CMS Weekly Webinars

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

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.

Do Structured Handovers and Checklists Improve Patient Outcomes?

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.