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About the authors.
Elizabeth Fisher Turesky is a Professor in the Leadership and Organizational Studies Department at the University of Southern Maine. She received her PhD in Organizational Behavior at Case Western Reserve University, her MPA at the University of Colorado School of Public Affairs and her BA in Psychology from Wheaton College, Massachusetts. She has held Visiting Faculty positions at The University of New Hampshire and Colby College. Her scholarship focuses on organizational change and the nexus of experiential learning and leadership development.
Coby D. Smith is an Associate Vice President of a market research firm International Data Corporation (IDC) in Framingham, Massachusetts. He received his MA in Leadership Studies from University of Southern Maine and BA in Economics from Swarthmore College.
Ted K. Turesky is a Post-doctoral Fellow in Developmental Cognitive Neuroscience at Boston Children’s Hospital/Harvard Medical School. He received his PhD in Neuroscience from Georgetown University and his BA in Physics from Colorado College.
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M. elizabeth azukas.
East Stroudsburg University of Pennsylvania, East Stroudsburg, PA USA
The COVID-19 pandemic caused the largest education system disruption in history, resulting in many districts abruptly, and often ineptly, implementing remote learning to maintain the continuity of instruction. The majority of educational leaders were unprepared for working and delivering instruction in virtual environments. Research indicates that few educational leadership programs provide preparation for leading in virtual learning environments but the COVID crisis made clear that it is imperative for all school leaders have an understanding of virtual leadership. The purpose of this study was to develop an understanding of the competencies required for virtual school leadership as they relate to the Professional Standards for Educational Leaders(P-SEL). Interviews were conducted with 28 virtual leaders using a semi-structured interview protocol. Results indicated that while the P-SEL Standards were categorically aligned to their work, there were distinctive differences in the ways in which virtual school leaders engaged their work across various leadership domains that required unique competencies. These findings are important to our understanding of how to better prepare educational leaders to maintain the effective continuity of instruction in future emergencies as well as to continue to implement and improve upon promising practices that developed during remote instruction.
Concerns about virtual leadership quality and preparation existed before the pandemic. Prior to 2020, opportunities for K-12 students to participate in online learning experiences were continuing to expand (Gemin et al., 2015 ; Molnar et al., 2019 ), yet research indicated that few educational leadership programs provide any administrator preparation for leading in virtual learning environments (La France & Beck, 2014 ). Further, concerns were raised about poor performance on accountability measures in comparison to brick-and-mortar schools (Molnar et al., 2014 ). Effective leadership is essential, because research has established a link between effective leadership and student achievement, particularly for low income and black students (Andrews & Soder, 1987 ; Leithwood & Jantzi, 2008 ; Waters & Marzano, 2007 ). An understanding of effective leadership is considered particularly critical for online education given that they often serve at-risk students (Abrego & Pankake, 2010 ; Quilici & Joki, 2011–12 ). Richardson et al. ( 2015 ) research found that, while virtual school leaders face many of the same categorical challenges as leaders in brick-and-mortar schools, the nuances of these challenges were distinct and they recommended additional research into the specific competencies required for virtual leadership as well as additional pre-service training for leaders.
Amid these developing concerns, the COVID-19 pandemic emerged causing the largest education system disruption in history, impacting 1.6 billion learners in more than 200 countries (Pokhrel & Chhetri, 2021 ) resulting in many districts abruptly, and often ineptly, implementing remote learning to maintain the continuity of instruction (Barbour et al., 2020 ; Hobbs & Hawkins, 2020 ; Pokhrel & Chhetri, 2021 ). While many have made a point to differentiate emergency remote learning from a more deliberate approach to online learning (Barbour et al., 2020 ; Hodges et al., 2020 ) it has become clear that the majority of school principals had to shift their roles from instructional leaders to virtual instructional leaders (Pollock, 2020 ). Preliminary research has reported that school leaders did not feel adequately prepared to deliver curriculum and instruction online and that many struggled with hardware, software, and infrastructure challenges, preparing teachers to design and facilitate online learning, online communication strategies, and managing the physical distance and relationships among school members and constituents (Barbour et al., 2020 ; Beauchamp et al., 2021 ; NAESP, 2020 ; Pollack, 2020 ; Varela & Fedynich, 2020 ). The COVID-19 crisis has made clear that it is imperative for all school leaders have an understanding of the competencies required for virtual leadership. However, to improve virtual leadership, we must have an understanding of the competencies needed for leading virtual schools and how they differ from traditional brick-and-mortar leadership skills so that we can more adequately prepare and support all school leaders. This purpose of this study was to develop a better understanding of the competencies required for virtual school leadership and the extent to which the revised Professional Standards for Educational Leaders (P-SEL) adequately represent these required competencies.
Two conceptual frameworks were used to frame this virtual leadership study. The first is the theory of contextual leadership. Contextual leadership brings the unique situational realities of the environment in which the leader exists to the forefront (Bossert et al., 1982 ; Day & Leithwood, 2007 ; Day & Gurr, 2014 ; Gurr & Day, 2014 ; Jacobson, et al., 2005 ; Moos et al., 2011 ; Noman & Gurr, 2020 ). Too often, leadership theories and preparation focus on the individual characteristics of the leaders, with little regard for the contextual factors (Hallinger, 2018 ), yet the behaviors that are traditionally considered to be effective for leadership may be constrained by the contextual environment (Lord et al., 2001 ). In virtual schools, the context is a driving factor in the competencies required for effective leadership. During the pandemic, many brick-and-mortar school leaders had to change their behaviors to try to fit the pandemic context. This is consistent with recent studies that have found that leadership is highly contextual and that the most effective leaders are able to adapt their practices to the immediate contextual factors and requirements (Johnson & Dempster, 2016 ; Noman & Gurr, 2020 ).
The second conceptual framework applied in this study are the Professional Standards for Education Leadership (P-SEL). These standards were developed in the United States in 2015 after a review of empirical research, input from researchers and more than 1000 school and district leaders, and the support of the National Association for Elementary School Principals (NAESP), the National Association for Secondary School Principals (NASSP), and the American Association for School Administrators (AASA) (Professional Standards for Education leaders, 2015 ). The standards focus on student success and well-being and include the following leadership domains:
The standards attempt to provide a strong, clear, emphasis on students and learning outcomes, outlining fundamental principles to ensure that every student is well educated and prepared for the twenty-first century (Professional Standards for School Leaders, 2015 ). The new standards recognize the importance of human relationships both in leadership and in teaching and student learning and reflect a positive, asset-based approach to promote human development. While grounded in the present, the standards adopt a “future-oriented approach” and they challenge the profession and institutions of higher education to “move beyond established practices and systems and strive for a better future” (Professional Standards for School Leaders, 2015 , p. 3). It is important to view virtual leadership competencies through the lens of the P-SEL standards because these standards have influenced education leadership preparation around the country as the National Educational Leadership Preparation (NELP) Program Standards are aligned to the P-SEL standards. The NELP standards are designed for advanced programs at the masters, specialist, or doctoral levels that prepare program directors, supervisors, building level or district level education leaders undergoing accreditation by the Council for the Accreditation of Education Preparation (Professional Standards for School Leaders).
The purpose of this study was to better understand the competencies required for virtual leadership and whether these aligned to the P-SEL standards. This was accomplished through 28, 60-min interviews with virtual leaders using a semi-structured interview protocol. Interviews were used because they facilitate rich descriptions and detailed accounts of the participants’ lived experiences and perspectives on a phenomenon (DiCicco-Bloom & Crabtree, 2006 ). Nineteen of the participants were interviewed prior to March of 2020. Nine of the participants were interviewed after March of 2020, during the pandemic.
The population for this study consisted of the National Education Policy Center’s 2019 inventory of all full-time virtual schools in the nation, the most recent census of full-time virtual schools (Molnar et al., 2019 ). Molnar et al. ( 2019 ) identified 528 full-time virtual schools in 2015–2016. Schools were categorized based on location, grade levels served, enrollment, student ethnicity, and type of school (charter or district). These categories were then used to sort schools to create a random stratified sample. Internet research was used to obtain leader contact information and 4 cycles of emails were conducted. One hundred virtual school leaders were contacted in total and invited to participate in semi-structured 60-min interviews. Eight of these schools were closed and two were listed as separate schools but had the same leader, bringing the total number of leaders contacted to 88. Twenty-eight leaders responded and agreed to be interviewed, which is a 32% response rate. This response rate is adequate for this type of research because participants were viewed as “key informants,” (Patton, 1990 , p. 173) given their knowledge and experience with virtual leadership. Additionally, at the conclusion of the 4th round of interviews, it became apparent that a saturation point was reached where no new data was emerging (Bernard, 2012 ; Guest et al., 2006 ; Mason, 2010 ). Table 1 details the demographic information of the participants.
