The Center for Medical Simulation

CRYSTAL BALL: Dan & Janice look ahead to the future of simulation, while examining Dan's failed predictions from history. Also: pulse oximeters, duck boats, the merger of clinical care with simulation, and the next big breakthrough in sim. Enjoy!

PROCRASTINATION: Dan & Janice investigate-- how does work get done? How to balance teams who want to negotiate every detail with those who want to get it done and move on. Also: moving forward with overripe projects, the importance of knowing work styles, and meeting your people's needs. Enjoy!

RESEARCH BIAS: Dan & Janice return to talk about speaking up research, and how to overcome research bias. Also: scientific conduct and what makes a great researcher, the impact of guidelines and oversight, and when to make your study even more rigorous. Enjoy!

TEAMWORK & JAZZ: Dan & Janice return from Montreal with new insights on teamwork in simulation, including: working together versus working well alone, the benefits of occasionally being a learner in the case, scenarios where trust is harmful, & nonverbals that can ease communication. Enjoy!

ROGUE PARTICIPANTS: Dan + Janice field a question from Facebook about what participants who want to "act" in simulations. Also: Accidentally pushing stereotypes, simulation as theater, how not to go over the top, and reigning in rogue faculty. Enjoy!

BEDSIDE CONFLICT: This week, Dr. Laura Rock joins Dan & Janice to talk conflict: how to negotiate with jerks, distinguishing positions from interests, setting the stage for productive bedside arguments, traditional versus integrative bargaining techniques, and more. Enjoy!

DEBRIEFING WITH WINE: Dr. Alexandre "Sascha" Ghuysen joins Dan & Janice for meditations on the nature of communication and its relationship with sim, and draws parallels between debriefing and the tasting of wine. Also: making a case for the possibility of common understanding, natural talents vs. acquirable skills, and the story of the world's greatest milk smeller. Enjoy!

Jenny Rudolph leads this month's CMS Book Club on "Rest: Why You Get More Done When You Work Less" by Alex Soojung-Kim Pang. How do you make rest and work partners in a setting of normalized overwork? What are your obstacles to unplugging? How can you regenerate through "deep play", and sustain creativity in your work? Listen to the first five minutes for a recap of the book, and after that for th...

KNOW YOUR SIMULATIONISTA II: This week on DJ Simulationistas, Dan & Janice put their new improvisation training to the test in a completely education-free fifteen minutes of … fun? Get to know the unscripted souls of Dr. D & Dr. J, in two short comic (hopefully?) scenes practice what they learned in class and apply it to potential simulation settings. Enjoy!

IMPROV FOR DEBRIEFING: This week on DJ Simulationistas, Dan & Janice return from an improvisation training workshop and examine whether the training they received could help with general debriefing skills. Also: eliminating "blocks" from your simulation, establishing identity and role clarity, expressing your "inner monologue" in a crisis, and more!

MAKING TIME: This week on DJ Simulationistas, Dan & Janice explore how to make time even when you're swamped. Also: mentorship, letting people fight their own battles, multi-tasking vs. task switching, and being "all in" when you teach. Enjoy!

BURNOUT: This week on DJ Simulationistas, Dan & Janice explore the 3 types of burnout and how to overcome them. Also: Dan's colleagues who never finished their PhDs, creating a mantra, and how to self-monitor and goal set to overcome fatigue. Enjoy!

"HOW TO" FOR JOURNAL REVIEW: This week on DJ Simulationistas, Jenny Rudolph joins Dan & Janice to discuss best practices for journal review, how to get yourself in a constructive mindset, and how to phrase advice so that it's easier for peers to accept. Also: getting criticized by your heroes, and should you sign your reviews? Enjoy!

In this month's CMS Book Club, Dr. Roxane Gardner leads the CMS team in a discussion of Edgar Schein's "Humble Inquiry: The Gentle Art of Asking Instead of Telling." Enjoy!

CLASH OF PERSONALITIES: This week on DJ Simulationistas, Dan & Janice explore how individual personalities can alter identical scenarios and debriefings. Also: team quality as a function of tolerance, creating healthy teams, and getting your staff personality tested. Enjoy!

CLINICAL EVENT DEBRIEFING: Dr. Jen Arnold joins Dan & Janice for a second week to discuss getting comfortable with conversations around death, getting peer-to-peer support in stressful clinical situations, and how to get around barriers to debriefing real clinical events. Join us as we investigate how to establish psychological safety for clinical events debriefing. Enjoy!

FAMILY SIMULATIONS: This week, Dan & Janice are joined by Dr. Jennifer Arnold, CMS Board of Trustees member, neonatologist, simulation director at Johns Hopkins All Children's Hospital, and star of TLC's "The Little Couple." Jenn, Dan, & Janice discuss creating simulations for non-professional caregivers, families, and EMTs, and the research results that have come from this work. Also: Getting mis...

EMBRACE HYPOCRISY: Today on DJ Simulationistas, Janice debriefs her latest keynote with Jenny Rudolph, "Walking Our Talk: Finding and Embracing the Hypocrisy." Also this week: Prethink charts to reset yourself emotionally before difficult conversations, immunity to change, strengths and weaknesses in boundary setting, and Janice psychoanalyzes Dan. Enjoy!

STICKING WITH SIMULATION: In this week's DJ Simulationistas, Dan & Janice examine resilience and how it applies to simulation. Also: Janice complains about kids these days, Dan on when not to hire an Olympic athlete, and how to create patient-centered practitioners. Enjoy!

“CHANGE IN ONE DAY?”: On this week’s DJ Simulationistas, Dan & Janice are joined by Dr. Susan Farrell to discuss the MGH IHP Leading Across Professions conference, and whether it’s possible for a one-day event to generate real change for its participants. Also: empowering leadership qualities, uncovering assumptions about organizations, and fighting about sports. Enjoy!

VULNERABILITY IN DIFFICULT DEBRIEFINGS: Janice returns from a difficult conversations workshop with a new tool for assessing your contributions to negative emotions in the debriefing room. Also: teaching previewing with vulnerability, vulnerability vs. credibility, and how to apply vulnerability in algorithmic and IPE debriefings. Enjoy!

THE MAGIC OF NEW TOYS: On this week's DJ Simulationistas, Dan & Janice investigate whether fancy new toys make your simulations better. Also: PhD student "nesting", getting psyched for sim, the power of habit, and Roger Federer's beard. Enjoy!

LOW RESOURCE SIMULATION: In this week's DJ Simulationistas, Janice returns from leading sim-based classes in Guatemala with advice on running simulations without all the technology. Also: the effect of sim vendors on creativity, adjusting your scenarios to more locally common medical events, and a game of debriefing "Would You Rather?" Enjoy!

LOW-HANGING RESEARCH FRUIT: In this week's DJ Simulationistas, Dan & Janice take the true measure of what it means to do research. Also: How to maintain your study's sanctity, reflective medical ethics, getting your project off the ground, and getting the right help from the statistics wonks. Enjoy!

In this week's DJ Simulationistas, Dan & Janice take on tribalism and backstabbing behavior in clinical care after experiencing it from the patient side. Also: Dan makes a med student cry, barriers to speaking up for patients, and taking comfort from the complaints of hospital workers. Enjoy!