Critical CareFOAMed LibraryHealthcare CommunicationMedical EducationSMACC

Learning better together in healthcare.

Clinical supervision in our busy workplaces is hard.

We balance patient safety, learning opportunities, and the workloads of senior and junior staff.

The conversations we have to navigate this balancing act can affect patient outcomes, and how we feel about each other and our work. But these conversations don’t always happen, and may not always go well.

Sometimes the feeling of “I’m scared’, comes out as, “I don’t think we need to intubate the patient”…. In a given clinical circumstance, a supervisor might label that assessment as incompetence rather than recognise and address the underlying fear- that might exist for any number of reasons.

These are the IFF moments of clinical supervision conversations, Identity, Feelings, Facts. Sometimes the words we use are not the best guide to how we are actually thinking or feeling but they COULD be.

Understanding whether our words convey Identity, Feelings or Facts and matching responses to those we are talking with will bring our clinical supervision conversations to the next level.

Vic, Jenny and Eve take us through a case study of potential IFF moments and encourage reflection on your own. Learn how to notice the IFF moments, name them and reshape the conversation to benefit learners, teachers, and patients.


Victoria Brazil

Victoria Brazil is an emergency physician and medical educator. 

She is Professor of Emergency Medicine and Director of Simulation at the Gold Coast Health Service, and at Bond University medical program. Victoria’s main interests are in connecting education with patient care – through translational simulation for healthcare, and in developing high performing teams. She leads the Bond Translational Simulation Collaborative

Victoria is an enthusiast in the social media and #FOAMed world (@SocraticEM). She is co-producer of Simulcast and she hosts the Harvard Macy Institute podcast. She also serves as a faculty member with the Harvard Macy Institute.

Follow Victoria at @SocraticEM or look her up at


Jenny Rudolph

Jenny Rudolph is a life-long athlete who brings the joy of practice to mastery learning in healthcare education, especially feedback, debriefing, and speaking up.She researches, teaches, and writes about using “good judgment” in difficult conversations. She serves as the Executive Director of the Center Medical Simulation which is dedicated to improving quality and safety in healthcare through experiential education.


Eve Purdy

Eve Purdy (@purdy_eve) is an emergency physician and anthropologist from Canada. She is currently far away from home working on the Gold Coast doing part time clinical emergency medicine and part time applied anthropology, sorting out how teams can do work better, together. She’s been involved with SMACC since she was a medical student and finds that the relationships formed and values of this community have shaped her career.