The Center for Medical Simulation
Center for Medical Simulation
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A nurse preceptor watches a trainee commit a serious error despite extensive training, and struggles with frustration. An ICU attending is not called when a patient deteriorates, leading to anger. The podcast explores how to reset to a place of care, curiosity, and compassion in these moments. Host Jenny Rudolph, a social scientist, examines hidden structures that shape behavior, culture, and learning in healthcare. Listeners learn to approach their reactions with psychological safety and connect with curiosity and compassion.
Епизоде
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Compassion Versus Empathy | Curious Now with Jenny Rudolph 18.09.2026 15минBreaking eight ribs and puncturing a lung after hitting a tree in a downhill biking accident, Jenny got the coffin’s eye view of someone being completely flooded at the scene of an emergency: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 Using Name-Claim-Aim as a crisis management strategy in the moment allowed the team to down-regulate their reactions and empathy regarding an injured family member to the point that they could manage the rescue. There is a useful distinction between empathy and compassion, which are generally used interchangeably. Feeling someone’s emotional distress or physical pain can, very intuitively, add up to total drain on our resources and capacity. However, there’s also literature around the healing power of compassion. So is compassion fatigue a problem, or is compassion a good thing? Empathy is a ‘feeling with,’ meaning that you are experiencing some version of the same suffering as the person. Compassion, on the other hand is ‘feeling for,’ which is caring without necessarily feeling. Empathy is the detection system so that your brain can identify what it is you should feel compassion and caring for. Workout of the week: Notice 2-3 times when you feel either empathy or compassion, or the pathway from one to the other, and note “When am I feeling with, and when am I feeling for?” Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #HCSimWeek26 #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
Thinking Makes It So | Curious Now with Jenny Rudolph 11.09.2026 20минVarying the narration that accompanies a situation can change the physiological way that learners experience it: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 How do we reset ourselves when people come at us with intense emotions? One of Jenny’s useful reframes for herself was: when someone argues with me, that’s a good thing. When someone cares enough about a situation to get upset, a way to reframe is that they care about the situation. Workout of the week: Find a way to reframe cognitively a situation that lets you feel less injured, angry sad, stung, etc., by something someone else has done. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
Distanced Self-Talk | Curious Now with Jenny Rudolph 04.09.2026 16минAs we learn to manage, we have to acknowledge that defensive survival circuits are automatic, and produce immediate behavioral and physiological changes: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 When we react, we know from the research that our management is not to prevent reactions, but rather what we do AFTER we react. We have to reset ourselves and repair whatever happened during the reaction. Deep breaths, half-smiles (reset of the facial muscles), and instructional self-talk work best--in Jenny’s case, the instruction is “use the skills you have” when you’re wanting to fight or freeze. It should also say “you”, or your name, rather than “I.” Workout of the week: Give yourself an instructional mantra that will work for you when you come to difficult situations. Jenny’s version is “use the skills you have.” Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
Knocked Off Your "A" Game | Curious Now 51 28.08.2026 13минLittle and big glitches both can knock you out of inhabiting your best self when you least expect it. Stress about her daughter’s upcoming wedding burst out in an unexpected way in Jenny’s morning huddle: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 What makes us bring up the fists and start fighting, or as Jenny puts is, releases her inner magpie when her jewels are threatened? Becoming aware of what are those things that trigger us—that perhaps unleash an “identity snarl”—is the first step towards self-awareness. Workout of the week: Catch your glitches when they drive by—what are those people, places, and events that trigger you? Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
10 Psych Safety Workouts | Curious Now with Jenny Rudolph 21.08.2026 11минInterested in just the workouts? This week, we’ve assembled a package of 10 workouts to improve your team’s psych safety: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 Hey friends! Jenny is off this week attending her daughter’s wedding, so we thought it was a great time to put together a special highlight reel of 10 focused workouts on psych safety. We hope this format is helpful for our listeners—please let us know! Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
Am I Safe? | Curious Now 50 14.08.2026 27минSelf-awareness of our stress level is the foundation of our ability to self-regulate, which is what allows us to notice what’s going on with others more accurately: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 What makes us feel safe and social? People’s lower brain stems have evolved to underweight positive experiences in the face of stress. When we feel highly activated, without being frightened or overwhelmed, it can create a positive state of stress which helps us perform better. When you are completely flooded, you are less likely to be able to detect and correct your perceptions of other people. Workout of the week: Notice the glimmers that help you feel safe and social, and enhance them by spending more time with them or holding on to them in some way. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
