POPULARITY
Welcome to Simulcast! In this special episode, Victoria Brazil is joined by Hege Ersdal and Benjamin Kamala, the joint first authors of a ground-breaking study just published in the New England Journal of Medicine. Their program aimed to reduce birth-related mortality in Tanzania, with spectacular success. The Safer Births Bundle integrated key elements: innovative simulation training, data-driven quality improvements, advanced clinical devices, and international collaboration and local empowerment. Neonatal mortality was reduced by 40 % and maternal deaths reduced by 75%. Congratulations to all involved. The article: Kamala BA, Ersdal HL, Moshiro RD, Guga G, Dalen I, Kvaløy JT, Bundala FA, Makuwani A, Kapologwe NA, Mfaume RS, Mduma ER, Mdoe P; Safer Births Bundle of Care Study Group. Outcomes of a Program to Reduce Birth-Related Mortality in Tanzania. N Engl J Med. 2025 Mar 13;392(11):1100-1110. doi: 10.1056/NEJMoa2406295.
Episode 81: Dr. Victoria Brazil, an esteemed emergency physician and renowned medical educator, delves into her passion for utilizing simulation to enhance healthcare outcomes. Dr. Brazil discusses how simulation not only sharpens clinical skills but also fosters high-performance teamwork. She shares insights from her extensive experience, illustrating how simulation-based training can bridge gaps in communication and coordination among healthcare professionals. Dr. Brazil's commitment to advancing medical education through innovative simulation techniques shines throughout the episode, offering valuable perspectives for both clinicians and educators. I think it's both a problem and an opportunity that people don't have a clear idea of what simulation is, because it's many things that maybe what they share in common is very narrow, but the breadth of what they can achieve is very wide. - Dr. Victoria Brazil My special guest is Dr. Victoria Brazil. Dr. Victoria Brazil is a distinguished professional in the healthcare and simulation fields. With a background in emergency medicine and healthcare improvement, she has been influential on the impact of simulation in healthcare, stress management, and teamwork. With a deep understanding of the intricacies of healthcare improvement, Dr. Brazil brings a wealth of knowledge and practical insights to the podcast. Her unique perspective highlights the potential of simulation-based training to transform and elevate healthcare practices. In this episode, you will be able to: Discover the impact of simulation-based training for enhanced skills and confidence. Explore the role of simulation in addressing PTSD and promoting mental well-being among healthcare professionals. Unlock the potential of design thinking to drive meaningful improvements in healthcare practices. The resource mentioned in this episode: Simulation Reconnect, a healthcare simulation and technology conference in Australia, held in November at Bond University. Connect Dr. Brazil and check out her website as well as podcasts: X LinkedIn Simulcast Harvard Macy Institute Podcast Connect with Andrea on Instagram (@andreaaustinmd) or LinkedIn about the show and more, or visit her website www.andreaaustinmd.com.
This presentation features Victoria Brazil and took place during the Clinical stream at CODA22, which took place in Melbourne in September 2022. For more information about the CODA Project go to: https://codachange.org/
Welcome to another “Advances in Simulation Edition” In this episode, Jesse is (finally) back behind the mic to interview Ellie Davies and Victoria Brazil about their work and recent publication in Advances in Simulation. Davies, E., Montagu, A. & Brazil, V. Recommendations for embedding simulation in health services. Adv Simul 8, 23 (2023). https://doi.org/10.1186/s41077-023-00262-3 We explore the background to this work and look to understand: The concept of sim being embedded - why/ what contexts? What do good 'embedded' sim services do? The recommendations. The recommendation domains are: (1) governance and leadership; (2) human resources; (3) principles and planning; (4) operationalise and evaluate and (5) look to the future. For more detail listen to the episode or head to Advances in Simulation in Healthcare to read the article. You can find Ellie, Adam and Victoria on LinkedIn and also contact Ellie as the corresponding author of the article on Advances.
A joint project with the Simulcast podcast - Dr. Victoria Brazil talks about her team's recent work on stress exposure simulation and training teams to perform under pressure.
