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