The Center for Medical Simulation - podcast cover

The Center for Medical Simulation

Center for Medical Simulationharvardmedsim.org
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.
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Episodes

New Podcast Coming Soon! Get Ready for "Dare to Be Ready"

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 pe...

Aug 15, 20253 min

Curious Now Listeners #12: "You have to do a scene assessment."

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/t...

Aug 08, 202524 min

Curious Now #12: The Greatest Obstacle to Effective Learning Conversations

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...

Jul 31, 202520 min

Curious Now Listeners #11: "This respiratory therapist knows something I don't."

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 themselv...

Jul 25, 202516 min

Curious Now #11: You May Be Right, You May Be Crazy

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 beco...

Jul 18, 202519 min

Curious Now Listeners #10: "I could have asked for the frame."

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-s...

Jul 11, 202513 min

Curious Now #10: Little Acts of Genius

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 confo...

Jul 03, 202515 min

Curious Now Listeners #9: "My Wife Finds It Mind-Boggling"

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/72gzzWGegiXd9i...

Jun 27, 202512 min

Curious Now #9: What Are We Listening For?

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: h...

Jun 20, 202519 min

Curious Now Listeners #8: "I really underestimated what it would be like for someone new."

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.spo...

Jun 13, 202515 min

Curious Now #8: The Core Feedback Dilemma

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 ou...

Jun 06, 202510 min

Curious Now Listeners #7: How Could They Turn Down My Slam Dunk Proposal?

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

May 30, 202515 min

Curious Now #7: "I Wouldn't Run Them Over in the Parking Lot."

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...

May 23, 202513 min

Curious Now Listeners #6: "I set my learner up to fail..."

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...

May 15, 202522 min

Getting Your Message Heard in a Sea of Content | CMS Book Club #15

In 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 useful tool for those brought up in the STEM pathway to make their communication more effective. Learn more from CMS at www.harvardmedsim.org! CMS on Spot...

May 09, 202541 min

Curious Now #6: Surviving Psychological Contract Breaches

A 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. I know you’ve really been wanting to get some experience there, and we have a new onboarding program.” But days turn into weeks, and weeks turn into m...

May 01, 202512 min

Curious Now Listeners #5: Why is My Patient So Angry with Me?

Colleen 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.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-...

Apr 24, 202513 min

Curious Now #5: WTF to WTF

If 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 Chapter 1 of Curious Now, we put the whole package together. When we’re judgmental, activated, triggered, furious, what are the diagnostic symptoms we ca...

Apr 17, 202516 min

Curious Now Listeners #4: Our New Competency-Based Standards Didn't Land Well

Our 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 understanding how the students perceive the program, and how can we set them up for success when it's time to shift to a new mindset? Coaching from Jenny Rudolph...

Apr 08, 202522 min

Curious Now #4: Other People's Standards

What 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 episode, Jenny explores how when there’s a conflict, we can get curious now instead of jumping to harsh, reactive inferences about the other person’s inte...

Apr 02, 202512 min

Curious Now Listeners #3: Listener Emotions

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/72gzzWGegiXd9i2G6UJ0kP Curious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822

Apr 02, 202510 min

Curious Now #3: Freight Train of Emotions

Continuing 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.harvardmedsim.org Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP Curious Now on Apple Podcasts: https://podcasts.apple.com/us/p...

Mar 28, 202513 min

Curious Now Listeners #2: What Were Your Hidden Standards?

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/72gzzWGegiXd9i2G6UJ0kP Curious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822

Mar 27, 20258 min

Negotiation in the Emergency Room | CMS Book Club #14

In 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 compare to your model for debriefing after a critical event? Do we sometimes have to negotiate that there is even learning to be had from a bad exper...

Mar 22, 202532 min

Curious Now #2: Hidden Standards Behind Your Judgment

Every "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.harvardmedsim.org Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP?si=890ed4b02bfe4838 Curious Now on Apple Podcasts: https:/...

Mar 20, 202514 min

Curious Now #1: Foundations of Good Judgment

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?" In this moment, 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 Jen...

Mar 13, 202515 min

Readiness Planning: Go beyond “buy-in” to achieve curricular success and front-line performance

This 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 Readiness Planning, or visit www.harvardmedsim.org for additional training opportunities! Abstract from Advances in Simulation: "Simulation program st...

Jan 06, 202534 min

Book Club Ep. 012: Tribal Leadership: Leveraging Natural Groups to Build a Thriving Organization

This 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 every organization achieve a top-level culture? How do you navigate moving between different work settings (floors, professions, hospitals) with dras...

Jul 18, 202450 min

The Future and History of Simulation in Morocco | Reflections on HTIC 2024 in Fès

Professor 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.

May 30, 202433 min
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