Fellow Wellness Needs Using Maslow's Need Fr 4 132 1 show
33 Caption-Table 2 Examples of How to Lead Educational Change During the COVID-19 Pandemic Using Kotter's 8 Steps to Le 4 122 1 show