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 will feature interviews with health professions education authors and their research papers. This episode of the Harvard Macy Institute podcast is a joint release with Simulcast, and we spoke with Laura Rock – a critical care physician about using ‘just in time' simulation for high stakes communication with patients and families. Practising communication, with good feedback, helps us get better at our jobs in healthcare. This is especially important for ‘high stakes communication' (but really is there any other kind
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 will feature interviews with health professions education authors and their research papers. S3 E1 Podcast features Subha Ramani and Lara Varpio having a conversation about scholarship in health professions education, and how to make this academic work accessible and applicable for educators. Scholarship in health professions education is often based on paradigms and methodologies unfamiliar to clinician educators. This risks a ‘disconnect' – where educators may be looking for randomized controlled trials, and scholars are providing theoretical frameworks and thematic analysis! In this episode Lara Varpio and Subha Ramani discuss their scholarly work in health professions education and how they have made that work rigorous and useful to practitioners, while also educating their readers and challenging some positivist norms. Lara Varpio is Professor, Center for Health Professions Education & Department of Medicine and Associate Director of Research, Center for Health Professions Education at the Uniformed Services University of the Health Sciences in Maryland. Subha Ramani is Associate Professor of Medicine, Harvard Medical School, and an internal medicine physician at the Brigham and Women's Hospital in Boston. She is senior faculty with the Harvard Macy Institute. We had an interesting discussion on the cultural contexts in which this scholarship is placed and look forward to more ‘bidirectional' influence of non-Western perspectives on knowledge and ‘ways of knowing.' Subha and Lara provided excellent advice to those early in their scholarship journey – being clear on goals, engaging in scholarship for the right reasons and the importance of collaboration. Many thanks to them for their time and expertise! Watch out for new episodes this year which will be announced on our blog and our Twitter, LinkedIn, and Facebook social media channels. Did you know that the Harvard Macy Institute Community Blog has had more than 285 posts? Previous blog posts have explored topics including developing leaders for healthcare and education, leading curricular change, and systems of assessment in educational settings. Author BIO Victoria Brazil, MD (Educators, '05, Leaders '07, Assessment ‘10) is Professor of Emergency Medicine and Director of Simulation at Bond University Faculty of Health Sciences and Medicine. Her research interests include podcasting and simulation, and she is co-producer of Simulcast - a podcast about healthcare simulation. Victoria can be followed on Twitter.
Tune in to a cross over episode with Simulcast, as Jesse Spurr and Victoria Brazil discuss Safety-II, Drugs and Design Sprints in Intensive Care. In this episode, Vic and Jesse catch up to talk through a human centred design project aimed at improving medication safety in the Intensive Care Unit. Vic and Jesse discuss real world applications of Safety-II approaches, the core philosophy and practices of psychological safety and the importance of clinician led approaches to risk in practice. The episode closes with drawing parallels between this work and the skills and practices of simulation. Safety-II, Drugs and Design Sprints in Intensive Care For more like this head to our podcast page #CodaPodcast Or, head to Simulcast to hear more from Vic, Jesse & the team.
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 will feature interviews with health professions education authors and their research papers. In this episode of the Harvard Macy Institute podcast, we spoke with Ann Somers Hogg about the top trends to watch in healthcare delivery, and what this might mean for health professions education. Health professions educators must remain attuned to the ways in which healthcare is delivered if we want to produce graduates who are ‘work ready.' This is an enormous challenge when healthcare technology and systems evolve at a rapid rate. So, what is on the horizon of health delivery? What changes in practice can we anticipate? What will be the impact of technology? Changing workforce roles? changing consumer expectations? And how will COVID-19 continue to influence care delivery? In this episode of the Harvard Macy Institute podcast, we spoke with Ann Somers Hogg about the top trends to watch in healthcare delivery. Ann-Somers is a senior research fellow at the Christensen Institute where she focuses on business model innovation and disruption in healthcare, including how we can transform a sick care system to one that values and incentivizes total health. Prior to joining the Institute, Ann Somers spent eight years at Atrium Health. We talked about technology, personalised medicine, ‘health coaches,' mental health apps, companies that are 'healthcare aggregators,' telehealth trends and exemplars such as the Health Design lab at Jefferson Health. We conjectured about what this all means for health professions education and look forward to more of these conversations. Watch out for new episodes this year which will be announced on our blog and our Twitter, LinkedIn, and Facebook social media channels. Did you know that the Harvard Macy Institute Community Blog has had more than 290 posts? Previous blog posts have explored topics including developing leaders for healthcare and education, leading curricular change, and systems of assessment in educational settings.
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!