Virtual school leader participants
# | Pseudonym | Gender | Years of Experience | Admin Cert | Admin in f2f | Virtual Leadership Role | State | Type of School | Configuration |
---|---|---|---|---|---|---|---|---|---|
1 | Jennifer | F | 25+ | Yes | No | Superintendent | DC | Charter | K-12 |
2 | Jeff | M | 25+ | Yes | Yes | Superintendent | PA | Charter | K-12 |
3 | Joseph | M | 15–20 | Yes | No | Principal | SC | Charter | 9–12 |
4 | Allison | F | 15–20 | No | No | Superintendent | AR | District | K-12 |
5 | Julia | F | 25+ | Yes | No | Superintendent | AZ | Charter | K-12 |
6a | Chris | M | 20–25 | No | No | Superintendent | WI | District | K-12 |
6b | Susan | F | 10–15 | Principal | |||||
7 | Edward | M | 25–30 | No | No | Head of School | WI | District | 9–12 |
8 | Jamie | F | 25–30 | Yes | No | Principal | FL | District | K-12 |
9 | Holly | F | 20–25 | Yes | No | Principal | AZ | District | K-12 |
10 | Andy | M | 20–25 | Yes | Yes | Principal | FL | District | 6–12 |
11 | Mandy | F | 10–15 | No | No | Superintendent | AL | K-12 Inc. | K-12 |
12 | Michelle | F | 20–25 | Yes | No | Principal | NC | District | 9–12 |
13 | Emily | F | 20–25 | Yes | Yes | Superintendent | NC | District | 9–12 |
14 | Kathy | F | 20–25 | Yes | Yes | Principal | PA | Charter | K-12 |
15 | Joanna | F | 20–25 | Yes | Yes | Principal | PA | District | 9–12 |
16 | Scott | M | 10–15 | Yes | Yes | Principal | VA | District | 6–12 |
17 | Kathleen | F | 15–20 | Yes | No | Principal | MI | District | K-12 |
18 | Kelly | F | 20–25 | No | No | Principal | GA | Charter | K-12 |
19 | Mike | M | 15–20 | Yes | Yes | Superintendent | MN | Charter | 6–12 |
20 | Lisa | F | 15–20 | Yes | No | Principal | CA | Charter | 6–12 |
21 | Ned | M | 15–20 | Yes | Yes | Principal | CO | Charter | K-12 |
22 | Lena | F | 15–20 | Yes | No | Principal | WA | Charter | K-12 |
23 | Diane | F | 10–15 | Yes | Yes | Principal | LA | Charter | K-12 |
24 | Kevin | M | 10–15 | Yes | Yes | Principal | IL | District | L-12 |
25 | Bobby | M | 15–20 | Yes | Yes | Principal | TX | District | 3–12 |
26 | Sallie | F | 15–20 | Yes | Yes | Principal | AZ | Charter | K-12 |
27 | Gabe | M | 20–25 | Yes | Yes | Principal | WV | Charter | K-12 |
28 | Vicki | F | 20–25 | Yes | No | Superintendent | MA | *Private | K-12 |
• Private was not a category included in the NEPC listing, however, the original contact listed as a charter school, now works for a private online school
Semi-structured interviews (SSIs) were chosen because they fall between structured and unstructured interview processes (Adams, 2015 ). They are guided, focused, and open-ended communication events co-created by the researcher and the interviewee (Crabtree & Miller, 1999 ). This process facilitated the collection of data that would address the study’s purpose and objectives, yet allow for a broad understanding of the participant’s lived experience. An interview guide was developed using the P-SEL Standards as the basis for questions designed to understand virtual leadership competencies, which was key to obtaining data that addressed the study’s research questions (Baumbusch, 2010 ; Ryan et al., 2009 ). Questions began at the standard level. For example, “Tell me about your role with regard to developing, advocating, and enacting a shared mission and vision for the school?” and “To what extent are you involved in establishing the core values for the school?” Guiding questions were supported by additional prompts or probes such as, “Can you tell me more?” The interview guide was subject to change to facilitate conversation and to capture any data pertinent to understanding virtual leadership competencies that may not have been directly related to the P-SEL standards (Galleta, 2013 ). Interviews were conducted and recorded using Zoom.
Interviews were transcribed and then analyzed using a hybrid approach of inductive and deductive coding and theme development (Fereday & Muir-Cochrane., 2006 ). This allowed me to apply the P-SEL leadership domains as codes as well as to capture any relevant information that did not align with the P-SEL codes. I implemented Fereday and Muir-Cochrane.’s ( 2006 ) 6 stages of coding in this hybrid approach. First, I developed the code book using the P-SEL standards. Next, I tested the robustness of the codes against the literature. I then summarized the data and identified initial themes. I applied the P-SEL codebook and then conducted additional coding to identify any themes that may not have been captured by the codebook. Finally, I legitimated and corroborated the coded themes, employing member checking to help improve accuracy, credibility, validity, and transferability (Creswell, 2003 ; Mertler, 2014 ).
The virtual leaders interviewed conveyed that the P-SEL Standards were categorically aligned to their work. Most asserted that they did much of the same work as a brick-and-mortar leader, but that there were distinctive differences in the ways in which virtual school leaders engaged their work across various leadership domains. It was clear that the context, particularly the online context, played a role in the types of skills required of effective leaders. One hundred percent of those interviewed who had completed a traditional education leadership program for certification felt that their program did not adequately prepare them for the demands of virtual school leadership. The results are categorized by P-SEL standards, with an emphasis placed on the skills that many brick-and-mortar school leaders had to employ during the pandemic. Table 2 provides a summary of the findings.
Virtual competencies summary
P-SEL Standard | Virtual Leadership Competencies |
---|---|
Mission, Vision, and Core Values | • Many virtual schools have specific missions, i.e. personalized learning, supporting at-risk students, or promoting twenty-first century skills. • Communicating and promoting the vision must be done virtually. • Cultivating core values virtually across large (sometimes state-wide communities). |
Ethics and Professional Norms | • Expectations for Teacher Professional Norms are different when teachers are working virtually (synchronous vs asynchronous, hours of availability, requirements for office-space, modes of communication, etc.). • Expectations for School Leaders are also different in the virtual environment (assistant principals, principals, curriculum supervisors, etc.). • Academic Integrity is a big challenge (students and parents). • Some states only provide full funding for students that successfully complete courses (can create unique ethical dilemmas). • Transparency and trust can be harder to develop virtually. • Perseverance is particularly critical online, particularly if you are supporting at-risk student populations, or students that were already unsuccessful in a brick-and-mortar school. |
Equity and Cultural Responsiveness | • Access to technology can be a barrier for students and teachers. • The visibility of curriculum and instruction necessitates and has necessitated culturally responsive materials. • There are high levels of diversity in some schools because they draw from across the entire state. • It can be harder to be culturally responsive when you do not physically see the learners. • It has been challenging to recruit and retain teachers of color in this alternate environment. |
Curriculum, Instruction, and Assessment | • The elementary students require more parental (or adult) support at home since they are still developing their reading skills. This requires training these adults to be “learning coaches.” • Some states require students to sit in-person for state standardized testing and coordinating the logistics of bringing everyone in from across a region or a state for testing is challenging. It requires event planning and logistics skills. • Schools that support public school instruction often have difficulty in gaining access to their students’ state standardized test scores. • Online curriculum exists in a “fish-bowl” environment. It can be very public which means it has to be of high-quality and it must adhere to copyright law in a way that is not typically enforced in face-to-face classrooms. • When curriculum is delivered online, there are legal requirements for accessibility requirements that require detailed knowledge of accessibility laws and the skills to make materials accessible in the online environment. • It can be challenging to manage rolling enrollment. (In some virtual schools, they do not have typical semesters or marking periods. Students can begin and finish at any time, meaning that students are at all different places in a course. This has implications for systems management, budgeting, and teaching). • It can be difficult to monitor student progress when students are on rolling enrollment and working at their own pace. This makes planning for student interventions more challenging and has budget implications for schools that only receive full FTE for students who successfully complete courses.) • You have to manage synchronous and asynchronous instruction. • Device-agnostic technical tools are required to deliver content and instruction. • Developing your own curriculum requires instructional design and course development skills. Some virtual leaders felt they needed product development and project management skills to successfully deliver high quality curriculum. • Some courses can be particularly difficult to deliver in the online environment, i.e., art, music, or some special education services. • We have to plan for attrition in a way that other schools do not, particularly for FTE. Sometimes, this means over-enrolling class sizes to be sure we end up where we need to be. |
Community of Care and Support for Students | • Relationships must be developed virtually. A superintendent or principal cannot walk down the hall or visit the cafeteria to see students. • All services and activities must be delivered virtually. (Clubs and activities must be offered online. If there is an in-person prom or graduation, this requires event planning and logistical skills as students may be coming in from all over the state.) • Some schools hire and supervise regional event coordinators that can offer some local in-person activities or meetings. • Some students find the virtual environment isolating and/or challenging. Many schools/leaders have created new positions such as “academic success coordinators” or “instructional coaches” that support students with their academics. • Some schools use online peer mentoring programs to assist in building community. • Guidance and counseling services must be provided online and uphold strict confidentiality guidelines. |
Professional Capacity of School Personnel | • Leaders are hiring for a different skill set. • Teachers require extensive PD (technology, online pedagogy, online curriculum development, Competency-based learning, personalized learning, asynchronous instruction, flexibility, etc.). • Teachers need to be flexible and willing to work with students working at different paces. • In many cases, faculty meetings and PD must be done online. • Maintaining a healthy work-life balance is different and can be difficult when working from home. |
Professional Community for Teachers and Staff | • Leaders must build community virtually. • Leaders must develop a sense of belonging virtually. • Leaders must provide opportunities for interaction and collaboration virtually to promote mission. • Communication must be very deliberate and clear. • Communication must be frequent so people do not feel disconnected. • Leaders need virtual sense of presence. |
Meaningful Engagement of Families and Community | • Families may be distributed over a large geographic area. • Families must be engaged as partners, especially with the younger children as they serve as learning coaches. • Families must receive training in the LMS or content delivery systems to support the younger children; they need training to help and monitor the older children. • Families may need training and support to participate in communication, discussions, etc. • Parental volunteer opportunities must be virtual. • In some cases, the “community” consist of a very large geographical area or the whole state; this makes building community challenging for the virtual leader. • Leaders often feel as though they have to prove themselves as some community members are skeptical of online learning. |
Operations and Management | • Since they are typically schools of choice, leaders end up engaging in marketing or in hiring marketing and sales teams. • Funding models can differ from typical district funding models. Some districts receive only partial FTE; some districts receive FTE only for students who successfully complete coursework. This requires different budgeting skills. • Some leaders have to work with business partners, or Education Management Organizations (EMOs) and have to navigate these relationships. It is important to many to retain their own control and identities even if they have an EMO. • Some schools partner with several brick-and-mortar schools in supporting traditional school attendance. Leaders need to build relationships with all of these schools. There are multiple superintendents or principals supporting the same students. • Leaders have to have different technical apparatus to support students; LMS or CMS, provide computers or ensure students have computers, manage Internet access issues, need technology to promote communication and collaboration. • Leaders have to be very cognizant of student privacy issues in the online environment as all data is online. Schools worry about data breaches and cyber ransom attacks. Many leaders have to hire cyber security professionals. |
School Improvement | • Leaders have a lot of internal data points to examine. (Every click is captured online; how long a student spent on each page, which pages they visited, which resources they clicked into, all assessment data, etc.) • Leaders have to worry about parent and student satisfaction in a way that other schools do not since they are a choice. • Sometimes student data is split across different schools and it can be difficult to develop the whole picture on some students. • Some schools do not receive student standardized testing data. • State accountability and reporting rules may differ for charter or private schools. |
Other | • Leaders reported having to frequently explain and defend online learning to others. • Leaders felt as though some of their peer leaders in brick-and-mortar schools excluded them either because they did not respect the work they do or because they were viewed as competition for FTE. |
Communication and engagement are different in the virtual environment. Jaime, for example, indicated that one of her main roles was developing and enacting a shared mission and vision, for the organization but that it was more challenging in a virtual organization. She stated:
I guess one of the primary differences is obviously you're not seeing everyone every day. And so that means that your approach to how you might deliver and support the vision, mission and the values every day might be a little bit different. As a virtual leader, you really have to be more deliberate about knowing how people are feeling what people are really spending their time on and whether or not the goals that they have as an individual really do line up with your values and goals as an organization.
