Session Design Submission Review - The Association for Surgical Education

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Beyond Shame and Blame: Fostering Peer Support and Cultivating a Culture of Safety in the Aftermath of Acute Medical Events

Session TypeWorkshop

Is this submission from an ASE Committee, Task Force, or Working Group?

Yes

Which Committee(s)/Task Force(s)/Working Group(s)?

Faculty Development

Session Information

Session Description

We all know that complications happen, but what do you do when you have one that you replay in your head ad nauseam, that turns into a lawsuit, makes you worry about your reputation, or just simply haunts you?

This workshop focuses on supporting faculty and learners after traumatic patient outcomes. It addresses the aftermath of acute events, aiming to shift the workplace environment from one of shame and blame to one that is objective, accountable, and even supportive. The workshop is designed for surgical faculty, trainees, and medical professionals who experience the challenges of acute emotionally taxing patient care events.

Participants will learn to identify shame, understand its impact on individuals and teams, and acquire tools to combat it. They will engage in shame resilience techniques and practice their use in multiple challenging scenarios. The workshop emphasizes the importance of peer support, providing strategies to support colleagues through emotionally challenging work stressors. Additionally, coaching techniques and their benefits after acute events will be outlined, followed by role-playing exercises to practice these supportive interactions. We will review practical strategies that help to foster a culture of safety and open communication. Additionally, participants will learn how to perform objective root cause analyses, a powerful tool that shifts blame away from individuals and towards systemic issues, promoting a culture of constructive problem-solving and continuous improvement.

This workshop will incorporate a mix of informational sessions, role-playing activities, and group discussions to provide a comprehensive and interactive learning experience. Participants will leave with practical tools and strategies to implement within their institutions and personal practice including techniques to increase their own shame resilience, ways to support their peers, information on starting up formal peer support at an institutional level, as well as ways to analyze incidents more objectively to combat shame and blame culture at its root.

Workshop Length

90-minute workshop

If a similar workshop is submitted, would you be willing to combine workshops into one session?

Yes

Would you be open to presenting a workshop of a different duration than selected above if needed?

Yes

Session Objective 1

Define shame as well as acquire tools to identify and combat shame in the workplace

Session Objective 2

Practice strategies to support a peer through emotionally challenging and sensitive work stressors

Session Objective 3

Describe how formal peer support programs work and learn about how one is started

Session Objective 4

Identify techniques an individual can utilize to shift a “shame and blame” culture to “a culture of safety”

Session Objective 5

Demonstrate how to perform an objective root cause analysis

Session Outline

Activity Order	Title of Presentation or Activity	Presenter/Faculty Name	Presenter/Faculty Email	Time allotted in minutes for activity
1	Introduction	Kenneth Lipshy	Kenneth.Lipshy@va.gov	1
1	Introduction	Martha Godfrey	martha-godfrey@uiowa.edu	1
2	What is Shame? How Does it Harm Both Providers and Patients?	Kenneth Lipshy	Kenneth.Lipshy@va.gov	5
2	What is Shame? How Does it Harm Both Providers and Patients?	Martha Godfrey	martha-godfrey@uiowa.edu	5
3	How to Combat Shame and Build Shame Resilience	Martha Godfrey	martha-godfrey@uiowa.edu	7
4	Overview of Coaching and Other Techniques to Support Yourself and Peers	Ming-Li Wang	mingli.wang.137@gmail.com	10
5	Activity: Practice Scenarios with Role Play	Jacob Peschman	jacob.peschman@gmail.com	15
5	Activity: Practice Scenarios with Role Play	Martha Godfrey	martha@marthagodfrey.org	15
5	Activity: Practice Scenarios with Role Play	Christina Georgeades	cgeorgeades@mcw.edu	15
5	Activity: Practice Scenarios with Role Play	Ming-Li Wang	mingliwang137@gmail.com	15
6	Keys to Foster a Culture of Safety	Kenneth Lipshy	Kenneth.Lipshy@va.gov	7
7	How to Perform an Objective Root Cause Analysis	Kenneth Lipshy	Kenneth.Lipshy@va.gov	10
7	How to Perform an Objective Root Cause Analysis	Joseph Trunzo	trunzoj@ccf.org	10
8	Activity: Scenarios with Practice Performing Root Cause Analysis	Kenneth Lipshy	Kenneth.Lipshy@va.gov	15
8	Activity: Scenarios with Practice Performing Root Cause Analysis	Joseph Trunzo	trunzoj@ccf.org	15
8	Activity: Scenarios with Practice Performing Root Cause Analysis	Vihas Patel	vpatel13@northwell.edu	15
8	Activity: Scenarios with Practice Performing Root Cause Analysis	Christie Bialowas	bialowc@amc.edu	15
9	Overview of a Formal Peer Support Program	Priti Parikh	priti.parikh@wright.edu	10
9	Overview of a Formal Peer Support Program	Melissa Alvarez-Downing	melissa.alvarezdowning@rutgers.edu	10
10	Focusing on the Next Generation – How to Support Residents and Build Peer Support Skills Early	Jacob Peschman	jpeschma@mcw.edu	5
10	Focusing on the Next Generation – How to Support Residents and Build Peer Support Skills Early	Christina Georgeades	cgeorgeades@mcw.edu	5
11	Q&A/Conclusion	Kenneth Lipshy	Kenneth.Lipshy@va.gov	5
11	Q&A/Conclusion	Martha Godfrey	martha@marthagodfrey.org	5
6	Keys to Foster a Culture of Safety	Christie Bialowas	bialowc@amc.edu	7
7	How to Perform an Objective Root Cause Analysis	Vihas Patel	vpatel13@northwell.edu	10