The Center for Medical Simulation: Recent Episodes
Center for Medical Simulation
DJ Simulationistas… Sup? is the flagship podcast of the Center for Medical Simulation in Boston, Massachusetts. Janice Palaganas and Dan Raemer, CMS faculty and thought leaders in the field of healthcare simulation, discuss the pressing issues in the field, interview expert guests, tell jokes, and dissemble on a variety of topics. Subscribe today for a new episode every week! Available on iTunes, Soundcloud, or wherever podcast babies come from.
Founded in 1993, the Center for Medical Simulation was one of the world's first healthcare simulation centers and continues to be a global leader in the field. Simulation training at CMS gives healthcare providers a new and enlightening perspective on how to handle real medical situations. Through high-fidelity scenarios that simulate genuine crisis management situations, the CMS experience can open new chapters in the level of healthcare quality that participants provide. Find out more and apply for CMS simulation workshops at www.harvardmedsim.org.
Managing our own attention at critical moments is one of the key elements of self-leadership, allowing us to control our reactions and focus rather than being controlled by it: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Borrowing from Chris Voss’ idea of Tactical Empathy, Tactical Mindfulness is the idea that even if we don’t want to commit to a mindfulness practice, it still allows us to lead much more effectively when we’re aware of our own panic, fluster, target fixation, or task saturation. Rather than forcing others to navigate our reactions, by naming and noting them we can regain control and bring our best selves back to the team.Workout of the week: When thoughts bubble up during a normal activity where you want to be paying attention, label them, accept them, and return to your attention.Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing #psychsafety
How do we help our colleagues push through initial effort to focus into a realm where they feel like they have achieved flow and are doing their best work? : https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822A clear why, and a sense of working on problems that engage us, that matter to us, and that light us up, is the fuel or the wellspring of feeling like our jobs matter and that we matter in our jobs, and achieving those feelings of flow that make work tolerable or even satisfying.Workout of the week: Identify one thing that draws you in so completely that time passes almost unnoticed, and ask yourself what about it are you actually enjoying?Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing #psychsafety
“If I create too much psychological safety, won’t discussions just become endless? It sounds nice, but I have actual work to get done.” : https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Psychological safety isn’t the opposite of discipline; it’s the partner of discipline. When we have to get things done, we have to get them done, but that doesn’t mean we can’t skillfully lead in a way that allows people to share their insights and still drive the work forward.Workout of the week: The next time you’re under pressure in a team setting, try to carve out a small proportion of work time to create the conditions for better collaboration, balancing discipline and openness. For example: name the time pressure the team is under, invite participation under those conditions, and support people for participating.Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing #psychsafety6120fbf0-89ba-11f1-b3c6-15acc75bf76a
People are going to make mistakes. As the leader of a team, how do we help people move from the mindset of failure as a character flaw to seeing failure as a moment for growth?: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822How do we separate out the part of us that’s aware that mistakes are required from us for growth and the part that feels like we’ve done a crime when we make an error? We can know intellectually that preventable error is a part of experience, but still have a part that wants to be perfect and experiences shame when we aren’t.Workout of the week: Reframe a mistake that you or someone else made in a way that allows you to learn from it productively.Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing #psychsafety
What should a leader do when they’ve encouraged their team to speak up, they’ve created psych safety, and then their team gives them feedback they didn’t really want to hear: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Whether and how we respond when people share their perspective with us has a big impact on whether they will do it again later.Pockets of culture around us are not set in stone; they’re built moment by moment based on how we talk to each other. Our experience as receivers of feedback and our actions shape how feedback will emerge in the future.Workout of the week: Say thank you when someone gives you feedback, even if the feedback doesn’t feel welcome. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing #psychsafety
Teamwork isn’t free—our teammates are always making cost calculations about the benefits of weighing in versus the potential costs: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822One of the main reasons people will choose not to join in a workplace discussion is because they’ve sensed that the short term risk to themselves of speaking is greater than the long term benefit, to themselves or to the company.How, as leaders, can we change the subconscious math happening for our teammates when it comes to garnering participation?Workout of the week: Find one real world situation where you can lower the cost of participation, whether by invitation or by suggesting roles and steps.Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing #psychsafety
Emira Yusufova, Lucas Farris, and Julie Hartman join us again to talk their experience at asking questions where they truly don’t know the answer: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Lucas, Julie and Esmira discuss how to balance being the expert in a debriefing for a case you’ve run many times versus allowing the participants to surprise you, how statements of genuine curiosity can improve personal relationships, and reset strategies when you are genuinely surprised by a response you get in debriefing.Workout of the week: Practice offering a rewind when you ask an open-ended question in order to allow learners more freedom to try out not fully formed thoughts.Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing #psychsafety
Subscribe: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Readiness Planning Paper Link: https://pmc.ncbi.nlm.nih.gov/articles/PMC11667836/Get your teams ready with CMS-ALPS: https://harvardmedsim.org/alps-applied-learning-for-performance-and-safety/#simulation #readiness #healthcare
n this special episode led by Mary Fey, Dr. Penni Watts, President of INACSL, joins us to discuss what we learned helping two nursing schools achieve INACSL endorsement, and how other nursing programs can get there!Listen: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Watch: https://www.youtube.com/medicalsimulationWhat does high-quality simulation look like in practice and how do nursing programs know they’re achieving it? Using the Center for Medical Simulation's recent work with the University of Maine System as a case study, Mary and Penni discuss how endorsement becomes less about recognition and more about creating a disciplined process for reflection, alignment, and improvement.For nursing leaders focused on competency-based education and workforce readiness, the conversation offers a practical perspective on building simulation programs that scale while maintaining quality. Topics include continuous improvement, faculty development, stronger partnerships with clinical organizations, and moving simulation from isolated events into an intentional curriculum that better prepares learners for practice.ALPS for Health Professions Schools: https://harvardmedsim.org/alps-applied-learning-for-performance-and-safety/Full episode transcript: https://harvardmedsim.org/blog/mary-fey-penni-watts-getting-nursing-schools-ready-for-inacsl-endorsement-dtbr-6/
Esmira Yusufova, RN, Lucas Ferris, RN, and Julie Hartman from the Society for Simulation in Healthcare’s Mindfulness Special Interest Group join us to reflect on their recent tries at the workout of the week: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822The Mindfulness Group chose to work on Curious Now #9, “What Are You Listening For?” about different listening styles. The group discussed the challenges of breaking out of the mode of listening that you developed growing up—especially feeling shame about listening to respond and take your turn more than listening to truly understand the person who you are talking to.The group also came up with a mindfulness workout of the week as a follow-up for themselves and listeners.Workout of the week: Make yourself wait 10 seconds, not just after you ask a question, but after you receive an answer, in order to allow a second silence for other learners to jump in.Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing #psychsafety
“Walk me through what your work looks like,” is one of the most powerful questions a leader can ask: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822By understanding how each worker accomplishes the tasks that they’ve been assigned, we can often spot weaknesses in the system that would not be evident from an assessment of each role in the team on its own.Workout of the week: Find a situation where you can claim leadership AND invite input.Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing #psychsafety
What does it mean when psych safety literature asks us to emphasize the purpose of the work as a leader? When we have psych safety, it can make the risks involved in making things better feel worth the effort: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822There are so many ordinary, even menial things we do every day, where if we can ferret out how they connect to our bigger values, or how they support the mission, they feel less draining and chore-like. Our colleagues in operating rooms improvement referred to these small, percentage improvements as “identifying and removing pebbles from your shoe,” and they add up into a significantly more comfortable workplace.Workout of the week: Identify and state the larger purpose of a seemingly trivial task. What is the big gear that this small gear is slowly turning?Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing #psychsafety
When Dr. Hannah Lawn returned home after completing a fellowship at Center for Medical Simulation, colleagues asked a simple question: How did the experience change you?“It’s changed my career,” she said. “I honestly feel like a different doctor since returning from my fellowship.”https://harvardmedsim.org/simulation-fellowship-and-international-scholars-program/
Moving our series on psych safety to the team level: how do we set expectations regarding things like reporting mistakes, managing uncertainty, or how we’re going to depend on one another? https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822As a leader, we’re in charge of setting standards for issues like, whose voice gets heard in meetings? Who gets to decide when we’re done talking about a topic, and are going to move on? You can see how this is incredibly relevant on the floor or in the unit. The standard of prioritizing what we get to spend time on -- and what we don’t -- can be an unspoken, but fundamental part of the culture of our team.We can also test whether our current dynamic is working through a simple paradigm: if it doesn’t feel socially comfortable to name how decisions are made in the current system out loud, then the current process probably can’t stand up to critique and needs to be changed.Workout of the Week: State aloud, in a meeting, what the decision process for a decision being made is going to be.Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing #leadership
Psych Safety: Boundaries and the Cost of Growth | Curious Now 38Why are we talking about boundaries in a series on psych safety? When we can’t hold consistent standards for ourselves and what we will tolerate, that unpredictability begins to undermine our team’s feelings of safety: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822As we start to change ourselves and the way we interact with people and systems around us, we will often encounter what psychologist Harriet Lerner called “change-back reactions,” with the people we were in some sort of set pattern with acting out or demanding we go back to how we were before. How can we maintain a center of calm and confidence, and know that changing is the right thing to do?Workout of the Week: Identify a safe modest test where you can experiment with setting a boundary. Pick an area where you are prepared to withstand any change-back reactions you encounter.Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing #psychsafety
Where’s the line between requests and boundaries that we’re comfortable making, and ones that seem impossible to set? https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822How do we recognize the trade-offs we are called to make when we are considering setting a boundary about what we will and won’t do? The reason we think about this in the context of psychological safety is that losing track of these boundaries can create an underlying emotional volatility—where we go along to get along until it’s too late and then bubble over or explode.In duos, the consequence to psych safety is not just a loss of our own feelings of safety, but the fact that our teammates can’t trust us to tell them when there’s a problem, which degrades their safety as well.Workout of the Week: Notice and name tradeoffs that are coming up for you—when setting a boundary, granting a request, or making a compromise.Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing #climbing
How do we offer the kind of connection our teammates need to strengthen psychological safety in our teams, especially in duos? https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822In the still-face experiment, not receiving the kind of mirroring or attention that infants expected led to rapid deregulation of emotion. We see similar types of emotional deregulation when adults are not seen and heard the way they expect to be by their teammates.Our teammates’ bids for connection can come in many forms, and they can also be deeply unskilled—whether through argument, complaint, or passive aggression. How can we hear what’s being asked for, especially if the request lands unpleasantly on us?Workout of the week: Catch moments where connection is being sought, and offer it. This can be checking in on a weak social signal, or understanding when someone is making an unskilled bid for connection and treating them generously with your attention or patience.Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing #climbing
A clinical situation involving a violent patient led Dr. Henrique Arantes and team at Hospital Universitário Sagrada Família in Araguari, Brazil to examine whether it would be possible to use AI to quickly design an effective readiness plan around de-escalating violent patients in conjunction with a new safety protocol in their hospital: https://www.harvardmedsim.org/blog/ an-easy-free-ai-tool-that-gets-your-teams-readyThis gap, with a lot of risk to provider safety and morale, led to his creation of the first draft of a Readiness Planning Tool, which was refined with the help of the CMS-ALPS Senior Director Chris Roussin. Now deployed in CMS affiliate programs across multiple hospitals, health systems, and countries, the tool allows teams to create context, refine goals, and implement best practice trainings much faster in response to hospital needs and sentinel events.On the Dare to Be Ready Podcast from the Center for Medical Simulation, Henrique, Chris, and CMS Assistant Director of Instructional Design James Lipshaw give a step-by-step walkthrough showing how to use AI tools effectively to partner with people around what they actually need, rather than imposing solutions from the top down.This podcast episode is available to watch on Youtube or to listen on Apple Podcasts or wherever you listen to podcasts.Youtube: https://youtube.com/medicalsimulation/ Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Access the Readiness Planner App: https://gemini.google.com/gem/1Pajk5Ayc6gMeg9-XsKpMZgSsAEx9AAGX?usp=sharingHow to use the tool: In order to use the tool, you will need a Google account and to agree to the Google Gemini terms of service. When you open the tool for the first time, it will appear to be the standard blank Google Gemini screen. Type in anything (“hi”) and hit enter and the actual Readiness Planning tool will launch. #healthcareai #aiinhealthcare #clinicaltraining #medicine #nursing
When we make a mistake and get into psychologically unsafe territory, how do we recover quickly, especially when the consequences of freezing are so high?: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Hans Florine, a renowned name in the world of rock climbing, joins us to discuss a particularly difficult recovery from an error: having to descend El Capitan with a broken right heel and a left tib/fib fracture eight hours into a climb up the mountainside. In extreme physical and mental pain, and with the consequences of any additional errors being potentially life threatening, how do you take the steps to rescue yourself from a difficult situation?Workout of the Week: In a moment where you feel stuck, frozen, frightened, overwhelmed, find and do the one thing you can to stabilize yourself.Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/More from Hans Florine, including his book On the Nose: A Lifelong Obsession with Yosemite’s Most Iconic Climb: www.hansflorine.com#healthcaresimulation #nursing #medicine #debriefing #climbing
Are You Psychologically Safe? | Curious Now 34 What are the nature of the moments where our feelings of safety in a role evaporate, and we suddenly find ourselves feeling very exposed?: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822There are moments when our perceptions of being able to do the task in front of us drain away, the floor drops out, and you have the thought, ‘I could really make a fool of myself here,’ or “I could really hurt someone if I mess up.’ Autonomic nervous system reactions take place, and we experience what organizational behaviorists call ‘threat rigidity.’ We tend to be more controlling, less collaborative, and less exploratory.Workout of the Week: Detect the moments where you are feeling unsafe, and see what physiological, psychological, and other responses are happening for you. What is the quality of those feelings of unsafety?Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing
How do we create psychological safety for our learners, especially when their day to day work begins to feel increasingly challenging and risky?: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Whether the task is cognitive, emotional, or kinesthetic, having each other’s backs and supporting one another are going to be keys to helping people reach out for the next handhold on their learning climb. Workout of the Week: Note the moments in your day to day when you do feel psychologically safe: to take risks, to ask a question you don’t know the answer to, to work at the edge of your expertise in order to get better. What is contributing to those moments?Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing
Today on Curious Now we’re looking at how to repair after what you said or did lands the wrong way: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Intent/impact mismatches are really common, and for good reason: We have access to our intentions--We do not have access to others’ intentions--So we fill in the gap, often with the most negative possible interpretation.As leaders, because we see our own actions in the context of our intent, we can have blind spots as to the impact of our words and actions, and even cause us to feel wounded when we don’t get the reaction we were looking for.Join us for the signs and symptoms of an intent/impact mismatch, and how to repair!Workout of the Week: Notice when there has been an intent/impact mismatch, and ask for a redo, ie “Sorry, I don’t think that landed how I meant. Can I rewind and try again?”Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing
Introducing “Coaching with Good Judgment”: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822In simulation, we’ve often defaulted to debriefing and asking curious questions to our learners to try to understand the frames behind their actions and struggles. This can be hard to balance with the truth many teachers of novices know, which is: sometimes learners just need to be told what to do!Coaching with good judgment is a strategy based off debriefing with good judgment, with the structure of “Preview, Advocacy, Coach.” Step 1: Authorize yourself to coach. Sometimes we struggle with wanted to be “learner centered,” when what they need is for us to use our expertise to tell them what would work.Step 2: Diagnose a coaching situation. Some signs and symptoms of a coaching situation:The learner begins to struggle and one or more of the following may be true:1)The task is meaningfully complex2)You have lived experience of the task being difficult3)The practice can’t move forward without this step working4)This error can be corrected just at the level of actions without knowing what they are thinking5)We’ve agreed that this is a skills session in advanceStep 3: “I see… I think… Try this…” Use the Preview, Advocacy, Coach structure to help the learner understand what to do and why, then quickly take more reps.Workout of the week: Try out “I saw… I think (the consequences of what I saw and my concerns are)… Here’s what you should try.”Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing
Hayden Richards, an Australian emergency physician and founder of the Youtube channel CommsLab, joins us to compare notes on confronting what’s going on underneath our fight/flight/freeze responses as clinicians in high stakes conversations: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822This collaboration began with Hayden’s excellent explainer on Advocacy Inquiry: https://www.youtube.com/watch?v=BGvEAxVox5UMuch like our work with looking at the hidden emotions underneath our judgment, Hayden’s work on mindfulness helps people to feel less buffeted by the stimuli of the emergency department as well as of everyday life.Workout of the Week: Use a “good judgment statement” that begins with the words “I’m worried….” Hayden points out that this type of statement of concern lets the listener know that you don’t know all the answers, but this is what you’re thinking about as you find your way together. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing
How Shared Standards Can Bring Down the Heat (with Gabe Reedy) | Curious Now 29Gabriel Reedy, Editor-in-Chief of Advances in Simulation, joins us to talk about how shared standards can bring down the heat in workplace conflicts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822How do we as teachers and clinicians provide the conditions for people to thrive? If we want people to get better, we have to agree in a shared direction to move regarding what better looks like. How can we make sure that standards are continually growing with the field and with evidence from what has actually happened in the world so that our practice doesn’t get static or stagnant?Workout of the week: Notice when the heat level is rising in a conversation when it isn’t clear what’s raising the temperature, and use curious questioning to figure out why!Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/The Advocacy-Inquiry Rubric in Advances in Simulation: https://link.springer.com/article/10.1186/s41077-025-00381-z#healthcaresimulation #nursing #medicine #debriefing
