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 did ...
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Curious Now #14: Transforming Toxic Culture One Conversation at a Time
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17:01Today we’re talking about transforming toxic culture, whether on your floor, in your unit, or in your department. How do we change unit culture via point of care conversations? You can teach people all the speaking skills in the world, but if they don’t care about the other people in the room or don’t think there’s a possibility they aren’t perfect…
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Curious Now Listeners #13: "Culture is something we can change."
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14:05Janice Palaganas and Laura Rock rejoin us to talk about their experiences of moving from mental rehearsal to actually asking the group, “What am I missing?” We explore what are the things we do or struggle with in terms of point of care conversations?Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple…
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Curious Now #13: How We Talk Shapes the Way We Work
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15:22This week on Curious Now, bring home the heart of this summer's work on internal resets, thought bystanding, communication, and teamwork. Our workout of the week is a simple one: go from mental rehearsal to actual practice. In previous weeks we asked ourselves, and this week ask the group:• “Who sees this differently?”• “What am I not noticing?”Lea…
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Coming soon on the CMS Podcast channel-- The "Dare to Be Ready" podcast with Chris Roussin! Join us and a series of rotating guests as we examine readiness challenges across a broad swath of healthcare settings, and work with experts to solve their team problems in real time. Our first episodes include getting Boston Emergency Room teams ready to h…
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Curious Now Listeners #12: "You have to do a scene assessment."
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23:34On 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…
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Curious Now #12: The Greatest Obstacle to Effective Learning Conversations
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20:20In 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 hap…
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Curious Now Listeners #11: "This respiratory therapist knows something I don't."
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15:36Janice 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 checkin…
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Curious Now #11: You May Be Right, You May Be Crazy
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18:54Join 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 w…
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Curious Now Listeners #10: "I could have asked for the frame."
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12:59BJ 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…
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Curious Now #10: Little Acts of Genius
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15:21Little 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 framew…
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Curious Now Listeners #9: "My Wife Finds It Mind-Boggling"
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12:25Mel 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 profess…
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Curious Now #9: What Are We Listening For?
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19:23This 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 o…
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Curious Now Listeners #8: "I really underestimated what it would be like for someone new."
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15:13In 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-posi…
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Curious Now #8: The Core Feedback Dilemma
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10:09This 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 healt…
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Curious Now Listeners #7: How Could They Turn Down My Slam Dunk Proposal?
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14:32This week on Curious Now, B.J. So and Mel Barlow return to share their experience with last week’s exercise on the generous inference. Get coaching from Jenny Rudolph at www.harvardmedsim.orgSpotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPApple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id12792668…
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Curious Now #7: "I Wouldn't Run Them Over in the Parking Lot."
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12:35In this week’s Curious Now, Jenny explains how the “Generous Inference” was a complete game-changer for her career in debriefing and education, how it became the core philosophy of the Center for Medical Simulation, and how to bring it to play in healing your toxic work culture.Get coaching from Jenny Rudolph at www.harvardmedsim.orgSpotify: https:…
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Curious Now Listeners #6: "I set my learner up to fail..."
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22:18Welcome 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 lea…
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Getting Your Message Heard in a Sea of Content | CMS Book Club #15
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40:41In 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 usef…
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Curious Now #6: Surviving Psychological Contract Breaches
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12:13A 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. …
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Curious Now Listeners #5: Why is My Patient So Angry with Me?
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13:21Colleen Donovan shares a story from her time as a resident where an encounter with a consistently angry, unhelpful, and very sick patient turned into a moment of wonderful human connection and support after she was able to reset herself and get curious about what was going on.Coaching from Jenny Rudolph at www.harvardmedsim.orgCurious Now on Spotif…
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Curious Now #5: WTF to WTF
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15:58If 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 Cha…
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Curious Now Listeners #4: Our New Competency-Based Standards Didn't Land Well
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21:44Our 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 understandi…
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Colleen Donovan and Laura Klenke-Borgmann rejoin Jenny to discuss the emotions that came up as they explored last week’s exercise. Join us to compare your own experience with last week’s workout to other simulation educators and experts!Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPCurious Now on Apple Podcasts: https:…
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Curious Now #4: Other People's Standards
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11:32What 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 epis…
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Curious Now #3: Freight Train of Emotions
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13:11Continuing 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.harvardm…
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Following up on last week’s challenge to examine our complaints and judgments to reveal the hidden standards underlying them, Jenny continues our chapter-long conversation with Colleen Donovan and Laura Klenke-Borgmann.Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kPCurious Now on Apple Podcasts: https://podcasts.apple.c…
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Negotiation in the Emergency Room | CMS Book Club #14
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31:59In 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…
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Curious Now #2: Hidden Standards Behind Your Judgment
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14:26Every "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.harv…
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Curious Now #1: Foundations of Good Judgment
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15:15A 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, a…
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Readiness Planning: Go beyond “buy-in” to achieve curricular success and front-line performance
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33:33This 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 …
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Book Club Ep. 013: Curious: The Desire to Know and Why Your Future Depends on It (Leslie)
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40:30In 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.Von Center for Medical Simulation
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Book Club Ep. 012: Tribal Leadership: Leveraging Natural Groups to Build a Thriving Organization
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49:54This 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 e…
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The Future and History of Simulation in Morocco | Reflections on HTIC 2024 in Fès
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33:00Professor 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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Book Club Ep. 011: Right Kind of Wrong: The Science of Failing Well (Amy Edmondson)
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50:22Join 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…
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Brief Debriefings #014: New Perspectives on Teaching & Learning
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17:10In 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 organization…
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Brief Debriefings #013: Onboarding Non-Clinical Teams into Simulation
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16:19Not 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 Debrie…
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SimFails #016: Not So Co-Debriefing
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14:59What 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.Von Center for Medical Simulation
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Grand Rounds | Longitudinal Prebriefing for In-Situ Simulation
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28:36This 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:…
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SimFails #015: ESPs Gone Rogue
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11:14Didn'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."Von Center for Medical Simulation
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Grand Rounds | Teaching, Coaching, or Debriefing with Good Judgment
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47:45Center 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!…
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SimFails #014: "Please Hold for Technical Difficulties"
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15:02"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?Von Center for Medical Simulation
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SimFails #013: Zoom Exhaustion
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16:59Has anyone other than Janice Palaganas ever attempted to take two Zoom meetings simultaneously? Zoom Exhaustion and other crises in multitasking this week on "SimFails."Von Center for Medical Simulation
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SimFails #012: No Content Expertise?
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14:30What 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!Von Center for Medical Simulation
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SimFails #011: Making Participants Cry
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16:17SimFails 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?Von Center for Medical Simulation
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SimFails #010: Simulation Cheating
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20:19SimFails returns to fail again! What do you do when participants try to cheat their way through the simulation experience?Von Center for Medical Simulation
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Grand Rounds | Circle Up: Debriefing in the Clinical Environment
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1:09:08"Circle Up: Debriefing in the Clinical Environment," presented by Jenny Rudolph and Demian Szyld at Tower Health Grand Rounds.Von Center for Medical Simulation
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SimFails #009: Healthcare Simulation Week 2021 Fails
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10:56We'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.Von Center for Medical Simulation
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New Study Finds Significant Decrease in Malpractice Claims Among Participants in Simulation
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17:04New 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…
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Debriefing In The Clinical Environment Before, During, and After COVID-19
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1:31:18From 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.Von Center for Medical Simulation
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Building Expertise: Exploring Novice Debriefers' Post-Simulation Debriefing Experiences
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1:00:18Expertise 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 psychol…
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