The Center for Medical Simulation Presents: DJ Simulationistas... 'Sup?

Hayden Richards, an Australian emergency physician and founder of the Youtube channel CommsLab, joins us to compare notes on confronting what's going on underneath our fight/flight/freeze responses as clinicians in high stakes conversations: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 This collaboration began with Hayden's excellent explainer on Advocacy Inquiry: https://www.youtube.com/watch?v=BGvEAxVox5U Much like our work with looking at the hidden emotions underneath our judgment, Hayden's work on mindfulness helps people to feel less buffeted by the stimuli of the emergency department as well as of everyday life. Workout of the Week: Use a “good judgment statement” that begins with the words “I'm worried….” Hayden points out that this type of statement of concern lets the listener know that you don't know all the answers, but this is what you're thinking about as you find your way together. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing

How Shared Standards Can Bring Down the Heat (with Gabe Reedy) | Curious Now 29 Gabriel Reedy, Editor-in-Chief of Advances in Simulation, joins us to talk about how shared standards can bring down the heat in workplace conflicts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 How do we as teachers and clinicians provide the conditions for people to thrive? If we want people to get better, we have to agree in a shared direction to move regarding what better looks like. How can we make sure that standards are continually growing with the field and with evidence from what has actually happened in the world so that our practice doesn't get static or stagnant? Workout of the week: Notice when the heat level is rising in a conversation when it isn't clear what's raising the temperature, and use curious questioning to figure out why! Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ The Advocacy-Inquiry Rubric in Advances in Simulation: https://link.springer.com/article/10.1186/s41077-025-00381-z #healthcaresimulation #nursing #medicine #debriefing

Thank you so much to our Australian hosts including Nathan Oliver and the Canberra Region Debriefing Club, a community of skilled, thoughtful teachers who made this virtual visit a deep and helpful conversation: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 In this week's episode, Jenny joins the Canberra Region Meta Debrief Club to talk about moments in our teaching where our judgment flares up and we start to get indignant with our colleagues and our learners, even ones who we care deeply about! This wonderful group of participated in a meta-debriefing of their experiences with difficult judgments during their teaching and personal lives that helped us understand what's happening to us when we flare up from our judgments. Workout of the week: When you find yourself judging, or even experiencing heightened emotions, ask yourself, what is the standard I'm holding here? Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing

Working from a challenge by Eve Purdy, this week Jenny is focusing on the edge of her expertise and the work she's currently doing for herself, which is self-leadership using internal family systems. What this does is cast on floodlights onto your reactions, allowing you to understand the parts of yourself that are in conflict and that are putting you into a reactive mode. So who is the part of Jenny that pops out and turns her prickly and drops the Basic Assumption during meetings and other conflicts? Workout of the week: Identify and name a part of yourself that keeps popping up regularly. 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/ #healthcaresimulation #nursing #medicine #debriefing

A very common dilemma—you can see something that you know can be done better, but you're struggling with how to say that to the person doing it without damaging your relationship. Why does it keep happening that we hide our expert judgment about the situation? Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 #healthcaresimulation #nursing #medicine #debriefing

We're joined by Walter Eppich to talk about how learning happens in conversations. Specifically, Walter discusses how he watched a surprisingly successful call by a junior doctor that brought a surgeon running from the OR down to the ED to see their patient. Doctors in the early stages of their career tend to ramble when giving reports—including every piece of information that they know in the hopes of including something relevant. How do we learn to communicate with other healthcare professionals in a way that makes your current problem their most important problem? Why do we have every junior doctor go through phone call failure rather than explicitly teaching the structure of talk that we know works, and that they'll be steered towards by explicit feedback in the calls? 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/ #healthcaresimulation #nursing #medicine #debriefing

Agency is the Power to Act | CMS Book Club Live at #IMSH2026 Roxane Gardner and Grace Ng react to Shawn Kanungo's keynote talk on innovation at #IMSH2026. Watch here: https://youtu.be/tbUfYHhM3kE Roxane and Grace both felt that the content of the talk was surprisingly supportive, especially for an ‘innovator' who was speaking about the role of AI in the changing industry. Much in the way that we talk at CMS about not imposing simulation from the top down as a prepackaged education solution, but instead partnering with teams to learn what they need to help them feel ready and then using simulation as a tool among many to get them there, Shawn helped to position agentic and generative AI in the same way. Grace was pleased to hear the discussion of agency, and tools that empower people to do things rather than replacing them—her PhD work on nursing agency and how nurses can be empowered to activate rapid response teams, and that seemed very relevant to the moment as we figure out how these tools will shape our work. Listen and subscribe on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 #curiousnow #healthcaresimulation #medicine #nursing

