Massachusetts General Hospital

Assistant Clinical Professor of Anaesthesia, Harvard Medical School
Director, Graduate Programs, Institute for Medical Simulation, Center for Medical SimulationResearch Areas

• Healthcare simulation: Debriefing, reflective practice, psychological safety, assessment
• Effective feedback as part of the teaching and learning process
• Understanding and preventing diagnostic error

Description of ResearchSimulation and Debriefing: Enhancing clinicians’ ability to reflect on and improve their teaching skills using experiential, simulation-based learning is the primary focus of my research.  I study how clinicians become “reflective
practitioners”—people capable of examining and adjusting their cognitive routines and emotional reactions to improve patient safety and quality as well as clinical teaching.  I conduct research and teach about the qualities and preconditions of reflective practice in healthcare simulation, especially “debriefing.”  Debriefing is a rigorous post-simulation dialogue that generates insights and behavior change to improve clinical practice. I co-developed a debriefing assessment instrument called the DASH.

Diagnostic error: I have conducted research on clinical problem solving in anesthesia at the Center for Medical Simulation.  Blending these studies with research on accident and errors in high-hazard industries such as nuclear power and chemical processing, I have developed computer simulations of diagnostic problem solving.

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Anesthesia, Critical Care and Pain Medicine

Phone: 617-726-3030

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