Thank you so much to our Australian hosts including Nathan Oliver and the Canberra Region Debriefing Club, a community of skilled, thoughtful teachers who made this virtual visit a deep and helpful conversation: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822In this week’s episode, Jenny joins the Canberra Region Meta Debrief Club to talk about moments in our teaching where our judgment flares up and we start to get indignant with our colleagues and our learners, even ones who we care deeply about!This wonderful group of participated in a meta-debriefing of their experiences with difficult judgments during their teaching and personal lives that helped us understand what’s happening to us when we flare up from our judgments.Workout of the week: When you find yourself judging, or even experiencing heightened emotions, ask yourself, what is the standard I’m holding here?Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing
Working from a challenge by Eve Purdy, this week Jenny is focusing on the edge of her expertise and the work she’s currently doing for herself, which is self-leadership using internal family systems.What this does is cast on floodlights onto your reactions, allowing you to understand the parts of yourself that are in conflict and that are putting you into a reactive mode. So who is the part of Jenny that pops out and turns her prickly and drops the Basic Assumption during meetings and other conflicts?Workout of the week: Identify and name a part of yourself that keeps popping up regularly.Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing
A very common dilemma—you can see something that you know can be done better, but you’re struggling with how to say that to the person doing it without damaging your relationship. Why does it keep happening that we hide our expert judgment about the situation?Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822#healthcaresimulation #nursing #medicine #debriefing
We’re joined by Walter Eppich to talk about how learning happens in conversations. Specifically, Walter discusses how he watched a surprisingly successful call by a junior doctor that brought a surgeon running from the OR down to the ED to see their patient. Doctors in the early stages of their career tend to ramble when giving reports—including every piece of information that they know in the hopes of including something relevant. How do we learn to communicate with other healthcare professionals in a way that makes your current problem their most important problem? Why do we have every junior doctor go through phone call failure rather than explicitly teaching the structure of talk that we know works, and that they’ll be steered towards by explicit feedback in the calls?Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #nursing #medicine #debriefing
Agency is the Power to Act | CMS Book Club Live at #IMSH2026Roxane Gardner and Grace Ng react to Shawn Kanungo’s keynote talk on innovation at #IMSH2026. Watch here: https://youtu.be/tbUfYHhM3kERoxane and Grace both felt that the content of the talk was surprisingly supportive, especially for an ‘innovator’ who was speaking about the role of AI in the changing industry. Much in the way that we talk at CMS about not imposing simulation from the top down as a prepackaged education solution, but instead partnering with teams to learn what they need to help them feel ready and then using simulation as a tool among many to get them there, Shawn helped to position agentic and generative AI in the same way.Grace was pleased to hear the discussion of agency, and tools that empower people to do things rather than replacing them—her PhD work on nursing agency and how nurses can be empowered to activate rapid response teams, and that seemed very relevant to the moment as we figure out how these tools will shape our work.Listen and subscribe on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822#curiousnow #healthcaresimulation #medicine #nursing
Change Comes from Curiosity and Caring | Curious Now Live at #IMSH2026Commenting on Kevin Brown’s “The Hero Effect” – How do we bring our presence to ordinary moments?Jenny Rudolph, James Lipshaw, and Jenny Bourque discuss Kevin Brown’s story of a chef using an encounter with his son’s specific dietary restrictions as the launch point for a higher standard which makes Disney’s restaurants more accessible to diners with dietary needs. How can we not just design our programs, but also carry ourselves in individual conversations, in everyday moments, and lead our industry in a way that ensures that we are creating a standard of access and a standard of service that serves everyone, especially the people whose stories aren’t being heard in the rooms where leadership meets?#curiousnow #healthcaresimulation #medicine #nursing
Ready to Work Creatively Whether Our Organization Likes It Or Not | Dare to Be Ready Live at #IMSH2026Chris Roussin reacts to Tania Katan Keynote Lecture at #IMSH2026 on The Dare to Be Ready Podcast“You need to be different from the status quo to make change.” What does it mean to be called to innovate and work creatively in an organization that is ready and asking for it, versus in an organization that isn’t?Some organizations have leadership that is passionate about quickly squashing creativity. How do we help people to create change and create readiness in a new way without it feeling like we’re launching it at them from a consultant helicopter as we fly away?Some advice from the talk that verged away from rah-rah and into the practical that we really liked: 1)Think about a limitation that you have at work, and consider how that limitation could actually be an opportunity for you;2)Say what your job title is and then imagine a job title more accurate and appropriate to what you do.More live reactions from Jenny Rudolph, Roxane Gardner, and Grace Ng coming in the next few days!#daretobeready #healthcaresimulation #medicine #nursing
Welcome to the Center for Medical Simulation’s Grand Rounds presentation of the new publication in Advances in Simulation, “The Advocacy Inquiry Rubric (AIR), a Standard to Build Debriefing and Feedback Skills”. Lead author Clément Buléon, an anesthesiologist based in Caen, France, joins CMS Senior Director of Innovation Jenny Rudolph and CMS Assistant Director of Instructional Design James Lipshaw, both co-authors on the paper, to discuss how the AIR can be used to give effective, efficient feedback on questions in debriefing and feedback conversations. Our belief is that this tool can be used like the DASH to help educators improve their own performance in learning conversations, as well as the performance of others.In addition to discussing the structure and use of the AIR, James presents a series of debriefer videos to Clement and Jenny, who then have to use the AIR to provide feedback to the debriefer. We hope to model how you can “see through the eyes of the AIR” to provide effective, standards-based feedback for educators.Watch the Grand Rounds here:Or listen on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 #debriefing #healthcaresimulation #medicine #nursing
This week, Jenny and James discuss how organizations, not just individuals, can have hidden or implicit standards that are not spoken aloud. We look at how a tool like the new Advocacy Inquiry Rubric, or AIR, can help make excellent performance visible, learnable, and repeatable, and how explicit standards help us target what actually matters in performance and what we want to move toward as a shared goal.Workout of the Week: When you detect an implicit standard, say it out loud and make it explicit (but be sure to own that this is your perspective!). For example, “I believe that our standard in this unit is that if we need blood drawn from a patient, we start a new draw rather than using an existing IV.”#healthcaresimulation #nursing #medicine #debriefingApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/
We're taking this week off, but we'll have a new podcast on January 2nd, and the CMS media team will be in San Antonio from January 11-14 for IMSH 2026! We hope to see you there.
Debriefing course.The KUMC team designed a new approach to exploration when they found that in simulation, learners were simply agreeing with the debriefer’s point of view rather than trying to contrast it with their own thoughts, especially when they were doing the right thing (i.e. “I did the correct thing because that’s the correct thing to do.”) A second major discovery was that learners at all experience levels were describing the same barriers to success, rather than having different needs at different levels. For example, both med students and attendings might describe the busyness of the code space as making it difficult to claim a leadership role during the case, often using the exact same words.Bridget coaches Jenny on how to conduct better explorations of learner thinking, in this case in a faculty development conversation about classroom management and maintaining the attention of learners.#healthcaresimulation #nursing #medicine #debriefingSpotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/
Debriefings are often delayed and diminished by questions the asker already knows the answer to. “Wouldn’t it have been better to give epinephrine faster?” “Did it occur to you to have a family meeting?” And when asked why they don’t just share what they clearly think is the answer, the debriefer will often say something like, “It’s better for them to come to the answer themselves.” But we aren’t really asking the learner to come to an answer with these kinds of questions—we’re asking them to read our mind, and then to agree with us once they do. There’s no opportunity for them to understand their own thinking better.Today’s episode will try to get you ready to live with the discomfort of not knowing the answer you’re going to get for long enough to ask a genuinely curious question in debriefing.Workout of the week: Every day, ask one truly open-ended, curious question—one you don’t already know the answer to.Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPLeadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/#healthcaresimulation #medicine #nursing #debriefing #podcast
Co-Producer: Chris Roussin, PhD, Senior Director, CMS-ALPS (https://harvardmedsim.org/chris-roussin/)Producer: James Lipshaw, MFA, EdM, Assistant Director, Media (https://harvardmedsim.org/james-lipshaw/)Consulting and readiness with CMS-ALPS: https://harvardmedsim.org/alps-applied-learning-for-performance-and-safetyDare to Be Ready on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPDare to Be Ready on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Just in time for the Thanksgiving Holiday— the CMS Book Club reviews “How to Avoid Awkward Silences” by Patrick King!“You set the tone for how people react to this… when you act awkward and diffident, people feel awkward and diffident.” Join us as eight learning conversation experts debate the value of silence, and how we can get the conversation back to flowing when we feel like we’ve lost touch with what’s happening in the debriefing room, classroom, or around the family dinner table.Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Why is it so hard for healthcare educators to share what they actually think in a debriefing or feedback situation? Jenny shares the story of a participant in an anesthesia clinical simulation who helped guide her to be more transparent: “I’m often talking to providers on the worst day of their career, after a medical error has occurred. If I’m going to ask them to be honest with me about what they were thinking, the least I can do is be honest about what I’m thinking.”Over the years training faculty in feedback conversations, we’ve run into many who ask, how is it helpful to tell my learner that I think they’re an idiot? But telling the person what you think honestly should not be your feelings or attributions about their character. It should be the impact of their actions, which exist at the level of concrete data.Workout of the Week: Practice saying to people, “When you did x, it led to y.” One great feature about this workout is that you can use it for positive things! “When you stayed late to help me with that report, it lowered my stress level.”Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/
When we lead a conversation where we only bring our conclusions and inferences to the table, rather than the concrete data that helped lead us there, we are influencing (sometimes unjustly) what is even discussable among our teams. By going back down to discussing the data that helped us shape those conclusions, we can make conversations and meetings more fair, more equal, and more productive.Workout of the week: Note when you have gone up the ladder of inference to a conclusion about a person and perhaps lost track of the data that led you there. Then, go back down and incorporate the data into an observation. Example: “She was defensive” is an inference or conclusion. Go back down the ladder to the data and turn it into an observation: “I observed that she crossed her arms and said, ‘I don’t know,’ twice.” Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/
Too often, meetings and announcements, especially around policy changes and new ways of working, are a list of topics that fail to address the fundamental questions that matters to team members—why are we talking about this? Whose decision was it? And is that decision final?Leaders and team members need to understand how power is being wielded, especially when it comes down the line in seemingly inhumane ways. By simply saying a few key words, we can make our teams feel like they had a voice, like power is not being used unfairly, and safe to say when they don’t understand and when they want input.Workout of the week: Use the subject line of your emails to practice more clearly telling what the purpose of the conversation is.Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/
This week, Jenny and James explore recent conversations that didn’t go as well as they could have, because of different types of failures in the words we chose to use or the things we chose to reveal. Building on the work of recent guest Amy Edmondson, we look at the way that people in fearless organizations can talk—using the conversations that you have to frame the work, emphasize shared purpose to create joy even in everyday work, and demonstrate that you don’t think you have all the answers. Workout of the week: Observe for conversations where you feel unclear—what was the point of this meeting, why are we having this conversation, what are our goals of care for this patient?Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/
Co-Producer: Chris Roussin, PhD, Senior Director, CMS-ALPS (https://harvardmedsim.org/chris-roussin/)Producer: James Lipshaw, MFA, EdM, Assistant Director, Media (https://harvardmedsim.org/james-lipshaw/)Consulting and readiness with CMS-ALPS: https://harvardmedsim.org/alps-applied-learning-for-performance-and-safetyReadiness Planning in Advances in Simulation: https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-024-00317-zDare to Be Ready on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPDare to Be Ready on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
In this special episode, Jenny Rudolph and James Lipshaw, producer of Curious Now, debrief our performance so far with the podcast, what we had in our original vision that we haven’t achieved yet, and where we’d like to go next. How can we rachet up the interactivity of the podcast, how do we make the experience of trying to do this work right more relatable and less of a lecture, and how do we tune the difficulty of the workouts to the experience levels of our guests better?Do you have feedback for Jenny on the first three chapters of Curious Now? Now is a great time to comment—let us know below this post what you’d like to see in the future, and how the workouts are going for you!Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Curious Now on Video: https://youtube.com/medicalsimulationLeadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/
We have an incredibly special guest this week on Curious Now! Amy Edmondson, Professor at Harvard Business School, and author of numerous books including Right Kind of Wrong: The Science of Failing Well, Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy and The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth joins us to discuss her concept of psychological safety, how a failed study led to its invention, and how leaders can create organizations that learn.An initial study with a well-validated tool found a correlation between having better teams and having HIGHER error rates. Reluctant to bring this result to her thesis advisor, she came to an idea: Maybe better teams don’t make more mistakes, but rather better teams are more willing to talk about mistakes.Bringing psychological safety to the present day, Amy and Jenny discuss how the best examples of crisis leadership involve what Amy calls “situational humility,” the ability to say, “we’ve never been here before,” and then framing the problem as an opportunity to find solutions and seeking and inviting input, along with a continual refreshment of common purpose.How can individuals create a “learning frame” to grow in a crisis rather than an “execution frame” where you’re just getting work done; being open to hearing feedback both from your colleagues and your work itself as you do it. While “learning work” can seem in the short term to take more energy or more bandwidth, in the broader view it creates vastly easier work through an increase in skill and understanding. Dr. Edmondson says, “If you’re not an organization that has found ways to hardwire learning and feedback loops into everything that it does, you will get caught unawares in a fast-changing, complex world.”Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/
This week Laura Rock and Janice Palaganas return to crack the code of team culture, map the blueprint underneath what we’re thinking. In the final episode of this chapter, we ask our guests what they’ve discovered about themselves with a Frames, Actions, Results test.Janice has a glitch with a student where their understandings didn’t match, and Laura shares how being honest about her own critical care strengths and weaknesses with a group of trainees helped them focus on learning the most from her and other members of the team.Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/
This week on Curious Now we’re introducing a tool to help us bring the approach of understanding why people did what they did and helping them change the underlying analysis that got them into trouble, called the FAR or Frames, Actions, Results tool. Where has your team gotten stuck or glitchy, and what were the underlying frames that got your team intro trouble or got the job done great?Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/More on the LPG: https://www.aliem.com/improving-debriefing-skills-pathways-grid/
Dare to Be Ready with Dr. Chris Roussin, founder of CMS-ALPS, the Center for Medical Simulation’s team and organization readiness consulting service. In this podcast, available on Spotify, Apple Podcasts, and in video form on Youtube, Chris will meet with a series of guests with specific readiness challenges in their healthcare teams. Each week we will approach the challenge of how to get teams ready for the difficult work they face every day, and work through how we can get our people and teams ready to face that challenge. Join us monthly and Dare to Be Ready!-----------Episode 1: Ready to Help “Safe” Patients with Diabetes in the ERDr. Marie McDonnell is an Endocrinologist and Director of Diabetes at the Brigham and Women’s Hospital, joins us to discuss her team’s readiness challenges around training with the Emergency Room to connect triaged emergency care with diabetes specialty care. Readiness Challenges: The care teams in the Emergency Room are ready and skilled in treating patients with diabetes who come in very sick and need to be admitted to the hospital. However, the Emergency Room also experiences a very high volume of diabetes recidivism, patients with diabetes who are stabilized and able to be discharged but then return later with the same issue presenting again. This is compounded by the fact that 50% of diabetes patients in the ER arrive between 5 PM and 9 AM because they could not contact their normal endocrinology care teams.Today we work on a readiness plan to help ER teams better connect into the big system of diabetes care within the hospital so that patients who are “safe” get connected with specialists who can solve the underlying diabetes self-care issues that brought them to the ER, so that they don’t end up back in the ER later that day.--------------Host & Co-Producer: Chris Roussin, PhD, Senior Director, CMS-ALPS (https://harvardmedsim.org/chris-roussin/)Producer: James Lipshaw, MFA, EdM, Assistant Director, Media (https://harvardmedsim.org/james-lipshaw/)Consulting and readiness with CMS-ALPS: https://harvardmedsim.org/alps-applied-learning-for-performance-and-safetyDare to Be Ready on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPDare to Be Ready on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Laura Rock, Janice Palaganas and Jenny explore where they are currently struggling in their practice of sharing their point of view clearly and then really inviting the other person’s perspective. How does this go when your identity is more provisional, and you feel like to have to establish yourself and insert your point of view to be ‘strong’?Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Today we’re talking about transforming toxic culture, whether on your floor, in your unit, or in your department. How do we change unit culture via point of care conversations? You can teach people all the speaking skills in the world, but if they don’t care about the other people in the room or don’t think there’s a possibility they aren’t perfectly right, it won’t take. This topic was featured in a keynote of the same name by our colleague Laura Rock at SESAM2025 this summer.Workout of the week: Share your point of view, and follow it with a genuine, open inquiry into the other person’s perspective.Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/
Janice Palaganas and Laura Rock rejoin us to talk about their experiences of moving from mental rehearsal to actually asking the group, “What am I missing?” We explore what are the things we do or struggle with in terms of point of care conversations?Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
This week on Curious Now, bring home the heart of this summer's work on internal resets, thought bystanding, communication, and teamwork. Our workout of the week is a simple one: go from mental rehearsal to actual practice. In previous weeks we asked ourselves, and this week ask the group:• “Who sees this differently?”• “What am I not noticing?”Learn more and get coaching from Jenny Rudolph at at www.harvardmedsim.org.