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 will feature interviews with health professions education authors and their research papers. Podcast S2E9 features Sawsan Abdel-Rawsig, in a discussion about ‘glocalisation' – how we adapt our increasingly global approaches in health professions education to ensure they remain culturally and locally aligned Healthcare and health professions education is increasingly global and interconnected. This has many benefits, but risks ignoring important cultural and contextual differences in the settings where education is delivered. In this episode Sawsan Abdel Rawsig tells us about ‘glocalisation' - combining the terms globalisation and localization to describe the adaptation of international standards to local needs and cultures. We explored this concept through her work in the United Arab Emirates, where she works as chair of medical education at the Cleveland Clinic Abu Dhabi. Glocalisation involves adapting the domains of learning, the pedagogies, the faculty, and the systems to those that align with and serve local communities. By way of example, Sawsan has led the creation of a framework for medical professionalism in the UAE, with considerable overlap with accepted Western definitions, along with important differences. We also discussed the opportunities for the ‘bidirectional' influence of cultural adaptation, and suggest that the process of reflecting on differences can positively reshape some of our dominant Western perspectives.
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!
Dr. Victoria Brazil + Dr. Andrea Austin on the power of medical simulation.
The Harvard Macy Institute Podcast is hosted by our Program for Educators in the Health Professions course faculty Victoria Brazil. This episode features a conversation with Program for Educators course directors Liz Armstrong and Holly Gooding and program manager Todd Fowler, in a discussion welcoming new course scholars into our worldwide community of practice. Why did Liz Armstrong create the Harvard Macy Program for Educators in the Health Professions? What should new scholars expect from this immersive experience? How can scholars and faculty best prepare for the week? And why does Todd Fowler have so many bow ties? New scholars, returning faculty scholars, and alumni alike will enjoy this chat with HMI founder Liz Armstrong, Program for Educators course co-director Holly Gooding, and the man who keeps it all running, Todd Fowler. Take a listen to learn more about the history of the Harvard Macy Institute, the types of groups scholars will experience as they join our community of practice, and “tips from Todd” for getting the most out of the week.
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 :-).
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 will feature interviews with health professions education authors and their research papers. Podcast #14 features HMI faculty member Martin Pusic, in a discussion about artificial intelligence (AI), big data, analytics and algorithms – and how they might transform healthcare and health professions education
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 will feature interviews with health professions education authors and their research papers. Season 2, Episode 4 features Harvard Macy Institute Leading Innovations in Health Care and Education course directors Liz Armstrong, Derek van Bever and Josh Nagler, together with 2020 scholars Tanya Holt and Tanya Horsley, reflection on the why, what and how of developing leaders for 21st century education and healthcare. We are experiencing rapid and fundamental change in the ways healthcare and health professions education are delivered, and in the social, political, and financial environment in which they exist. In this podcast, Victoria Brazil speaks with Josh Nagler about the need for leadership during times of change, and the ways we can develop leaders from across the career spectrum. We draw on the wisdom of HMI Leading Innovations in Healthcare and Education co-directors Derek van Bever and Liz Armstrong in reflecting on the critical need for innovation and change in healthcare, the translational of leadership theory to practice, and the use of case studies in leadership development. They emphasize the importance of creating a psychologically safe environment where learners can take risks as critical leadership development steps, and describe how the theory of disruptive innovation continues to shape their approach to guiding others to lead change. The podcast also features the voices of two scholars from the 2020 Leading Innovations in Health Care and Education program – Tanya Horsley and Tanya Holt – who describe this developmental process from a scholars viewpoint, and their experience of becoming part of a community of practice within the Harvard Macy Institute. Watch out for new episodes this year which will be announced on our blog and our Twitter, LinkedIn, and Facebook social media channels. Author BIO Victoria Brazil, MD (Educators, '05, Leaders '07, Assessment ‘10) is Professor of Emergency Medicine and Director of Simulation at Bond University Faculty of Health Sciences and Medicine. Her research interests include podcasting and simulation, and she is co-producer of Simulcast - a podcast about healthcare simulation. Victoria can be followed on Twitter.
So you've got a checklist. You brief your teams. Check and check. Now, how do you make sure what you're doing is actually helping your team prepare for what comes next? How can you effectively situate briefings within a complex interprofessional culture? Vic Brazil is, as always, not to be missed.
“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.
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 will feature interviews with health professions education authors and their research papers. Season 2, Episode 3 features health professions educators Lisa Jane Jacobsen and Jennifer Meka from the Jacobs School of Medicine and biomedical Sciences at the University of Buffalo, talking about leading curricular change at their institution.
