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Navigating Leadership in Residency by Fire

Available: March 1, 2024 - March 1, 2027


This course is free to members for the month of March (2024). On April 1, 2024, the course will be available for purchase.



The composition of psychiatry residency and fellowship programs has become increasingly diverse. [1] Diversity in the psychiatry workforce is essential to providing high-quality, culturally sensitive patient care, promoting innovation and growth within the organization, and addressing the unique needs of underserved populations through research and advocacy. [1] Diversity, equity, and inclusion within residency and fellowship training programs have risen to the forefront as a strategy to address health inequities. [2] Residency programs and sponsoring institutions are required to “provide a professional, equitable, respectful, and civil environment that is free from discrimination, sexual and other forms of harassment, mistreatment, abuse, or coercion of students, residents, faculty, and staff.” [2] Despite this, many healthcare leaders navigate complex situations regarding discrimination, racism, and fear of retaliation in everyday practice. Many psychiatry residency program leaders can find it challenging to intervene with supervisees involving aspects of diversity and equity, putting themselves in uncomfortable positions requiring feedback on these issues. Even in the most diverse and inclusive programs, senior residents and faculty face challenges in managing the complexities of ethnicity, race, gender, sexual orientation, and age among patients, staff, and residents. [2] The Florida Psychiatric Society, a district branch of the APA, partnered with the psychiatry residency programs in Florida to provide chief residency leadership experience. RIPPLE, Residents in Psychiatry Programs Leadership Experience, provides chief residents and fellows with the opportunity to develop their leadership skills. Florida is a geographically dispersed state with great diversity within its residency and fellowship programs. RIPPLE brings together chiefs providing a familiar venue to foster specific leadership skills, such as effective communication and conflict resolution. The three presenters are psychiatry chiefs who will guide group discussions of leadership dilemmas and illustrate how the leadership training has helped enhance their ability to address diversity, equity, and inclusion. The presentation and cases will illustrate actual biases and diversity issues encountered in respective psychiatry residency and fellowship programs, improve awareness and facilitate discussion on strategies and management.


Recorded webinar, non-interactive, self-paced distance learning activity.

This presentation was recorded at the American Psychiatric Association Annual Meeting 2023.

Learning Objectives

  • Assess how existing residency training structure affect diversity and inclusion
  • Identify how intrinsic biases may affect leading a diverse workforce
  • Demonstrate how to lead equitably

Target Audience

Medical Students, Residents/Fellows, Psychiatrists

Estimated Time to Complete

Estimated Duration: 1.00 hours
Begin Date: March 1, 2024
End Date: March 1, 2027

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the event date and hours earned.

Continuing Education Credit

In support of improving patient care, the American Psychiatric Association is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


The APA designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Program Presenters

  • ​Daniel Castellanos, MD. Has no financial relationships to disclose. 
  • Stephane Degraff, MD. Has no financial relationships to disclose. 
  • Prisa Zacharish, MD. Has no financial relationships to disclose. 
  • Jose Hawayek, MD. Has no financial relationships to disclose. 

Program Planners

  • Vishal Madaan, MD, Chief of Education and Deputy Medical Director, APA. Has no financial relationships to disclose. 

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

  • The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
  • Internet Explorer 11+

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

  • Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
  • Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
  • Internet Connection: 1 Mbps or higher

Minimum Requirements:

  • Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
  • Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

For assistance: Contact for questions about this activity | Contact for technical assistance

Availability: On-Demand
Expires on Mar 01, 2027
Cost: Member: $18.75
Non-Member: $37.50
Medical Student: $18.75
Resident Fellow Member: $18.75
Credit Offered:
1 CME Credit
1 COP Credit
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