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Join us for the April edition of the Simulcast Journal Club, hosted by Vic Brazil and Ben Symon, In this episode: Self-led debriefings, measuring team cognition, simulation as a basic computational mechanism in the brain, and picto-dictionaries. The papers Kumar P, Harrison NM, McAleer K, Khan I, Somerville SG. Exploring the role of self-led debriefings within simulation-based education: time to challenge the status quo?. Adv Simul. 2025;10(9). Evans JC, Evans MB, Lingard L. Team cognition in healthcare simulation: a framework for deliberate measurement. Adv Simul. 2025;10(12). Barsalou LW. Simulation, situated conceptualization, and prediction. Philos Trans R Soc Lond B Biol Sci. 2009;364(1521):1281–89. Kou M, Sanseau E, Kardong-Edgren S, von Hauff P, Ramachandra G, Walsh B, et al. Enhancing simulation-based healthcare education and research reporting using pictograms: does a picture paint a thousand words? Commentary from the International Distance Simulation Summit Pictogram Track. J Healthc Simul. 2025 Apr 14. Another great month on Simulcast. Happy listening
Join us for the March edition of the Simulcast Journal Club, hosted by Vic Brazil and Ben Symon, In this episode: Integrating electronic medical records into simulations, learning from reluctant participants in paediatric simulation training, using tabletop sandbox simulations to understand emergency department care coordination, and quality in simulated participant programs in Australia. The papers Wu, T., & Coggins, A. R. (2025). Low-cost electronic medical record interface for healthcare simulation. Journal of Healthcare Simulation SRSIS, 1, S9–S11. https://doi.org/10.54531/AGRS5189 Hybinette, K., Praetorius, G., Ekstedt, M., & Pukk Härenstam, K. (2025). Navigating the complexity of emergency department care coordination: A qualitative exploration of adaptive strategies using a tabletop sandbox simulation. Applied Ergonomics, 125, 104466. https://doi.org/10.1016/j.apergo.2025.104466 Newhouse, L., & Polwart, N. (2025). What can simulation educators learn from the reluctant participant? An exploration of the factors influencing engagement amongst adult learners participating in paediatric simulation training. Advances in Simulation, 10(4). https://doi.org/10.1186/s41077-025-00331-9 Stokes-Parish, J., Bannatyne, A., Green, P., Alsaba, N., Turner, C., Marr, K., & Gough, S. (2025). Benchmarking person-centered simulated participant programs: A Delphi consensus study in an Australian context. Clinical Simulation in Nursing, 99, 101683. https://doi.org/10.1016/j.ecns.2024.101683 Another great month on Simulcast. Happy listening
In this episode of Simulcast, Vic Brazil is joined by Vicki LeBlanc and Glenn Posner to discuss their recent article "More Than a Feeling: Emotional Regulation Strategies for Simulation-Based Education" published in Advances in Simulation. The conversation delves into the importance of recognizing and addressing emotions in simulation-based learning environments. Vicki and Glenn share insights on why emotions are often seen as taboo or difficult to manage in simulation, despite being a natural part of clinical practice (and everyday life!). They explain how emotions impact cognitive processes like attention, judgment and memory, and why ignoring them can hinder learning objectives. We explore practical strategies for identifying emotional cues, assessing whether emotions are helpful or hindering, and employing implicit or explicit regulation techniques. We emphasize the need to normalize emotional responses and view them as valuable data, rather than something to be avoided. The article aims to provide simulation educators with a comprehensive framework for understanding and responding to the emotional aspects of simulation-based learning. It challenges the notion that simulation should be a purely rational endeavour, underscoring the vital role emotions play in preparing healthcare learners for the realities of clinical practice. Happy listening!
In this joint episode with The Emergency Mind podcast, Vic Brazil and Dan Dworkis talk about ‘stress exposure' simulation/ training, and how we prepare ourselves and our teams to perform under pressure. We started with a general discussion about the need for this kind of training and how others have approached it. There are some fantastic resources on this topic, including this one from First10EM. The main conversation was our recent article - Exploring participant experience to optimize the design and delivery of stress exposure simulations in emergency medicine. In our conversation we also talked about adaptive expertise, the book ‘Teams that Work', and Dan's application of mental rehearsal and principles from martial arts. Happy listening!
