Claim OwnershipThe Center for Medical Simulation
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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.
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.
212 Episodes
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This week on Curious Now we’re introducing a tool to help us bring the approach of understanding why people did what they did and helping them change the underlying analysis that got them into trouble, called the FAR or Frames, Actions, Results tool.
Where has your team gotten stuck or glitchy, and what were the underlying frames that got your team intro trouble or got the job done great?
Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/
More on the LPG: https://www.aliem.com/improving-debriefing-skills-pathways-grid/
Dare to Be Ready with Dr. Chris Roussin, founder of CMS-ALPS, the Center for Medical Simulation’s team and organization readiness consulting service. In this podcast, available on Spotify, Apple Podcasts, and in video form on Youtube, Chris will meet with a series of guests with specific readiness challenges in their healthcare teams. Each week we will approach the challenge of how to get teams ready for the difficult work they face every day, and work through how we can get our people and teams ready to face that challenge. Join us monthly and Dare to Be Ready!
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Episode 1: Ready to Help “Safe” Patients with Diabetes in the ER
Dr. Marie McDonnell is an Endocrinologist and Director of Diabetes at the Brigham and Women’s Hospital, joins us to discuss her team’s readiness challenges around training with the Emergency Room to connect triaged emergency care with diabetes specialty care.
Readiness Challenges: The care teams in the Emergency Room are ready and skilled in treating patients with diabetes who come in very sick and need to be admitted to the hospital. However, the Emergency Room also experiences a very high volume of diabetes recidivism, patients with diabetes who are stabilized and able to be discharged but then return later with the same issue presenting again. This is compounded by the fact that 50% of diabetes patients in the ER arrive between 5 PM and 9 AM because they could not contact their normal endocrinology care teams.
Today we work on a readiness plan to help ER teams better connect into the big system of diabetes care within the hospital so that patients who are “safe” get connected with specialists who can solve the underlying diabetes self-care issues that brought them to the ER, so that they don’t end up back in the ER later that day.
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Host & Co-Producer: Chris Roussin, PhD, Senior Director, CMS-ALPS (https://harvardmedsim.org/chris-roussin/)
Producer: James Lipshaw, MFA, EdM, Assistant Director, Media (https://harvardmedsim.org/james-lipshaw/)
Consulting and readiness with CMS-ALPS: https://harvardmedsim.org/alps-applied-learning-for-performance-and-safety
Dare to Be Ready on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
Dare to Be Ready on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Laura Rock, Janice Palaganas and Jenny explore where they are currently struggling in their practice of sharing their point of view clearly and then really inviting the other person’s perspective. How does this go when your identity is more provisional, and you feel like to have to establish yourself and insert your point of view to be ‘strong’?
Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Today 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 perfectly right, it won’t take. This topic was featured in a keynote of the same name by our colleague Laura Rock at SESAM2025 this summer.
Workout of the week: Share your point of view, and follow it with a genuine, open inquiry into the other person’s perspective.
Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/
Janice 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/72gzzWGegiXd9i2G6UJ0kP
Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
This 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?”
Learn more and get coaching from Jenny Rudolph at at www.harvardmedsim.org.
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 handle diabetic patients who are "safe" to be discharged but likely to end up back in the ER without additional support, getting surgical teams at a peripheral hospital in Switzerland ready to declare a crisis and prepare to transport a patient they don't have the resources to care for, and much more!
Dare to Be Ready will premiere in September, so keep your ears open! Available on Spotify, Apple Podcasts, and Youtube.
On 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 than mystery and defensiveness.
Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
In 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 happen in negotiations at point of care and feedback conversations. The greatest obstacle is this: clearly and transparently sharing what you think about the situation. There are many reasons why we struggle with this, from thinking that if we share what we believe, it will be too harsh or too threatening for the other person, to believing that sharing our point of view will be used against us and that it would be safer to try to unilaterally steer the discussion without it. In this week’s workout, you’ll be challenged to try sharing your underlying point of view in a situation where that feels vulnerable to you.
Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Janice 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 checking their emotions and getting curious very different in professional settings where they are working in a certain mode versus how they conduct themselves in ‘default mode’ in their personal life.
Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Join 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 we can skillfully lead teams and scale up our good judgment approach to not just ourselves but the people around us.
We’ve talked previously about becoming aware of our own reactive judgments and perceiving them as thoughts rather than reality. But what we mean here is a more challenging exercise: can we bystand not just what we might call ‘System 1’ thoughts, which are easy to understand as hot or instinctive reactions, but also our ‘System 2’ thoughts which are cooler, more considered and, at least to us, rational?
• Get coaching from Jenny Rudolph at www.harvardmedsim.org
• Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
• Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
BJ 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.org
• Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
• Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Little 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 framework to other people’s actions—what could the person’s frame have been that, when we view their action through that frame, the totally strange or confounding thing they did is, in fact, a little act of genius?
• Get coaching from Jenny Rudolph at www.harvardmedsim.org
• Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
• Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Mel 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 professional life back into our home life?
• Get coaching from Jenny Rudolph at www.harvardmedsim.org
• Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
• Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
• HBR Article: https://hbr.org/2022/05/whats-your-listening-style
This 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 others better.
Get coaching from Jenny Rudolph at www.harvardmedsim.org
Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
HBR Listening Styles Article: https://hbr.org/2022/05/whats-your-listening-style
In 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-positive culture into an established team with good feedback practices.
Get coaching from Jenny Rudolph at www.harvardmedsim.org
Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
This 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 healthcare professionals we often have a final step where we have to do something about the sub-standard performance. How do we talk to our learners and our peers about what they did?
Get coaching from Jenny Rudolph at www.harvardmedsim.org
Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
This 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.org
Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
In 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.org
Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
Welcome 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 lead for faculty support at Australian Catholic University. They’ll share their experiences on both ends of the breach, from the perspective of a teacher who thought they and their student were on the same page, and a worker who thought their boss was promising something totally different from what they got.
Get coaching from Jenny Rudolph at www.harvardmedsim.org
Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP
Curious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
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