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 will feature interviews with health professions education authors and their research papers. Podcast #10 features health professions educational leaders Sarah Teele and Traci Wolbrink, discussing their recent article Online education in a hurry: Delivering pediatric graduate medical education during COVID-19. INSERT READ MORE HERE The COVID-19 pandemic has presented challenges to learning and teaching in post graduate education. In this paper, Sarah Teele and colleagues describe their response within the pediatric cardiology program at Boston Children’s Hospital (BCH) - Online education in a hurry: Delivering pediatric graduate medical education during COVID-19. They report their work on “redesigning the clinical learning system - including a description of the learners and environment, the pedagogical principles that guided the approach, and technological tools used in implementation.” Sarah Teele is a pediatric cardiologist the intensive care unit at BCH, as well as a clinical educator and researcher. She is currently completing the Master's program in Health Profession Education at the Massachusetts General Hospital Institute for Health Professions. Traci Wolbrink is a pediatric critical care physician and leading educator, who joined the conversation from her perspective as senior author on the paper and co-director of OPENpediatrics – the platform used by the team. The insightful conversation with Traci and Sarah canvassed issues like setting strategies for online learning, platform selection, cultivating online engagement, curating resources, and evaluating programs. We concluded by offering some thoughts on future directors for scholarship in this area. Happy listening! Watch out for new episodes this year which will be announced on our blog and our Twitter, LinkedIn, and Facebook social media channels. Did you know that the Harvard Macy Institute Community Blog has had more than 245 posts? Previous posts have explored topics including leadership and change, systems of assessment, and learning strategies for health professions. Author BIO Victoria Brazil, MD (Educators, ’05, Leaders ’07, Assessment ‘10) is Professor of Emergency Medicine and Director of Simulation at Bond University Faculty of Health Sciences and Medicine. Her research interests include podcasting and simulation, and she is co-producer of Simulcast - a podcast about healthcare simulation. Victoria can be followed on Twitter.
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 will feature interviews with health professions education authors and their research papers.Podcast S2E1 features Kieran Walsh, Clinical Director at the British Medical Journal (BMJ), discussing cost and value in health professions education.Health professions education is expensive, but we hope ‘worth it’ for our patients and communities. In this episode Victoria Brazil interviews Kieran Walsh. He is the clinical lead of the medical education and clinical decision support products at BMJ, including BMJ Best Practice.He has a keen interest in cost and value in health professions education, and we discuss terminology, concepts and practical applications in the field. What are the real costs and how do we calculate them? Where do we look for determination of value or effectiveness? How does this apply to examples like online learning or simulation? Why should we do cost effectiveness research and why haven’t we done much of it up to this point. For more on this work, Kieran is part of the Society for Cost and Value in Health Professions Education (SCVHPE). Happy listening! Watch out for new episodes this year which will be announced on our blog and our Twitter, LinkedIn, and Facebook social media channels. Competing interests: Kieran Walsh for BMJ which produces BMJ Best Practice and BMJ Learning. Did you know that the Harvard Macy Institute Community Blog has had more than 245 posts? Previous posts have explored topics including leadership and change, systems of assessment, and learning strategies for health professions. Author BIO Victoria Brazil, MD (Educators, ’05, Leaders ’07, Assessment ‘10) is Professor of Emergency Medicine and Director of Simulation at Bond University Faculty of Health Sciences and Medicine. Her research interests include podcasting and simulation, and she is co-producer of Simulcast - a podcast about healthcare simulation. Victoria can be followed on Twitter.
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 will feature interviews with health professions education authors and their research papers.Podcast #8 was recorded live at the October 2020 Program for Educators in the Health Professions. It features Peter Waters (Chief of Orthopedic Surgery) and Peter Weinstock (Director, SIMPeds) discussing their approach to leading change in the face of the COVID-19 pandemic at Boston Children’s Hospital.In this episode Victoria Brazil interviews two clinical and educational leaders from Boston Children’s Hospital about their strategies for dealing with the COVID-19 pandemic. Peter Waters (Chief of Orthopedic Surgery) and Peter Weinstock (Director, SIMPeds) describe the rapid and extensive changes that were made to clinical and educational practice to support the health and welfare of patients and caregivers at their institution. We reflect on how these activities illustrated the principles of leadership and change management from John Kotter, and consider what this means for our future practice as educators and leaders. Happy listening! Watch out for new episodes this year which will be announced on our blog and our Twitter, LinkedIn, and Facebook social media channels. Author BIO Victoria Brazil, MD (Educators, ’05, Leaders ’07, Assessment ‘10) is Professor of Emergency Medicine and Director of Simulation at Bond University Faculty of Health Sciences and Medicine. Her research interests include podcasting and simulation, and she is co-producer of Simulcast - a podcast about healthcare simulation. Victoria can be followed on Twitter.