Communication and engagement challenges also surfaced with regard to the ways in which virtual leaders develop a sense of professional community for teachers and staff. Emily spoke of the need for frequent “pulse checks” and described her tradition of “Text me Tuesdays” in which faculty and staff would send their thoughts, feelings, and questions via text every Tuesday. Mandy instituted “coffee chats” in which teachers and staff could take a coffee break and chat virtually. Chris also expressed the need for connection in the virtual environment so he instituted weekly virtual department meetings and monthly full-day virtual professional learning communities.
Connecting with students and their families presented similar challenges. Virtual school leaders implemented a variety of strategies to help students feel connected in the virtual environment. Holly required teachers to conference individually with students once a month. Joseph invested in school counselors, employing three times the state requirement to reduce the counselor to student ratio. Several of the virtual leaders employed student advisors or coaches that regularly reached out to students to set goals and keep them engaged. Allison has a Student Success Manager that oversees student advisors. She stated, “It is easy for the kids to disengage when they are not required to attend physically and we do not see them, but the Success Manager and advisors have really helped.” John hired a Parent Support Coordinator who oversees Parent Ambassadors who run virtual or face to face events every Friday because “if the parents are engaged, the kids do better.” The virtual leaders that serve elementary students have to enlist parents as partners because the children are too young to be at home alone and those that are still learning to read, need support with instructions. Ned reported, “I actually have to run professional development for parents because they have to know how to use the technology and support their kids.”
Leaders also employed virtual clubs and activities as well as face to face events to promote a community of care and support for students as well as to meaningfully engage with families and communities. Several of the virtual schools served students from across the state. “One of the biggest challenges I have is that my community is spread across the entire state,” Kelly stated. Chris reported that he has an Activities Director and 15 regional event coordinators to address this. Scott stated:
I never realized that I would be expected to be an event coordinator and handle all of the logistics associated with bringing in students and families from across the state. We bring them in for testing and we also do a face-to-face prom and graduation. I am renting facilities, managing travel and hotel arrangements…it was not what I expected.
Virtual leaders had to develop strategies to promote virtual connections and relationships as well as have the ability to leverage technology tools to do so. These connection and engagement challenges also required virtual leaders to take on new roles, adjust job descriptions, create new positions, and develop professional development related to the coaching of students and the engagement of their families.
Instructional support and supervision in virtual schools also require different skill sets. The reliance on a “home mentor,” often a parent or guardian, is required in many of the virtual schools that serve younger children who are still developing the ability to read and comprehend information as well as to work independently. “We have specially designed trainings for parents and guardians so they know how to access and turn in assignments, monitor progress, and support students, without doing the work for them” Susan reported. Ned concurred stating, “We not only have to provide specialized training for instructors, but for parents, too.” Several of the leaders reported that their teachers were surprised by how much more frequently they interacted with parents than in a traditional school. Jamie noted that at the high school level the teachers are speaking to every parent at least once a month.
Many of the virtual leaders reported that the initial training and professional development for online teachers must be different than for those teaching face-to-face. Almost all leaders reported that additional training is required for the technology systems that they use to support students such as a learning management systems (LMS) and other types of Web 2.0 communication tools. Diane noted that most teachers, “are not familiar with terms like synchronous and asynchronous instruction because they are only familiar with the face-face modality.” Vicki noted, “We have to teach them about online pedagogy and aspects of instructional design.” Many virtual leaders noted that they have to implement their teacher trainings online because of the regional diversity of their teaching staff.
Several of the virtual leaders expressed that teaching the technology components to new virtual teachers was the easiest part of their onboarding process. Many thought that helping teachers to see themselves as facilitators of instruction and to understand the flexibility required for online learning was much more difficult. Allison noted multiple conversations with teachers about students working at their own pace where teachers expressed frustration that “We’re not preparing them for the real world.” She explained that she has to coach them to think differently:
If you fail your driving test, you’re not just done forever, you go back, you study some more, and you just take it again. The point is that you learn to drive. I mean people are late in paying their bills all of the time. There may be a late fee, but they still get to pay them. I also have to remind them that sometimes they are late in doing paperwork at school and we don’t fire them. It’s weird though because a lot of teachers think it is their job to be punitive and that this is in some way teaching kids a life lesson. I have to undo a lot of that thinking.”
Several leaders expressed similar challenges since many of these schools have flexible pacing and mastery-based learning that requires flexibility on the part of the instructor. Additionally, some of the schools offer rolling enrollment, which means teachers have to be prepared to accept students year-round and there are no traditional marking periods or semesters.
Many virtual leaders viewed the teachers as facilitators of instruction and as instructional support interventionists. Jamie reported:
We have incredible fidelity and accountability with regard to standards alignment. In our case the curriculum is already developed with standards, content, and assessments. Then, we’re teaching the teachers how to facilitate that content and guide students.
Holly relayed a similar experience:
Our curriculum is already developed so my teachers don’t have to create lesson plans every day. However, they do have to understand curriculum, provide gap instruction, promote instructional intervention and monitor students to be sure that they are moving through the curriculum at an acceptable pace.
While many virtual schools do use pre-prepared course curriculum, others adapt pre-prepared curriculum, or develop their own online curriculum. Joseph noted:
We purchased a curriculum, but it can be customized so that teachers can make it stronger and make it their own. We collect feedback from students on every course to continue to improve them. We also use data to monitor student performance and if one lesson is taking everyone a particularly long time, we’ll look at that.
For those schools that develop their own curriculum, leaders reported that academic integrity is a big area of concern for online schools. “The kids are right on the computer. They can Google anything, but that begs the question, then, if they can Google it, why are we asking them about it?” Lena questioned. A few of the other principals echoed similar concerns. Bobbie noted, “academic integrity used to be a much bigger issue but we have learned to create better assignments and assessments that are not easily copied or Googled and require more application of knowledge and skills.” A few of the schools use oral assessments in addition to online assessments to ensure that the student is doing the work and understanding the concepts.
Observations can look very different in online schools. Gabe noted, “I can’t just walk up and down the halls or do classroom walk-throughs exactly like I did in the traditional environment.” Instead, virtual school leaders reported conducting data walk-throughs where they monitor teacher and student online activity. Some schools have systems that notify leaders if teachers have not recorded regular contact with students. Vicki reported, “I look for students who have not logged in or students that are not making sufficient progress in the data and then I connect with the teacher.” Virtual observations can be synchronous or asynchronous depending on how the schools structure instruction. A few of the schools require some synchronous instruction and that teacher record all sessions with students so they are available for viewing by school leaders. Leaders reported looking for and assessing teacher online presence, rapport with students, student engagement and participation, the quality of questioning, and the accuracy of content in synchronous sessions. In asynchronous sessions, leaders reported looking for and assessing the turn-around time on assignments, feedback provided to students, motivational weekly updates, regular contact/communication, and instructional intervention.
Virtual leaders also reported being unprepared for some aspects of their work and indicated that they felt some business or non-profit leadership training would have helped them. The funding models for virtual schools differ greatly. Some are performance based, others earn only a portion of the state’s FTE per student, some are FTE dependent but have high transient populations making budget predictions challenging. Others need to navigate partnerships with traditional districts or with education management organizations (EMO’s). Joseph stated, “The biggest thing that I had to just basically learn on my own is the finance piece. I think I took one finance course, but as a charter school leader, in a lot of ways, you’re the head of a nonprofit.” John concurred, “Educational leadership programs for leaders of online schools, need to focus more on being a nonprofit leader than an education school leader. Of course, there is the academic piece, which is very important. But what you don’t learn is finance, what you don’t learn is marketing, what you don’t learn are all the other things that go into running online school.” Since virtual learning is a choice, several of the leaders mentioned the importance of having some background in sales and marketing. Additionally, several of the virtual schools develop their own online courses and felt that this required product development skills. “I’ve got project managers, instructional designers, content experts. It is a long and arduous process that is a lot more like developing a textbook for publication than a traditional district curriculum. I could have used some business skills.” Scott stated. Leadership preparation programs need to strive for better alignment of coursework with the competencies required for virtual leadership.
