Episodes

  • That's Not What I Meant | Curious Now 32

    That's Not What I Meant | Curious Now 32
    Mar 13 2026
    Today on Curious Now we’re looking at how to repair after what you said or did lands the wrong way: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 Intent/impact mismatches are really common, and for good reason: We have access to our intentions--We do not have access to others’ intentions--So we fill in the gap, often with the most negative possible interpretation. As leaders, because we see our own actions in the context of our intent, we can have blind spots as to the impact of our words and actions, and even cause us to feel wounded when we don’t get the reaction we were looking for. Join us for the signs and symptoms of an intent/impact mismatch, and how to repair! Workout of the Week: Notice when there has been an intent/impact mismatch, and ask for a redo, ie “Sorry, I don’t think that landed how I meant. Can I rewind and try again?” Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing
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    21 mins
  • Just Tell Your Learners What to Do! (with Mary Fey) | Curious Now 31

    Just Tell Your Learners What to Do! (with Mary Fey) | Curious Now 31
    Mar 5 2026
    Introducing “Coaching with Good Judgment”: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 In simulation, we’ve often defaulted to debriefing and asking curious questions to our learners to try to understand the frames behind their actions and struggles. This can be hard to balance with the truth many teachers of novices know, which is: sometimes learners just need to be told what to do! Coaching with good judgment is a strategy based off debriefing with good judgment, with the structure of “Preview, Advocacy, Coach.” Step 1: Authorize yourself to coach. Sometimes we struggle with wanted to be “learner centered,” when what they need is for us to use our expertise to tell them what would work. Step 2: Diagnose a coaching situation. Some signs and symptoms of a coaching situation: The learner begins to struggle and one or more of the following may be true: 1) The task is meaningfully complex 2) You have lived experience of the task being difficult 3) The practice can’t move forward without this step working 4) This error can be corrected just at the level of actions without knowing what they are thinking 5) We’ve agreed that this is a skills session in advance Step 3: “I see… I think… Try this…” Use the Preview, Advocacy, Coach structure to help the learner understand what to do and why, then quickly take more reps. Workout of the week: Try out “I saw… I think (the consequences of what I saw and my concerns are)… Here’s what you should try.” Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing
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    29 mins
  • Navigating Fight/Flight/Freeze in ER Conversations (with Hayden Richards) | Curious Now #30

    Navigating Fight/Flight/Freeze in ER Conversations (with Hayden Richards) | Curious Now #30
    Feb 27 2026
    Hayden Richards, an Australian emergency physician and founder of the Youtube channel CommsLab, joins us to compare notes on confronting what’s going on underneath our fight/flight/freeze responses as clinicians in high stakes conversations: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 This collaboration began with Hayden’s excellent explainer on Advocacy Inquiry: https://www.youtube.com/watch?v=BGvEAxVox5U Much like our work with looking at the hidden emotions underneath our judgment, Hayden’s work on mindfulness helps people to feel less buffeted by the stimuli of the emergency department as well as of everyday life. Workout of the Week: Use a “good judgment statement” that begins with the words “I’m worried….” Hayden points out that this type of statement of concern lets the listener know that you don’t know all the answers, but this is what you’re thinking about as you find your way together. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing
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    23 mins
  • How Shared Standards Can Bring Down the Heat (with Gabe Reedy) | Curious Now 29

    How Shared Standards Can Bring Down the Heat (with Gabe Reedy) | Curious Now 29
    Feb 19 2026
    How Shared Standards Can Bring Down the Heat (with Gabe Reedy) | Curious Now 29 Gabriel Reedy, Editor-in-Chief of Advances in Simulation, joins us to talk about how shared standards can bring down the heat in workplace conflicts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 How do we as teachers and clinicians provide the conditions for people to thrive? If we want people to get better, we have to agree in a shared direction to move regarding what better looks like. How can we make sure that standards are continually growing with the field and with evidence from what has actually happened in the world so that our practice doesn’t get static or stagnant? Workout of the week: Notice when the heat level is rising in a conversation when it isn’t clear what’s raising the temperature, and use curious questioning to figure out why! Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ The Advocacy-Inquiry Rubric in Advances in Simulation: https://link.springer.com/article/10.1186/s41077-025-00381-z #healthcaresimulation #nursing #medicine #debriefing
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    38 mins
  • Debriefing Teacher Judgments (with the Canberra Meta Debrief Club) | Curious Now 28

    Debriefing Teacher Judgments (with the Canberra Meta Debrief Club) | Curious Now 28
    Feb 12 2026
    Thank you so much to our Australian hosts including Nathan Oliver and the Canberra Region Debriefing Club, a community of skilled, thoughtful teachers who made this virtual visit a deep and helpful conversation: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 In this week’s episode, Jenny joins the Canberra Region Meta Debrief Club to talk about moments in our teaching where our judgment flares up and we start to get indignant with our colleagues and our learners, even ones who we care deeply about! This wonderful group of participated in a meta-debriefing of their experiences with difficult judgments during their teaching and personal lives that helped us understand what’s happening to us when we flare up from our judgments. Workout of the week: When you find yourself judging, or even experiencing heightened emotions, ask yourself, what is the standard I’m holding here? Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing
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    43 mins
  • The Edge of Jenny's Practice | Curious Now #27

    The Edge of Jenny's Practice | Curious Now #27
    Feb 6 2026
    Working from a challenge by Eve Purdy, this week Jenny is focusing on the edge of her expertise and the work she’s currently doing for herself, which is self-leadership using internal family systems. What this does is cast on floodlights onto your reactions, allowing you to understand the parts of yourself that are in conflict and that are putting you into a reactive mode. So who is the part of Jenny that pops out and turns her prickly and drops the Basic Assumption during meetings and other conflicts? Workout of the week: Identify and name a part of yourself that keeps popping up regularly. Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing
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    14 mins
  • Why Are You Hiding Your Judgment? | Curious Now #26

    Why Are You Hiding Your Judgment? | Curious Now #26
    Jan 30 2026
    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
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    18 mins
  • Pushback and Interruption as Learning Cues (with Walter Eppich) | Curious Now 25

    Pushback and Interruption as Learning Cues (with Walter Eppich) | Curious Now 25
    Jan 23 2026
    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
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    34 mins