Coming soon on the CMS Podcast channel-- The "Dare to Be Ready" podcast with Chris Roussin! Join us and a series of rotating guests as we examine readiness challenges across a broad swath of healthcare settings, and work with experts to solve their team problems in real time. Our first episodes include getting Boston Emergency Room teams ready to handle diabetic patients who are "safe" to be discharged but likely to end up back in the ER without additional support, getting surgical teams at a peripheral hospital in Switzerland ready to declare a crisis and prepare to transport a patient they don't have the resources to care for, and much more!Dare to Be Ready will premiere in September, so keep your ears open! Available on Spotify, Apple Podcasts, and Youtube.
On this week’s Curious Now Listeners, Jenny, Laura Rock, and Janice Palaganas each share a recent time that they’ve struggled to be transparent with their own thinking as they rejoin us to discuss their experience with last week’s workout of sharing one vulnerable point of view in a conversation to try to work towards a collaborative inquiry rather than mystery and defensiveness.Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
In decades of faculty and clinician training at the Center for Medical Simulation, we’ve identified one element of our approach to Good Judgment learning conversations that people have the most difficulty with. This obstacle can take what should be an insightful, curious inquiry and leave it with a defensive or confused learner. Similar effects happen in negotiations at point of care and feedback conversations. The greatest obstacle is this: clearly and transparently sharing what you think about the situation. There are many reasons why we struggle with this, from thinking that if we share what we believe, it will be too harsh or too threatening for the other person, to believing that sharing our point of view will be used against us and that it would be safer to try to unilaterally steer the discussion without it. In this week’s workout, you’ll be challenged to try sharing your underlying point of view in a situation where that feels vulnerable to you.Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Janice Palaganas and Laura Rock join us for our first Listeners episode of this new chapter! This week we are discussing how the mental rehearsal of asking “What am I missing?” worked out for them in situations where they were very sure that they were right. Emerging again is a theme where our listeners find that they experience the work of checking their emotions and getting curious very different in professional settings where they are working in a certain mode versus how they conduct themselves in ‘default mode’ in their personal life.Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Join us for our third chapter of Curious Now, as we talk about words and mindsets that can transform toxic culture! Becoming skeptical of your own thoughts and beliefs, bystanding your own perception of events so that you can ask with curiosity: “What am I missing here?” We’re setting the stage for our third chapter of Curious Now, looking at how we can skillfully lead teams and scale up our good judgment approach to not just ourselves but the people around us.We’ve talked previously about becoming aware of our own reactive judgments and perceiving them as thoughts rather than reality. But what we mean here is a more challenging exercise: can we bystand not just what we might call ‘System 1’ thoughts, which are easy to understand as hot or instinctive reactions, but also our ‘System 2’ thoughts which are cooler, more considered and, at least to us, rational?•Get coaching from Jenny Rudolph at www.harvardmedsim.org•Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP•Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
BJ So and Mel Barlow join us for the final time to discuss last week’s exercise of trying to come up with a frame to understand an action we saw that didn’t make sense in the moment. BJ shares the story of a near miss in a complex case, and how he tried to understand his junior doctor’s actions.•Get coaching from Jenny Rudolph at www.harvardmedsim.org•Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP•Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Little Acts of Genius: In this week’s Curious Now, we’re introducing the idea of ‘Frames, Actions, Results’, an action science framework that CMS has used for many years to help advanced clinical and debriefing practitioners overcome the internal obstacles that are keeping them from being able to reach their goals. Here, we want to apply the framework to other people’s actions—what could the person’s frame have been that, when we view their action through that frame, the totally strange or confounding thing they did is, in fact, a little act of genius?•Get coaching from Jenny Rudolph at www.harvardmedsim.org•Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP•Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Mel Barlow and BJ So rejoin us to talk about the experience of testing using new listening styles at home and at work. Both noticed a similar trend of listening to respond with family and loved ones even when our professional practice is a conscious listening to understand. How do we bring what we know about being a better listener from our professional life back into our home life?•Get coaching from Jenny Rudolph at www.harvardmedsim.org•Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP•Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822•HBR Article: https://hbr.org/2022/05/whats-your-listening-style
This week on Curious Now we’re looking at new research on listening styles and how they impact our teams and cultures in the world of healthcare. What are we listening for when we listen to people? We’ll explore our default style, and notice how we can intentionally shift the way that we listen in order to lower our internal tension and work with others better.Get coaching from Jenny Rudolph at www.harvardmedsim.orgSpotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822HBR Listening Styles Article: https://hbr.org/2022/05/whats-your-listening-style
In this week’s Curious Now, our two listeners examine the results they got using the Feedback Pre-Think Chart in preparation for a feedback conversation. In the first, BJ So describes being asked to supervise a more senior clinician learning a newer technique, while in the second Mel Barlow tries onboarding a new colleague from a less feedback-positive culture into an established team with good feedback practices.Get coaching from Jenny Rudolph at www.harvardmedsim.orgSpotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
This week on Curious Now we dig into the central dilemma in all feedback conversations--how do I criticize your performance without hurting your feelings? On the podcast we've delved deeply into our own processing and understanding of our judgment and reactions to situations where someone else didn't meet our standard. Ultimately, though, for healthcare professionals we often have a final step where we have to do something about the sub-standard performance. How do we talk to our learners and our peers about what they did?Get coaching from Jenny Rudolph at www.harvardmedsim.orgSpotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
This week on Curious Now, B.J. So and Mel Barlow return to share their experience with last week’s exercise on the generous inference. Get coaching from Jenny Rudolph at www.harvardmedsim.orgSpotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
In this week’s Curious Now, Jenny explains how the “Generous Inference” was a complete game-changer for her career in debriefing and education, how it became the core philosophy of the Center for Medical Simulation, and how to bring it to play in healing your toxic work culture.Get coaching from Jenny Rudolph at www.harvardmedsim.orgSpotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Welcome to our second chapter of Curious Now! We’re joined by a new set of simulation educators as they work through our weekly workouts together. For the next five episodes, we’ll have an Australian focus as we’re joined by B.J. So, an anesthetist and simulation educator based in the Sydney area, and Mel Barlow, a registered nurse and academic lead for faculty support at Australian Catholic University. They’ll share their experiences on both ends of the breach, from the perspective of a teacher who thought they and their student were on the same page, and a worker who thought their boss was promising something totally different from what they got.Get coaching from Jenny Rudolph at www.harvardmedsim.orgCurious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPCurious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
In this month's CMS Book Club, Roxane Gardner, Executive Director of the Center for Medical Simulation, is joined by Jenny Rudolph, Grace Ng, and James Lipshaw to discuss Melanie Deziel's "The Content Fuel Framework." Join us for a spicy discussion on getting your team's message heard, whether ideas have any value at all, and if this book is a useful tool for those brought up in the STEM pathway to make their communication more effective.Learn more from CMS at www.harvardmedsim.org!CMS on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPCMS on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
A nurse of Ned/Surg has been there for two years. She’s interested in moving into cardiac care—she’s always been interested in it—and as she sits in the break room, the clinical nurse specialist comes in to talk to her, and says, “Hey, we’re going to be able to get you some time in the CCU! We should be able to do this in the next couple of weeks. I know you’ve really been wanting to get some experience there, and we have a new onboarding program.”But days turn into weeks, and weeks turn into months, and she never seems to be scheduled for the CCU. So finally one day she asks outright, “What happened with that?”And the clinical nurse specialist kind of blinks in surprise and says, “You know, we’re just way too short staffed right now, I’m sure we’ll get to it eventually.”This example of personal learning deferred is one of the most common breaches to what we call the psychological contract—when I either implicitly or explicitly make an offer to you, and then don’t follow through on it the way you were expecting. This week we’re going to focus on getting you ready to survive these very common situations, whether you’ve experienced the breach, or caused it.This week is a great place to hop into Curious Now, with a new chapter on how we interact with other people when we need to work together, but the standards we hold haven’t been met.Coaching from Jenny Rudolph at www.harvardmedsim.orgCurious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPCurious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Colleen Donovan shares a story from her time as a resident where an encounter with a consistently angry, unhelpful, and very sick patient turned into a moment of wonderful human connection and support after she was able to reset herself and get curious about what was going on.Coaching from Jenny Rudolph at www.harvardmedsim.orgCurious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPCurious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
If you’re in the same boat as so many of the clinicians we work with, you may be feeling that the puff is still out of your pillow post-pandemic. Understaffed, working with colleagues who are newer to their professions, and feeling like there are fewer moments we can rest in trusting our teams to get the work done right. In the final episode of Chapter 1 of Curious Now, we put the whole package together. When we’re judgmental, activated, triggered, furious, what are the diagnostic symptoms we can take of ourselves in order to successfully have our reaction, put it aside and reset ourselves, and then get curious about what is going on for the other person? Coaching from Jenny Rudolph at www.harvardmedsim.orgCurious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPCurious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Our guests for Chapter One explain their struggle with understanding the standards of other people when implementing new practices for competency-based education. The faculty have tried to explain a continuous growth and development model, but students are still hearing, “You didn’t perform well enough to pass.” What are the barriers to understanding how the students perceive the program, and how can we set them up for success when it's time to shift to a new mindset?Coaching from Jenny Rudolph at www.harvardmedsim.orgCurious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPCurious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Colleen Donovan and Laura Klenke-Borgmann rejoin Jenny to discuss the emotions that came up as they explored last week’s exercise. Join us to compare your own experience with last week’s workout to other simulation educators and experts!Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPCurious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
What happens when someone’s actions don’t meet our standard? Even in innocuous situations, with complete strangers, we can find that we have a flaming hot judgment rearing up inside of us. Instead of thinking, “I bet this person has a really good reason for doing what they’ve doing,” our first reaction is often, “What an idiot!” In this week’s episode, Jenny explores how when there’s a conflict, we can get curious now instead of jumping to harsh, reactive inferences about the other person’s intelligence and character.Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPCurious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Continuing along the chain from hidden judgments and hidden standards, Jenny Rudolph explores the fundamental question beneath the heat of workplace conflicts—why does other people’s failure to meet our hidden standards make us so upset? How do we cool off these conflicts and help ourselves move forward?Learn more from Jenny Rudolph at www.harvardmedsim.orgCurious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPCurious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Following up on last week’s challenge to examine our complaints and judgments to reveal the hidden standards underlying them, Jenny continues our chapter-long conversation with Colleen Donovan and Laura Klenke-Borgmann.Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPCurious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
In Chris Voss' book "Never Split the Difference: Negotiating As If Your Life Depended on It", one major point made is that a high-stakes conversation is never just about the words being said. Much more, it's about hearing the emotional state of the other person and really listening to what they have to say and what they need from you. How does this compare to your model for debriefing after a critical event? Do we sometimes have to negotiate that there is even learning to be had from a bad experience?Join the CMS Book Club for a thorough discussion as well as a case walkthrough of deep listening and mirroring in an admissions conversation in a pediatric ER during winter respiratory disease season.With Roxane Gardner, Jeff Cooper, Lia Cruz, Grace Ng, and Fernando Salvetti.
