The Center for Medical Simulation

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...

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 t...

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...

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.

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...

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 improvemen...

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...

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 simulat...

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...

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 ope...

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-...

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 expo...

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? H...

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 duri...

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 hospit...

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 du...

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!

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!

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 si...

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 scho...

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 wi...

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....

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 innov...