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محتوای ارائه شده توسط Center for Medical Simulation. تمام محتوای پادکست شامل قسمتها، گرافیکها و توضیحات پادکست مستقیماً توسط Center for Medical Simulation یا شریک پلتفرم پادکست آنها آپلود و ارائه میشوند. اگر فکر میکنید شخصی بدون اجازه شما از اثر دارای حق نسخهبرداری شما استفاده میکند، میتوانید روندی که در اینجا شرح داده شده است را دنبال کنید.https://fa.player.fm/legal
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<div class="span index">1</div> <span><a class="" data-remote="true" data-type="html" href="/series/ask-grumpy">Ask Grumpy</a></span>


Ask Grumpy, a podcast featuring Steve Bender, AKA Southern Living’s Grumpy Gardener is back for Season 3. For more than 30 years, Grumpy has been sharing advice on what to grow, when to plant, and how to manage just about anything in your garden. Tune in for short episodes every Wednesday and Saturday as Grumpy answers reader questions, solves seasonal conundrums, and provides need-to-know advice for gardeners with his very Grumpy sense of humor. Be sure to follow Ask Grumpy wherever you listen so you don't miss an episode.
Creating Dialogue Around Respect
Manage episode 281850703 series 2084784
محتوای ارائه شده توسط Center for Medical Simulation. تمام محتوای پادکست شامل قسمتها، گرافیکها و توضیحات پادکست مستقیماً توسط Center for Medical Simulation یا شریک پلتفرم پادکست آنها آپلود و ارائه میشوند. اگر فکر میکنید شخصی بدون اجازه شما از اثر دارای حق نسخهبرداری شما استفاده میکند، میتوانید روندی که در اینجا شرح داده شده است را دنبال کنید.https://fa.player.fm/legal
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.
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195 قسمت
Manage episode 281850703 series 2084784
محتوای ارائه شده توسط Center for Medical Simulation. تمام محتوای پادکست شامل قسمتها، گرافیکها و توضیحات پادکست مستقیماً توسط Center for Medical Simulation یا شریک پلتفرم پادکست آنها آپلود و ارائه میشوند. اگر فکر میکنید شخصی بدون اجازه شما از اثر دارای حق نسخهبرداری شما استفاده میکند، میتوانید روندی که در اینجا شرح داده شده است را دنبال کنید.https://fa.player.fm/legal
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.
…
continue reading
195 قسمت
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The Center for Medical Simulation

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.org Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822…
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The Center for Medical Simulation

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.org Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP Apple 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.org Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP Curious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822…
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The Center for Medical Simulation

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/72gzzWGegiXd9i2G6UJ0kP CMS 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.org Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP Curious 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.org Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP Curious 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.org Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP Curious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822…
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The Center for Medical Simulation

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.org Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP Curious 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/72gzzWGegiXd9i2G6UJ0kP Curious 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/72gzzWGegiXd9i2G6UJ0kP Curious 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/72gzzWGegiXd9i2G6UJ0kP Curious 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.org Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP Curious 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.org Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP?si=890ed4b02bfe4838 Curious 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=890ed4b02bfe4838 Curious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822…
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The Center for Medical Simulation

1 Readiness Planning: Go beyond “buy-in” to achieve curricular success and front-line performance 33:33
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."…
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The Center for Medical Simulation

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.
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The Center for Medical Simulation

1 Book Club Ep. 012: Tribal Leadership: Leveraging Natural Groups to Build a Thriving Organization 49:54
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…
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

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.
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The Center for Medical Simulation

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."
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The Center for Medical Simulation

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?
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The Center for Medical Simulation

1 Grand Rounds | Circle Up: Debriefing in the Clinical Environment 1:09:08
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"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.
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

1 Debriefing In The Clinical Environment Before, During, and After COVID-19 1:31:18
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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.
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The Center for Medical Simulation

1 Building Expertise: Exploring Novice Debriefers' Post-Simulation Debriefing Experiences 1:00:18
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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.…
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The Center for Medical Simulation

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…
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The Center for Medical Simulation

1 Getting Ready \ Staying Ready: Advanced Teamwork Moves During COVID-19 1:01:00
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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.…
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The Center for Medical Simulation

1 Creating Dialogue Around Respect 1:02:45
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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.”…
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The Center for Medical Simulation

1 What Efficient Mentorship Looks Like 1:01:26
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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.…
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The Center for Medical Simulation

1 4 Essential Decisions When Transitioning to Remote Learning 1:01:01
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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?…
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

1 Do Structured Handovers and Checklists Improve Patient Outcomes? 1:02:50
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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.…
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

1 Moving Your Simulation Program Online 1:01:58
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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.…
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The Center for Medical Simulation

1 Design Thinking-Informed Simulation: Innovating to Evaluate + Modify Clinical Infrastructure 59:31
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…
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

1 Facilitating Experiential Learning Online 1:00:39
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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…
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The Center for Medical Simulation

1 The Reluctant Scholar 1:00:15
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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.…
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The Center for Medical Simulation

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/…
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The Center for Medical 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. 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.…
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The Center for Medical Simulation

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…
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

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.…
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1 COVID Chronicles #009 | Marjorie Lee White & Andres Viles: PPE Practice to Build Safe Systems 43:44
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.…
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1 COVID Chronicles #008 | Jody Hoffer Gittell: Being Part of a Whole and How It Improves Outcomes 39:28
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.…
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The Center for Medical Simulation

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…
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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.…
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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.…
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The Center for Medical Simulation

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…
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The Center for Medical Simulation

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.…
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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.…
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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!
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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!…
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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!…
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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!…
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1 100% Adoption. 35% Mortality Reduction. $7,000,000 / Year. | A Talk with Michael Rose & Kate Hilton 45:30
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.…
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The Center for Medical Simulation

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?…
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

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!
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The Center for Medical Simulation

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!…
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

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…
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The Center for Medical Simulation

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.…
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The Center for Medical Simulation

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!…
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The Center for Medical Simulation

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.…
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