Every "judgment" or "complaint" we have about others reveals a hidden standard that we hold about how people should behave, both in our general lives and in the workplace. By becoming aware of our own hidden standards, we can defuse the heat of arguments when we think someone else is doing something "wrong."Learn more from Jenny Rudolph at www.harvardmedsim.orgCurious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP?si=890ed4b02bfe4838Curious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
A nurse preceptor has just watched a trainee commit a serious error despite hours of lecture, reading, and hands on training. In spite of herself, she starts to heat up, much like the more severe clinical educators who trained her years ago. "Why can't you just get this right?"In this moment, how do we reset ourself to a place of care, curiosity, and compassion? How do we model a better culture of learning? How do we have our judgment, instead of our judgment having us?In "Curious Now with Jenny Rudolph," a social scientist takes on the hidden structures that shape our behavior, culture, communication, and learning in healthcare.In this interactive podcast, Jenny Rudolph will help listeners approach the thoughts, feelings, and judgments underlying their reactions in a psychologically safer manner, helping us to better connect with curiosity and compassion to the people around us, especially when we feel that they've done something "wrong."Jenny Rudolph has made a career exploring what makes clinicians, healthcare organizations, and health professions training programs tick. Underneath the surface of intelligent, capable people who care about doing their best are hidden patterns that interfere with how they perform. Hierarchy, ego, communication glitches, resilience, power, professional learning, and how learning happens all flow downstream into creating actions that work and actions that don’t. Jenny found out the hard way that being too certain can get you in trouble. Demoted from third to second grade for poor academic performance when she arrived in Jaipur, India as an eight-year-old, she realized she had better get curious about how her new school and culture ran, and that curiosity has remained with her ever since.Jenny now works with clinicians around the world to help them develop their own love of that little dopamine drip of rewarding surprise when you find out something new about your colleagues and how they think. Whether trying to figure out a diagnosis, discovering what a learner is thinking, or upping your own clinical mastery, getting Curious Now is the solution.Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP?si=890ed4b02bfe4838Curious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
This CMS Grand Rounds video is a companion discussion to our newly published research article, "Readiness planning: how to go beyond “buy-in” to achieve curricular success and front-line performance" published in Advances in Simulation (https://advancesinsimulation.biomedce.... Join us at #IMSH2025 in Orlando for workshops from our faculty team on Readiness Planning, or visit www.harvardmedsim.org for additional training opportunities!Abstract from Advances in Simulation: "Simulation program staff and leadership often struggle to partner with front-line healthcare workers, their managers, and health system leaders. Simulation-based learning programs are too often seen as burdensome add-ons rather than essential mechanisms supporting clinical workforce readiness. Healthcare system leaders grappling with declining morale, economic pressure, and too few qualified staff often don’t see how simulation can help them, and we simulation program leaders can’t seem to bridge this gap. Without clear guidance from front-line clinicians and leaders, the challenge of building and maintaining sustainably relevant simulation offerings can seem overwhelming. We argue that three blind spots have limited our ability to see the path to collaborations that support front-line workforce readiness: We wrongly assume that our rigor in designing and delivering programs will lead to front-line participant engagement and positive impact, we overestimate the existence of shared priorities, mindsets, and expertise with our would-be partners, and we contribute to building a façade of superficial education compliance that distracts from vital skill development. How do we design simulation-based training programs that are valued, supported, and sustained by key partners over time? (1) By seeing ourselves as partners first and designers second; (2) by using a boundary spanning design process that shifts the primary psychological ownership of training outcomes to our partners; and (3) by focusing this shared design process on workforce readiness for the situations that our healthcare partners care about most. Drawing on lessons from more than 800 readiness plans developed by participants in our courses and the authors’ successes and mistakes in partnering with healthcare teams for front-line readiness, we introduce the concepts, commitments, and practices of “readiness planning” along with three detailed examples of readiness planning in action."
In this CMS Book Club, a Faculty/Fellows panel compares notes from two perspectives on education and information finding, based on their reading of "Curious: The Desire to Know and Why Your Future Depends on It" by Ian Leslie.
This month, the CMS Book Club discusses "Tribal Leadership: Leveraging Natural Groups to Build a Thriving Organization."CMS works closely with healthcare organizations to help improve culture via conversations, which aligns with the thesis of this book, which is that how we talk to one another is a primary driver of culture in an organization.Can every organization achieve a top-level culture? How do you navigate moving between different work settings (floors, professions, hospitals) with drastically different work cultures? How do you protect yourself from toxic culture while still trying to make things better? How can teams, sports, and labor dynamics inform what we do to make work better for our people?www.harvardmedsim.org
Professor Mohammed Mouhaoui joins Lon Setnik and James Lipshaw from the Center for Medical Simulation to discuss the history of the HTIC simulation in Morocco. Lon visited the Moroccan Simulation Society in Fès in 2024 as a speaker and shares his experience meeting Prof. Mouhaoui and with the Moroccan sim community.
Join the reconvened Center for Medical Simulation Book Club as we discuss Amy Edmondson's excellent "Right Kind of Wrong: The Science of Failing Well." Featuring Roxane Gardner, Grace Ng, Jenny Rudolph, Chris Roussin, Lon Setnik, Laura Gay Majerus, James Lipshaw, Henrique Arantes, Hannah Lawn, Melissa White, Saqib Dara, and Lia Cruz.In this episode: A mildly spicy conversation around using outcomes to determine if we've failed. When should we use the retrospect-oscope to determine whether we did a good job? Does it matter more that we land the jump or that we took the right steps to set it up? Two obvious lessons learned from the new era of college sports: You need to a) develop your people over time and then b) pay them enough that they stay.
In this week's Brief Debriefing, past and current participants in the Center for Medical Simulation's Healthcare Simulation Essentials course (https://harvardmedsim.org/course/healthcare-simulation-essentials-design-and-debriefing/) reflect on how the course has changed their approaches to partnership building and teaching in their own organizations. Hosted by James Lipshaw, Center for Medical Simulation, and featuring Melissa White, Hannah Lawn, and Gabriella Hakim.
Not every simulation center has a readiness plan in place for onboarding new simulation staff, particularly those without clinical experience. At CMS, we begin by having our new staff participate as learners in our weeklong Healthcare Simulation Essentials course, immersing them in our teaching and debriefing strategies. In this week's Brief Debriefing, we're speaking with Jenny Bourque and Sam Huang, respectively our new Education Coordinator and Simulation Technician, to learn from their perspective and experience as newcomers to simulation but experts in their own fields at the end of their 5 day course. Enjoy!
What to do when your debriefing gets dragged off-track by someone who was supposed to be on your side? Join us this week for more SimFails... and Other Conversations from the Sim Sofa.
This CMS Grand Rounds features Susan Eller, Komal Bajaj, and Jenny Rudolph, moderated by James Lipshaw. The speakers discuss the article "Leading change in practice: how "longitudinal prebriefing" nurtures and sustains in situ simulation programs," written by authors Stephanie Barwick, Sarah Janssens, and today's three speakers.Article Link: https://pubmed.ncbi.nlm.nih.gov/36681827/More from CMS: https://harvardmedsim.org/resources/
Didn't preprogram the mannequin or fully brief your team? Now your patient's vitals are going haywire and the Embedded Simulation participants are in full improv mode? Join us for what to do next and next time in this weeks "SimFails."
Center for Medical Simulation Grand Rounds: Teaching, Coaching, or Debriefing with Good Judgment: A Roadmap for Implementing With Good Judgment Across the SimZones. Featuring Jenny Rudolph, PhD, Mary Fey, PhD, and Kate Morse, PhD.Visit www.harvardmedsim.org/resources for more CMS Grand Rounds podcasts!
"Please Hold for Technical Difficulties": Accidental monitor arrhythmia, mannequin head on fire, powerpoint on the fritz... What do you do when a technical problem threatens to derail your simulation or your debriefing?
Has anyone other than Janice Palaganas ever attempted to take two Zoom meetings simultaneously? Zoom Exhaustion and other crises in multitasking this week on "SimFails."
What happens when you realize halfway through a debriefing when you realize you don't know enough about the topic you are trying to teach? Join Janice Palaganas, Kirsty Freeman, and Sacha Muller-Botti for more SimFails!
SimFails returns to fail again! Janice Palaganas, Kirsty Freeman, and Sacha Muller-Botti discuss this week: what happens when your sim is too real for your participants? How do you recover?
SimFails returns to fail again! What do you do when participants try to cheat their way through the simulation experience?
"Circle Up: Debriefing in the Clinical Environment," presented by Jenny Rudolph and Demian Szyld at Tower Health Grand Rounds.
We're back for Healthcare Simulation Week 2021 and with a spate of new episodes for the future! Join Janice Palaganas, Kirsty Freeman, and Sacha Muller-Botti as they share a new year's worth of simulation fails, so that you can learn from their mistakes.
New from the Center for Medical Simulation: A new study in "Obstetrics + Gynecology" finds a significant reduction in malpractice claims against physicians who participate in simulation-based communication and teamwork training, including a dose-response effect for each instance of training. Join Roxane Gardner, Senior Director of Clinical Programs at the Center for Medical Simulation and Senior Author on the paper, along with Komal Bajaj, Chief Quality Officer at NYC Health + Hospitals and Clinical Director for NYC Health + Hospital's Simulation Center, as they discuss the implications of this research for OB/GYN training and beyond! Facilitated by James Lipshaw, Education & Media Instructional Designer at CMS.
From IMSH 2021's Virtual Conference, featuring Demian Szyld, Stuart Rose, Jennifer Arnold, Esther Leon, Paul Mullan, Cristina Diaz-Navarro, Bram Welch-Horan, Pier Luigi Ingrassia, & Laura Rock.
Expertise of the debriefer is critical to ensure simulation participants achieve the best possible learning outcomes. Debriefers need a specific skills set in order to balance multiple priorities, including covering all learning objectives, facilitating reflection, incorporating teaching and feedback, managing student questions, maintaining psychological safety, and at the same time, allowing conversation to flow. As the use of simulation in healthcare continues to expand rapidly, especially during the global pandemic, large numbers of instructors find themselves to be novice debriefers in this teaching paradigm. While understanding the approaches used by novice debriefers is critical in informing faculty development needs in simulation, however, to date, very little empirical research has focused on debriefing approaches used by debriefers at any experience level, especially novices.
Drawing from their extensive experiences in simulation faculty development, Grace Ng and Daniel Lugassy share key findings and insights from their qualitative study focused on exploring experiences of novice debriefers in this webinar. Join us to discuss common experiences and challenges of novice debriefers, and explore strategies to facilitate debriefer expertise development.
Following this webinar, participants will be able to:
Describe the role conversation plays in driving organizational culture Contrast front-line workflow adaptation using briefing and debriefing versus traditional planning approaches in shaping culture Explain the role of discovery and curiosity in conversations to support staff well-being and reliability and avoid burnout and inconsistency
We take it for granted that effective teams apply crisis resource management skills during emergency care, but how often do those teams also rehearse teamwork from the start of each shift together, through centering, agreements, briefings, and practicing connectedness? Amelia Rudolph and Rebecca Minehart share how preparing teams means more than practicing drills, and that conceptualizing care delivered through a “score,” knowing each team member’s essential parts, can help us stay nimble during dynamically shifting crises. Drawing from their experiences in elite performance, clinical care, and simulation, Amelia and Rebecca provide insights into keeping teams resilient in even “dangerous” environments.
Watch this conversation moderated by Jenny Rudolph, PhD on how to prepare for complex high-risk patient care situations and maintain resiliency.
Building on the discussion in Building on the discussion in Broaching Race and Racism in Debriefing and Team Simulations (Part 1), CMS presents a conversation with healthcare leaders who are directly addressing discrimination, burnout and health disparities through simulation education. They partnered with CMS to create and launch this successful program.
Meet the Author is an opportunity to hear from leaders in the fields of healthcare simulation, patient safety and education about the process and outcomes of their scholarship. You are invited to listen and comment as our team interviews contemporary authors in the field. This is a chance to hear about aspects of the projects that did not make it into the publication and learn about their craft and process. Add your questions when you register or at the beginning of the webinar to shape the content of the presentation.
In this session, Jeffrey B. Cooper, PhD, will discuss his recent publication: “The Case of the Inadvertently Triggered Laser; An Historical Example of Simulation-Enhanced Adverse Event Investigation.”
Professionals are overcommitted both at home and at work. And feeling busy doesn’t help stress. When professionals try to take tasks off their plate, mentorship may be a first to go. Understandably, this relationship and commitment is mostly unpaid, uncompensated, and underrecognized work. In this discussion, we offer a reframe of the conversation on mentorship. We wish mentorship to gain the attention it deserves. We explore how to make mentorship more efficient while enhancing meaning and connection.
Join this conversation moderated by Jenny Rudolph, PhD on how to sustain both the mentoring process and the mentors themselves. The presentation will be followed by an interactive Q&A where the audience can interact with the speakers.
Online learning doesn’t have to be a pale imitation of “real” in-person learning. It’s a whole new way of interacting with learners. What if instead of a boring, predictable series of discussion question posts and assignments, your online courses were a dynamic journey that surprises and engages learners?
Center for Medical Simulation (CMS) faculty are often asked to share their perspectives on a variety of topics. These informal discussions often take place during meal breaks during courses or in the hallways at conferences. These questions often lead to interesting discussions and sharing of resources.
Questions and comments for this informal question and answer session were submitted prior to the webinar and live during the webinar.
During this presentation, Dr. Sarah Janssens will expand on how she became interested in the topic of leadership and why she decided to focus specifically on the subject of shared leadership. Together, Dr. Demian Szyld and Dr. Janssens will discuss the results of a systematic review which examined how leadership is shared within healthcare emergency teams, exploring the how and why of leadership sharing across ER, Trauma, and resuscitation teams. Dr. Janssens will also share the results of her empiric research on leadership sharing within simulated maternity emergencies and what it means for those teams responding to emergencies in the clinical environment.
“Should we demolish traditional medical ‘lighthouse leadership’ to ensure our teams function more effectively?” Tune in to hear Dr. Demian Szyld speak with Dr. Sarah Janssens to get her thoughts on the subject and open up a conversation about leadership research. The presentation will be followed by an interactive Q&A where the audience can interact with the speaker.
Hospital environments and clinical care has become complex. Managing interfaces across different aspects of the health system is critical, for example, patient flow across departments in a hospital. There has been a call for addressing these and other human factors in healthcare, but it is not clear what interventions are supported by data.
Dr. Saša Sopka, anesthesiologist and medical education researcher, and the Medical Director of AIXTRA – Aachen Interdisciplinary Competency Center for Training and Patient Safety has been working to systematically review this topic.
During this presentation, Dr. Sopka will review major problems in healthcare and human factors, explore solutions implemented in aviation and other related fields, and describe the published experience in healthcare highlighting several unexpected outcomes and examples. Two focus areas will be the Safe Surgery Checklist and IPASS for handovers.
Center for Medical Simulation (CMS) faculty are often asked to share their perspectives on a variety of topics. These informal discussions often take place during meal breaks during courses or in the hallways at conferences. These questions often lead to interesting discussions and sharing of resources.
Questions and comments for this informal question and answer session were submitted prior to the webinar and live during the webinar.
Center for Medical Simulation (CMS) faculty are often asked to share their perspectives on a variety of topics. These informal discussions often take place during meal breaks during courses or in the hallways at conferences. These questions often lead to interesting discussions and sharing of resources.
Questions and comments for this informal session were submitted prior to the webinar and live during the webinar.
Design thinking, a human-centered design method, represents a potent framework to support the planning, testing, and evaluation of new processes or programs in healthcare. As opposed to traditional education needs assessment, design thinking takes the next step (beyond the impact on learning) to explore, diagnose, and test how new interventions will impact actual patient care and workflow.
Andrew Petrosoniak, Chris Hicks, and Kari White from St. Michael’s Hospital in Toronto will discuss how their team used design thinking to open a new emergency department. They employed end-user engagement and feedback to brainstorm and implement effective solutions to problems encountered before opening. The iterative steps and targeted use of simulation resulted in better designed departmental processes and actual clinical space while mitigating safety threats and departmental deficiencies.
Design thinking, coupled with simulation, can be applied to current healthcare system challenges such as COVID-19.
This session builds on this team’s recent publication in Simulation in Healthcare to achieve the following objectives:
Contrast traditional educational needs assessment with design thinking “customer empathy” Apply the steps of design thinking to create simulation interventions that best meet “end-user” needs Describe “use cases” of high impact design thinking-informed simulation education and quality and safety interventions
Most of us in the simulation community have a lot to learn about making a difference regarding racism, how to integrate anti-racism, implicit bias, healthcare disparities and the like, into our work. In the wake of the police killings of George Floyd, Breanna Taylor, and many others, the simulation community needs to take action.