Change Comes from Curiosity and Caring | Curious Now Live at #IMSH2026 Commenting on Kevin Brown's “The Hero Effect” – How do we bring our presence to ordinary moments? Jenny Rudolph, James Lipshaw, and Jenny Bourque discuss Kevin Brown's story of a chef using an encounter with his son's specific dietary restrictions as the launch point for a higher standard which makes Disney's restaurants more accessible to diners with dietary needs. How can we not just design our programs, but also carry ourselves in individual conversations, in everyday moments, and lead our industry in a way that ensures that we are creating a standard of access and a standard of service that serves everyone, especially the people whose stories aren't being heard in the rooms where leadership meets? #curiousnow #healthcaresimulation #medicine #nursing

Ready to Work Creatively Whether Our Organization Likes It Or Not | Dare to Be Ready Live at #IMSH2026 Chris Roussin reacts to Tania Katan Keynote Lecture at #IMSH2026 on The Dare to Be Ready Podcast “You need to be different from the status quo to make change.” What does it mean to be called to innovate and work creatively in an organization that is ready and asking for it, versus in an organization that isn't? Some organizations have leadership that is passionate about quickly squashing creativity. How do we help people to create change and create readiness in a new way without it feeling like we're launching it at them from a consultant helicopter as we fly away? Some advice from the talk that verged away from rah-rah and into the practical that we really liked: 1) Think about a limitation that you have at work, and consider how that limitation could actually be an opportunity for you; 2) Say what your job title is and then imagine a job title more accurate and appropriate to what you do. More live reactions from Jenny Rudolph, Roxane Gardner, and Grace Ng coming in the next few days! #daretobeready #healthcaresimulation #medicine #nursing

Welcome to the Center for Medical Simulation's Grand Rounds presentation of the new publication in Advances in Simulation, “The Advocacy Inquiry Rubric (AIR), a Standard to Build Debriefing and Feedback Skills”. Lead author Clément Buléon, an anesthesiologist based in Caen, France, joins CMS Senior Director of Innovation Jenny Rudolph and CMS Assistant Director of Instructional Design James Lipshaw, both co-authors on the paper, to discuss how the AIR can be used to give effective, efficient feedback on questions in debriefing and feedback conversations. Our belief is that this tool can be used like the DASH to help educators improve their own performance in learning conversations, as well as the performance of others. In addition to discussing the structure and use of the AIR, James presents a series of debriefer videos to Clement and Jenny, who then have to use the AIR to provide feedback to the debriefer. We hope to model how you can “see through the eyes of the AIR” to provide effective, standards-based feedback for educators. Watch the Grand Rounds here: Or listen on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 #debriefing #healthcaresimulation #medicine #nursing

This week, Jenny and James discuss how organizations, not just individuals, can have hidden or implicit standards that are not spoken aloud. We look at how a tool like the new Advocacy Inquiry Rubric, or AIR, can help make excellent performance visible, learnable, and repeatable, and how explicit standards help us target what actually matters in performance and what we want to move toward as a shared goal. Workout of the Week: When you detect an implicit standard, say it out loud and make it explicit (but be sure to own that this is your perspective!). For example, “I believe that our standard in this unit is that if we need blood drawn from a patient, we start a new draw rather than using an existing IV.” #healthcaresimulation #nursing #medicine #debriefing 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/

We're taking this week off, but we'll have a new podcast on January 2nd, and the CMS media team will be in San Antonio from January 11-14 for IMSH 2026! We hope to see you there.

This week on Curious Now, we're joined by an expert in the exploration phase of debriefing to help us better understand the “listen and explore” region of PAAIL. Bridget Van Gotten is a Learning and Design Strategist for the Zamierowski Institute for Experiential Learning at Kansas University Medical Center, and a 2015 alum of the CMS Healthcare Simulation Essentials: Design & Debriefing course. The KUMC team designed a new approach to exploration when they found that in simulation, learners were simply agreeing with the debriefer's point of view rather than trying to contrast it with their own thoughts, especially when they were doing the right thing (i.e. “I did the correct thing because that's the correct thing to do.”) A second major discovery was that learners at all experience levels were describing the same barriers to success, rather than having different needs at different levels. For example, both med students and attendings might describe the busyness of the code space as making it difficult to claim a leadership role during the case, often using the exact same words. Bridget coaches Jenny on how to conduct better explorations of learner thinking, in this case in a faculty development conversation about classroom management and maintaining the attention of learners. #healthcaresimulation #nursing #medicine #debriefing 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/