The Harvard Macy Institute Podcast aims to connect our Harvard Macy Institute community and to develop our interest in health professions education topics and literature. Our podcast is hosted by our Program for Educators in the Health Professions course faculty Victoria Brazil, and features interviews with health professions educators about their scholarly work. In this S2 E10 podcast, Vic Brazil spoke with Dan Pratt - Professor Emeritus in the Faculty of Education and Senior Scholar in the Faculty of Medicine at the University of British Columbia, Canada - and Amanda Dumoulin, a recent BA Psychology Honors graduate student from Kwantlen Polytechnic University. In his book Five Perspectives on Teaching, Dan Pratt describes perspectives as ‘something we look through, rather than at as we go about the business of teaching. He eschews the idea of simplistic ‘best practices,' and invites a ‘plurality of the good' in teaching - recognizing our perspectives and thoughtful about how they shape our teaching formats. Do these perspectives change over time? Are the influences on them internal or external? What is the effect of a massive disruption such as the COVID-19 pandemic? Dan gave us a precis of the five perspectives and the Teaching Perspectives Inventory - a freely available instrument for educators to help identify their dominant and back up perspectives. In reviewing data from Harvard Macy Institute Scholars, Amanda offered some insights into trends observed over time, and some dramatic shifts during the pandemic. After some initial shifts towards a transmission perspective, developmental and nurturing perspectives are on the rise again. Food for thought! We reflected on the role of technology and culture in shaping teachers' perspectives and practice. Happy listening!
Equity, diversity and inclusion in healthcare simulation – reflecting on our values, beliefs and actions Many in the simulation community are thinking about the ways we might work on equity, diversity and inclusion through healthcare simulation. We are tempted to try and ‘fix' inequities and biases, but are also aware than if badly done – these ‘fixes' may cause harm. Ben Symon hosts this episode with Vic Brazil and Eve Purdy, and discuss the EDI-SIM tool they are trialling at the Gold Coast, and the collaborative autoethnography Eve is leading to explore the impact of this strategy. We made reference to recent publications on Recommendations and Guidelines for the Use of Simulation to Address Structural Racism and Implicit Bias and ‘moving from safe to brave' in Simulation in healthcare , applaud the work that many are doing in the area, and look forward to more conversations on these issues.
The Harvard Macy Institute Podcast aims to connect our Harvard Macy Institute community and to develop our interest in health professions education topics and literature. Our podcast is hosted by our Program for Educators in the Health Professions course faculty Victoria Brazil, and features interviews with health professions educators about their scholarly work. S2 E8 podcast is a conversation between Vic Brazil, Sebastian (Bas) Uijtdehaage, and Lauren Germain about why student evaluations of teaching (SETs) can appear ‘mindless,' and about the inadequacies of many student evaluation systems in educational institutions. We use a humorous but sobering article as our departure point for the conversation - A curious case of the phantom professor: mindless teaching evaluations by medical students. Bas gives us the background to the article, and we reflect on “three risk factors that may encourage ‘mindless' evaluation practices: (i) the cognitively taxing nature of SETs; (ii) the lack of perceived impact of SETs on the curriculum, and (iii) the degree to which the evaluation task is experienced as just another routine ‘chore'.” This challenge is compounded by a lack of reliability in SETs, poor correlation between student evaluation and learning outcomes, recent work confirming gender, racial/ethnic, and attractiveness , and the paradox of using desirable difficulties in teaching and improving learning outcomes. But it is not all doom and gloom! Lauren and Bas offer us alternative approaches to SETs – including more authentic engagement with students, ‘prediction based' methods, qualitative approaches such as focus groups and dialogue based evaluation, and peer observation of teaching. Lovely wisdom from two thoughtful leaders in the field of assessment and evaluation, and closely aligned with the principles underpinning the Harvard Macy Institute Systems Approach to Assessment in Health Professions Education. Happy listening!
The Harvard Macy Institute Podcast aims to connect our Harvard Macy Institute community and to develop our interest in health professions education topics and literature. Our podcast is hosted by our Program for Educators in the Health Professions course faculty Victoria Brazil, and features interviews with health professions educators about their scholarly work. S2 S6 podcast is a conversation between Vic Brazil and Traci Wolbrink about ‘digital presence' – how to establish and manage our online identities, including the overlap of personal and professional identities. It's a fun ‘meta' experience – a podcast recorded ‘live' during the 2021 HMI Transforming Teaching for the Virtual Environment course. We all have a digital presence – an online identity shaped by how we appear on institutional websites, social media and personal postings. How we curate and manage that presence is important for our careers and our work. This episode of the podcast was recorded during the Transforming your Teaching for the Virtual Environment (TTVE) course in April 2021. Vic spoke with Traci Wolbrink about her work with Open Pediatrics – and how carefully the team there manage their digital content creation, adaptation for various audiences and hosting platforms, and conversations on social media. We then flipped the conversation and Traci reflected on Vic's approach to podcasting, and how to have engaging online conversations with guests that listeners will enjoy, with some thoughts about how that applies to our interactive online teaching. The dominant themes in the conversation were audience and listening – not always what comes to mind when we consider online activity :-).