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 will feature interviews with health professions education authors and their research papers.Podcast #7 explores systems of assessment. John Norcini joins host Victoria Brazil to discuss his article - What’s Next? Developing Systems of Assessment for Educational Settings. John is a senior faculty for the Harvard Macy Institute program A Systems Approach to Assessment in Health Professions Education, and this podcast is a complement to the upcoming virtual program in October.In this episode Victoria Brazil speaks with John Norcini about his article on developing systems of assessment for educational settings, published in Academic Medicine in July 2019.We discuss the four big issues Dr Norcini nominates for attention – summative assessment (and how much is enough), formative assessment, assessment beyond the individual (including measures of process and measures of teams) and assessment in the context of complex adaptive systems in healthcare.Happy listening! Watch out for new episodes this year which will be announced on our blog and our Twitter, LinkedIn, and Facebook social media channels. Did you know that the Harvard Macy Institute Community Blog has had more than 230 posts? Previous posts have explored topics including building new medical education communities, teaching clinical reasoning, and mentors without borders. Author BIO Victoria Brazil, MD (Educators, ’05, Leaders ’07, Assessment ‘10) is Professor of Emergency Medicine and Director of Simulation at Bond University Faculty of Health Sciences and Medicine. Her research interests include podcasting and simulation, and she is co-producer of Simulcast - a podcast about healthcare simulation. Victoria can be followed on Twitter.
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 will feature interviews with health professions education authors and their research papers.Podcast #6 explores evidenced based learning strategies – and whether learners and teachers practice them. Felipe Piza is first author of an article in Medical Teacher looking at this issue. He joins host Victoria Brazil and his research mentor and Harvard Macy Institute Program for Educators in Health Professions co-director Holly Gooding to discuss.In this episode Victoria Brazil speaks with Felipe Piza about his Medical Teacher publication Awareness and Usage of Evidence-Based Learning Strategies Among Health Professions Students andFaculty. His study was conducted in collaboration with an international group of Harvard Macy Institute scholars, including Jennifer Kesselheim, Juliette Perzhinsky, Joanna Drowos, Roni Gillis, Khen Moscovici, Theodora E. Danciu, Agnieszka Kosowska, and Holly Gooding. They used a survey methodology to review learning practices among health professions students. The team also investigated how educators help students with the process of learning. They noted a wide gap between what science has learned about effective teaching and learning and what our health professions students and faculty report actually doing in practice.Victoria and Felipe were joined by Holly Gooding, who served as research mentor for Felipe on this paper. We discussed the findings and their implication for our educational practices, including the cultivation of metacognition.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 will feature interviews with health professions education authors and their research papers.Podcast #5 explores a recent paper on Social Learning Theory and Continuing Professional Development,with Louise Allen (first author) and Graham McMahon Accreditation Council for Continuing Medical Education (ACCME) in the United States.In this episode Victoria Brazil speaks with Louise Allen about her recent Medical Teacher publication on Applying Social Learning Theory to explain the impacts of Continuing Professional Development. Her paper, with co-authors Marg Hay, Elizabeth Armstrong and Claire Palermo is an exemplar of qualitative research, and involved semi-structured interviews with previous Harvard Macy and Monash Institute for Health and Clinical Education program participants. The team found that scholars broadened their networks, affirmed themselves, applied learning in practice and enjoyed career progression. The impacts of these courses reached beyond themselves to both the people and organizations with which they are involved.Victoria and Louise were also joined by Graham McMahon from ACCME (see his succinct Stanford X talk on CME or listen to his new Coffee with Graham podcast) to consider what this means for the planning, delivery and regulation of continuing professional development. In a broad ranging discussion we draw on the prior Harvard Macy Institute podcast on virtual communities of practice, Dan Pratt’s 5 perspectives on teaching , and the translational of these principles in a COVID imposed ‘virtual CME’ era.