What can we do? We are experts on practice, learning, and creating environments where real patients are not harmed if we make mistakes. However, the social risks of simulation for the participants are high when we try to tackle one of the ultimate undiscussables, racism.
Colleagues of color may worry that if they bring race up, responses will be predictably or surprisingly upsetting and re-traumatizing. White colleagues may worry that if they bring up race they will say something racist or be perceived as racist and thereby harm relationships.
This workshop takes some small steps to explore how simulationists can use our skills of reflection, learning design, and balancing high standards and high regard for each other to craft a way forward. High standards for caring and respect across racial differences and high regard and generous inferences when we inevitably make mistakes in this difficult terrain.
In this session, we discussed practical applications with leading researchers on broaching racism in teamwork contexts and meet simulationists addressing these issues.
Learn more at www.harvardmedsim.org.
As faculty have rapidly adopted online learning, many have found it challenging – the technology, managing the curriculum, and especially connecting with learners in a meaningful way. Join experienced online teachers as they discuss creating an online community of practice and facilitating meaningful experiential learning online. Learning Objectives
Following this webinar, participants will be able to:
Discuss practices for creating Social Presence online Describe methods to facilitate online experiential learning
Scholarship is an important element of an academic career. Most health professions faculty are expected to produce scholarly work. But what exactly is scholarship? Aside from publishing a research study, what does that mean? How does one become A Scholar? How does a busy clinician make that happen? Join experienced researchers Mary Fey, PhD, RN, Jenny Rudolph, PhD, and Suzie Kardong-Edgren, PhD, RN as they discuss various paths to meaningful scholarly work and how to turn doing the work you love into scholarship.
Simulation-based curriculum should fit into a clear learning progression and solve important developmental problems for the healthcare organization. This webinar introduces participants to the SimZones system of matching learners and learning objectives with optimized simulation-based learning curriculum and pathways. The “with good judgment” approach to SimZones offers a robust approach to curriculum development and faculty development for positive-minded and forward-thinking simulation programs of all sizes. Learning Objectives
Following this webinar, participants will be able to:
Describe how SimZones offer a system of matching learners to learning objectives and optimized simulation-based learning programs Categorize simulation activities using SimZones Organize simulation-based activities as part of a learning progression that leads to continuous readiness and mastery
Since the start of the modern simulation era, many in the healthcare simulation community have taken a “Field of Dreams” approach to our simulation efforts, believing, like the character Ray Kinsella in the movie of the same name, that “If we build it, they will come.” Often, however, “buy-in” to simulation programs is just as difficult as getting real people to come to a baseball diamond in the middle of an Iowa cornfield. Simulation increasingly competes with a variety of other healthcare education, quality, and safety efforts for resources.
Rather than creating simulation programs hoping colleagues and trainees will “buy-in”, instead we need to solve real clinical problems, using goals co-created with the colleagues we aim to serve.
In this session, we turned our attention to making an impact with your simulation program. The approach involves two major shifts:
Focusing on other people’s “frames” regarding your simulation program rather than your own; and Finding ways to help them solve the problems, reach the goals, or do their jobs with your simulation efforts, rather than focusing on education alone.
This approach blends two concepts: Translational simulation and customer-oriented innovation.
Translational simulation focuses on identifying and addressing high yield problems at the “coal face” of clinical care. The focus is on simulation interventions that stretch outcomes beyond clinical and teamwork skills to improving such things as clinical benchmarks, clinical outcomes, organizational culture, and the patient journey.
Customer-centered innovation concentrates on identifying, at a granular level, the problems and pain points, the jobs-to-be-done, and the gains or rewards of the people we aim to serve. This is a shift for many simulation educators and managers because the “customer” is not always the participants in the simulation; rather it is often the funder or leader or manager who makes the program possible. Identifying “what is in it for them” helps us design and position our simulation efforts in a way that attracts resources and buy-in. It also allows us to design our program for maximum impact because we discover and address the outcomes other people in our organization really care about.
What do you do when your emotions get out of control during a debriefing? Do you need to limit them, or can they actually help us make good decisions about care? Join us this week as a German, Australian, and American discuss very different perspectives on getting emotional at work.
Goals like "I'm going to communicate better" are far too broad for effective learning outcomes. How can we make our takeaways more precise?
What mistakes do we make when we think we're being learner-centric in our conversations, when actually they need a little more from us as debriefers.
Janice, Kirsty, and Marcus explore this week on SimFails!
How do you work with embedded participants and simulated patients when doing assessment in simulation? How do you make sure that any assessments you do are both valid and reliable, especially if you don't have a way to see what your participants are thinking?
Join us this week to learn from our assessment failures!
Jeff Cooper, Executive Director Emeritus of the Center for Medical Simulation, joined us in 2017 to tell the story on camera of how an Operating Room fire sparked by an accidental use of a laser led to the development of healthcare simulation into the massive industry it is today.
Jeff Cooper, Executive Director Emeritus of the Center for Medical Simulation, joined us in 2017 to tell the story on camera of how an Operating Room fire sparked by an accidental use of a laser led to the development of healthcare simulation into the massive industry it is today.
Learn more and watch the video interview at http://www.harvardmedsim.org/resources/jeff-cooper-the-history-of-simulation/
Jeff Cooper, Executive Director Emeritus of the Center for Medical Simulation, joined us in 2017 to tell the story on camera of how an Operating Room fire sparked by an accidental use of a laser led to the development of healthcare simulation into the massive industry it is today.
Learn more and view the video interview at http://www.harvardmedsim.org/resources/jeff-cooper-the-history-of-simulation/
Jeff Cooper, Executive Director Emeritus of the Center for Medical Simulation, joined us in 2017 to tell the story on camera of how an Operating Room fire sparked by an accidental use of a laser led to the development of healthcare simulation into the massive industry it is today.
Check out the video interview at https://harvardmedsim.org/resources/jeff-cooper-the-history-of-simulation/
Sign up for Jeff's complimentary upcoming webinar: https://harvardmedsim.org/event/weekly-webinars-meet-jeff-cooper-sep-16-2020/
Jeff Cooper, Executive Director Emeritus of the Center for Medical Simulation, joined us in 2017 to tell the story on camera of how an Operating Room fire sparked by an accidental use of a laser led to the development of healthcare simulation into the massive industry it is today.
Check out the video interview at http://www.harvardmedsim.org/resources/jeff-cooper-the-history-of-simulation/
Sign up for Jeff's complimentary upcoming webinar: https://harvardmedsim.org/event/weekly-webinars-meet-jeff-cooper-sep-16-2020/
Jeff Cooper, Executive Director Emeritus of the Center for Medical Simulation, joined us in 2017 to tell the story on camera of how an Operating Room fire sparked by an accidental use of a laser led to the development of healthcare simulation into the massive industry it is today.
We’ll be releasing a new chapter of this history every week for the next seven weeks, so be sure to check back soon!
Learn more and watch the video version at http://www.harvardmedsim.org/jeff-cooper-the-history-of-simulation/
This week, Janice brings up a traumatic episode from her experience: a team reveals in debriefing that their department regularly does something unsafe for patients. How do we keep patients safe while also maintaining confidentiality?
Why is confidentiality important in debriefing? People need to feel safe taking risk and making mistakes in order to learn and improve. Simulation is not stand alone--it's part of your organization's culture. If there's an opportunity for learning, how do we take advantage of it?
Share your thoughts with #SimFails, or learn more at www.harvardmedsim.org.
--The SimFails team
SOAP BUBBLE EMOTIONS: In this week's SimFails, Marcus brings us a failure from the reactions phase of debriefing, and an argument that's existed about that phase. How do we go from scripted searches during that phase looking for a "feelings word" to genuine emotional inquiries from one person to another? How do we listen to the hidden emotions behind participant's words and in their non-verbals?
Learn more at www.harvardmedsim.org.
Note: This podcast was recorded in September 2019.
What are some strategies to implement when you have too many participants to safely or efficiently fit into your simulation space? Kirsty, Janice, and Marcus bring strategies for activating observers and creating effective learning for observers of simulations when there are too many attendees to all participate in the room. Enjoy another week of learning from our simulation failures! Learn more at http://www.harvardmedsim.org.
--The SimFails Team
Welcome back to SimFails! We'll be releasing this limited series podcast over the next few months in the lead-up to Healthcare Simulation Week 2020. Join Janice Palaganas, Kirsty Freeman, and Marcus Rall as we learn from each other's mistakes and failures in this new series from the Center for Medical Simulation.
In this episode, Marcus brings us the story of a failure to work with the frames of the participant in his debriefing. How do you get at the learner's mental model instead of explaining your own and trying to force them to copy it? What do you do in a debriefing when you are flabbergasted by the words coming out of your own mouth? How do you help the learner discover "why" they did something? All that and more on this week's SimFails.
Find out more at www.harvardmedsim.org.
The COVID-19 pandemic has created a profound moment of disruption of hierarchy, silos, speed and type of communication in healthcare. At the same time, we face a profound moment of disruption of business as usual regarding baked-in institutional and structural aspects of racism. Stir these up together and we are at a once-in-a lifetime moment to make changes in how healthcare is conceived, how it is structured, and who it serves.
Joining us today for this special roundtable are:
·Erica Foldy: Associate Professor of public and nonprofit management at Wagner School of Professional Studies at NYU and researcher of race and racism in organizations.
·Jody Hoffer Gittell: Professor of management at Brandeis University and Director of the Relational Coordination Research Collaborative.
·Kate Kellogg: Professor of Business Adminstration at MIT Sloan School of Business and ethnographer of work and change movements in healthcare.
·Victoria Parker: Associate Dean and Associate Professor at the University of New Hampshire Paul College of Business and Economics, and researcher of job design and organizations of front-line workers in long-term care.
Learn more at http://www.harvardmedsim.org
This week on Brief Debriefings, we joined with Center for Medical Simulation Senior Fellow Suzie Kardong-Edgren to talk about how nursing programs are adapting to forced changes to their clinical learning in light of COVID-19, and what the future holds for nursing education.
Learn more about how CMS is partnering with nursing education programs at www.harvardmedsim.org.
Not being able to give a goodbye hug to a trainee ending their fellowship; delivering children without their families present; managing deeply isolated COVID-19 patients: Our normal routines and "islands of mastery" have been disrupted by the strangeness of the landscape. Each action that would be routine now requires additional cognitive effort. How do we manage that fatigue as the crisis extends over additional months?
Learn more at http://www.harvardmedsim.org.
This week on COVID Chronicles, Komal Bajaj, Chief Quality Officer at NYC Health + Hospitals/Jacobi, joins us to discuss how four fundamental principles from the world of quality and safety are informing their efforts as they change procedures during the COVID-19 surge in New York City.
Komal Bajaj, MD, MS-HPEd is Chief Quality Officer at NYC Health + Hospitals/Jacobi, catalyzing quality improvement transformation through culture change and data-driven decisions. She is an Associate Professor of Obstetrics & Gynecology at Albert Einstein College of Medicine and serves as the Clinical Director of Simulation for NYC Health + Hospitals, the largest municipal health system in the United States.
Dr. Bajaj attended medical school at Northwestern University’s Feinberg School of Medicine and completed her training in Obstetrics & Gynecology at McGaw Medical Center of Northwestern University. Following residency, she completed a fellowship in Reproductive Genetics at Albert Einstein College of Medicine and continues to deliver cutting-edge reproductive genetics care in the Bronx. Sparked by desire to incorporate contemporary educational theory in her quality improvement work, she completed a Masters in Health Professional Education from the Massachusetts General Hospital Institute of Health Professions.
Dr. Bajaj has is nationally and internationally speaker on the use of simulation to advance healthcare quality and safety. Her scholarly interests include defining innovative approaches to embed simulation within the clinical environment, developing sustainable programs to build agency in healthcare teams, and characterizing the emerging role of debriefing in healthcare quality/safety. She sits on the Advisory Board for the Foundation for Healthcare Simulation Safety and on the External Advisory Board for the Joan H. Marks Graduate Program in Human Genetics of Sarah Lawrence College.
Learn more at http://www.harvardmedsim.org.
What are the resources we can bring with us into stressful or triggering situations, so that we can continue to be our best selves as people and professionals?
David Richo is a psychotherapist, teacher, and author of over 20 books including "Triggers: How We Can Stop Reacting and Start Healing." Today he joins Jenny along with Rebecca Minehart, an anesthesiologist at Massachusetts General Hospital and the Director of CMS's Anesthesia Courses, to talk about how we can help equip providers to deal with the trauma they have been dealt during the COVID-19 pandemic.
We'll learn how to see something that causes an unbalanced emotional reaction, a trigger, can be used as a sort of trail head into exploring things in our lives that haven't been fully resolved. We'll also learn how can clinicians get past their anger and fear when the actions of others directly endanger them, and how the support of a team can help us to safely release our emotions at the appropriate time.
To learn about more resources for wellness and psychological safety for providers, join us for the next round of our Circle Up online webinar, available at www.harvardmedsim.org.
Marjorie Lee White and Andres Viles, an Emergency Physician and Emergency Nurse from the University of Alabama-Birmingham join us to discuss how their organization has worked to integrate simulation into the health system at every level and in every program.
The story begins when the simulation program was put in charge of the response to the 2017 Ebola outbreak. Now people say “we need to simulate first” when new issues emerge. We discuss how the simulated run-through of complex plans can show the flaws in systems before they can potentially harm patients.
We also talk about how preparing for Ebola management through simulation gave expertise in donning and doffing and other PPE measures, including the technique of creating a remote doffing expert who helps tired providers stay safe at the end of procedures.
Andres Viles is a Simulation Coordinator, Senior and Director of Immersive Simulation in the Office of Inter-professional Simulation for Innovative Clinical Practice at UAB in Birmingham. He also holds the title of Training Coordinator for the UAB Serious Infectious Disease (SID) Team.
Marjorie Lee White MD, MPPM, MA serves as Vice President for Clinical Simulation UAB Health System, the Director of the Office of Interprofessional Simulation for Innovative Clinical Practice within the Center for Interprofessional Education and Simulation at University of Alabama at Birmingham (UAB), and Assistant Dean for Clinical Simulation for UAB School of Medicine. She is professor in Pediatric Emergency Medicine, Medical Education in the School of Medicine and the Department of Health Services Administration in the School of Health Professions and practices clinically in the emergency department at Children’s of Alabama.
Learn more at www.harvardmedsim.org.
This week on COVID Chronicles we're joined by Jody Hoffer Gittell, a professor of management at Brandeis University and expert on relational coordination. We discuss how to transform our relationships with others, achieve high performance, and increase mutual respect through a shared knowledge of each other's goals as well as each other's tasks.
How can a lack of systems thinking negatively effect our outcomes during this pandemic? We'll also talk about how knowing what your role is, how you fit into a larger whole, and how your actions affect others is critical to organizational success, and look at whether we've achieved that in our national response to COVID-19.
Learn more at www.harvardmedsim.org.
Amelia Rudolph is the founding Creative Director of Bandaloop, a vertical dance company founded in 1991. Bandaloop performs aerial dances which shift the plane of the dance floor vertically and create a sense of awe and wonder, everywhere from the edge of cliffs in the Sierra Nevada to the heights of New York skyscrapers. Today she joins Jenny to talk about managing fear in moments where we’re operating at the edge of or beyond our comfort zones, and how to maintain a sense of connection with others in this work.
What’s required systematically from leaders and team members to ensure safety in situations that would be dangerous without effective protocols and procedures? How do we put anchors and checks in place to allow our teams to do their work without harm? We’ll examine these questions, as well as learn how naming your discomfort out loud can connect you with your team members and with the people you’re caring for, and how to stay in the moment and tuned to our colleagues even through layers of PPE.
Learn more at www.harvardmedsim.org.
