DTBR #1: Ready to Help "Safe" Patients with Diabetes in the ER
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!
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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.
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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
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Curious Now Listeners #14: "The curiosity is not there and everyone can feel it."
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
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Curious Now #14: Transforming Toxic Culture One Conversation at a Time
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/
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Curious Now Listeners #13: "Culture is something we can change."
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
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Curious Now #13: How We Talk Shapes the Way We Work
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.
A nurse preceptor has just watched a trainee commit a serious error despite hours of lecture, reading, and hands on training. In spite of herself, she starts to heat up, much like the more severe clinical educators who trained her years ago. “Why can’t you just get this right?”
An ICU attending asks her resident to call her if a patient’s hematocrit drops under a certain value. Despite this agreement, and despite the patient deteriorating, the resident never calls. “Are you an idiot? Why didn’t you call me?”
In these moments, how do we reset ourself to a place of care, curiosity, and compassion? How do we model a better culture of learning? How do we have our judgment, instead of our judgment having us?
In “Curious Now with Jenny Rudolph,” a social scientist takes on the hidden structures that shape our behavior, culture, communication, and learning in healthcare.
In this interactive podcast, Jenny Rudolph, PhD, FSSH, will help listeners approach the thoughts, feelings, and judgments underlying their reactions in a psychologically safer manner, helping us to better connect with curiosity and compassion to the people around us, especially when we feel that they’ve done something “wrong.” This podcast will include weekly challenges to examine your own thinking, including follow-up with listeners and experts about their experience on the journey to Good Judgment.
Jenny Rudolph has made a career exploring what makes clinicians, healthcare organizations, and health professions training programs tick. Underneath the surface of intelligent, capable people who care about doing their best are hidden patterns that interfere with how they perform. Hierarchy, ego, communication glitches, resilience, power, professional learning, and how learning happens all flow downstream into creating actions that work and actions that don’t.
Jenny found out the hard way that being too certain can get you in trouble. Demoted from third to second grade for poor academic performance when she arrived in Jaipur, India as an eight-year-old, she realized she had better get curious about how her new school and culture ran, and that curiosity has remained with her ever since.
Jenny now works with clinicians around the world to help them develop their own love of that little dopamine drip of rewarding surprise when you find out something new about your colleagues and how they think. Whether trying to figure out a diagnosis, discovering what a learner is thinking, or upping your own clinical mastery, getting Curious Now is the solution.
Curious Now on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP?si=890ed4b02bfe4838
Curious Now on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822
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Founded in 1993, the Center for Medical Simulation was one of the world's first healthcare simulation centers and continues to be a global leader in the field. Simulation training at CMS gives healthcare providers a new and enlightening perspective on how to handle real medical situations. Through high-fidelity scenarios that simulate genuine crisis management situations, the CMS experience can open new chapters in the level of healthcare quality that participants provide. Find out more and apply for CMS simulation workshops at www.harvardmedsim.org.
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