Tactical Mindfulness | Curious Now 49 06.08.2026 18минManaging our own attention at critical moments is one of the key elements of self-leadership, allowing us to control our reactions and focus rather than being controlled by it: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 Borrowing from Chris Voss’ idea of Tactical Empathy, Tactical Mindfulness is the idea that even if we don’t want to commit to a mindfulness practice, it still allows us to lead much more effectively when we’re aware of our own panic, fluster, target fixation, or task saturation. Rather than forcing others to navigate our reactions, by naming and noting them we can regain control and bring our best selves back to the team. Workout of the week: When thoughts bubble up during a normal activity where you want to be paying attention, label them, accept them, and return to your attention. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
What Problems Do You Love? | Curious Now 48 31.07.2026 17минHow do we help our colleagues push through initial effort to focus into a realm where they feel like they have achieved flow and are doing their best work? : https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 A clear why, and a sense of working on problems that engage us, that matter to us, and that light us up, is the fuel or the wellspring of feeling like our jobs matter and that we matter in our jobs, and achieving those feelings of flow that make work tolerable or even satisfying. Workout of the week: Identify one thing that draws you in so completely that time passes almost unnoticed, and ask yourself what about it are you actually enjoying? Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
Can You Have Too Much Psych Safety? | Curious Now 47 23.07.2026 16мин“If I create too much psychological safety, won’t discussions just become endless? It sounds nice, but I have actual work to get done.” : https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 Psychological safety isn’t the opposite of discipline; it’s the partner of discipline. When we have to get things done, we have to get them done, but that doesn’t mean we can’t skillfully lead in a way that allows people to share their insights and still drive the work forward. Workout of the week: The next time you’re under pressure in a team setting, try to carve out a small proportion of work time to create the conditions for better collaboration, balancing discipline and openness. For example: name the time pressure the team is under, invite participation under those conditions, and support people for participating. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety 6120fbf0-89ba-11f1-b3c6-15acc75bf76a -
Destigmatizing Failure | Curious Now 46 17.07.2026 26минPeople are going to make mistakes. As the leader of a team, how do we help people move from the mindset of failure as a character flaw to seeing failure as a moment for growth?: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 How do we separate out the part of us that’s aware that mistakes are required from us for growth and the part that feels like we’ve done a crime when we make an error? We can know intellectually that preventable error is a part of experience, but still have a part that wants to be perfect and experiences shame when we aren’t. Workout of the week: Reframe a mistake that you or someone else made in a way that allows you to learn from it productively. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
Responding Productively When Feedback Hurts | Curious Now 45 10.07.2026 19минWhat should a leader do when they’ve encouraged their team to speak up, they’ve created psych safety, and then their team gives them feedback they didn’t really want to hear: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 Whether and how we respond when people share their perspective with us has a big impact on whether they will do it again later. Pockets of culture around us are not set in stone; they’re built moment by moment based on how we talk to each other. Our experience as receivers of feedback and our actions shape how feedback will emerge in the future. Workout of the week: Say thank you when someone gives you feedback, even if the feedback doesn’t feel welcome. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
Teamwork Isn't Free | Curious Now 44 02.07.2026 23минTeamwork isn’t free—our teammates are always making cost calculations about the benefits of weighing in versus the potential costs: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 One of the main reasons people will choose not to join in a workplace discussion is because they’ve sensed that the short term risk to themselves of speaking is greater than the long term benefit, to themselves or to the company. How, as leaders, can we change the subconscious math happening for our teammates when it comes to garnering participation? Workout of the week: Find one real world situation where you can lower the cost of participation, whether by invitation or by suggesting roles and steps. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
Listener Reps: Asking Real Questions | Curious Now 43 26.06.2026 15минEmira Yusufova, Lucas Farris, and Julie Hartman join us again to talk their experience at asking questions where they truly don’t know the answer: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 Lucas, Julie and Esmira discuss how to balance being the expert in a debriefing for a case you’ve run many times versus allowing the participants to surprise you, how statements of genuine curiosity can improve personal relationships, and reset strategies when you are genuinely surprised by a response you get in debriefing. Workout of the week: Practice offering a rewind when you ask an open-ended question in order to allow learners more freedom to try out not fully formed thoughts. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
Simulation to Readiness: Training That Actually Transfers | CMS Grand Rounds 19.06.2026 15мин“There should be no more simulation programs. There should be READINESS programs.” Jenny Rudolph and Chris Roussin team up to show how simulation programs can make themselves essential to their larger organizations: https://harvardmedsim.org/blog/simulation-to-readiness-training-that-actually-translates This video podcast was originally presented as a keynote at SimGlobe 2026 in Bengaluru, India, as well as at the Beth Israel Lahey Simulation Symposium in Boston, Massachusetts. Listen & Subscribe: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 Readiness Planning Paper Link: https://pmc.ncbi.nlm.nih.gov/articles/PMC11667836/ Get your teams ready with CMS-ALPS: https://harvardmedsim.org/alps-applied-learning-for-performance-and-safety/ #simulation #readiness #healthcare -