--Jenny Rudolph, James Lipshaw, and the Center for Medical Simulation team
DOFFING GRIEF: Joining us this week is Liz Crowe, a pediatric social worker, self-described “naughty Australian,” cohost of the Coda Change podcast, and author of The Little Book of Loss and Grief You Can Read While You Cry.
Liz joins us today to discuss many topics including finding small moments of humor and release while mucking through unprecedented levels of difficult work, mindsets for post-traumatic growth, and framing your challenges in a way that makes them survivable.
We also dive in depth into how to don your armor and doff your grief by building microtransitions and boundaries including briefing and debriefing, mental rehearsal, and finding space from COVID related noise when it threatens to break through the barriers between our work and home life.
We hope this podcast will help you to create a small oasis in your day.
Learn more at www.harvardmedsim.org.
Clément Buléon is an attending anesthesiologist from Normandy, France, and a founding member for the French Society for Simulation in Healthcare.
His hospital has designed an alternate strategy for COVID response: Creating an airway "SWAT" team.
This novel approach focuses on creating one expert team through extensive training rather than risking many staff members with minimal training being exposed to aerosolizing procedures.
Building highly collaborative pairs of anesthesiologists and nurse anesthetists and creating a new algorithm with practice and development through simulation has led to the development of a new, high performing team.
Learn more at www.harvardmedsim.org.
Stefanie Heiter is the CEO of Bridging Distance, a remote-work consulting company based in Massachusetts. She joined us this week to talk about the way our work will change as staff for many companies have moved to work from home during the pandemic.
How does the "distance lens" change how we work together remotely? What does digital etiquette look like for folks who have never worked remotely? How does our body language speak for us online?
One major component for many leaders will be addressing the digital loneliness of our workers who are used to a bustling social environment. When do we reach out, and how do we make informality formal online?
What should leaders do to make sure their workers feel supported in this time, and what new opportunities does it create for making our teams even better?
All these questions and more answered this week on COVID Chronicles. Learn more at www.harvardmedsim.org
Lon Setnik (twitter.com/lonsetnik) is an emergency physician and medical director of the Forrest D. McKerley Simulation and Education Center at Concord Hospital. He joined Jenny Rudolph to discuss his work creating the COVID-19 Suspected or Confirmed Airway Management Checklist, which in combination with extensive simulation practice has been keeping providers safe at his hospital.
Intubation during the COVID-19 outbreak is one of the more dangerous procedures for our teams. We worked across the organization to create an approach that would keep our patients and providers as safe as possible during this pandemic.
The COVID-19 Suspected or Confirmed Airway Management Checklist is designed for the team to use outside the room as they set up for managing the airway, and inside the room to remind them how their job should be performed in this new process.
Learn more at http://www.harvardmedsim.org.
Welcome to COVID Chronicles with Jenny Rudolph, a just-in-time podcast checking in with friends and colleagues from the front lines of healthcare, the home front, and other unique perspectives on learning and connecting in the time of coronavirus.
Ignacio del Moral (twitter.com/leading4you) is the Executive Director of the Hospital virtual Valdecilla in Santander, Spain. In a major regional hospital in Cantabria, nearly 1/3 of all patients in the hospital are COVID-19 positive. In this context, leaders must manage staff, space, and critical resources including ventilators.
As an MD with a PhD in Microbiology, Nacho is well positioned to understand the crisis, but what he says clinicians need more than anything in this moment, is empathy.
"We have to listen to them, instead of telling them what they have to do."
Listen along to learn how in a just-in-time fashion in their simulation center, Nacho has created a space for safe, informal debriefing once the clinical day is over, to protect the psychological wellness and well-being of clinicians in his community.
Welcome to COVID Chronicles with Jenny Rudolph, a just-in-time podcast checking in with friends and colleagues from the front lines of healthcare, the home front, and other unique perspectives on learning and connecting in the time of coronavirus.
Albert Chan (twitter.com/gaseousXchange) is an anesthesiologist at Prince of Wales Hospital in Hong Kong, where they've been applying lessons learned during the SARS outbreak of 2003 to help prepare for COVID-19. Albert's infographic on safe airway management in patients with confirmed/suspected coronavirus has gone worldwide, helping clinicians on the internet to build better infection control processes and keep themselves safe.
The success of this just in time learning, first published on the Life in the Fast Lane blog, has now been written up in Anaesthesia.
Listen along as we learn how to use simulation as a tool to make providers feel safe when they have to take care of COVID-19 postive patients, building collective competence and confidence among the staff.
JJ Simulationistas: The big day has come! Dan joins us one last time for the big handoff, as Janice Palaganas and Jenny Rudolph take over the team to move the podcast forward as JJ Simulationistas. Learn how we're going to talk more simulation than ever, but bridge it into real life situations. Enjoy!
SAYING GOODBYE TO DAN: In a bittersweet finale to the DJ Simulationistas podcast, Janice leads Dan through the final simulation experience of his career. But wait! Dan will return next week as we bring you the next version of the Center for Medical Simulation flagship podcast. Enjoy!
DJ SIM SPECIAL: Brad Morrison joins Janice as guest host, along with Christian Balmer, Catherine Chang, Derek Monette, and Benjamin Schultze to discuss how ad hoc teams can form smoothly in real time. What's the special sauce of how four people who don't know each other can become a team? Enjoy!
I'D READ ABOUT IT: Dr. Paul Quigley, Emergency Medicine specialist from Wellington, New Zealand joins Mary Fey from the Center for Medical Simulation to discuss turning knowledge from articles into clinical praxis, identifying with learner's state of mind, and being aware of the mindset you bring into the debriefing room. Enjoy!
DAN IS RETIRING! This is the penultimate episode of DJ Simulationistas as you know it.
Janice, considering how her retiree parents seem to worry over everything, asks Dan to come up with a list of his worries for simulation in the future.
Sim Worry 1: Will the expense of simulation cause it to decline? Sim Worry 2: Somehow, simulation will hurt patients or providers. Sim Worry 3: The quality of simulation instruction will go down as the number of instructors goes up. Sim Worry 4: Sim becomes monopolized by one profession or one way of doing things. Sim Worry 5: People won't appreciate what good sim looks like and the effort it takes to achieve it. Sim Worry 6: Letting down people who expected to learn more.
Listen to learn how you can keep each of these dark futures for simulation from happening to your learners and your institution!
THE 50% SIM STUDY: Apologies for the poor audio quality in this episode, which was recorded on the road at a CMS traveling course.
Brad Morrison joins Janice Palaganas as a guest host to interview Suzie Kardong-Edgren, a new member of the Center for Medical Simulation faculty, about her experience as an editor at a major nursing journal, about the massive study which found that 50% of nursing school patient care experience can be done as simulation, and about life as an expert on research. Enjoy!
100% of OR Teams using a checklist and conducting debriefs. Mortality rates dropped by 35%. An economic return of 80,000 hours annually due to a reduction of time spent on each surgical case, equaling $4,000,000 saved. Another $3,000,000 earned per year via increased through-put. But perhaps most importantly, an estimated additional 500 lives saved per year across the state.
Today we're talking with Dr. Michael Rose of McLeod Health in Florence, South Carolina, and Kate Hilton, the lead faculty for the Institute for Healthcare Improvement (IHI)'s Leadership and Organizing for Change virtual program, about how these changes were made possible.
Enjoy!
SimFails … and Other Conversations from the Sim Sofa:
Janice Palaganas, Kirsty Freeman, and Marcus Rall are an experienced, interprofessional, global healthcare simulation team, and they’re here to talk about all the ways they’ve “stuffed it up” over the past 20 years so that you can learn from their failures!
Join them in the coming months for SimFails … and other conversations from the sim sofa.
About Us
Dr. med. Marcus Rall is founder and CEO of InPASS, Institute for Patient Safety & Team Training in Reutlingen, Germany with a focus on human factors, teamwork and simulation team training, as well as train-the-trainer concepts. He worked 17 years as a physician in anesthesiology and prehospital emergency medicine. He studied medicine in Germany, at Harvard, and at the University of Michigan and has worked as a fire-fighter and paramedic. He is founding president of the German Society for Simulation in Healthcare (DGSiM) and was Co-Chair of the IMSH World Congress of Simulation 2008. He is associate editor of the international journal Simulation in Healthcare.
Over the last 15+ years Kirsty Freeman has been in simulation-based education and research within both the clinical and academic settings. The most recent of her positions is with The University of Western Australia, Faculty of Health and Medical Sciences, where she is part of the academic faculty in the Division of Health Professions Education. With a Masters in Health Professions Education (Research), Kirsty is currently a PhD Candidate researching the incidence of impostor phenomenon in healthcare simulation faculty, and the impact of professional identity. Co-Chair for IMSH 2020 and Chair of the Media and Communications Committee for the Society for Simulation in Healthcare, Kirsty is soon to be inducted as a Fellow in the SSH Academy Class of 2020.
Dr. Janice Palaganas is currently the Director of Educational Innovation and Development for the Center for Medical Simulation (CMS) in Boston, Massachusetts and a Lecturer for Harvard Medical School, Department of Anesthesia and Critical Pain Management. Janice has developed a passion in teamwork from her background as an emergency nurse, trauma nurse practitioner, director of emergency and critical care services, and faculty for schools of medicine, nursing, allied health, management, physician assistant program, and emergency medicine. As a behavioral scientist, her passion is in using healthcare simulation as a platform for interprofessional education (IPE) and has served as a committee member of the National Academy of Medicine’s (formerly the Institute of Medicine [IOM]) report on measuring the impact of IPE on practice.
Design Thinking at ResusTO: Jenny Rudolph and Rebecca Minehart are at ResusTO in Toronto, Ontario, and are podcasting their post-session debriefs!
Join us for this session as Jenny and Rebecca discuss how they learned to put the design in "design thinking," trying to determine: what are the real problems people have in simulation for resuscitation, and how can we as an organization help and innovate? What do clinicians need from us to make their work better? Here we learned to 1) Focus on the user, 2) Keep it broad, and 3) Make it manageable.
Resus Linguistics: Jenny Rudolph and Rebecca Minehart are at ResusTO in Toronto, Ontario, and are podcasting their post-session debriefs! Join us for this session as Rebecca and Jenny discuss Keri White and Vic Brazil's workshop.
There's a declining tone from the pulse oximeter as your patient becomes increasingly hypoxic... How explicit do you need to be with your team when moving toward a particular intervention? We discover a vulnerability in the diversity of ways in which tools and strategies are asked for. How do you optimize care with a novice team differently from an expert team?
SIMULATE TO COMMUNICATE: CMS faculty Walter Eppich and Janice Palaganas sit down at the end of an intensive weeklong course to discuss how simulation can help develop your team's communication skills with three participants: Suchismitta Datta, Alexis Graham-Stephenson, and Michael Morgan. Enjoy!
Today we present a few examples of personal and clinical moments where advocacy inquiry allowed one of our coworkers at CMS to stay curious and get to the root of someone else's thinking when presented with a surprising or upsetting situation.
Watch the animated version at https://harvardmedsim.org/?p=222865
Today we present a few examples of personal and clinical moments where advocacy inquiry allowed one of our coworkers at CMS to stay curious and get to the root of someone else's thinking when presented with a surprising or upsetting situation.
Learn more at www.harvardmedsim.org !
in 2018, Jenny Rudolph presented "Helping without Harming" at SMACC, where she led the audience in moving from "WTF?!" to "What's their frame?" (https://www.youtube.com/watch?v=eS2aC_yyORM)
Today we present a few examples of personal and clinical moments where advocacy inquiry allowed one of our coworkers at CMS to stay curious and get to the root of someone else's thinking when presented with a surprising or upsetting situation. Enjoy!
FRAMES ACTIONS RESULTS: The Learning Pathways Grid (or "LPG") is a tool we use at the Center for Medical Simulation to discover how we often get in the way of our best intentions, reframe our thinking to empower speaking up, and find techniques that are doable to enable us to speak up in the future.
In this episode of Brief Debriefings, Kate Morse leads Melanie Barlow of Mater Education in Brisbane, Australia through the Learning Pathways Grid with regards to a difficult conversation regarding the well-being of a family member.
FINDING PATHWAYS TO SPEAK UP: The Learning Pathways Grid (or "LPG") is a tool we use at the Center for Medical Simulation to discover how we often get in the way of our best intentions, reframe our thinking to empower speaking up, and find techniques that are doable to enable us to speak up in the future.
In this episode of Brief Debriefings, Jenny Rudolph leads Donna Bonney, Chief Executive of Mater Education in Brisbane, Australia through the Learning Pathways Grid with regards to a case of interpersonal behavior from one of her staff members which ran counter to their institutional values.
FINDING PATHWAYS TO SPEAK UP: The Learning Pathways Grid (or "LPG") is a tool we use at the Center for Medical Simulation to discover how we often get in the way of our best intentions, reframe our thinking to empower speaking up, and find techniques that are doable to enable us to speak up in the future.
In this episode of Brief Debriefings, Jenny Rudolph leads Janice Palaganas through the Learning Pathways Grid to discover how this expert on speaking up could find herself in a situation where she failed to speak up about a public health concern.
Watch the animated video and see Janice's speaking up encounter at http://www.harvardmedsim.org/blog/brief-debriefings-learning-pathways-with-jenny-rudolph-janice-palaganas
Guess What I’m Thinking!
In this week’s episode of Brief Debriefings, Jenny Rudolph joins Shaun Grant, a pediatrician from New Zealand, and Kelly Roszcszynialski, a physician in emergency medicine and simulation fellow at the University of Alabama at Birmingham, to discuss the challenge and peril of “Guess What I’m Thinking” questions.
Shaun and Kelly re-enact a spicy debriefing event to show how playing guessing games with your learners in debriefing can lead to frustration and confusion for both learners and debriefers, and perform their own mini-debrief of the debrief to try to understand what went wrong in the debriefing, and how to get better results for your learners.
About Our Guests Kelly Roszcszynialski, MD Simulation Fellow University of Alabama Office of Interprofessional Simulation for Innovative Clinical Practice
Shaun Grant, MBChB, FRACP, General Pediatrician and Head of Department Gisborne Hospital, New Zealand
Kelly and Shaun participated in the Comprehensive Instructor Course at the Center for Medical Simulation (CMS). The five-day immersion in healthcare simulation is led by experienced simulation educators and covers all high-level elements and concepts involved in running a simulation program. To learn more about the Comprehensive Instructor Course, please go to https://harvardmedsim.org/course/comprehensive-instructor-workshop/
"Distress is in the Eye of the Beholder": Michael DeVita, former president of the Society for Simulation in Healthcare and Chief Medical Officer of EarlySense, joins Dan & Janice to talk about his development of the "rapid response" team with the goal of preventing cardiac arrest rather than just responding to it, as well as surprising results from virtual gaming that can improve code response performance. Enjoy!
FRAME SHIFT: “I found out that telling the truth doesn’t make you the bad guy. Telling the truth is actually your job and it’s going to be beneficial for the learners and for yourself.”
In this episode of Brief Debriefings, we talk with Frédérique Gauthier, Audrey Larone Juneau, and Lon Setnik, three participants from the May 2019 Advanced Instructor Course at the Center for Medical Simulation (CMS) in Boston, MA.
Frédérique Gauthier, a physical therapist & educator at Sainte-Justine Hospital in Montreal, enrolled in the course to refine her debriefing and faculty development skills. Joining Frédérique from Sainte-Justine is Audrey Larone Juneau, a nurse educator working on in-situ simulations in the neonatal intensive care unit. She helps faculty from other departments develop simulation training programs, and she wants to learn coaching techniques to help her peers “level up” their skills. Lon Setnik, an emergency medicine physician and medical director of the simulation center at Concord Hospital, hopes to create a pathway for hospital faculty to participate in simulation.