Debriefings are often delayed and diminished by questions the asker already knows the answer to. “Wouldn't it have been better to give epinephrine faster?” “Did it occur to you to have a family meeting?” And when asked why they don't just share what they clearly think is the answer, the debriefer will often say something like, “It's better for them to come to the answer themselves.” But we aren't really asking the learner to come to an answer with these kinds of questions—we're asking them to read our mind, and then to agree with us once they do. There's no opportunity for them to understand their own thinking better. Today's episode will try to get you ready to live with the discomfort of not knowing the answer you're going to get for long enough to ask a genuinely curious question in debriefing. Workout of the week: Every day, ask one truly open-ended, curious question—one you don't already know the answer to. Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #medicine #nursing #debriefing #podcast

Dr. Catherine Allan, Director of the Cardiac Care Unit and Inpatient Cardiology at the Cleveland Clinic joins us to talk about readiness for teams to perform pediatric ECMO, a high-risk, high-complexity therapy that staff might only see a third as often as they see patients on ventilators. ECMO can also be called for during CPR, which greatly increases the time pressure and complexity of the procedure. During ECPR, there is not only the ICU resuscitation microteam but also the surgical team and the perfusion team, leading to potentially having up to 20 people working in the room when running an ECPR case. We discuss how leaders can help connect seemingly imposed efforts like checklists and huddles to what it is that frontline workers are trying to achieve and are meaningful to them, and how simulation program designers must do the same in order to make sure that training is not a top-down checklist but rather a mutually owned process that gets teams where they believe they need to go. 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

Just in time for the Thanksgiving Holiday— the CMS Book Club reviews “How to Avoid Awkward Silences” by Patrick King! “You set the tone for how people react to this… when you act awkward and diffident, people feel awkward and diffident.” Join us as eight learning conversation experts debate the value of silence, and how we can get the conversation back to flowing when we feel like we've lost touch with what's happening in the debriefing room, classroom, or around the family dinner table. Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822

Why is it so hard for healthcare educators to share what they actually think in a debriefing or feedback situation? Jenny shares the story of a participant in an anesthesia clinical simulation who helped guide her to be more transparent: “I'm often talking to providers on the worst day of their career, after a medical error has occurred. If I'm going to ask them to be honest with me about what they were thinking, the least I can do is be honest about what I'm thinking.” Over the years training faculty in feedback conversations, we've run into many who ask, how is it helpful to tell my learner that I think they're an idiot? But telling the person what you think honestly should not be your feelings or attributions about their character. It should be the impact of their actions, which exist at the level of concrete data. Workout of the Week: Practice saying to people, “When you did x, it led to y.” One great feature about this workout is that you can use it for positive things! “When you stayed late to help me with that report, it lowered my stress level.” 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/

When we lead a conversation where we only bring our conclusions and inferences to the table, rather than the concrete data that helped lead us there, we are influencing (sometimes unjustly) what is even discussable among our teams. By going back down to discussing the data that helped us shape those conclusions, we can make conversations and meetings more fair, more equal, and more productive. Workout of the week: Note when you have gone up the ladder of inference to a conclusion about a person and perhaps lost track of the data that led you there. Then, go back down and incorporate the data into an observation. Example: “She was defensive” is an inference or conclusion. Go back down the ladder to the data and turn it into an observation: “I observed that she crossed her arms and said, ‘I don't know,' twice.” 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/

Too often, meetings and announcements, especially around policy changes and new ways of working, are a list of topics that fail to address the fundamental questions that matters to team members—why are we talking about this? Whose decision was it? And is that decision final? Leaders and team members need to understand how power is being wielded, especially when it comes down the line in seemingly inhumane ways. By simply saying a few key words, we can make our teams feel like they had a voice, like power is not being used unfairly, and safe to say when they don't understand and when they want input. Workout of the week: Use the subject line of your emails to practice more clearly telling what the purpose of the conversation is. 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/

This week, Jenny and James explore recent conversations that didn't go as well as they could have, because of different types of failures in the words we chose to use or the things we chose to reveal. Building on the work of recent guest Amy Edmondson, we look at the way that people in fearless organizations can talk—using the conversations that you have to frame the work, emphasize shared purpose to create joy even in everyday work, and demonstrate that you don't think you have all the answers. Workout of the week: Observe for conversations where you feel unclear—what was the point of this meeting, why are we having this conversation, what are our goals of care for this patient? 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/

