NEW ALGORITHM: Talking drug research & the new ACLS guidelines with Dan Raemer & Janice Palaganas. Also this week: the half life of facts, and balancing speed with thoughtfulness in critical care decision-making. Enjoy!

DJ Simulationistas... 'Sup?

Episode 059: The New Algorithm

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

CMS Weekly Webinars

Facilitating Experiential Learning Online

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.

Broaching Race and Racism in Debriefing and Team Simulations

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

Design Thinking-Informed Simulation: Innovating to Evaluate + Modify Clinical Infrastructure

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.

Moving Your Simulation Program Online

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.

CMS Open Forum with Jenny Rudolph, Chris Roussin, & Demian Szyld

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?

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.

Shared Leadership in Healthcare Emergency Teams: Should the Lighthouse Be Demolished?

CMS Open Forum with Henrique Arantes, Mary Fey, Chris Roussin, & Demian Szyld

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?

4 Essential Decisions When Transitioning to Remote Learning

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.

What Efficient Mentorship Looks Like

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

--------------------
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.