The group discusses the Learning Pathways Grid, the power of vulnerability, and the realization that honesty is the best policy, especially in debriefings.
GRADE LEVELS: Dan & Janice discuss how accidentally joining an expert biking tour of Portugal lent surprising insight into the experience of simulation learners. Also: the best ways to shepherd new learners through difficult tasks, and making challenge levels more learner-driven. Enjoy!
ROCKET DAN: Dan & Janice return, addled by time zone and weather changes, to talk about how to keep your sanity when juggling or transitioning roles in a healthcare organization. Also: forgetting your coworkers names, holding on to humility, and fighting against presenteeism when your work requires travel. Enjoy!
WHISPERED RULES: Join Suzie Kardong-Edgren, Jenny Rudolph, Janice Palaganas, & more from the CMS Book Club as we discuss Laura Liswood's "The Loudest Duck: Moving Beyond Diversity While Embracing Differences".
Enjoy!
BRIEF DEBRIEFINGS:
“A lot of what we did this week was centered around effective communication…and often times that skill is just as important as the care that we deliver and the manner in which we deliver it.”- Lisa Osborne, DNP, CRNA.
In this episode of Brief Debriefings, we talk with Tonya Schneidereith, Greg Louck, and Lisa Osborne about their experience participating in the Comprehensive Instructor Workshop at the Center for Medical Simulation (CMS) in Boston, MA.
Tonya Schneidereith, a nurse practitioner and associate professor, came to the course wanting to develop an interprofessional education program using experiential learning at the University of Maryland School of Nursing. Lisa Osborne, a nurse anesthetist and Director of Nurse Anesthesia Program, and Greg Louck, a nurse anesthetist and assistant professor, are working to incorporate debriefing strategies for their Anesthesia Crisis Resource Management (ACRM) course at the University of St. Francis.
The group discusses what it’s like to jump back into simulation as a learner rather than an instructor, working as a team-player, and the importance of effective communications in clinical and non-clinical environments.
CRITICAL CONVERSATIONS WITH MARY FEY: Many educators struggle with how to help their learners achieve high standards of practice while also maintaining a caring relationship with them. The new book by Sue Gross Forneris and Mary Fey, "Critical Conversations: The NLN Guide for Teaching Thinking" teaches how to grapple with this problem in three arenas: clinical teaching, simulation teaching, and classroom teaching.
In this four part series, Jenny Rudolph and Mary Fey sit down to discuss how to have critical conversations with your learners in the clinic, in simulation, and in the classroom. In part 4 of 4, Mary and Jenny discuss bringing critical conversations to the classroom and some takeaways for all of our listeners. Enjoy!
CRITICAL CONVERSATIONS WITH MARY FEY: Many educators struggle with how to help their learners achieve high standards of practice while also maintaining a caring relationship with them. The new book by Sue Gross Forneris and Mary Fey, "Critical Conversations: The NLN Guide for Teaching Thinking" teaches how to grapple with this problem in three arenas: clinical teaching, simulation teaching, and classroom teaching.
In this four part series, Jenny Rudolph and Mary Fey sit down to discuss how to have critical conversations with your learners in the clinic, in simulation, and in the classroom. This week, in part 3, Jenny and Mary explore how to use critical conversations in clinical teaching.
CRITICAL CONVERSATIONS WITH MARY FEY: Many educators struggle with how to help their learners achieve high standards of practice while also maintaining a caring relationship with them. The new book by Sue Gross Forneris and Mary Fey, "Critical Conversations: The NLN Guide for Teaching Thinking" teaches how to grapple with this problem in three arenas: clinical teaching, simulation teaching, and classroom teaching.
In this four part series, Jenny Rudolph and Mary Fey sit down to discuss how to have critical conversations with your learners in the clinic, in simulation, and in the classroom. This week, in part 2, Jenny and Mary explore how to use critical conversations in simulation teaching.
Enjoy!
CRITICAL CONVERSATIONS WITH MARY FEY: Many educators struggle with how to help their learners achieve high standards of practice while also maintaining a caring relationship with them. The new book by Sue Gross Forneris and Mary Fey, "Critical Conversations: The NLN Guide for Teaching Thinking" teaches how to grapple with this problem in three arenas: clinical teaching, simulation teaching, and classroom teaching.
In this four part series, Jenny Rudolph and Mary Fey sit down to discuss how to have critical conversations with your learners in the clinic, in simulation, and in the classroom. This week, in part 1, Jenny and Mary give an introduction to what a critical conversation is, and how we can use it to improve our learner outcomes.
Enjoy!
PERSONAL PREVIEW: This week, Dan & Janice explore the two types of preview, the value of disclaimers, and bringing the preview to social settings. Enjoy!
NAME DROPPING: This week, Dan & Janice explore how to credit the creators of the ideas you use in your teaching. Also: When is naming scholars helpful to learners, and is publishing research even valuable? Enjoy!
LEARN THROUGH TALK: Walter Eppich, Demian Szyld, and Mary Fey join Dan & Janice to discuss Walter's PhD research on conversational learning, simulation as a means to better care for patients, productive tension, disguised feedback, & more. Enjoy!
CRITICAL CONVERSATIONS: Mary Fey joins Janice and guest hosts Walter Eppich and Demian Szyld to discuss her & Sue Forneris' monograph "Critical Conversations: The NLN Guide for Teaching Thinking," and the history of nursing simulation, as well as the effects on the teaching world of the study showing that 50% of clinical nursing hours could be simulation with similar outcomes. Enjoy!
PSYCH SAFETY: Join Roxane Gardner, Kate Morse, Laura Rock, Ignacio del Moral, & Janice Palaganas as they discuss Amy Edmondson's book "The Fearless Organization: Creating Psychological Safety in the Workplace for Innovation, Learning, and Growth."
PSYCH SAFETY: This week, Dan & Janice want to revolutionize how we establish psychological safety, with lessons learned from a piano teacher. Also: the role of modeling, getting buy-in for high stakes practice, the crisis menu, and more. Enjoy!
LOCALIZATION: Dan & Janice are joined at IMSH 2019 by Paul Phrampus, Dan's fellow former President of the Society for Simulation in Healthcare, to talk about his experience consulting on simulation and debriefing programs around the world. Enjoy!
HINDSIGHT BIAS: Dan & Janice investigate whether video or writing is more effective for post-event reflection. Also: Staying down the ladder of inference, skimming the surface of frames, and more. Enjoy!
PROJECT MANAGEMENT: This week, Dan & Janice take on the fundamental battles of order vs. chaos, and sprawling creativity vs. rigid organization. Also: Dan's manager jealousy, being philosophically ambidextrous, and the stunning complexity of interpersonal interactions. Enjoy!
SIMULATION RASHOMON: Dan & Janice explore what special techniques to bring to your debriefing when you didn't observe the event yourself, particularly when you are hearing conflicting reports about what happened. Enjoy!
"NO MARGIN, NO MISSION": Jenny Rudolph joins Dan & Janice to talk the logistics of keeping a sim center running, adjusting to the changing field of healthcare, & moving your agenda forward no matter the context of your center.
FINDING BALANCE: Roxane Gardner joins Dan & Janice to tell the story of how a tension pneumothorax changed her life and her perspective on medicine. Also: obstetrical simulation through history from 18th century France to virtual reality. Enjoy!
SIM PARTNERSHIPS: "We don't want to compete with people. We want to help people." Robert Simon joins Dan & Janice to talk sim affiliations, the qualities of a good partnership, and moving team agendas forward. Enjoy!
TOO MUCH FUN? Dan & Janice examine the question of whether simulations are allowed to be "fun." Also: abandoning prebriefing scripts, normalizing anxiety, and breaking preconceived notions about simulation. Enjoy!
SPEAK UP SCIENCE: Melanie Barlow joins Dan & Janice to discuss her PhD research on the science of speaking up. Also: new naming conventions in healthcare, how to "receive" speaking up, the difference between speaking up & feedback conversations, and moving beyond mandates to give concrete steps. Enjoy!
FUTURE OF THE MANNEQUIN: Bas Oei, a surgeon from the Netherlands and a CMS visiting scholar, joins Dan & Janice to discuss his PhD work combining virtual avatars with mannequins to increase the fidelity of simulation. Enjoy!
FAKING IT: Dan & Janice explore learning how to empathize, and how to show genuine respect for the learner. Also: skills vs. job requirements, consequences for unkind practitioners, and the preservation and destruction of trust. Enjoy!
NEW ALGORITHM: Talking drug research & the new ACLS guidelines with Dan Raemer & Janice Palaganas. Also this week: the half life of facts, and balancing speed with thoughtfulness in critical care decision-making. Enjoy!
WORKSHOPS: Dan & Janice prep for conference season by discussing cutting extraneous workshops, shocking the audience, creating practice forums, and what to do when someone hates the workshop you gave. Enjoy!
MISCOMMUNICATION: Dan returns from vacation to join Janice in a household human factors error root cause analysis. Also: Janice plays counselor, getting over being cryptic, and the safety of formed teams versus fixed teams. Enjoy!
FEEDBACK ACROSS CULTURES: Tim Brake joins Janice to discuss initial encounters in bringing debriefing to a global audience. Plus: antagonistic speaking up, breaking the safe container, & "global dexterity" in working with an international team. Enjoy!
SIMULATION GAMES: Dr. Vinay Nadkarni joins Janice in our second guest week to discuss simwars and simulation games, having just returned from judging the Italian Pediatric Simulation Games, a weeklong national simulation competition. They discuss fostering inter-hospital competition, positive results from ad-hoc teams, and much more. Enjoy!
HEALTHCARE SILOS: Angela Aristidou joins a solo Janice Palaganas (Dan is on vacation) to discuss her research around healthcare silos, organizational behavior, and more!
MODEL TEACHERS: This week on DJ Simulationistas, Dan & Janice explore the elements that make a model teacher, including mental models & frames, personalities, and more. Also: what is the best teaching you've ever gotten from a non-teacher, and how can you synthesize it into your own teaching? Enjoy!
FEEDBACK LOOPS: This week, Dan & Janice explore "feedback peace of mind" and how to achieve it. Also: making difficult conversations work online, transformative teaching on feedback, and overcoming discomfort to help your students grow. Enjoy!
DAN-CENTENNIAL: Birthday boy Dan Raemer shares lessons from the last year of simulation, where he has continued to learn new things. Also: how history comes to be, bringing your life experience to simulation, and putting a pelvis in backwards. Enjoy!
ONE YEAR OF DJ SIMULATIONISTAS: It's the DJ Sim 1 year, 50 Episode special! Join Dr. Dan Raemer, Dr. Janice Palaganas, & DJ Simulationistas producer / CMS Instructional Designer James Lipshaw as they model feedback conversations, share simulation anecdotes, analyze what we've been getting wrong and right, and set course for the next 50 episodes. Enjoy!
SIM STORIES: While we prepare for our one-year-anniversary, special episode #50 spectacular next week, enjoy two new hilarious simulation stories from Dan & Janice about simulations gone wrong.
Have fun, and make sure to stop in next week for episode #50!
This podcast is a joint venture between CMS and Simulcast. Listen to more from Simulcast at http://www.simulationpodcast.com.
Victoria Brazil: Translational Simulation
Since the start of the modern simulation era, many in the healthcare simulation community have taken a “Field of Dreams” approach to our simulation efforts, believing, like the character Ray Kinsella in the movie of the same name, that we “If we build it, they will come.” Often however, “buy-in” to simulation programs is just as difficult as getting real people to come to a baseball diamond in the middle of an Iowa cornfield. Simulation increasingly competes with a variety of other healthcare education, quality, and safety efforts for resources.
In this podcast, Jenny Rudolph talks with Victoria Brazil talk about Victoria’s alternate approach to positioning simulation in healthcare. Rather than creating simulation programs and then hoping people will come, instead, she argues, we need to solve real clinical problems, using goals co-created with the colleagues we aim to serve. This work focuses on clinical impact and culture change via what she calls “translational simulation. Translational simulation focuses our attention on identifying and addressing high yield problems at the “coal face” of clinical care. The focus is on simulation interventions that stretch outcomes beyond clinical and teamwork skills to improving clinical benchmarks, clinical outcomes and the patient journey.
Is this the same age-old exhortation to focus on patient quality and safety or something different?
Join the Center for Medical Simulation and Simulcast as we explore Victoria’s most recent publication on translational simulation and links to work by Bill McGaghie, and other exemplary work in the field.
Victoria Brazil is an emergency physician and host of Simulcast, director of the Gold Coast Simulation Service in Queensland Australia, and Professor at Bond University Medical School.
Jenny Rudolph is an organizational behavior scholar, executive director of the Center for Medical Simulation in Boston, and an Assistant Professor of Anaesthesia at Harvard Medical School and Massachusetts General Hospital.
THE SCIENCE OF TEAMS: Join the CMS crew as we discuss 5 articles from American Psychologist which can improve how your teams function! Research questions include: is an ad hoc team or an established one more safe for speaking up? Do western assumptions about how teams should function transfer to other cultures? What are the institutional influences on teamwork? Does face-to-face conferencing matter for developing collaboration? And much more!
Featuring CMS staff and fellows including Jenny Rudolph, Janice Palaganas, Kate Morse, Jeff Cooper, Grace Ng, QJ Tong, Mabel Gomez, Clement Buleon, & Melanie Barlow.
TELEMEDICINE: Special guest Dr. Clement Buleon, as well as a secret surprise guest, joins Dan and Janice to discuss new innovations in telemedicine, and how to use simulation to train providers to use it. Auscultation, EKGs, and even some invasive procedures can now be performed remotely... so who is training healthcare providers to use these systems? Enjoy!
CRYSTAL BALL: Dan & Janice look ahead to the future of simulation, while examining Dan's failed predictions from history. Also: pulse oximeters, duck boats, the merger of clinical care with simulation, and the next big breakthrough in sim. Enjoy!
PROCRASTINATION: Dan & Janice investigate-- how does work get done? How to balance teams who want to negotiate every detail with those who want to get it done and move on. Also: moving forward with overripe projects, the importance of knowing work styles, and meeting your people's needs. Enjoy!
RESEARCH BIAS: Dan & Janice return to talk about speaking up research, and how to overcome research bias. Also: scientific conduct and what makes a great researcher, the impact of guidelines and oversight, and when to make your study even more rigorous. Enjoy!
TEAMWORK & JAZZ: Dan & Janice return from Montreal with new insights on teamwork in simulation, including: working together versus working well alone, the benefits of occasionally being a learner in the case, scenarios where trust is harmful, & nonverbals that can ease communication. Enjoy!
ROGUE PARTICIPANTS: Dan + Janice field a question from Facebook about what participants who want to "act" in simulations. Also: Accidentally pushing stereotypes, simulation as theater, how not to go over the top, and reigning in rogue faculty. Enjoy!
BEDSIDE CONFLICT: This week, Dr. Laura Rock joins Dan & Janice to talk conflict: how to negotiate with jerks, distinguishing positions from interests, setting the stage for productive bedside arguments, traditional versus integrative bargaining techniques, and more. Enjoy!
DEBRIEFING WITH WINE: Dr. Alexandre "Sascha" Ghuysen joins Dan & Janice for meditations on the nature of communication and its relationship with sim, and draws parallels between debriefing and the tasting of wine. Also: making a case for the possibility of common understanding, natural talents vs. acquirable skills, and the story of the world's greatest milk smeller. Enjoy!
Jenny Rudolph leads this month's CMS Book Club on "Rest: Why You Get More Done When You Work Less" by Alex Soojung-Kim Pang. How do you make rest and work partners in a setting of normalized overwork? What are your obstacles to unplugging? How can you regenerate through "deep play", and sustain creativity in your work?
