Using simulation to teach holistic competence: Interview with Marion Bogo and Toula Kourgiantakis

[120] Today's episode of the Social Work Podcast is an interview with Marion Bogo and Toula Kourgiantakis from the University of Toronto Factor-Inwentash Faculty of Social Work. We talk about using simulation in social work education. In Episode 94, I spoke with Marion and Mary Rawlings about simulation as part of standardized clinical examinations (OSCE).

Today's interview focuses on how simulation can be used to teach holistic competence. They talked about how in the late 2000s, they recognized that there were several problems with the existing model of teaching students practice skills. Their solution was to simulate real-world problems so that students could practice specific skills, get feedback, and improve their practice. In today's episode,  Marion and Toula detail the steps necessary for creating simulations, how they involved field supervisors in the development of client simulations, the iterative nature of improving the simulations over time, and an innovative approach to help students learn knowledge and skills through practice and feedback they call "Practice Friday".

Download MP3 [29:24]

Objective Structured Clinical Examination (OSCE) Adapted for Social Work: Interview with Marion Bogo and Mary Rawlings

[Episode 94] Today’s episode of the Social Work Podcast is on Objective Structured Clinical Examination (OSCE) for social work. My guests, Marion Bogo and Mary Rawlings, and their co-authors Ellen Katz and Carmen Logie, are pioneers in the development, implementation, and evaluation of OSCE adapted for social work.


The audience for today's episode is social work faculty, specifically practice instructors who are interested in learning more about how to objectively evaluate their student's skills. Today's episode reviews the origins of OSCE adapted for social work, how it is implemented in different types of social work programs, some findings from the research that has been conducted on OSCE, and some recommendations for faculty who are interested in learning more about this approach.

Disclosure: I served as a CSWE Council on Publications liason with Marion Bogo for the text Using Simulation in Assessment and Teaching: OSCE Adapted for Social Work (Objective Structured Clinical Examination). 

Social Work Ethics: Interview with Allan Barsky, JD, MSW, PhD

[Episode 78]  Today's episode is on social work ethics. Every social worker knows that our profession has, at its foundation, a Code of Ethics (NASW, 1996/2008) that informs our decisions. Most social workers know what is right and wrong. The greatest ethical challenges arise when there is no clear answer – in other words, there may be no clear right or wrong, or the worker may have to choose between the lesser of two evils. In other words, it’s an ethical dilemma.

To get some clarity on how social workers should go about managing ethical dilemmas, I spoke with Allan Barsky. You might remember Allan from Episodes 76, when I we discussed Social Workers in the Court. You might also recognize him from his ethics column in The New Social Worker online or you might have even heard him talk about Ethical Issues in End of Life Care in that other social work podcast from the University of Buffalo, The inSocialWork Podcast. (It's a fabulous podcast, so I would recommend that you check it out). Finally, you might know Allan from his books, Clinicians in Court or the book that we are going to be talking about today, Ethics and Values in Social Work.

Clearly, Allan is kind of ubiquitous when it comes to ethics, so I figured he's a good person to talk to. In today's interview, we discussed Allan's relational 6-stage model of managing ethical issues. We also talked about dual relationships, role-played an ethical situation, and analyzed the role play. We ended our conversation with a discussion of additional ethics resources for social workers.

If you want to find additional references and resources, as well as a transcript of my conversation with Allan, please go to the Social Work Podcast website at socialworkpodcast.com. If you want to join the conversation about clinicians in court, go to our Facebook page at Facebook.com/swpodcast. If you’re on Twitter, you can follow the podcast at twitter.com/socworkpodcast. And now, without further ado, on to Episode 78 of the Social Work Podcast: Social Work Ethics: Interview with Allan Barsky.

The Chronological Assessment of Suicide Events (CASE) Approach: Interview and Role Play with Shawn Christopher Shea, M.D.

[Episode 74] Today’s Social Work Podcast is an interview with Shawn Christopher Shea, M.D., developer of an approach to uncovering suicidal ideation and intent called the Chronological Assessment of Suicide Events (CASE) approach. In today’s episode, Shawn takes us through the CASE approach. He explains the value of assessing for suicidal content at different time points and emphasizes that eliciting suicidal ideation and intent is a difficult and sensitive topic. He talks about how moving through the CASE approach to help establish a therapeutic alliance and rapport with suicidal clients. He emphasizes the art of the interview, using validity techniques, and how we use words as central to uncovering suicidal ideation and intent. He talks about how the CASE approach is useful for any mental health provider. Shawn makes the argument that the CASE approach is an ideal approach to for assessing for suicidal risk that doesn’t sound like a pat suicide assessment. He emphasizes that the CASE approach is one-third of a thorough suicide assessment, the other two parts being identifying risk and protective factors, and the final part being developing a clinical formulation.

This figure represents the three components of a thorough suicide assessment. The CASE approach  provides a framework for assessing the information in the red square (ideation, plan, behaviors, desire, and intent).

Shawn has written that a thorough suicide assessment has three parts: 1) Gathering information related to risk factors, protective factors, and warning signs of suicide; 2) Collecting information related to the patient’s suicidal ideation, planning, behaviors, desire, and intent; and 3) Making a clinical formulation of risk based on these 2 databases. He writes that in the “clinical and research literature, much attention has been given to the first and third tasks (gathering risk/protective factors/warning signs and clinical formulation). Significantly less attention has been given to the second task—the detailed set of interviewing skills needed to effectively elicit suicidal ideation, behaviors, and intent. But in many respects, it is the validity of the information from the second component that may yield the greatest hint of imminent suicide.” (Shea, 2009, p. 1).

My interview with Shawn is a single episode in two continuous parts. In Part I Shawn and I talk about the CASE approach, including some of the validity techniques he has developed or uses to elicit suicidal ideation and intent. In the second part Shawn and I do a role play where he uses the CASE approach.