Abstract
Consider the following scenario. You are the Chair of a small academic radiology department in the Midwest. It is Thursday morning, July 1, the start of a new academic year. You receive an email from Drs Smith and Hall, requesting to meet with you as soon as possible. Dr Smith is the Vice Chair of Education and the Residency Program Director, and Dr Hall is the Director of Medical Student Education. They are married to each other. During the meeting, they inform you that they have accepted positions at another academic center because of an urgent family situation and intend to start these new positions on August 1. You immediately go into crisis management mode because you do not have anyone in the leadership pipeline to assume their responsibilities. The radiology clerkship begins on August 1, residency applicants start submitting applications on September 1, and the residency program is scheduled for a reaccreditation site visit on September 10.
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