CMS Weekly Webinars

Curious Now with Jenny Rudolph

The CMS Book Club

DJ Simulationistas... 'Sup?

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.

Building Expertise: Exploring Novice Debriefers' Post-Simulation Debriefing Experiences

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.

Debriefing In The Clinical Environment Before, During, and After COVID-19

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.

New Study Finds Significant Decrease in Malpractice Claims Among Participants in Simulation

"Circle Up: Debriefing in the Clinical Environment," presented by Jenny Rudolph and Demian Szyld at Tower Health Grand Rounds.

Grand Rounds | Circle Up: Debriefing in the Clinical Environment

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!

Center for Medical Simulation Grand Rounds

Grand Rounds | Teaching, Coaching, or Debriefing with Good Judgment

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/

Grand Rounds | Longitudinal Prebriefing for In-Situ Simulation

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.

SimFails... and Other Conversations from the Sim Sofa

SimFails #016: Not So Co-Debriefing

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.

CMS Book Club

Book Club Ep. 011: Right Kind of Wrong: The Science of Failing Well (Amy Edmondson)

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

Book Club Ep. 012: Tribal Leadership: Leveraging Natural Groups to Build a Thriving Organization

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.

Book Club Ep. 013: Curious: The Desire to Know and Why Your Future Depends on It (Leslie)

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

Curious Now #1: Foundations of Good Judgment

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

Courses from CMS

Curious Now #2: Hidden Standards Behind Your Judgment

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.

Negotiation in the Emergency Room | CMS Book Club #14

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


Curious Now Listeners #2: What Were Your Hidden Standards?

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


Curious Now #3: Freight Train of Emotions

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

Curious Now Listeners #3: Listener Emotions

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

Curious Now #4: Other People's Standards

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

Curious Now Listeners #4: Our New Competency-Based Standards Didn't Land Well

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

Curious Now #5: WTF to WTF

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


Curious Now Listeners #5: Why is My Patient So Angry with Me?

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


Curious Now #6: Surviving Psychological Contract Breaches

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

Getting Your Message Heard in a Sea of Content | CMS Book Club #15

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


Curious Now Listeners #6: "I set my learner up to fail..."

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



Curious Now #7: "I Wouldn't Run Them Over in the Parking Lot."

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


Curious Now Listeners #7: How Could They Turn Down My Slam Dunk Proposal?

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.org

Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP

Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822


Curious Now #8: The Core Feedback Dilemma

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.org

Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP

Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822


Curious Now Listeners #8: "I really underestimated what it would be like for someone new."

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.org

Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP

Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822

HBR Listening Styles Article: https://hbr.org/2022/05/whats-your-listening-style


Curious Now #9: What Are We Listening For?

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


Curious Now Listeners #9: "My Wife Finds It Mind-Boggling"

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


Curious Now #10: Little Acts of Genius

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


Curious Now Listeners #10: "I could have asked for the frame."

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


Curious Now #11: You May Be Right, You May Be Crazy

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/72gzzWGegiXd9i2G6UJ0kP

Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822


Curious Now Listeners #11: "This respiratory therapist knows something I don't."

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/72gzzWGegiXd9i2G6UJ0kP

Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822

Curious Now #12: The Greatest Obstacle to Effective Learning Conversations

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/72gzzWGegiXd9i2G6UJ0kP

Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822



Curious Now Listeners #12: "You have to do a scene assessment."

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.

Episode 009: Getting Vulnerable

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!

Episode 079: The 50% Simulation Study w/ Suzie Kardong-Edgren & Brad Morrison

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!

Episode 080: The Collapse of Simulation | The Penultimate Episode

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!

Episode 081: How Teams Form | DJ Sim Special

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!

Episode 082: The Final Simulation

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!

Episode 083: Simulation in Real Life

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?”

An ICU attending asks her resident to call her if a patient’s hematocrit drops under a certain value. Despite this agreement, and despite the patient deteriorating, the resident never calls. “Are you an idiot? Why didn’t you call me?”

In these moments, 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, PhD, FSSH, 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.” This podcast will include weekly challenges to examine your own thinking, including follow-up with listeners and experts about their experience on the journey to Good Judgment.

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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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.

Center for Medical Simulation

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