Dr. Fred Garman addresses the challenges faced by ministry leaders, particularly in the context of a changing world and the impact of the COVID-19 pandemic. He emphasizes the need for leadership skills, noting that many pastors are considering leaving the ministry due to the difficulties of bringing change to churches resistant to it. Dr. Garman highlights the importance of leadership, contrasting it with management, and suggests that the church is facing a predicament with too many managers and not enough leaders. He discusses the essential role of communication in leadership, stating that leadership is fundamentally about conversations and casting a compelling vision for the future.