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 will feature interviews with health professions education authors and their research papers.Podcast #3 explores Four big issues for assessment in health professions education in discussion with Louis Pangaro, and guest comments from Sharon Mickan and Martin Pusic. This discussion was originally prepared for the 2020 Systems Approach to Assessment in Health Professions Education course in Boston, where both Lou and Martin were expected to participate as faculty. However, due to the COVID-19 outbreak, the course was postponed and rescheduled for October 18th through October 22nd, 2020. The course will also run from March 7 – 12, 2021. Assessment in health professions education is complex, as expectations of health professionals evolve, as well as our understanding of how to demonstrate readiness for practice.In this episode Victoria Brazil speaks with course director Louis Pangaro about the Academic Medicine article What’s Next? Developing Systems of Assessment for Educational Settings by John Norcini.We discuss the four big issues John Norcini nominates for attention – summative assessment (and how much is enough), formative assessment, assessment beyond the individual (including measures of process and measures of teams) and assessment in the context of complex adaptive systems in healthcare.Informative and thought provoking discussion for teachers, learners and leaders in health professions education.Listen to the podcast on SoundCloud or Itunes and watch out for new episodes this year which will be announced on our blog and our Twitter, LinkedIn, and Facebook social media channels.Did you know that the Harvard Macy Institute Community Blog has had more than 200 posts? Previous posts have explored topics including the RIME framework, leadership development in the health professions, and the Harvard Macy Institute as a community of learning. Author BIO Victoria Brazil, MD (Educators, ’05, Leaders ’07, Assessment ‘10) is Professor of Emergency Medicine and Director of Simulation at Bond University Faculty of Health Sciences and Medicine. Her research interests include podcasting and simulation, and she is co-producer of Simulcast - a podcast about healthcare simulation. Victoria can be followed on Twitter.
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 will feature interviews with health professions education authors and their research papers.Podcast #2 explores Leadership development for health professionals with Cathy Green and Grant Phelps in preparation for the Monash Institute for Health and Clinical Education (MIHCE) Leadership and Innovations course.What is leadership in healthcare? Who should our leaders be? And how do they develop the skills they need for these roles?In this episode Victoria Brazil speaks with MIHCE Deputy Director Cathy Green and leadership development academic and gastroenterologist Grant Phelps. We start with Green et al., “Developing leadership skills in young ophthalmologists” and explore what we mean by ‘leadership,’ the role this plays in 21st century healthcare, and how we develop leadership across the continuum of health professions education.We consider the specific role of leadership in complex systems and in teams, and the critical focus of leadership as an enabler of health service improvement.And there are shout-outs to Marg Hay, the use of Twitter as a leadership tool, and a sneaky reference to Roy and HG for Australian listeners…..Listen to the podcast on SoundCloud or Itunes and watch out for new episodes this year which will be announced on our blog and our Twitter, LinkedIn, and Facebook social media channels.Author BIO Victoria Brazil, MD (Educators, ’05, Leaders ’07, Assessment ‘10) is Professor of Emergency Medicine and Director of Simulation at Bond University Faculty of Health Sciences and Medicine. Her research interests include podcasting and simulation, and she is co-producer of Simulcast - a podcast about healthcare simulation. Victoria can be followed on Twitter.
Introducing the Harvard Macy Institute Podcast: Virtual Communities of Practice in Health Professions EducationThe 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 will feature interviews with health professions education authors and their research papers.What is a virtual community of practice (vCoP)? How do we find ‘our people’ online for professional development and educational scholarship?In this episode Victoria Brazil speaks with Leading Innovations in Health Care & Education alumnae Teresa Chan and Michelle Lin. We start with Yarris et al. Finding Your People in the Digital Age: Virtual Communities of Practice to Promote Education Scholarship, and explore the definition of a CoP and the ‘anatomy’ of a vCoP. Are these communities organic or intentional? We discuss leadership and success factors in cultivating a CoP through a number of outstanding examples – Academic Life in Emergency Medicine and CanadiEM - as well as some perils and pitfalls.We consider the specific role of podcasts in supporting vCoPs and our guests point us toward another great read – Riddell et al. Independent and Interwoven: A Qualitative Exploration of Residents’ Experiences with Educational Podcasts.And there are shoutouts to #HMIChat on Twitter, Dr. Kristina Dzara (@KristinaDzara) and the marvellous #KeyLimePodcast!Watch out for new episodes this year which will be announced on our blog and our Twitter, LinkedIn, and Facebook social media channels. Host/Moderator BIOVictoria Brazil, MD (Educators, ’05, Leaders ’07, Assessment ‘10) is Professor of Emergency Medicine and Director of Simulation at Bond University Faculty of Health Sciences and Medicine. Her research interests include podcasting and simulation, and she is co-producer of Simulcast - a podcast about healthcare simulation. Victoria can be followed on Twitter.
This episode is a continuation of Pt 1 but includes a special guest Victoria Brazil. She goes into detail about her personal experience with this subject. --- Send in a voice message: https://anchor.fm/pierre-goree/message
Hey Visionaries! This episode is an introduction of who I am, Victoria Brazil and what to look forward to. If you any questions or feedback send to Instagram: victoria_brazil or leave a voice message here, and you can send an email to visionariesoflife@gmail.com. I really like forward to what the future holds!!! See you next week.