Virtual school leaders noted that the P-SEL standards categorically aligned with their work, but that there were very specific nuances that were unique to the online environment, such as communicating virtually with faculty, students, and parents, and delivering curriculum and instruction in the online environment. Further, all 23 of the school leaders who had participated in a traditional education leadership program for licensure communicated that these programs did not adequately prepare them for the work they do as virtual leaders. While little research has been done on the competencies required for effective virtual school leadership (McLeod & Richardson, 2011 ; Richardson et al., 2015 ), it has become clear with the current pandemic that all school leaders need some competencies associated with virtual leadership as schools across the globe grappled with delivering content remotely.
The work of traditional school leaders changed considerably and possibly irreversibly during the pandemic (Francisco & Nuqui, 2020 ; Harris & Jones, 2020 ; Pollack, 2020 . Leaders had to support teachers, students, and families to transition to remote learning, they needed to become experts in technology and online curriculum and instruction, they had to become chief communicators and policy interpreters as rules and regulations were being released without warning (Harris & Jones, 2020 ; Pollack, 2020 ). They also had to manage the distance between school members working to engage students, motivate staff, communicate with families, and establish trust (Harris & Jones; Pollack, 2020 ). These findings are consistent with the competencies virtual leaders identified as being important in their contexts.
Leadership continued to play an important role in student achievement during the pandemic. The biggest factor impacting teacher self-efficacy during the pandemic was effective school leadership (Kraft et al., 2020 ). Self-efficacy has been consistently recognized as an important attribute of effective teaching and has been positively correlated to teacher and student outcomes (Tschannan-Moran et al., 1998 ). Kraft et al. ( 2020 ) reported that teachers experienced challenges during the pandemic which included engaging students in the online remote environment and balancing professional and personal responsibilities working from home, resulting in on overall decline in teacher self-efficacy. Teachers in high-poverty and high minority schools perceived these challenges to be more severe (Kraft et al., 2020 ). Teachers who experienced strong school-based leadership that provided clear communication, meaningful collaboration, targeted training, fair expectations, and recognition of teacher effort, were least likely to experience declines in self-efficacy during the pandemic (Kraft et al., 2020 ).
Education leadership programs must be accountable for adequately preparing school leaders to effectively perform their responsibilities, especially those that serve our most vulnerable students. More attention must be paid to adequate school leader preparation with regard to virtual school leadership both for those who may lead virtual schools and those who may lead in brick-and-mortar schools but are running supplemental online programs or are implementing remote instruction because of an emergency. Francisco & Nuqui ( 2020 ), Harris and Jones ( 2020 ), and Pollack ( 2020 ) found that school leadership preparation programs are out of alignment with the challenges leaders are facing today and that substantial revision is required to address the leadership skills relevant to the ongoing pandemic. Key competencies that need to be addressed were identified as knowledge of technology used for online learning, an understanding of online curriculum and pedagogy, the need to be able to operate and communicate in the online environment, crisis management, and an understanding of situational/contextual leadership Francisco & Nuqui, 2020 ; Harris & Jones, 2020 ; Pollack, 2020 ). It has also been recommended that leaders learn from one another’s successes during the pandemic (Francisco & Nuqui, 2020 ). Leaders were eager to learn from other leaders during the pandemic. Nine of the 28 school leaders who participated in this study were interviewed after March of 2020. During my interviews, 7 of the 9 virtual school leaders interviewed (78%) indicated that they had been contacted by local brick and mortar school leaders requesting assistance with a variety of virtual leadership competencies.
While this study is not generalizable, it makes a valuable contribution to the scholarship to better understand the competencies required for virtual leadership. It is recommended that additional research be conducted to continue to examine the competencies required for virtual leadership, the competencies required for leading in blended school districts and the challenges faced by brick-and-mortar leaders during the pandemic.
Virtual school enrollment increased dramatically as a result of COVID-19 accounting for 40% of the decline in traditional schools and with most of this growth occurring in the elementary grades (Molnar et al., 2021 ). Even as the dangers of the COVID-19 pandemic diminish, Schwartz et al. ( 2020 ) reported that 20% of brick-and-mortar schools now plan to establish and expand online learning for the families who have enjoyed the flexibility provided by online learning. Every leader is now a virtual leader. Leadership preparations programs must effectually prepare all future leaders for the competencies required for virtual leadership.
No funding was received to assist with the preparation of this manuscript.
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A senior leader’s role and responsibilities expanded, resulting in a shift from a local leadership focus to leading his team virtually. Managing in a local context suited his directive leadership style. This became an issue in his new virtual context, as he was overstretched and his ability to lead became less effective.
In a global trading organisation with a European focus, an extraordinarily successful senior leader had his scope of responsibility increased when his direct reports tripled in numbers. This resulted in him leading a virtual leadership team. In the previous local responsibility he had developed close relationships with his team and was directly involved in operational details. He realised that his directive leadership style was hampering him in leading his virtual team effectively. He understood that he needed to develop a more participative and inspirational leadership style and develop a greater sense of responsibility in his virtual team.
The coaching programme we designed led him to explore his personal drivers and the issues which hampered his transformation, allowing him to develop and activate more effective beliefs and attitudes, resulting in a leadership style more appropriate for the virtual team.
He was able to reduce his hours at work to a normal level, significantly reducing his stress levels. The team felt more empowered and better motivated through his new participative style. This enabled the team members and site leaders to grow themselves and to respond better and more effectively to critical situations.
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Back to Journals » Journal of Healthcare Leadership » Volume 16
Authors Fernandez CS , Adatsi G , Hays CN , Noble CC , Abel-Shoup M , Connolly A
Received 15 December 2023
Accepted for publication 7 June 2024
Published 24 June 2024 Volume 2024:16 Pages 235—254
DOI https://doi.org/10.2147/JHL.S455105
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Professor Zhanming Liang
Claudia SP Fernandez, 1 Georgina Adatsi, 1 Caroline N Hays, 1 Cheryl C Noble, 2 Michelle Abel-Shoup, 1 AnnaMarie Connolly 3, 4 1 Department of Maternal and Child Health, UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; 2 Evaluation Consultant, CNoble Consulting, Scotts Valley, CA, USA; 3 American College of Obstetricians and Gynecologists, Washington, DC, USA; 4 Department of Obstetrics and Gynecology (Emeritus), UNC School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA Correspondence: Claudia SP Fernandez, 426 Rosenau Hall, Maternal and Child Health Department, Gillings School of Global Public Health, 134 Dauer Drive, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA, Tel +1 919-451-6231, Fax +1-919-966-0458, Email [email protected] Purpose: Little is known about the long-term efficacy of virtual leadership training for physicians. This study compares two highly similar groups of Obstetricians-Gynecologists’ (OB-GYN) 6-month post-program changes in competency and skills after experiencing equity-centered leadership training in a virtual or in-person format. Participants and Methods: Using a retrospective pre- and post-test method, we collected 6-month post-program data on 14 competencies for knowledge gains and skills use, comparing the virtual cohort (2021, n = 22) to the in-person cohort (2022, n = 33) in 55 total participants. Qualitative data from open-ended feedback questions informed on skills relevancy and professional impact since program participation. Results: Data indicate strong, statistically significant knowledge and skills retention in both cohorts, with 63% of the virtual and 85% of the in-person participants responding. Data indicate participants report the course having a positive impact on their healthcare provision and nearly all report they made changes to their communication and leadership approaches in the 6-months after the program. 59% of the virtual and 55% of the in-person cohorts report new leadership opportunities since their participation and that the course helped prepare them for those roles. Qualitative data support the need for the training, specific elements of the training these physicians found particularly helpful, and that the learning was “sticky”, in that it stayed with them in the months post-program. There was a clear stated preference for in-person experiences. Conclusion: Either virtual or in-person leadership training can result in long-term (6-month) significant retention and application of knowledge and skills in physicians. While limited in size, this study suggests that in-person experiences seem to foster more effective bonds and also greater willingness to participate in post-program follow-up. Physicians find equity-centered leadership training to impact their subsequent communication and leadership practices and they report career benefits even in 6-month follow-up. Plain Language Summary: While physicians serve in many leadership roles in healthcare, leadership training is generally not part of their medical training. The American College of Obstetricians and Gynecologists (ACOG) Robert C. Cefalo Leadership Institute has provided an annual leadership training for obstetrician and gynecologist leaders since 2006. Our previous research has repeatedly shown the program is effective, with participants experiencing significant and impressive gains in leadership learning and skills development. The COVID-19 pandemic led to the 2021 program being held virtually with a return to an in-person format possible with the 2022 program. As such, the opportunity arose to compare the 6-month post-program learning and impact of these two formats, virtual versus in-person training, in two highly similar groups experiencing nearly identical program content. Both virtual and in-person participants rated their six-month post-program skill level/ability and skills use/implementation as significantly higher than pre-program and both groups noted the learning helped them be better physicians, communicators, and leaders. Additionally, many experienced new leadership opportunities in the 6-months post-program and most of those agreed that the program prepared them to take on those new roles. This study shows that our approach to physician leadership development is highly effective and that the learning demonstrated “stickiness” in that it persisted over time. While both virtual and in-person programs were highly effective, overwhelmingly the participants prefer in-person training to virtual training. Keywords: workforce development, physician leadership, learning retention, virtual vs in-person, equity-centered leadership
as a learned skill, the topic of leadership is gathering momentum as a key curriculum area…. Leadership consists of a learnable set of practices and skills that can be developed by reading literature and attending leadership courses. 3
Yet gaps persist in the literature about program efficacy, longer-term impact, and adaptability to alternative formats as well as a depth of understanding of the wide variety of leadership skills important across a physician’s career. 1 , 2 , 4
Given the constraints of physician time, resources and the implications of events like the COVID-19 pandemic, understanding how to meet the leadership development needs of physicians despite the inability to convene in-person experiences also rises in importance. However, relatively little is known about the efficacy of virtual leadership training in healthcare professions, and more specifically for physicians, and in particular with respect to women’s healthcare doctors. In our exploration of the literature, we found no other papers examining the long-term impact and efficacy of virtual versus in-person leadership training for women’s health physicians beyond our own work. 11
The American College of Obstetricians and Gynecologists (ACOG) Robert C. Cefalo Leadership Institute has been training women’s health physician leaders since 2006, with nearly 700 alumni from the program to date. We have previously reported on our work, showing clear impact on in-person learning and reported career growth opportunities in both the immediate short-term and longer term (6-month) follow-up on many of the key physician leadership competencies noted in the literature above. 8 Data reported here support the efficacy and effectiveness of the ACOG-Cefalo program approach 8 at the 6-month post-program timepoint, suggesting that the learning was “sticky”, with skills and tools imparted remaining effective and relevant to the physician leaders months after completing the program. In 2019, a systematic review of physician leadership programs by Geerts et al 6 identified the Cefalo program as one with strong learning outcomes as compared to other similar programs reported in the literature.
