Harvard Macy Institute Podcast

In this podcast Vic speaks with Martin Pusic, Bill Cutrer, and Elissa Hall about their article “Educating for Adaptive Expertise: Case Examples Along the Medical Education Continuum.”  What do we mean by adaptive expertise? Our discussion starts with some definitions and examples, including: Routine procedural approaches, plus creative innovative ones, when the situation calls for it.” This capacity is critical in a healthcare environment brimming with complexity. How do we educate for adaptive expertise? Our guests suggested 4 instructional strategies, including: Developing deep conceptual understanding, exposure to meaningful variation, emphasis on productive struggle and discovery, and metacognitive strategizing. They drew upon the Master Adaptive Learner conceptual model. We worked through the practicalities of this kind of education in the undergraduate, postgraduate (Emergency Medicine) and continuing professional development educational contexts. This is not easy! Our guests explained how they have worked through various barriers and constraints to realize the opportunities for fostering adaptive expertise in our healthcare professionals. Happy listening!

In this podcast Vic speaks with Justin Kreuter, Patricia Tran, and Teresa Chan about ‘Social Media, Networking, Community and the Human Connection’ We recorded the conversation live during  week 6 of the 2023 Harvard Macy program - Transforming your Teaching using Technology. In a metacognitive move, we hoped our podcast conversation would illustrate some of the points we made in the conversation – “the medium is the message”!   Our discussion started with a recap of the week 6 session. This included a self-assessment by scholars on their current professional social media engagement, a wonderful precis of the various social media platforms by Patricia Tran, and group work on social media dilemmas for health professions educators. The podcast conversation explored these themes, with a focus on the different roles in which that health professions educators might be using social media and online engagement – as teachers, as institutional leaders, and as faculty developers. We finished with a deeper dive on podcasting, and a shout out to own Harvard Macy Institute podcast. Happy listening!

In this podcast Vic speaks with Teresa Chan about ‘digital presence’ - our online personas – and about the opportunities to disseminate our scholarship via online platforms. We recorded the conversation live at the 2022 Harvard Macy program - Transforming your Teaching using Technology. In a metacognitive move, we hoped our podcast conversation would illustrate some of the points we made in the conversation – “the medium is the message”! We started with Teresa’s website, and reflected on the choices she made in establishing this as her online ‘homebase,’ referencing Michael Hyatt’s conceptual framework and book Platform. We talked about the process of curating such as website as a digital portfolio, and the practicalities, such as hosting on Wix or Squarespace. Teresa talked about how she got interested in online presence and the encouragement of mentors like Jonathan Sherbino from KeyLime podcast. Our conversation turned to Teresa’s article Social Media and the 21st Century scholar (one of the pre-readings for the Transforming your Teaching using Technology course). In this piece, Teresa and her co-authors offer 2 personal case studies of how to use social media for education, scholarship and health advocacy. In our further conversation Teresa talked about the ‘moral imperative of getting great science out there,’ and we walked through an example of how she might disseminate the messages in an article accepted for publication. Twitter features heavily in Teresa’s dissemination strategies, but we also considered the opportunities of other platforms - Snapchat, Instagram, Facebook and LinkedIn. We finished with a deeper dive on podcasting, including Teresa’s own MacPFD Spark podcast, and our Harvard Macy Institute podcast. Our ‘live audience’ on Zoom joined the conversation with questions from the chat, and we talked about podcast length, audio recording, and how to listen… Thanks to the faculty team and scholars who joined our conversation, and to Teresa Chan for sharing her wealth of experience.

Assumption: Something we take to be true without proof. This simple definition belies the complexity of how our assumptions drive our behavior. Some assumptions are explicit (and we are aware of them), but most are implicit; biases and beliefs under our awareness but still powerfully influencing our actions. Our assumptions about teaching and learning might require considering some fundamental questions: What is learning? (informative/transformative); What is the difference between teaching and learning? What is the role of a teacher? (Expert? Guide? Coach? Co-learner) Goal of educational institutions? (carry on traditions/make change) In practice, we want to be principle-driven vs. defaulting to formats we are familiar with. In this episode we speak with Liz Gaufberg and Shalice McKnight about ‘assumptions’, particularly our assumptions about teaching and learning. In our conversation, Shalice and Liz share personal and professional stories of reflection on their assumptions. We discuss core elements of the Harvard Macy Institute Program for Educators in the Health Professions that support this, including the Step Back consultation method in project groups, and Liz’s own sessions in the program. We talk about humble inquiry, the power of listening, and taking just a moment when we think ‘WTF’. (thank you Jenny Rudolph) Happy listening!

How do we train and transform our teams and our systems for better patient care in the 21st century? What’s the role of simulation, of interprofessional learning, and of integrating education with workforce development in large healthcare institutions? In this conversation, Jim Gordon shares his approach to being Chief Learning Officer at Massachusetts General Hospital (MGH). He talks about the challenges and opportunities of connecting pockets of educational excellence in large organisations, and of meaningfully bringing interprofessional teams together to train and learn together. The conversation was prompted by the announcement of a $50million philanthropic gift to support these endeavours at MGH, including a Learning Academy, and a Learning Hospital – a physical re-creation of multiple departments in the hospital to allow cross department team training. Exciting times for Jim and his team, and opportunities to learn from others doing great work on building teams and systems for 21st century healthcare.

