title: Leadership in graduate medical education: eleven steps instrumental in recovering residency programs after a disaster.
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.
authors.affiliation: From the Division of General Internal Medicine, Department of Medicine, Tulane University Health Sciences Center, New Orleans, Louisiana.
authors.forename: Jeffrey G
authors.initials: JG
authors.lastname: Wiese
mesh_terms: D003153:Community Health Services; D004190:Disasters; D004503:Education, Medical, Graduate / Q000592:standards* / Q000639:trends; D006801:Humans; D007396:Internship and Residency / Q000639:trends; D007857:Leadership; D012066:Relief Work