In 2020, the COVID-19 pandemic caused workforce development and continuing education programs to pause and subsequently reformat to virtual delivery. Leadership development programs were no exception to that experience. 11 , 12 The 2020 Cefalo program paused, given that it was to be held just weeks into the national stay-at-home recommendations. While we had some experience with similar virtual adaptation through our work with the Clinical Scholars leadership development program (focused on small interprofessional teams working to close the gaps in health disparities in their local communities, 14 ), we had not previously faced the need to adapt our training for our work with ACOG Cefalo program, which focused solely on OB-GYNs. We recently reported on the success of virtual adaptation of our leadership training, by comparing the short-term immediate program outcomes on knowledge and skills development with practicing OB-GYN’s engaging in the program either virtually or in-person. 11 Subsequently, we were able to study the long-term (6-month) impact on learning in this same group and explore the career impacts of that training, which we report here, comparing the 2021 Cefalo program, which was held virtually, to the 2022 program, which returned to an in-person format.
The demands of the pandemic were particularly notable for healthcare providers and brought into focus the need to address and nurture psychological safety on the team 17 as well as physician resilience. 18–20 The effects of the pandemic also highlighted the need to support physician leaders with sophisticated communications skills 21 during “VUCA” (Volatile, Uncertain, Complex, Ambiguous) crises. 22 The pandemic heightened the focus on physician leaders to address equity concerns magnified by the crisis 9 , 23 , 24 and subsequent policy actions that impact the practice of obstetrics and gynecology. 25 Given the rapidly evolving context in which physicians work and the immense and multifaceted burdens they shoulder, 2 leadership training focused on healthcare providers needs to support the development of a sophisticated and broad array of practical skills. In multiple ways these contextual changes serve to reinforce the call for building physician leadership capacity that was so clearly sounded early in the millennium. 26 In addition, given the investment required to deliver such sophisticated development experiences, it is crucial to understand how leadership training is impactful and meaningful.
14 Plain Language Leadership Competencies of the ACOG-Cefalo Program |
The objective of this analysis was to compare 6-month competency-based learning retention outcomes for the ACOG-Cefalo Leadership Institute 2021 (virtual) and 2022 (in-person) cohorts as relates to both physicians’ leadership skill development and leadership self-efficacy.
Comparison of 2021 and 2022 ACOG Robert C. Cefalo National Leadership Institutes |
Most of the synchronous curriculum topics were provided by the same speakers both years, regardless of whether the curriculum was virtual or in-person. A comparison between the session formats, including sessions offered, training hours provided, and number of attendees was performed and the immediate post-program learning outcomes between these delivery formats has been previously published. 11
In the six months following the intensive, synchronous program for both cohorts, four follow-on webinars addressed the topics of Imposter Syndrome, Sources of Power in Negotiation, Creating Effective Accountability Structures, and Making Cultural Change Real, with speakers and the formats for the follow-on webinars being identical in both years. Additionally, each Fellow was provided with unlimited and self-directed access to an online library of short (~30-minute) modules addressing leadership skills on a wide variety of topics, utilizing FastTrack Leadership 32 online at WeTrainLeaders.com. The FastTrack Leadership Library topics are closely aligned with the program curricula and previous research has found them to be useful, relevant, practical, and enjoyable by participants. 28 An identical selection of leadership books and other written materials were included in the program materials for both years. Fellows were encouraged to use those resources post-program.
Demographics of ACOG Robert C. Cefalo National Leadership Institute Participants Who Completed a 6-Month Follow-Up Survey in 2021 or 2022 |
Participants were asked to rate their skill level (as a measure of ability) and skill use (as a measure of implementation) of the competency for each of 14 leadership competencies using the retrospective pre-and post-test method. 34–38 Plain language definitions of the competencies were provided on the evaluation form. For skill level “six months ago” (before the training) and “now”, ratings were collected with a 5-point Likert scale, 36 where 1 = unskilled, 2 = low skills, 3 = moderate skills, 4 = good skills, and 5 = excellent skills. Similarly, for skill use (implementation) before the training and present day, participants rated their use of each competency on a 5-point Likert scale, where 1 = not at all, 2 = to a small degree, 3 = moderately, 4 = to a large extent, and 5 = extensively. Other survey questions included “How have the skills you acquired from the course impacted the healthcare you provide to your patients?” with responses given on a 5-point rating scale (1 = Negative impact, 2 = No impact; 3 = Little impact, 4 = Moderate impact, 5 = Strong impact); and “Have you made any changes in your communication and leadership approaches as a result of participating in this course?” with responses given on a 5-point rating scale (1 = No impact, 2 = I do not know; 3 = Yes, one or two, 4 = Yes, some, 5 = Yes, many). Participants were also asked whether they would recommend the course to their colleagues and whether they had received a promotion, had a change of job or taken on new leadership opportunities since the course (responses Yes/No); and: “and if so, to what extent did the course prepare you for the new leadership opportunities?”, (with ratings of 1 = Not at all; 2 = A little; 3 = Somewhat; 4 = Very much).
Additional qualitative feedback was collected: 1) Were there any skills or lessons you learned at the ACOG Leadership Institute that have proven to be particularly “sticky”? [“sticky” in that they stuck with you, strongly resonated with you, or moved you?] If so, please describe; 2) Reflecting on your response to the previous question, do you feel like the lessons you listed resonated even more so in the context of the COVID-19 pandemic? If so, why do you think that?; 3) What do you feel was the most valuable lesson or skill learned from the ACOG Leadership Institute?; and 4) Were there any skills you felt you did not learn enough about, or content that was not included in the training that you wish had been? If so, please let us know in the space below. Please feel free to provide any additional comments or suggestions for the program staff to consider.
Quantitative data.
The survey data was exported from QualtricsXM 33 to a secure Microsoft Excel program for descriptive analyses, including counts and percentages of demographic data and means and standard deviations of skill level and skill use scores for each leadership competency. Mean differences between scores six months ago/before the program and scores now for skill level and skill use of each leadership competency were calculated in Microsoft Excel. Wilcoxon matched-pairs signed-rank testing 39 , 40 was conducted in StataSE16 41 software to assess the statistical significance of the mean differences. This non-parametric testing approach was used 11 due to small sample sizes. Participants with missing responses to survey questions were excluded from analysis on a test-by-test basis.
The qualitative feedback from each cohort was analyzed by three graduate-level research assistants to highlight emergent themes. All feedback statements were coded independently to determine the frequency based on the respective year. Individual feedback submissions by participants sometimes covered multiple topics, so multiple qualitative codes may apply to each individual feedback response. It must be noted that survey data were evaluated without any personal identifiers, and thus it is possible that a participant could have left similar feedback to more than one open-ended question.
Table 2 provides a comparison between the session formats, including sessions offered, training hours provided, and number of attendees.
While the program is designed to accommodate up to 40 participants, the 2021 virtual program enrolled 32 participants, and the 2022 in-person program enrolled 39 participants. The 2021 follow-up survey was completed by 22 of 32 (69%) virtual institute participants and the 2022 follow-up survey was completed by 33 of 39 (85%) in-person institute participants. Fellows in both cohorts who participated in the 6-month follow-up study in 2021 and 2022 were highly similar with respect to age and areas of practice, but the virtual 2021 group skewed more female and more diverse ( Table 3 ).
Skill Level (L) and Usage (U) After 6 Months Across Virtual (2021, n = 22, 66.7%) and in-Person (2022, n = 33, 84.6%) ACOG Robert C. Cefalo National Leadership Institutes |
Comparison of skill level means among virtual and in-person groups in competency items #1-14. |
Comparison of skill use means levels among virtual and in-person groups in competency items #1-14. |
For the 2022 in-person attending group, the pre-program (“six months ago”) scores for skill level (ability) ranged from a low of 2.63±0.83 (“Negotiation Skills”) to a high of 3.47±0.92 (“Practice of Multiculturalism”) and for pre-program skills use (implementation) scores ranged from a low of 2.61±1.27 (“Managing Media Communications”) to a high of 3.55±0.87 (“Practice of Multiculturalism”). Their post-program (“now”) scores for skill level (ability) ranged from a low of 3.66±0.70 (“Negotiation Skills”) to a high of 4.34±0.65 (“Diversity and Inclusion”) and for post-program skills use (implementation) scores ranged from a low of 3.36±1.45 (“Managing Media Communications”) to a high of 4.24±0.83 (“Diversity and Inclusion”) ( Figures 1 and 2 ).
Greater variance exists in the retrospective pre-training scores for competencies between the virtual and in-person groups. In the post training (“now”) scores, the only delta between the virtual and in-person cohorts that exceeds 0.5 is for the Applying Advocacy Skills Using a Science-Based Approach, where the 2022 in-person group’s ratings were 0.58 greater than the virtual cohort’s 6-month post-program rating.