Listen to the first five minutes for a recap of the book, and after that for the group discussion with Jenny Rudolph, Robert Simon, Roxane Gardner, and Janice Palaganas. Enjoy!
KNOW YOUR SIMULATIONISTA II: This week on DJ Simulationistas, Dan & Janice put their new improvisation training to the test in a completely education-free fifteen minutes of … fun? Get to know the unscripted souls of Dr. D & Dr. J, in two short comic (hopefully?) scenes practice what they learned in class and apply it to potential simulation settings. Enjoy!
IMPROV FOR DEBRIEFING: This week on DJ Simulationistas, Dan & Janice return from an improvisation training workshop and examine whether the training they received could help with general debriefing skills. Also: eliminating "blocks" from your simulation, establishing identity and role clarity, expressing your "inner monologue" in a crisis, and more!
MAKING TIME: This week on DJ Simulationistas, Dan & Janice explore how to make time even when you're swamped. Also: mentorship, letting people fight their own battles, multi-tasking vs. task switching, and being "all in" when you teach. Enjoy!
BURNOUT: This week on DJ Simulationistas, Dan & Janice explore the 3 types of burnout and how to overcome them. Also: Dan's colleagues who never finished their PhDs, creating a mantra, and how to self-monitor and goal set to overcome fatigue. Enjoy!
"HOW TO" FOR JOURNAL REVIEW: This week on DJ Simulationistas, Jenny Rudolph joins Dan & Janice to discuss best practices for journal review, how to get yourself in a constructive mindset, and how to phrase advice so that it's easier for peers to accept. Also: getting criticized by your heroes, and should you sign your reviews? Enjoy!
In this month's CMS Book Club, Dr. Roxane Gardner leads the CMS team in a discussion of Edgar Schein's "Humble Inquiry: The Gentle Art of Asking Instead of Telling." Enjoy!
CLASH OF PERSONALITIES: This week on DJ Simulationistas, Dan & Janice explore how individual personalities can alter identical scenarios and debriefings. Also: team quality as a function of tolerance, creating healthy teams, and getting your staff personality tested. Enjoy!
CLINICAL EVENT DEBRIEFING: Dr. Jen Arnold joins Dan & Janice for a second week to discuss getting comfortable with conversations around death, getting peer-to-peer support in stressful clinical situations, and how to get around barriers to debriefing real clinical events. Join us as we investigate how to establish psychological safety for clinical events debriefing. Enjoy!
FAMILY SIMULATIONS: This week, Dan & Janice are joined by Dr. Jennifer Arnold, CMS Board of Trustees member, neonatologist, simulation director at Johns Hopkins All Children's Hospital, and star of TLC's "The Little Couple." Jenn, Dan, & Janice discuss creating simulations for non-professional caregivers, families, and EMTs, and the research results that have come from this work. Also: Getting mistaken for Steve Martin, getting excited about new realms of realism, and comparing contemporary children's hospitals to how they were in the past. Enjoy!
EMBRACE HYPOCRISY: Today on DJ Simulationistas, Janice debriefs her latest keynote with Jenny Rudolph, "Walking Our Talk: Finding and Embracing the Hypocrisy." Also this week: Prethink charts to reset yourself emotionally before difficult conversations, immunity to change, strengths and weaknesses in boundary setting, and Janice psychoanalyzes Dan. Enjoy!
STICKING WITH SIMULATION: In this week's DJ Simulationistas, Dan & Janice examine resilience and how it applies to simulation. Also: Janice complains about kids these days, Dan on when not to hire an Olympic athlete, and how to create patient-centered practitioners. Enjoy!
“CHANGE IN ONE DAY?”: On this week’s DJ Simulationistas, Dan & Janice are joined by Dr. Susan Farrell to discuss the MGH IHP Leading Across Professions conference, and whether it’s possible for a one-day event to generate real change for its participants. Also: empowering leadership qualities, uncovering assumptions about organizations, and fighting about sports. Enjoy!
VULNERABILITY IN DIFFICULT DEBRIEFINGS: Janice returns from a difficult conversations workshop with a new tool for assessing your contributions to negative emotions in the debriefing room. Also: teaching previewing with vulnerability, vulnerability vs. credibility, and how to apply vulnerability in algorithmic and IPE debriefings. Enjoy!
THE MAGIC OF NEW TOYS: On this week's DJ Simulationistas, Dan & Janice investigate whether fancy new toys make your simulations better. Also: PhD student "nesting", getting psyched for sim, the power of habit, and Roger Federer's beard. Enjoy!
LOW RESOURCE SIMULATION: In this week's DJ Simulationistas, Janice returns from leading sim-based classes in Guatemala with advice on running simulations without all the technology. Also: the effect of sim vendors on creativity, adjusting your scenarios to more locally common medical events, and a game of debriefing "Would You Rather?" Enjoy!
LOW-HANGING RESEARCH FRUIT: In this week's DJ Simulationistas, Dan & Janice take the true measure of what it means to do research. Also: How to maintain your study's sanctity, reflective medical ethics, getting your project off the ground, and getting the right help from the statistics wonks. Enjoy!
In this week's DJ Simulationistas, Dan & Janice take on tribalism and backstabbing behavior in clinical care after experiencing it from the patient side. Also: Dan makes a med student cry, barriers to speaking up for patients, and taking comfort from the complaints of hospital workers. Enjoy!
This week on DJ Simulationistas: Janice informs Dan of the "Dan Raemer rule" at CMS, Dan gets imposter syndrome, and both DJs discover a revealing truth about their public speaking practice. Also: how to use experiential learning to get your listeners involved; the talk topics that people get the most from; and attempting to live out childhood dreams as an adult. Enjoy!
This week on DJ Simulationistas: what is the value of teamwork and staff cohesion? When will you see returns on time you invest in building a team? Also: setting records for incompetence at CMS, the most chaotic scenario ever, and turning around a negative relationship through coaching. Enjoy!
In this week's episode of DJ Simulationistas: Dan & Janice debrief the IMSH conference and explore what inspires and energizes them to work harder in the coming year. Also: how to pick up your energy when your learners are flat, attention-seeking behaviors in debriefing, and the value of pure positive reinforcement for your learners. Enjoy!
This week on DJ Simulationistas: A split-second decision needs to get made in the ER. Two people have different ideas. How do you make a decision? An incident with Janice's daughter forced Dan & Janice to consider the problem of "certainty." Enjoy!
Greetings from flu-ridden Boston! We managed to roll out of our sick-beds to bring you this miniature episode. "Name It to Tame It" is a strategy for soothing upset emotions, solving team friction, and otherwise defusing a debriefing in danger of going off the rails. In this episode, Dan & Janice interview Stephanie Barwick of Mater Education in Brisbane, Australia, a sim educator who has some expert insight into how to use "Name It to Tame It" in your own practice. Enjoy!
In this week's episode of DJ Simulationistas, Janice & Dan return to their discussion from two weeks ago about debriefer self-rescue to ask one more question-- how do you save your debriefing when something you did sets off a participant? The team offers simple and effective solutions for managing an upset learner and making sure your learning outcomes still get reached. Enjoy!
In this week's episode of DJ Simulationistas, Dan & Janice examine some of the pervasive myths that they have encountered in their time in the world of simulation, and try to figure out which ones have some truth and which ones are complete nonsense. If you're at IMSH 2018 in Los Angeles this week, visit Dan and Janice at the Center for Medical Simulation booth, and watch Dan's interview of plenary speaker Jamie Hyneman from "Mythbusters" on Sunday, January 14th, from 3:00-4:30 PM at the LA Convention Center!
In this week's episode of DJ Simulationistas, Dan & Janice explore how to "chillax" in a stressful debriefing, Dan admits his fatal flaw, and the team explores how to deal with "resident hubris." Also: the importance of naming your demons, debriefing self-rescue, notes on triple-loop learning, and how having a good partner can get you through the toughest debriefing. Enjoy!
In this month's very bite-sized version of the CMS Book Club, Dr. Rebecca Minehart leads the team in a discussion of Dale Carnegie & Associate's book "Listen! The Art of Effective Communication." Joining us this week are CMS faculty and friends including Ignacio del Moral, Kate Morse, Janice Palaganas, Roxane Gardner, Stephanie Barwick, Robert Simon, and Laura Rock. Enjoy!
In this week’s episode of DJ Simulationistas … ‘Sup?, Dan reflects on the hidden costs of a life devoted to continual learning. Janice explores what motivates your adult learners to grow and change, and proposes a hiring method to find only people who want to get better at their jobs. Also: what do you do when you’re trying to remember an old skill and all you find is cobwebs? And when is prior experience harmful to learning? Enjoy!
In this week’s episode of DJ Simulationistas … ‘Sup?, Dan teaches us about the one thing that frustrates him most watching teaching in simulation, and special guests Roxane Gardner and James Lipshaw join Janice to discuss the biggest bloopers and pratfalls in establishing an online learning environment that works for your students. Also: Janice explains the difference between entrepreneurship and intrapreneurship, and the team gives their best advice for writing educational grants. Enjoy!
In this week’s episode of DJ Simulationistas … ‘Sup?, Janice and Dan bring you the #1 skill that you can take back to patient care from simulation. Also this week: how to interrupt a doctor so that allied health workers can speak their minds, what interprofessional education actually is (versus what you’re doing), and the lightbulb moment for operating room teams. Enjoy!
In this week’s episode of DJ Simulationistas … ‘Sup?, Janice makes Dan reveal the secret to building successful models and sim technology. Also: how to engage surgeons in your simulation, the trick to modeling just a little chunk of a brain, and a research-based debate over the effectiveness of burning meat in the operating room. For tutorial videos on how to make some of our models, visit www.youtube.com/medicalsimulation !
The Center for Medical Simulation Book Club is a monthly session where the CMS team reads and discusses a relevant writing to the world of simulation. The Book Club is a light-hearted and enjoyable “play date,” where CMS faculty and guests have the opportunity to flex their mental muscles.
In this episode, the team discusses the book "Radical Candor" by Kim Scott. Enjoy!
In this week’s episode of DJ Simulationistas … ‘Sup?, Dan and Janice tackle the question that CMS investigates every day: how do you best educate educators? We propose a number of solutions. Also this week: Dan’s surprise grandchild, the importance of experiential learning, Janice’s ideas for a new kind of primary practice, and a quick indoctrination into the cult of crossfit. Enjoy!
In this week’s episode of DJ Simulationistas … ‘Sup?, Dan & Janice tell us what they learned about simulation and society on their trip to give a keynote at the Korean Society for Simulation in Healthcare. Also this week: the danger of open-ended questions, the trouble with idioms, and how to project humor across the language barrier. Enjoy!
In this week’s episode of DJ Simulationistas … ‘Sup?, we bring you an exclusive preview of IMSH 2018 from three members of the IMSH 2018 planning committee: Roxane Gardner, Jordan Halasz, and Jill Sanko. IMSH 2018 will take place in Los Angeles, California from January 13 to January 18, 2018, and will feature some special surprises which you can hear about in this episode! Dan Raemer, founding President of the Society for Simulation in Healthcare, also gives us a never before heard history of its founding, the story of how Dan nearly lost his house to pay for the first ever IMSH conference, and the episode ends with a special invitation from the planning committee to our listeners. Enjoy!
In this week’s episode of DJ Simulationistas … ‘Sup?, Dan and Janice run their own private book club for Daring Greatly by Brene Brown, because, well, Dan forgot about the actual CMS Book Club. From there, we discuss what exactly shame is, screaming while taking a tennis ball directly to the face, and gremlins on the wings of the plane.
The Center for Medical Simulation Book Club is a monthly session where the CMS team reads and discusses a relevant writing to the world of simulation. The Book Club is a light-hearted and enjoyable “play date,” where CMS faculty and guests have the opportunity to flex their mental muscles.
In this episode of the CMS Book Club, the team discusses the book Daring Greatly: How the Courage to Be Vulnerable Transforms the Way We Live, Love, Parent, and Lead by Brené Brown.
In this week’s miniature episode of DJ Simulationistas … Sup?, Dan and Janice explore educational models for spaced learning in healthcare education. Also: Dan discusses his past life studying the kinetics of anesthesia drug infusion, we run into issues with the Heisenberg uncertainty principle, and a conversation about memory and retention that (former middle school teacher) James the tech guy probably should have contributed to.
In this week's episode of DJ Simulationistas, Dan takes us through his new project to make sure that real patients are never hurt by simulation, including a deep dive into the history of sim, including real patient deaths that have been caused by simulation.
For more information on Dan and Ann Mullen's project, visit www.healthcaresimulationsafety.org.
In this week’s episode of DJ Simulationistas … Sup?, Dan and Janice check in on our emotions before moving on to cognition… or do they? We explore strategies and alternative models for the Reactions Phase of debriefing. Also: Getting people to trust you in debriefing, keeping grounded in reality, and [insert Lisa Simpson “Grade Me!” gif here].
In this week’s episode of DJ Simulationistas … 'Sup?, Janice experiments on her children with facial recording software, and finds some unexpected results. Also: how to recognize a Super Recognizer, Dan takes us on a journey to Scotland Yard, people who never forget a place setting, and more!
The Center for Medical Simulation Book Club is a monthly session where the CMS team reads and discusses a relevant writing to the world of simulation. The Book Club is a light-hearted and enjoyable “play date,” where CMS faculty and guests have the opportunity to flex their mental muscles.
In this episode of the CMS Book Club, the team discusses the book Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy by Amy Edmonson.
In this week’s episode of DJ Simulationistas … Sup?, Dan and Janice discuss words they find frustrating in simulation, and riff on an old George Carlin routine. Also: the origins of the Voice of God, to hyphenate or not to hyphenate, how to help with the simulation comedown, and more!
In this week's episode of DJ Simulationistas … 'Sup?, Janice returns from Saudi Arabia with new love and a permanent addition to her fashion collection. Janice and Dan discuss differences in Advocacy Inquiry around the world, Dan proposes a radical controlled study. Also: the team argues about the mathematics of poker, visibility versus legibility, a fresh new take on imagining the audience naked, and more!
In this week's episode of DJ Simulationistas … 'Sup?, Janice and Dan discuss finding the people who will give you feedback that actually helps you grow. Also: Janice freaks out at her children, Dan reaches a flow state, James the tech guy’s personal identity is threatened, and more!
In our initial episode of DJ Simulationistas … Sup?, Dan recounts the most scarring deception he ever experienced, and how it broke the “safe container.” Would he do it again? In a heartbeat. Also: why you should never boil a stinky tennis shirt, summer school for dorks, invaders from Mars, and more!
The Center for Medical Simulation Book Club is a monthly session where the CMS team reads and discusses a relevant writing to the world of simulation. The Book Club is a light-hearted and enjoyable “play date,” where CMS faculty and guests have the opportunity to flex their mental muscles.
In this episode of the CMS Book Club, the team discusses the book Essentialism: The Disciplined Pursuit of Less by Greg McKeown. We argue over throwing out whole wardrobes, tricks to telling people "no" when they ask for favors, and how to avoid doing work tasks you just don't enjoy.
In this slightly oddball episode of DJ Simulationistas, James the tech guy introduces you to Dr. Dan Raemer and Dr. Janice Palaganas, two big names in simulation who will be leading you on both a roundabout tour of and a deep dive into the field. We’ll interview Dan and Janice on their simulation horror stories, and play a little game to get to know each other that is in no way based off of properties copyrighted by the Columbia Pictures Corporation [cough]. Also: Being cryptic, some recency bias re: Dan’s spirit animal, and an exploration of high-fidelity mannequin "parts"!