“Hey, someone get me the thing with the thing on it.” Words matter. What we say, and how we say it, can quite literally make the difference between life and death in a resuscitation. How do we shape our thoughts and our words to communicate effectively in an inter-professional team? Kari White and Vic Brazil show us the way.
Translational sim in Action In this episode we consider another Advances in Simulation article - Translational simulation: from description to action Ben talks with authors Chris Nickson, Steph Barwick and Vic Brazil, and draws out the principles and processes for translational simulation. Chris illustrates the approach describing his own work in ECMO in intensive care
Let’s talk about tribes. Some could say that healthcare is a bit like a tribal jungle. The multiple professions, specialties, departments, tribal language, tribal dress. On one hand, feeling like you belong to a tribe is fulfilling and encouraging. But, there is a dark side to tribalism and some of Vic Brazil's toughest days at work is when this dark side comes out. For more head to: codachange.org/podcasts
Happy New Year from the Harvard Macy InstituteWelcome to the Harvard Macy Institute podcast. Liz Armstrong extends New Year's greetings to our community, and outlines highlights and innovations in the Institute's work for 2020. Kristina Dzara gives us updates on the HMI blog, social media activities, and ways to stay in touch this year. Podcast host Vic Brazil gives us a taste of what's to come with the HMI podcast.
The Center for Medical Simulation Presents: DJ Simulationistas... 'Sup?
Resus Linguistics: Jenny Rudolph and Rebecca Minehart are at ResusTO in Toronto, Ontario, and are podcasting their post-session debriefs! Join us for this session as Rebecca and Jenny discuss Keri White and Vic Brazil's workshop. There's a declining tone from the pulse oximeter as your patient becomes increasingly hypoxic... How explicit do you need to be with your team when moving toward a particular intervention? We discover a vulnerability in the diversity of ways in which tools and strategies are asked for. How do you optimize care with a novice team differently from an expert team?
FOAMed is just not for English speakers. We love a bit of FOAMote (FOAM other than English) At SMACC I set out to meet the international visitors to find out about their version of Critical Care. And let me tell you, the Chilean version is pretty impressive. Chile is special. The longest country in the world with the driest desert, the highest lakes, the highest volcano, a huge mountain range making it strangely isolated and then they have Patagonia. The health system is highly developed. Emergency medicine has been growing for 25 years and there are conspicuous local and imported protagonists to thank. https://developingem.com/2014/08/14/presenter-profile-billy-mallon/ If you only read one article to accompany this podcast let it be this one: https://www.sciencedirect.com/science/article/pii/S0716864017300299 These days the home grown talent is taking up the reins and I was lucky to meet 4 of them at SMACC. Chile probably has the most high functioning health system in South and Central America. Based on a solid economy and a long history of professional advocacy the discipline of Emergency Medicine is now formally recognised by the Ministry of Health and by the rest of the world. Chile could become a power house of critical and emergency care in the Spanish speaking world. Do not underestimate these people. Cesar, Loreto, Manuela and Josefina came to SMACC in Sydney where I was waiting to meet them. Have a listen to what this group have to say. Challenges do, of course, remain. Chile has long since made the “epidemiological transition” to 1st world pathologies. The delivery of care still varies depending on location. Santiago is very well served but the regional and rural areas less so. They have robust public health and vaccination programs, but there is a resurgence of some infectious diseases in part related to population movement. Their economy is strong and their government has been increasingly willing to take on the responsibilities that go with being a regional power. Their borders are long and they have had a huge increase in asylums seekers, refugees and other immigration in recent years. Not insignificant numbers of French Creole speakers have come from Haiti, perhaps related to the presence of Chilean peace keepers. Mass immigration is new. The challenges it brings are huge. It’s a steep learning curve. But, let’s face it, we like steep learning curves! Some links, links are good; The App Josefina Larraín spoke about is Reanimapp ( @reanimapp ) The city with the large indigenous population is Temuco. The indigenous language spoken in the hospital is Mapudungun. “Do not underestimate the South American countries.” So said a wise woman from Santiago. Chilean Spanish Language #FOAMed resources; Mueve www.mue.cl Twitter @MUE_14 Sociedad de Chilena Medicina Urgencias www.socihmu.cl Twitter @Sochimu MonKeyEM www.MonkeyEM.com Twitter @MonKey__EM MCU Universidad de Chile www.mdu.cl Twitter @UChileEM Conferences Sochimu has its first Congreso Medicina de urgency 21-22 Nov. 2019 https://www.sochimu.cl/noticias/1%C2%BA-congreso-medicina-de-urgencia The conceptos conference is in 11-14 September 2019 http://www.urgencia.uc.cl/conceptos/ These are not small events; Chris Nickson, Cliff Reid, Amal Mattu and Vic Brazil have spoken there. They know a bit about this sort of thing. Chile is amazing. But don’t take my word for it.