Survey of Reported Impact of Course Participation on 6-Mo Behaviors and Leadership Opportunities: A Comparison Between Virtual and in-Person Program Formats |
I want to thank all the individuals who have invested countless hours to create such a well-developed program. It astonishes me how much I still have to learn about myself and others. All those involved deserve awards for the energy and tenacity that they bring!
Thank you for all that you do. I appreciate the time and topics discussed. I enjoy the [post-program follow–on] zoom lectures when I am available to make it. This conference poured a lot into me and I am grateful for that.
Comments shared about both the 2021 virtual experience and the 2022 in-person experience were similar in that there were no negative comments shared about either leadership training experience.
Were there any skills or lessons you learned at the ACOG Leadership Institute that have proven to be particularly ‘sticky’? [‘sticky’ in that they stuck with you, strongly resonated with you, or moved you?] If so, please describe.
Negotiation and advocacy skills were the most foreign/unfamiliar to me - but were highly desirable skills. These sessions in particular, really grabbed my attention and provided me a knowledge and skills acquisition platform to grow from.
A prominent theme emerging from the 2022 in-person cohort’s responses was that communication was a “sticky” topic, given the fact that physicians often have to navigate working with different personalities amongst their teams and their patients. The ability to deliver good or bad news, while considering the personality of the individual being spoken with, is a skill for which participants described they desired more experience. In addition, a second theme emerged that the “upstander” and “bystander” concepts were experienced as “sticky”.
Reflecting on your response to the previous question, do you feel like the lessons you listed resonated even more so in the context of the COVID-19 pandemic? If so, why do you think that?
A prominent theme emerging from the 2021 virtual cohort’s responses indicated that participants found that the COVID-19 pandemic opened a new door for physician leadership, as leading an interdisciplinary team was critically important at the time. They noted that “old ways of leadership” were not applicable during the pandemic, which required successful physicians to make changes to the way they practice. Participants noted that collaborative efforts needed to occur so that care was still streamlined given the pandemic. A prominent theme emerging from the 2022 in-person cohort’s responses indicated that the skills learned resonated as they went from in-person to telehealth throughout the pandemic and then had to re-learn how to facilitate in-person interactions with their team. An additional theme emerged regarding participants’ heightened awareness of others’ views and looking out for areas where marginalization can be avoided in team dynamics.
There is no one way to lead. We have to constantly evolve as leaders and change how the common message is presented based on the audience. It is important to really get to know your team and how they communicate and what motivates them.
Leadership skills are impactful even on an individual level as a physician leader not only with the organizations I work with, but with the patients I care for individually each day.
Were there any skills you felt you did not learn enough about, or content that wasn’t included in the training that you wish had been? If so, please let us know in the space below. Please feel free to provide any additional comments or suggestions for the program staff to consider.
The majority of participants in 2021 virtual cohort expressed that they wanted more time with the executive coach (80 minutes was provided), to better understand how they can improve their leadership qualities. An additional theme emerged noting the challenges of Zoom sessions rather than in-person learning, describing that being in-person would have been more conducive to their learning.
In response to the same question, themes that emerged from the 2022 in-person cohort included their appreciation and enjoyment at having the opportunity to attend the program, with notations that the in-person instruction was beneficial to their learning as they were able to digest the information, ask follow-up questions and receive real time answers, having the ability to foster wholesome discussions and allowing for networking opportunities.
With regard to post-program self-directed use of the supplemental learning materials (modules, books), roughly half of the participants affirmed that they made use of at least some of the reading or other supplemental materials given at the course for post-program self-guided study with about one-third of participants reporting use of two or more of the materials (generally the online modules and one or two of the leadership books).
Certainly, it is important to know that workforce development programs are impactful in the short term, providing participants with frameworks and practical tools relevant to the day-to-day challenges they face. Other programs have shown that pivoting from in-person based training to virtual training does not sacrifice learning gains in the immediate sense. 14 This work echoes the recent work of Nilaad, et al, 42 who found no negative impacts on learning when a pharmacy curriculum was given as either live-virtual or in-person to medical and pharmacy students. Similarly, Reddy, et al, 43 examined the acceptability of virtual vs in-person grand rounds and found that each delivery format could be effective despite some personal preferences for one format over another. Similarly, we recently published that these same cohorts of physicians found the immediate learning experience of synchronous, intensive, equity-centered leadership training to be highly impactful to their knowledge acquisition and their self-efficacy, regardless of whether they participated in a virtual or an in-person cohort. 11
This study compares the 6-month follow-on evaluation of the “stickiness” of leadership skills learning and usage in two highly similar groups of physicians participating in a nearly identical, equity-centered leadership program, which was delivered either virtually (in 2021) or in-person (in 2022). Similar to our previous short-term focused work in evaluating this model of leadership training in interdisciplinary healthcare providers 12 and in groups of physician leaders, 8 , 11 these new data indicate that, regardless of the format of program delivery, equity-centered leadership training can strongly impact knowledge of such leadership skills, as well as reported subsequent implementation of those leadership skills, over longer periods of time in OB-GYN physicians. Our data here comparing competency-based learning between the two delivery formats indicates that while positive shifts in learning are sustained at six-months post-program in both formats, there is very little notable difference (delta of ≥0.5) between the virtual or in-person instruction. The data here indicate statistically significant—and similar—shifts in each of the 14 competencies under study in this investigation for both virtual and in-person equity-centered leadership training.
Some variance between cohorts is seen with respect to retrospective pre-training ratings for both skill level (ability) and for skill use (implementation), while ratings for “current” (“now”) level of ability and implementation were far more similar, suggesting that the training itself helped to level out differences that existed amongst the groups, as would be expected.
Similar to our previous findings, 11 , 14 Abarghouie, et al, 44 found that when 40 surgical technology students were randomly assigned to virtual or traditional (lecture-based, in-person) teaching formats, the short-term learning outcomes were nearly identical for both formats. However, in contrast to our findings here, their longer-term examination scores illustrated significant differences in content retention and recall performance, favoring virtual instruction.
In examining the impact on the scores for knowledge/learning and skills/usage gains in our two cohorts of physicians, the data show strong shifts. While positive shifts in immediate knowledge and skills gain would and should be expected in any professional development training provided by an experienced and qualified faculty, our team was particularly pleased to discover how strongly the participants felt their skill level had grown, even so many months after the training. The shifts in skills use at the follow-up timepoint were also strong and help support the theory that these trainees did indeed “move the needle” of their knowledge and ability through participating in the program. The strong shifts in skills usage is of particular import, since that indicates that the competencies of focus were directly relevant to the actual, practical needs of the learners back in their medical offices and healthcare systems. One of the goals we talk about in the Cefalo program is the curricular focus on “WISDOM: What I Shall Do On Monday”, meaning that we want the content to be directly practical rather than merely theoretical. We believe that the program’s skills-and-practice-focus, as opposed to a concept- or theory-focus, is a likely explanation for the long-term strong shifts in both skills level and skills use seen in this analysis of learning.
It was interesting that the scores are relatively similar for both virtual and in-person instruction and thus from these data we cannot imply that one method was more effective than the other. Regardless of whether the program was provided in-person or virtually, we have some hypotheses for why the six-month follow-up data showed such dramatic learning. First, this program has been provided by the same core team for nearly two decades—a team which has always deeply included the stakeholders served in both planning and implementation and which has consistently applied the leadership concepts taught to its own functioning. Two decades provides considerable time for honing teamwork, content, and delivery. The same core team has been involved in several other leadership development programs with similar demonstrated impact for academic leaders, 27 , 45 interprofessional healthcare teams, 12–16 and public health workforce groups. 28 Prior to the 2021 virtual program reported on here, the team had experience with adapting multiple other nationally prominent leadership programs to the virtual environment, and those lessons learned 14 , 46 contributed to the extremely smooth transition of the Cefalo program to virtual in 2021 after the pause during the COVID year. Given the qualitative feedback from that virtual program, we were not surprised at the strength the immediate post-program learning reported 11 nor by the shift in skill levels and usage levels of the program competencies reported here more than six months later for either group.
For the virtual group, the largest shift for both learning and skills use was for the competency Leading Change Successfully, with score shifts of 1.20 and 1.26 respectively, which indicate very strong shifts in both understanding and the confidence to implement the skills. The qualitative comments from this group acknowledged the need to adapt to changes imposed by the pandemic (eg the “old ways of leadership” were not applicable during the pandemic), thus triangulating the quantitative data. For the in-person cohort of 2022, the largest shift for knowledge gain ( learning ) was 1.19 for Leading Others and Empowering Their Success, which echoes the qualitative theme of having to “re-learn how to facilitate in-person interactions with their team” and avoiding marginalization in team dynamics. For the in-person cohort, the largest shift for skills use was 1.03 for Negotiation Skills, which are commonly considered an important topic in physician and other healthcare-oriented leadership development programs. 1–3 , 8 , 10–14 These scores are corroborated in the separate answers to the open-ended questions, in which 100% of the 2021 cohort and 97% of the 2022 cohort agreed that they “made changes in my communication or leadership approach” based on their learning in the program. Furthermore, more than half of participants noted that they had new leadership opportunities since their training (62% for the virtual cohort and 55% for the in-person cohort), for which 100% of the responding participants in both cohorts agreed that the course prepared them for those opportunities. All (100%) of the responding virtual cohort and 100% of the responding in-person cohort responded affirmatively to the question “this course was beneficial to my practice as a physician leader”.
whether it could be appropriate for those who are more advanced in diversity, equity, and inclusion skills to be excused from such material as they enter a leadership development program?