Ben and Vic discuss the papers of the month, including expert commentary from Kristian Krogh Eve Purdy, Charlotte Alexander, Melissah Caughley, Shane Bassett, Victoria Brazil. Identifying and Transmitting the Culture of Emergency Medicine Through Simulation. AEM Education and Training 2019; 3: 118– 128 (Open access) Purdy, E. (2019). Simulation and Cultural Compression. [online] ICE Blog. Available at: https://icenetblog.royalcollege.ca/2019/03/19/simulation-and-cultural-compression/ [Accessed 29 May 2019]. Purdy, E., Alexander, C., Caughley, M., Bassett, S. and Brazil, V. (2019). Identifying and Transmitting the Culture of Emergency Medicine Through Simulation. AEM Education and Training, 3(2), pp.118-128. We also discussed 3 other papers covering a theme of ‘measurement’. Diederich, Emily, MD et al. Balancing Deliberate Practice and Reflection. A Randomized Comparison Trial of Instructional Designs for Simulation-Based Training in Cardiopulmonary Resuscitation Skills. Simulation in Healthcare: June 2019 - Volume 14 - Issue 3 - p 175–181 Endacott R, Gale T, O’Connor A, et al Frameworks and quality measures used for debriefing in team-based simulation: a systematic review BMJ Simulation and Technology Enhanced Learning 2019;5:61-72. MacKinnon et al Defining and measuring quality in acute paediatric trauma stabilisation: a phenomenographic study. Advances in Simulation 20194:4 And Ben introduced the paper for July. Bochatay, N., Bajwa, N., Blondon, K., Junod Perron, N., Cullati, S. and Nendaz, M. (2019). Exploring group boundaries and conflicts: a social identity theory perspective. Medical Education. Additional Reading & Podcast for those interested in a deep dive : Eppich, W. and Schmutz, J. (2019). From ‘them’ to ‘us’: bridging group boundaries through team inclusiveness. Medical Education. http://revisionisthistory.com/episodes/26-the-hug-heard-round-the-world So we’ll be back at the end of July with our wrap – join the discussion at www.simulationpodcast.com
In this, another joint feature with Advances in Simulation journal, we explore three main ideas: Why does simulation have such a symbiosis with culture? How to we understand more about this relationship? ie. there is nothing so practical as a good theory. What does can this teach us about targeting culture as a translational objective in a sim program? To answer these questions we stir in the ingredients of a thriving simulation program/service at Gold Coast University Hospital, two pieces of academic work from our guests, and some personal reflection along the way. The guests for this episode are Simulcast partner in crime, Victoria Brazil, and the very clever, Canadian Emergency Doc, Anthropologist, author and adventurer on temporary loan to Australia, Eve Purdy. The publications of interest are: Brazil, V., E. Purdy, C. Alexander and J. Matulich (2019). "Improving the relational aspects of trauma care through translational simulation." Advances in Simulation 4(1): 10. https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-019-0100-2 Purdy, E., C. Alexander, M. Caughley, S. Bassett and V. Brazil (2019). "Identifying and Transmitting the Culture of Emergency Medicine Through Simulation." AEM Education and Training 3(2): 118-128. https://onlinelibrary.wiley.com/doi/full/10.1002/aet2.10325 Eve refers to a pivotal moment back in 2014, being in the audience for this talk by Victoria. https://smacc.net.au/2014/06/brazil-timing-tribes-and-stemis/
Victoria Brazil and Jesse Spurr: Defending the Tribe: Do MDs Make the Best Team Leaders? “Leaders are one thing, but leadership is another” -Vic Effective leadership models, distributed leadership, nurse-led resuscitation teams. In this kick-off talk for resusTO 2018, Vic and Jesse set the table by sharing strategies for organizing leadership to respond do dynamic clinical environments. What’s your one percent? (20:31)
Last podcast Mike and Jacob gave you their tips on how to be an effective lecturer. This week our mentors (Haney Mallemat, Resa Lewiss, Alyson McGregor, Victoria Brazil, Matt Dawson, and Anand Swaminathan) give us their top tips for how to be a rockstar on the stage. Check it out! 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!