We always lecture about ultrasound, but we’ve never lectured on how to lecture about ultrasound. In our latest episode, Mike Mallin and Jacob Avila discuss the finer points of how to produce a good lecture. Also, stay tuned for our next episode where we get tips from the experts: Haney Mallemat, Anand Swaminathan, Resa Lewiss, Vic Brazil, Ashley Shreeves and Matt Dawson. Wanna learn from us in person? Well, we have good news. There are 2 conferences coming up, one in Bend, Oregon, and the other in Lexington, Ky. Click the links to learn more!
The Center for Medical Simulation Presents: DJ Simulationistas... 'Sup?
This podcast is a joint venture between CMS and Simulcast. Listen to more from Simulcast at http://www.simulationpodcast.com. Victoria Brazil: Translational Simulation Since the start of the modern simulation era, many in the healthcare simulation community have taken a “Field of Dreams” approach to our simulation efforts, believing, like the character Ray Kinsella in the movie of the same name, that we “If we build it, they will come.” Often however, “buy-in” to simulation programs is just as difficult as getting real people to come to a baseball diamond in the middle of an Iowa cornfield. Simulation increasingly competes with a variety of other healthcare education, quality, and safety efforts for resources. In this podcast, Jenny Rudolph talks with Victoria Brazil talk about Victoria's alternate approach to positioning simulation in healthcare. Rather than creating simulation programs and then hoping people will come, instead, she argues, we need to solve real clinical problems, using goals co-created with the colleagues we aim to serve. This work focuses on clinical impact and culture change via what she calls “translational simulation. Translational simulation focuses our attention on identifying and addressing high yield problems at the “coal face” of clinical care. The focus is on simulation interventions that stretch outcomes beyond clinical and teamwork skills to improving clinical benchmarks, clinical outcomes and the patient journey. Is this the same age-old exhortation to focus on patient quality and safety or something different? Join the Center for Medical Simulation and Simulcast as we explore Victoria's most recent publication on translational simulation and links to work by Bill McGaghie, and other exemplary work in the field. Victoria Brazil is an emergency physician and host of Simulcast, director of the Gold Coast Simulation Service in Queensland Australia, and Professor at Bond University Medical School. Jenny Rudolph is an organizational behavior scholar, executive director of the Center for Medical Simulation in Boston, and an Assistant Professor of Anaesthesia at Harvard Medical School and Massachusetts General Hospital.
In this podcast, "Bond" fame Vic Brazil talks about how to get ready for starting a simulation-based educational programme in your institute. She shares her valuable insights and pearls of wisdom to help upcoming educators in dealing with this common dilemma.
Patients are at risk – from the moment they begin their healthcare journey. They are at risk of bad outcomes (as defined by us) and of bad experience (as can only be defined by them) Patient safety experts like James Reason, and groups like the Institute for Healthcare Improvement (IHI) have prompted us to think about systems and complexity as sources of error – and supported strategies to remove predictable human fallibility as far as possible. This is important to make healthcare safer. Vic Brazil’s talk suggests there is also a human face to patient safety - in the behaviour and attitude of healthcare practitioners and patients themselves...... We think too little of patients. We feel affronted if patient takes a different view of ‘evidence’ or of ‘risk’. …and they think too much of us....! Every day patients allow nurses (and doctors) to inject drugs into their IV line without asking “whats in that syringe”.... This combination of our subconscious paternalism and patients’ blind faith is a heady mix……but ripe for us to make a difference. Vic suggests there are are small, human ways we can involve patients in safer healthcare, of better quality and with an improved patient experience. We can ask them. We often do involve patient advocates at the ‘strategic end’, but when was the last time you invited a real patient to your departmental teaching or consultant meeting (or smacc conference...!) We can connect with advocates for patient experience and ‘personalised medicine’, especially if we are interested in social media. Follow people like @JenWords and @EricTopol Involve patients as another layer of Swiss cheese. Ask them to be on the lookout for mistakes. And maybe Stop ‘looking after’ patients and start ‘partnering with’.
Sandra Viggers and Vic Brazil grace St.Emlyn's with a conference report from Sand Diego and the International Meeting for Simulation in Healthcare (IMSH) #IMSH2016.
Vic Brazil of #FOAMed and #SMACC fame came to talk to the St.Emlyn's team in Virchester. Listen in for top tips on looking great and sounding super. vb S
Vic Brazil opens smaccGOLD with a powerful insight into how conflict between "tribes" in our everyday working environment can adversely impact upon patient care.