We do not agree with this sentiment, as we view a) the understanding of self and others; b) the appreciation of the differences between people; and c) developing the skills to create a culture fostering belonging for everyone on the team, as a never-ending journey of enlightenment. The data from these highly equity-engaged participants entering the ACOG-Cefalo program in both cohorts visibly illustrates that significant learning and skills development continue to occur, even in those with broad previous exposure and passion for the content. Like leadership development in general, one should never stop growing one’s leadership skill set nor turn one’s back on opportunities to learn, engage, and grow. Leadership learning is intended to be a life-long endeavor, as it is a journey with no end.
Independent of delivery format, it is important to pursue understanding of the longer-term contribution of physician leadership development approaches to skills acquisition and use, particularly when it comes to the more nuanced skills involved in equity-centered leadership. 2 While there are several research publications providing evidence of efficacy, 2 such as the systemic reviews of leadership programs by Frich et al 5 in 2015 and later by Gerts 6 et al, in 2020, there is relatively less understanding of the continuing impact on knowledge and skills many months 8 or even years 27–45 after the training. While the findings of Abarghouie, et al, 44 reported that virtually delivered instruction had a stronger impact on longer-term content retention and recall performance, our own findings showed very similar outcomes between the two modalities. Admittedly, career leadership development approaches differ greatly from technical course instruction, as do the methods of evaluating impact on learning and subsequent behaviors.
Our previous work in small interprofessional teams engaging in equity-centered leadership training demonstrated statistically significant changes in immediate learning gains as measured by topic, rather than by over-arching competency, regardless of whether the delivery method was virtual or in-person. Our “lessons learned” working with these physician audiences echo and confirm those found with the Clinical Scholars program, 12 , 14 namely that virtual content delivery imposes time restraints (time zones, screen-time fatigue) and is far less efficient in terms of content delivery than traditional face-to-face formats, resulting in a slightly reduced content in order to fit the constraints. While the data reported here support the hypothesis that this virtual adaptation of the ACOG-Cefalo program was highly successful, translation of in-person programs to virtual ones can be challenging to program directors and faculty and require a great deal of careful thought and planning. In short, success is not guaranteed simply because the in-person format might have proved to be impactful and successful previously.
Given the value of physician time and the investment required for mounting a leadership development program, part of the “return on investment” consideration is the assurance that the endeavor offers “sticky” learning that will continue to benefit the participant long after the training has passed. This long-term impact is an important consideration regardless of whether that program is deployed virtually or in-person. These data support the efficacy of either delivery model, as demonstrated by the statistically significant differences in scores for both skills learning and skills implementation in the six months post-program, which gives us confidence that achieving this “stickiness of learning” is not only a realizable goal but should be an expected one. Other published research has found leadership learning to be “sticky” over time, both with previous cohorts of these physician leaders 8 and with academic leaders. 27–46 While those studies support the subsequent career impact on the participants, neither of those investigations compared the learning in virtual vs in-person contexts.
Interestingly, in this work we did notice a difference in willingness to participate in a virtual leadership development program both overall and across cohorts. Several participants who initially signed up for the 2021 program, with the hopes that it would be offered in-person, later deferred their participation to 2022 (data not shown). There was an overwhelming interest for the in-person format, which may partially account for the lower number of enrolled virtual participants in 2021. In the literature, the Clinical Scholars program 14 conducted a similar study, comparing similar leadership development programs implemented either virtually or in-person, however that program was much longer in duration (3 years) and provided project-based funding contingent upon participation. Not surprisingly, we did not observe similar hesitancy to participate virtually in the ongoing CS program as we found in our newly-enrolled physician participants in this single-meeting course.
Additionally, a greater percentage of females made up the virtual cohort of 2021, with 84% of attendees identifying as female, compared to 71% of the 2022 onsite program (data not shown). With respect to participation in this 6-month follow-up survey, 90% of those responding from the 2021 (virtual) program reported identifying as female, as compared to 70% of the 2022 onsite participants. There were no notable gender differences for the 2022 in-person cohort between those who attended or responded to the 6-month follow-up survey. It was also interesting to note that there was slightly greater participation of individuals from communities of color in the virtual session, with 48% of those participating in 2021 identifying as such, and 50% of the 2021 6-month follow-up respondents representing communities of color. For the 2022 in-person program, 38% of attending participants identified as representing various communities of color, as did 36% of the 6-month follow-up participants. This information is merely observational, and represents individuals voluntarily identifying as Asian, Black, Native Hawaiian/Pacific Islander, or Other. We did not collect data for the present study as to why individuals selected a virtual or an onsite experience and whether that choice relates to preference, opportunity, or other reasons. It is important to note that despite several emails requesting participation in the 6-month follow-up survey, only 69% of those virtually attending responded, while 85% of their in-person counterparts responded. Our data collection window was also longer for our virtual participants as compared to that for our in-person ones. Our data fail to provide insight into explanations for this difference in survey response.
As reported elsewhere, 11 we also observed a difference in the degree of post-program connections between the virtual program participants and those who were convened in-person. The 2022 group connected dozens of times weekly for several months after the event while the virtual group rarely used any of the same systems provided to them to connect through group Email and the Whova meeting app platform. Given that topics of conversation focused on policy issues in healthcare, we hypothesize that issues-of-the-day could have driven this connection. However, we cannot discount the potential influence of cohort differences or differences in how group identity was formed in the in-person context. The qualitative data in this study shed some light on the benefits of having an in-person training program. Individuals who attended the in-person retreat reported increased connection between themselves and their executive coach as well as feeling more “fulfilled” after attending. Those who attended the virtual group reported that an in-person format would be more conducive to their learning and would help the material resonate with individuals more.
There were curricular sacrifices made in the virtual deployment of the program as compared to its in-person counterpart, including shorter days (to accommodate a variety of time zones), more time devoted to ensuring that the virtual format was conducted smoothly, and greater time devoted to creating interpersonal connections in the virtual space—which resulted in a more streamlined and less expansive/more focused curriculum. In the 2022 in-person format, the time not devoted to facilitating the program flow was spent on participants networking informally with colleagues and developing meaningful relationships. Despite the curricular adaptations, the outcome scores for both skill level and skill use were strikingly similar. In fact, there was only one post-training score—for Applying Advocacy Skills Using a Science-Based Approach—that rose above the 0.5 threshold, in which the in-person attendees reported a delta for skill level that was 0.6 greater than the virtually-attending ones. One hypothesis for this striking difference is the emergence of legislative threats to women’s healthcare which were more prevalent during the in-person (2022) program year. 25
Physicians are leaders of their teams and across their organizations, however conventional medical training does not typically encompass the skills for nurturing diversity and inclusion, as those healthcare leaders create motivated team cultures which support psychological safety. Physicians often need to lead change both persuasively and successfully while they negotiate and innovate to improve services and patient outcomes, particularly given the political intrusion into healthcare and ever-leaner insurance reimbursement realities. Skills for managing media communications can become important as physicians rise in the ranks of leadership, and without effective training can lead to devastating impacts for both their organizations and careers. Through the ACOG-Cefalo program, our team has spent two decades focusing on and refining the leadership competencies most useful to medical leaders in women’s healthcare. The data presented here indicate that the competencies selected are well-suited to this audience. As educators of extremely busy, practicing healthcare professionals, we have a keen interest in developing strategies for efficiently building skills through intensive training sessions and demonstrating the effectiveness of those approaches. The results from our previously published examination of the immediate positive impact of training on physician’s skills and confidence in their competence 11 provides evidence that women’s healthcare physicians can “move the needle” of their learning for specific leadership skills in statistically significant and clinically meaningful ways. The data presented in this follow-up study support the hypothesis that those efforts are not only efficient and effective, but also produce longer-term impacts in broad competency areas, as evinced by the strong changes in competency scores for both knowledge and ability that we report. This study further confirms that the competencies focused on are relevant to the needs of physician leaders, are able to be taught in engaging and meaningful ways with practical applications, and that physicians report they subsequently use these skills frequently in their roles as healthcare providers and as healthcare leaders. Further, moving the needle in these competencies seems to be indicative of participant reports of positive career impacts for them as well. While we also provided robust post-program support that was individually oriented and self-directed, the intensity of a physician’s typical workload seems to hinder their ability to deeply engage in post-program reading or other types of ongoing leadership learning. Thus, an additional implication from our findings is that physician leadership training is best accomplished with structured approaches implemented in protected time, so that the physicians can focus on learning and skills acquisition without the pressing distractions of patient care and other daily duties.
This study demonstrates that all these goals can be achieved whether those training interventions are provided virtually or in-person. However, as we reported here, our experience suggests that stronger networks and connections are created with in-person programs and clearly participants prefer an in-person experience. Our work indicates that women’s healthcare physicians are ideal audiences for this leadership training, regardless of the platform of delivery. These physicians are eager learners, appreciate practical approaches, find relevance in the skills taught, subsequently use those skills, and relate the use of those expanded leadership skills to positive career impacts.
Self-report measures do have the consideration of social desirability bias, however self-report measures have been used with a great deal of confidence for decades in situations when objective testing or personal observation is either not possible or practical. 6 , 8 , 11–14 , 27 , 34 , 36 , 37 In settings such as post graduate courses focusing on professional leadership development, self-report measures are quite appropriate. Identifying the factors that make virtual training more alluring to potential participants would provide useful insights, however that was not the focus of this study. While as program faculty we have an understanding of how to successfully convert in-person leadership training to virtual, such detailed exploration is beyond the scope of this report and our findings fail to give us insight into why physicians might choose one format over another. It would have been interesting to study the variety of ways the Whova App could have been useful post-program, however these two groups of physician participants engaged only minimally with the App functions both during and after the program. Our data fail to provide insight as to why the App was not engaging to them; however, the 2022 Cohort made extensive use of Email post-program, which seemed to be their method of choice for connecting with one another. In hindsight, we wish we had included physician resilience as a stand-alone competency so that we could now have greater insight into how leadership training can help support physicians in this way, however that data was not collected.