Why would a medical school work with a business school to create a program for Leading Innovations in Health Care & Education? In this episode of the podcast we preview the upcoming program, and speak with program co-directors Liz Armstrong, Josh Nagler and Derek van Bever. We discuss the history and conceptual underpinning, and then take a more granular look at the activities for the week and how scholars can best prepare. We hear from Sarah Dawit, program alumnus from 2021 about her reflections on the program and on joining the HMI community.

Most of us would like to ‘write better’, but few of us make intentional efforts to improve. Lorelei Lingard is internationally known for her efforts to help health researchers and clinical scholars become better writers. In this podcast we talk about her Writers Studio courses and her book “Story, not Study”, 30 Brief Lessons to Inspire Health Researchers as Writers. Lorelei Lingard has a ‘day job’ as Professor in the Department of Medicine, and Senior Scientist at the Centre for Education Research & Innovation, both at the Schulich School of Medicine & Dentistry at Western University in Canada. With a PhD in Rhetoric, she studies the communication practices of clinical teams, and evidence-based educational initiatives to improve teamwork.  She received the Karolinska Prize for Research in Medical Education in 2018. In this conversation, she shares details of her training in rhetoric, her transition to working in health professions education, and her joy she finds in coaching relationships as a writing mentor. We spoke about the Writer’s Craft - a transformative series of articles on better academic writing - written by Lorelei and her colleague Chris Watling (also an HMI alumnus). Each article offers a succinct pearl: Mastering the sentence, Enlisting the power of the verb, Get control of your commas, and many more. Building on this series and their coaching work, the duo has now produced “Story, not Study”, 30 Brief Lessons to Inspire Health Researchers as Writers. If you’ve never considered your writing voice, whether you paragraph strategically, or how you approach academic hedging, this is a great place to start.   Lorelei also shared her thoughts on reading habits (she thinks Margaret Atwood is good, but not great 😊), on writing for social media (check out @LingardLorelei), and on how speaking and writing are connected. She even had the temerity to point out the lack of coherence in one of the questions I asked her in the podcast! For more on Lorelei’s work on writing, you might like her Academic Medicine Last Page on Story, not Study, and a wonderful talk she gave about coaching writing at a seminar at McGill University.

“Increased global attention to diversity, equity, and inclusion necessitates inclusive teaching in health professions education.” The opening line of this article by Jeremy Amayo and team set the scene for a wide ranging discussion of principle and practical strategies to help teachers be more inclusive – in the classroom, in the clinical environment, and in the online learning environment. We start with a fundamental question to ask ourselves when considering inclusive teaching - “Who is being left out?”. We consider how our health professions learners are increasingly diverse – not only with regard to race, ethnicity, gender, and sexual orientation, but also underrecognized traits like introversion/ extroversion, organizational habits, preferred learning styles, and reading speed. The 12 tips traverse fundamental principles to simple practical tips. Jeremy shared some of his current PhD work on failure in health professions education, and how to develop our skills in learning from failure. We finished with a reflection on the writing and publishing process, including the concept of post publication peer review at MedEdPublish.   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. 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 😊). In this episode of the HMI podcast, Vic speaks with Laura Rock about her recent paper: Communication as a High-Stakes Clinical Skill: "Just-in-Time" Simulation and Vicarious Observational Learning to Promote Patient- and Family-Centered Care and to Improve Trainee Skill. Her key messages are about the power of rehearsal with feedback for better communication, and the need to practice the actual words we will use. We highlight that this approach appropriately elevates the status of communication as a critical skill, along with other procedural skills. Laura describes strategies like the use of scripts, and developing the ‘microskills’ of communication, as well as recognising the fundamental role of recognizing and responding to emotions in both patients and learners. Laura is a pulmonologist and critical care doctor who works in the intensive care unit at Beth Israel Deaconess Medical Centre in Boston, USA, affiliated with Harvard Medical School. She has a particular interest in communication and teamwork – which she teaches at her own institution and with the Boston based Center for Medical Simulation.

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.

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!

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.

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 and Faculty. 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.

Podcast #4 explores ‘Silver Linings’ – opportunities for innovation in healthcare and education in response to the COVID-19 pandemic. In this episode Vic speaks with Professor Liz Armstrong, Director of the Harvard Macy Institute, about the challenging times for health professionals and educators during COVID-19, and how the principles of leading change can be applied in this novel context. Liz describes the plans for running the June Leaders program online, and how interactivity and small group work are being supported. She tells us about a preliminary exercise the scholars have completed – focused on their own ‘silver linings’ – and how (paradoxically) ‘staying at home’ seems to have fostered more community, collaboration and patient focused care. And finally – Liz and Vic ponder on broader issues of change and innovation in healthcare, and take lessons from Elon Musk and SpaceX !

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 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. 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 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.

Happy New Year from the Harvard Macy Institute Welcome to the Harvard Macy Institute podcast. Liz Armstrong extends New Year's greetings to our community, and outlines highlights and innovations in the Institute's work for 2020. Kristina Dzara gives us updates on the HMI blog, social media activities, and ways to stay in touch this year. Podcast host Vic Brazil gives us a taste of what's to come with the HMI podcast.