Christian Balmer, an anesthesiologist and critical care doctor from Switzerland, joins us to look at the readiness of surgical teams in his organization to recognize and deal with cases that have gone beyond the capacity of the peripheral center to handle. Far from being a readiness plan around technical skills, the team discovers that it is the gray areas between intersecting teams and intersection institutions where the process of caring for the patient breaks down. Do the ICU teams at both hospitals agree about when is the right time to transfer the patient? Do the surgeons have training on stepping back and declaring that there is a crisis that needs to be managed via transport? Are there communication plans in place to make sure that the ICU has available beds, and to help the main hospital trust that when the peripheral group sends a patient, that patient has a real need for the ICU bed? Finally, we discuss aligning training programs from healthcare schools all the way to the hospital—if health systems are looking for teams that can talk to one another, work with patients, and provide care in a particular way, how can we make sure that the schools that are training future healthcare workers are in communication and prioritizing the skills and ability to learn that they will need to be ready for the job? -------------- 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 Readiness Planning in Advances in Simulation: https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-024-00317-z 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

In this special episode, Jenny Rudolph and James Lipshaw, producer of Curious Now, debrief our performance so far with the podcast, what we had in our original vision that we haven't achieved yet, and where we'd like to go next. How can we rachet up the interactivity of the podcast, how do we make the experience of trying to do this work right more relatable and less of a lecture, and how do we tune the difficulty of the workouts to the experience levels of our guests better? Do you have feedback for Jenny on the first three chapters of Curious Now? Now is a great time to comment—let us know below this post what you'd like to see in the future, and how the workouts are going for you! Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 Curious Now on Video: https://youtube.com/medicalsimulation Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/

We have an incredibly special guest this week on Curious Now! Amy Edmondson, Professor at Harvard Business School, and author of numerous books including Right Kind of Wrong: The Science of Failing Well, Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy and The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth joins us to discuss her concept of psychological safety, how a failed study led to its invention, and how leaders can create organizations that learn. An initial study with a well-validated tool found a correlation between having better teams and having HIGHER error rates. Reluctant to bring this result to her thesis advisor, she came to an idea: Maybe better teams don't make more mistakes, but rather better teams are more willing to talk about mistakes. Bringing psychological safety to the present day, Amy and Jenny discuss how the best examples of crisis leadership involve what Amy calls “situational humility,” the ability to say, “we've never been here before,” and then framing the problem as an opportunity to find solutions and seeking and inviting input, along with a continual refreshment of common purpose. How can individuals create a “learning frame” to grow in a crisis rather than an “execution frame” where you're just getting work done; being open to hearing feedback both from your colleagues and your work itself as you do it. While “learning work” can seem in the short term to take more energy or more bandwidth, in the broader view it creates vastly easier work through an increase in skill and understanding. Dr. Edmondson says, “If you're not an organization that has found ways to hardwire learning and feedback loops into everything that it does, you will get caught unawares in a fast-changing, complex world.” 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/

This week Laura Rock and Janice Palaganas return to crack the code of team culture, map the blueprint underneath what we're thinking. In the final episode of this chapter, we ask our guests what they've discovered about themselves with a Frames, Actions, Results test. Janice has a glitch with a student where their understandings didn't match, and Laura shares how being honest about her own critical care strengths and weaknesses with a group of trainees helped them focus on learning the most from her and other members of the team. 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/

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! ----------- 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. -------------- 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

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 Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP CMS on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822

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 months, and she never seems to be scheduled for the CCU. So finally one day she asks outright, “What happened with that?” And the clinical nurse specialist kind of blinks in surprise and says, “You know, we're just way too short staffed right now, I'm sure we'll get to it eventually.” This example of personal learning deferred is one of the most common breaches to what we call the psychological contract—when I either implicitly or explicitly make an offer to you, and then don't follow through on it the way you were expecting. This week we're going to focus on getting you ready to survive these very common situations, whether you've experienced the breach, or caused it. This week is a great place to hop into Curious Now, with a new chapter on how we interact with other people when we need to work together, but the standards we hold haven't been met. 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

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-simulation/id1279266822

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 can take of ourselves in order to successfully have our reaction, put it aside and reset ourselves, and then get curious about what is going on for the other person? 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

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 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

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

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 intelligence and character. 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