From examining these data, we conclude that physicians can successfully engage in leadership training in both virtual and in-person formats, gaining significant skills which result in implementation of those skills in the ensuing months post-program. The learning appears to be “sticky”, which suggests that the investment in the process offers a return on the effort, resulting in both practice- and career-dividends to the physician. Both the increased attendance in the 2022 cohort and the many qualitative comments from the 2021 group supported the preference of these physicians for in-person training experiences. Although in-person training did not result in widespread significantly greater learning, self-reported retention, or skills use when compared to virtual training, there was a notable difference in networking, benefits for leadership opportunities, and post-program professional connections, and perhaps even a belief in learning effectiveness. Future research could explore how to foster stronger interpersonal connections and improve the desirability of virtual leadership development programs. In addition, future investigations might explore if the virtual environment struggles with work-based distractions, such as inability to focus, inability to take off work, and disruption of learning by co-workers.
Physician leadership training can be effectively deployed in either virtual or in-person formats, although these physicians clearly preferred the in-person experience. Training in either format can continue to expand skills, even when the learner enters the program viewing themselves as having a high degree of knowledge around topics and a high use of related skills. Given the statistically significant shifts in knowledge and skills across all competencies, we conclude that physicians benefitted from this equity-centered leadership development approach and viewed themselves as retaining those skills and continuing to implement those skills even six months later, regardless of whether their participation took place virtually or in-person.
Emilie Mathura, Suzanne Singer, Caroline Martin, Maya Chevalier, Wendy Rouse Rohin.
This work was funded by the American College of Obstetrics and Gynecology (ACOG).
Dr Claudia SP Fernandez reports that Mr. Ruben Fernandez, JD, is the co-author of It-FACTOR Leadership, a text used in the ACOG-Cefalo Leadership Institute and is related to the corresponding author. Mr. Fernandez also serves as an executive coach and faculty in the program. Dr. and Mr. Fernandez are related by marriage. The authors report no other conflicts of interest in this work.
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Setting clear expectations with competency modeling: case study.
Nesnah Ventures is a family-owned private equity firm that provides financial, administrative and strategic support to all of its operating companies. The organization owns six companies in the agriculture and/or service sectors: Burrachos Fresh Mexican Grill, Venture Fuels, Coda Bow, Unifide CST Scale Systems, Star Blends and Nesnah Properties. Since each company is unlike the next, the talent pool is diverse with a range of roles and specialties, from a caterer to an in-office employee and technician. Lisa Paulson, the learning and development (L&D) manager at Nesnah Ventures, oversees training and development for the entire firm.
Paulson is the sole L&D practitioner in the human resources (HR) department, which consists of seven HR professionals each tasked with different responsibilities in talent management. As the L&D leader of Nesnah, Paulson is tasked with aligning training to business strategy, ensuring the workforce has the skills needed to contribute toward achieving sustainable success. This is how she recognized the organization’s need to determine and define the specific skills and proficiencies needed to fulfill new roles and move internally within the company. In this case study, we’ll review a real-life example of how Nesnah Ventures built a competency model from scratch to provide clear career pathways within the company, promoting leadership development, higher employee retention and increased engagement for the business.
Competency models are frameworks that identify and define the skills and knowledge expected within a particular role. For an employee to move up the ladder, they must be proficient in these expected behaviors and skills. And many times, they are expected to go above and beyond. This was the case for some of the high-potential contributors at Nesnah Ventures. These employees were interested in being promoted and felt as if their performance aligned with their job description and the company’s expectations. However, this wasn’t the case.
They were completing the tasks and functions based on what they were assigned, however, despite these efforts, they weren’t able to move up a level. This misalignment in expectations caused a lot of confusion and frustration for both employees and their managers. This was especially the case during one on ones when conducting performance discussions. The lack of defined competencies also created confusion in C-suite. Leadership had different opinions on how many and what type of skills were relevant to certain roles, causing inconsistencies of expectations across the organization.
There also wasn’t an established method for identifying high-potential employees for succession planning. As a result, employees were beginning to leave the company to find growth and career development opportunities elsewhere. Nesnah Ventures hadn’t clearly defined what specific skills employees needed to fulfill more challenging roles. These expectations for career growth weren’t officially determined or documented, so for some employees, having a long-term future with Nesnah seemed unattainable.
Paulson recognized this dip in the talent pool, and that it was the same employees who were turned down for a promotion. As the solution, Paulson decided to build a competency model for her organization. The framework was called “expectations model” since the skills and behaviors listed in the model were company expectations of how to perform in each role. Within the model, there’d be “role cards,” which listed the specific skills required for that particular job role. The role cards would be accessible via Nesnah Ventures’s human resources information system (HRIS) self-serve portal, which employees would also be able to access via a mobile app.
Paulson’s objective for creating the model was to give employees and managers a tool to conduct better performance conversations, clarify role expectations and identify high-potential employees who could fulfill a leadership role with proper training and development. That way, employees could have a clear roadmap to moving up in the company, and leaders have a better way of explaining the steps to reaching those career goals.
When starting the process of building the role cards for the expectations model, Paulson says they didn’t officially define what success would look like because they weren’t sure where they were going with the project. It was the first time the company had created a competency model, so they were agile in their approach. However, the main indicator that Paulson was looking for were more candid and open conversations about performance. This impact could be seen through higher employee performance rates as well as a decrease in employee attrition as entry-level employees aspiring to move up receive a clear pathway to their career goals.
After evaluating the organization’s management levels, Paulson determined that the company had three different job levels. The first level included managers/supervisors, the second level included mid-level managers and executives fell into the third level. This categorization of managerial levels helped Nesnah Ventures determine competencies that should be consistent for each manager level across the organization.
Here’s an example of a role card that shows the job level, title and associated competencies:
Here are the steps Paulson took to develop their organization’s competency model:
The vision for the role cards changed a few times after deployment after having conversations with different groups of stakeholders. The model had to be modified a few times, which was a challenge since it required constant pivoting to incorporate new information. Another issue was creating different definitions for the same competencies based on that particular team, role and industry. For example, the expectations for digital skills may look different for a team of accountants versus a sales team, and as a result, will need to be worded and defined accordingly.
Lastly, the library of competencies was becoming too long. As a solution, Paulson revisited the role card with leaders to see which competencies could be made into one. To ensure buy in throughout the process, Paulson kept leadership closely involved and informed, giving them a hand in the revisions. A maximum number of six competencies per card was also established to prevent leaders from going overboard.
Thanks to the role cards, employees are more empowered to conduct performance discussions with their supervisors. They are also more confident in their future with the company with a clear road to success. Every role card is made accessible to Nesnah Ventures’s people, providing all employees with the opportunity to fulfill any of the roles within the firm, promoting continuous internal mobility and career development.
Danielle Johnson
Danielle Johnson is an editor at Training Industry, Inc. with 5+ years’ experience in writing/editing and the talent to curate compelling, creative content for a target audience. At Training Industry, Danielle connects with thought leaders to publish articles with actionable solutions.
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Employees who use AI as a core part of their jobs report feeling more isolated, drinking more, and sleeping less than employees who don’t.
The promise of AI is alluring — optimized productivity, lightning-fast data analysis, and freedom from mundane tasks — and both companies and workers alike are fascinated (and more than a little dumbfounded) by how these tools allow them to do more and better work faster than ever before. Yet in fervor to keep pace with competitors and reap the efficiency gains associated with deploying AI, many organizations have lost sight of their most important asset: the humans whose jobs are being fragmented into tasks that are increasingly becoming automated. Across four studies, employees who use it as a core part of their jobs reported feeling lonelier, drinking more, and suffering from insomnia more than employees who don’t.
Imagine this: Jia, a marketing analyst, arrives at work, logs into her computer, and is greeted by an AI assistant that has already sorted through her emails, prioritized her tasks for the day, and generated first drafts of reports that used to take hours to write. Jia (like everyone who has spent time working with these tools) marvels at how much time she can save by using AI. Inspired by the efficiency-enhancing effects of AI, Jia feels that she can be so much more productive than before. As a result, she gets focused on completing as many tasks as possible in conjunction with her AI assistant.
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In recent years, IOM has placed special attention on increasing the use and coordination of cash-based interventions (CBI) across the organization in line with the Grand Bargain commitments and the IOM CBI Strategy 2022–2026.
In 2023, IOM continued to increase the use of CBI modalities to empower aid recipients and strengthen the resilience of affected populations. CBI was utilized in 112 countries and territories, reaching close to 4 million people, a 49 per cent increase compared to 2022. The use of cash and voucher modalities increased across IOM and constituted approximately 14 per cent of the overall IOM assistance to aid recipients.
In 2023, IOM further expanded the use of CBI beyond emergency response and delivered assistance through CBI across different areas of work in all contexts of IOM operations. CBI was used in 51 countries in emergency settings and in 61 countries in other settings, including development, return, reintegration, transition and recovery. The largest programmes took place in emergency response contexts where 92 per cent of the aid recipients were located.
The IOM CBI Annual Report and Case Studies 2023 provides more details and statistics on IOM’s CBI throughout the year and features case studies from 41 IOM missions, shedding light on good practices and lessons learned in different contexts. It includes sections focused on disaster risk reduction and climate adaptation, livelihood, return and reintegration and multipurpose cash assistance. There is also a special focus on regional responses, including the regional Afghanistan and Ukraine responses and the regional responses to the Venezuelan refugee and migrant crisis, the Sudan crisis and the Syrian crisis.
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Virtual Session: Leverage your CWRU employee tuition benefits with the Mandel School's Nonprofit Management, Social Work or Data Science part-time options. Thursday, June 27, 2024 at 12:00 PM until 1:00 PM Eastern Daylight Time UTC -04:00. ... Email:[email protected]. Site Feedback. CWRU Links.
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