Mary Fey & Penni Watts: Getting Nursing Schools Ready for INACSL Endorsement | Dare to Be Ready #6 12.06.2026 21минn this special episode led by Mary Fey, Dr. Penni Watts, President of INACSL, joins us to discuss what we learned helping two nursing schools achieve INACSL endorsement, and how other nursing programs can get there! Listen: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 Watch: https://www.youtube.com/medicalsimulation What does high-quality simulation look like in practice and how do nursing programs know they’re achieving it? Using the Center for Medical Simulation's recent work with the University of Maine System as a case study, Mary and Penni discuss how endorsement becomes less about recognition and more about creating a disciplined process for reflection, alignment, and improvement. For nursing leaders focused on competency-based education and workforce readiness, the conversation offers a practical perspective on building simulation programs that scale while maintaining quality. Topics include continuous improvement, faculty development, stronger partnerships with clinical organizations, and moving simulation from isolated events into an intentional curriculum that better prepares learners for practice. ALPS for Health Professions Schools: https://harvardmedsim.org/alps-applied-learning-for-performance-and-safety/ Full episode transcript: https://harvardmedsim.org/blog/mary-fey-penni-watts-getting-nursing-schools-ready-for-inacsl-endorsement-dtbr-6/ -
Jenny Rudolph Meets the SSH Mindfulness SIG | Curious Now 42 05.06.2026 25минEsmira Yusufova, RN, Lucas Ferris, RN, and Julie Hartman from the Society for Simulation in Healthcare’s Mindfulness Special Interest Group join us to reflect on their recent tries at the workout of the week: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 The Mindfulness Group chose to work on Curious Now #9, “What Are You Listening For?” about different listening styles. The group discussed the challenges of breaking out of the mode of listening that you developed growing up—especially feeling shame about listening to respond and take your turn more than listening to truly understand the person who you are talking to. The group also came up with a mindfulness workout of the week as a follow-up for themselves and listeners. Workout of the week: Make yourself wait 10 seconds, not just after you ask a question, but after you receive an answer, in order to allow a second silence for other learners to jump in. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
How to Invite People In | Curious Now 41 29.05.2026 20мин“Walk me through what your work looks like,” is one of the most powerful questions a leader can ask: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 By understanding how each worker accomplishes the tasks that they’ve been assigned, we can often spot weaknesses in the system that would not be evident from an assessment of each role in the team on its own. Workout of the week: Find a situation where you can claim leadership AND invite input. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
Making Work More Tolerable | Curious Now 40 22.05.2026 16минWhat does it mean when psych safety literature asks us to emphasize the purpose of the work as a leader? When we have psych safety, it can make the risks involved in making things better feel worth the effort: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 There are so many ordinary, even menial things we do every day, where if we can ferret out how they connect to our bigger values, or how they support the mission, they feel less draining and chore-like. Our colleagues in operating rooms improvement referred to these small, percentage improvements as “identifying and removing pebbles from your shoe,” and they add up into a significantly more comfortable workplace. Workout of the week: Identify and state the larger purpose of a seemingly trivial task. What is the big gear that this small gear is slowly turning? Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #psychsafety -
CMS Fellowship Stories: Dr. Hannah Lawn, New Zealand 15.05.2026 10минWhen Dr. Hannah Lawn returned home after completing a fellowship at Center for Medical Simulation, colleagues asked a simple question: How did the experience change you? “It’s changed my career,” she said. “I honestly feel like a different doctor since returning from my fellowship.” https://harvardmedsim.org/simulation-fellowship-and-international-scholars-program/ -
Psych Safety for Leaders | Curious Now 39 08.05.2026 24минMoving our series on psych safety to the team level: how do we set expectations regarding things like reporting mistakes, managing uncertainty, or how we’re going to depend on one another? https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822 As a leader, we’re in charge of setting standards for issues like, whose voice gets heard in meetings? Who gets to decide when we’re done talking about a topic, and are going to move on? You can see how this is incredibly relevant on the floor or in the unit. The standard of prioritizing what we get to spend time on -- and what we don’t -- can be an unspoken, but fundamental part of the culture of our team. We can also test whether our current dynamic is working through a simple paradigm: if it doesn’t feel socially comfortable to name how decisions are made in the current system out loud, then the current process probably can’t stand up to critique and needs to be changed. Workout of the Week: State aloud, in a meeting, what the decision process for a decision being made is going to be. Leadership Coaching from Jenny Rudolph: https://harvardmedsim.org/personal-leadership-coaching-with-jenny-rudolph/ #healthcaresimulation #nursing #medicine #debriefing #leadership
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