Jenny Rudolph interviews 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. PODCAST LINK The links and articles below provide detail on a number of the studies and processes Jenny and Victoria discuss in the podcast. Translational simulation: not “where?” but “why?” A functional view of in situ simulation. Brazil, V. Advances in Simulation (2017). https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-017-0052-3 For more information on the theory and measurement of “relational coordination” which Brazil, Purdy and team will be using to study the impact of translational simulation take a look at the work of Jody Hoffer Gittell and team at the Relational Coordination Research Collaborative website: https://rcrc.brandeis.edu/ Bill McGaghie’s seminal article on “Medical Education Research As Translational Science” is a must read for educators designing or redesigning simulation for clinical impact. McGaghie, W. (2010) http://stm.sciencemag.org/content/2/19/19cm8 Some of the issues regarding translational simulation might be terminology - as discussed here ( http://simulationpodcast.com/53-2/ ) Examples of translational simulation in action To keep women from dying in childbirth, look to California Montagne, R. NPR (2018) https://www.npr.org/2018/07/29/632702896/to-keep-women-from-dying-in-childbirth-look-to-california The California Maternal Quality Care Collaborative https://www.cmqcc.org When every second counts: How a simulation dramatically improved blood delivery times for trauma patients Daugherty, A. (2018) http://www.stmichaelshospital.com/media/detail.php?source=hospital_news/2018/0813
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.
Victoria Brazil and Ben Symon hosted a wrap of Day 3 at the ASC. Our coverage starts with a session on “Hands off teaching” with Rod Peadon and David Gillespie from Coffs Harbour. We then covered the final health plenary on The future of healthcare simulation, involving some leading figures from the simulation community. Leonie Watterson from Sydney Clinical Skills and Simulation Centre spoke about the RQI program and a possible future of automated assessment. Michelle Kelly from Curtin University presented work on the integration of simulation into nursing curricula, from a collaboration that included fellow panel members Phillipa Seaton from University of Otago and Tracey Levitt-Jones from University of Technology Sydney.
Victoria Brazil interviewed a series of industry exhibitors at the Australasian Simulation Congress in Sydney. The podcast featured Graeme Foulds from Laerdal Australia, one of the main meeting sponsors, Charles Henden from the Valley General Hospital Virtual Hospital, and some defence simulation from Lockheed Martin.
Victoria Brazil and Ben Symon interviewed panelists from the final plenary for Day 1 at the ASC We heard from Alison Michaels and Steph Barwick about their Popup simulation program in Brisbane, and Cameron Knott from Victoria about how ISS can run in hospital practice. Simon Wilson then shared his insights into GP simulation, and Dylan Campher from CSDS in Queensland gave us an idea about how simulation centres are supporting ISS and patient safety in new ways.
Full version of the ALiEM Fellowship Incubator conversation with Dr. Victoria Brazil and Dr. Louise Cullen about "Being a Mentee and Becoming a Great Mentor", including Dr. Mike Gisondi. Podcast Editor: Dr. Jeffrey Rixe
Lets explore dogma and myths about the knowledge and skills of 'resuscitationists', and the way we think we maintain and improve our skills. BLS and trauma team leadership will come under the spotlight - we often don't do what we think we do. Resuscitationists are exceptional people - but not necessarily in the way we think we are. And finally - some thoughts on what we'll leave behind as resuscitationists... with a tribute to John Hinds
Expect a steady drip drip of great podcast and online material over the next few months as an army of great presenters, speakers and em professional prepare to upload their incredible talks from this years smaccDUB conference. Keep a watchfull eye out for talks from Simon Carley , Scott Weingart and Victoria Brazil to name […]
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’.
In this episode of the podcast I am joined by once again by my friend, British Paediatrician, educationalist and philosopher, Dr Damian Roland (see his site Rolobot Rambles). As well as Damian this episode gets an extra helping of awesome from Damian's co-author, Medical Education rockstar, Emergency Physician, Associate Professor at Bond University, Dr Victoria Brazil. Damian and Victoria recently published a very interesting paper suggesting ten ways by which we may reconcile the groundswell of social media with 'traditional' medical education.Top 10 ways to reconcile social media and 'traditional' education in emergency carehttp://emj.bmj.com/content/early/2015/08/07/emermed-2015-205024.abstractBoth Damian and Victoria are passionate advocates for open access knowledge sharing and, as such, were very keen to translate the key messages via a FOAM platform.
Diagnose on Sight: Dr. Victoria Brazil on Fixed Drug Eruption - ALiEM by The ALiEM Team
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
Flipping the classroom. Victoria Brazil examines how different approaches to teaching can improve patient outcomes.
Brazil illustrates the depth of communication required in medical practice between people within health care delivery systems.
Brazil gets you clued up in the art of presentations from newbie to tech savvy in 30 minutes.
Victoria Brazil, Mike Cadogan, Simon Carley, Joe Lex, Chris Nickson, Ming Le Cong, and Anthony Holley consider the pitfalls and potential of free open access medical education and social media.
Brazil sizes up the limitations and possibilities of technology and social media applied to medical education.
Some kind of hero.