Hierarchy is pervasive in healthcare, and current strategies to train providers to ‘speak up’ are not enough to overcome the intense challenges that hierarchy creates. In this episode, Vic talks with Taryn Taylor and Adam Garber about their recent articles in Advances in Simulation. Both studies explore the experience of practitioners working in teams managing obstetric emergences. Their studies use clever scenario design and delivery to re-create hierarchy and power gradients, as an example of ‘sociological fidelity’.
Their insights are comprehensive, confronting but deeply resonant for healthcare professionals. We discuss their methods, their findings and what this might mean for simulation being part of the solution to addressing harms caused by hierarchy.
The papers
Pack, R., Columbus, L., Duncliffe, T.H. et al. “Maybe I’m not that approachable”: using simulation to elicit team leaders’ perceptions of their role in facilitating speaking up behaviors. Adv Simul 7, 31 (2022).
Garber, A.B., Posner, G., Roebotham, T. et al. Facing hierarchy: a qualitative study of residents’ experiences in an obstetrical simulation scenario. Adv Simul 7, 34 (2022).
64 - Simulcast Journal Club Podcast October 2018
63 - Just Say 'No' to Simulation - Myths and Fails
62 - Healthcare Consumers and In Situ Simulation
61 - Simulcast Journal Club Podcast September 2018
60 - CMS & Simulcast Translational Sim
59 - Simulcast Journal Club August 2018
58 - Pause & Discuss Simulation Research in EM in Canada
57 - Simulcast Journal Club July 2018
56 - Simulcast Journal Club June 2018
55 - AR/VR in health care simulation
54 - SSIH Sim Ops Pause & Discuss
53 - Advances in Simulation: What's in a Name?
Ep. 12 - Rapport with Jenny Rudolph
Simulcast Journal Club Podcast 13
Simulcast Journal Club Podcast 12
Simulcast Journal Club Podcast 11
Advances in Simulation - SESAM
Advances in Simulation - Learning From Success
Simulcast Journal Club Podcast 10
ALiEM MEDiC X-over Wrap: The Case of the Difficult Debrief
Create your
podcast in
minutes
It is Free
The Meaningful Life with Andrew G. Marshall
The No-Frills Teacher Podcast
Heal, Survive & Thrive!
The Jordan B. Peterson Podcast
The Mel Robbins Podcast