In this episode of On Record, hosts Carmen Haak and Kyle Shelstad speak with Annie Holland, a faculty member in the Communication Sciences and Disorders department at the MGH Institute of Health Professions, part of the Mass General Brigham Health System and one of the top-rated Speech-Language Pathology programs in the country. Annie is also the inaugural recipient of the CAPCSD-IVS Clinical Education Seed Grant.

Annie shares how her path from pediatric clinical practice, including work in neonatal intensive care and school systems, led her to graduate education, where she now teaches master's-level SLP students with a strong emphasis on clinical writing. She discusses her published research on biased language in clinical documentation, which had students identify and rewrite problematic language in sample reports before and after a targeted training module. The conversation covers specific examples of where bias tends to appear in SLP writing, including assumptions around gender and cultural identity, and why getting that language right matters for families, patients, and the broader care team.

From there, Annie talks through her current IVS-funded research project, which uses a multi-institution team of experts to analyze AI-generated speech-language evaluation reports for biased and subjective language. The goal is to understand what these platforms are actually producing, across multiple tools, and in conditions that reflect how students and practicing clinicians are using them right now. She offers practical guidance for programs considering AI documentation tools, including the importance of prompt quality, the environmental cost of excessive trial-and-error prompting, and the need to go in with a clear plan rather than hoping for good output.

One of the more unexpected findings she shares: the strongest resistance to AI in her department has not come from faculty. It has come from students, many of whom have well-considered concerns about how these tools are being used in clinical practice. Annie and her colleagues have had to rethink how they introduce AI into the curriculum as a result.

The episode closes with how video recording connects all of this work at MGH IHP's on-campus clinic, where live-streamed sessions give students room to practice independently, recorded sessions anchor clinical writing exercises and AI output review, and end-of-semester video shares let the entire cohort learn from one another's patient work.

Annie can be reached on LinkedIn or via email at AK.Holland@mghihp.edu. Her published research on biased language in clinical writing is available open access in Teaching and Learning in Communication Sciences and Disorders. More information on the CAPCSD-IVS Clinical Education Seed Grant is available at capcsd.org/scholarships.

In this episode of On Record, hosts Mike Anzalone and Carmen Haak speak with Caren McDonough, Clinical Director for the Speech, Language and Hearing Clinic at Northeastern University.

Caren brings more than 30 years of experience as a speech-language pathologist, having worked across acute care, inpatient and outpatient rehab, schools, and private practice before moving into clinical education. She walks through how video is woven into both sides of her work at Northeastern: in the classroom, where recorded sessions support the 25 guided observation hours students need before working with clients, and in the clinic, where all seven treatment rooms are recorded and available for live viewing by supervisors and family members alike.

The conversation gets into specifics around how video functions as a feedback tool for new clinicians, who often leave a session feeling uncertain about what happened only to watch the recording and find they did far better than they remembered. Caren explains how she uses older recordings in the classroom while protecting current students from having their sessions played for peers, and how family observation, whether through a two-way mirror or a laptop in the waiting area, gives supervisors a way to coach caregivers on what they can carry home.

Camera capability matters a lot in a pediatric setting, and Caren is candid about both the value of PTZ tracking for active children and the ongoing challenge of ceiling-mounted microphones missing quiet voices. She covers how Northeastern's clinic serves the broader community, including veterans and referrals from nearby schools and hospitals, and what written consent looks like in practice, including how the clinic handles clients who decline to be recorded.

The episode also covers the program's growing interprofessional simulation work, including recent scenarios run with pharmacy and physical therapy students, and how Caren thinks about AI in a clinical education context. She sees strong potential in AI for generating treatment materials and saving preparation time, but flags real concerns around false references, HIPAA compliance, and the need for students to understand where the guardrails are.

Caren closes with practical advice for anyone setting up a video system in a clinical environment: keep tech support accessible, work through HIPAA compliance before you go live, and make sure your IT department is part of the conversation from the start.

Caren can be reached by email at caamc@northeastern.edu or by phone at (617) 373-7831.

How Children’s of Alabama Expanded Video Across Clinical Care with Justin Fincher

Systems Engineer, Children’s of Alabama

Justin Fincher is a Systems Engineer at Children’s of Alabama with nearly two decades of experience supporting video, telehealth, and clinical technology initiatives across the hospital. In this episode of On Record, he shares how that work has evolved from early telehealth and live operating room observation to broader use of secure video for surgical review, simulation, behavioral health monitoring, autism screening, patient observation, and interdisciplinary training. Justin discusses how the COVID-19 pandemic accelerated adoption of video-based tools for clinical communication and remote monitoring, and he reflects on the operational and cultural factors involved in scaling these systems across a healthcare environment. The conversation also looks at how secure platforms such as VALT help hospitals expand access while protecting privacy, and where video workflows may continue to grow in areas such as virtual nursing, patient communication, and specialty clinical care.

From Nursing Student to Simulation Consultant with Deb Tauber

Founder and CEO, Innovative Simulation Solutions | Host, Sim Cafe Podcast

Deb Tauber is a nurse by training with 25 years in emergency medicine, including work at a Level I trauma center and leadership as an emergency department clinical educator. After moving into academic nursing at Chamberlain College of Nursing, she discovered the “science” of simulation and saw how structured scenarios can reveal real-world competencies like prioritization, delegation, communication, and calm under pressure in ways resumes can’t.

In this episode, Deb explains why pediatric scenarios elevate anxiety in simulation and real life, and how practical tools like the Broselow Tape help teams stay focused by quickly matching a child’s size to the right equipment. She also breaks down how video strengthens simulation outcomes, especially for communication training, by enabling learners to review moments like hand hygiene and bedside introductions, and by supporting more objective evaluation in high-stakes assessments. Deb notes how video systems today are easier to use and more integrated into simulation workflows than they were 15 years ago.

Deb also shares her entrepreneurial pivot. She launched Innovative Simulation Solutions in 2017 and now focuses her work on three areas: hosting The Sim Cafe podcast, providing vendor-neutral consulting for simulation center planning and expansion, and helping programs pursue Society for Simulation in Healthcare (SSH) accreditation. She outlines what accreditation expects, including mission and vision alignment, funding and staffing readiness, clear policies and processes (including AV policies if video is used), and an ethics framework. She closes with trends she’s watching, especially the rapid growth of VR and AR, plus practical advice for building simulation spaces that match real needs and don’t leave expensive equipment underused.

Former Professor, Educational Psychology, Counseling & Special Education, Penn State University

Carlos Zalaquett is an internationally recognized expert in therapeutic outcomes assessment and mental health counseling, with deep expertise spanning psychology, biofeedback, and neurofeedback. Across decades in clinical practice, teaching, supervision, and leadership—including serving as President of the Pennsylvania Mental Health Counselors Association, Past President of the Sociedad Interamericana de Psicología, and President-Elect of the American Psychological Association’s Division 52: Society for Global Psychology—Carlos has focused on one thing: improving training and interventions by measuring what works and why.

In this episode, Carlos makes the case for video as a core component of counselor education—not as a “nice to have,” but as the backbone of supervision, skills development, and outcomes-based research. He shares how recording sessions transforms training from vague, memory-based reflection into precise review: students and supervisors can revisit specific moments, identify strengths and growth areas, and track progress from the first session through termination. Carlos also explains how secure, consent-driven video capture supports ethical practice and removes barriers compared to earlier “shoulder camera” approaches—making review immediate, practical, and far less disruptive to the therapeutic relationship.

The conversation goes deeper into how video plus client self-report data can strengthen decision-making and fairness in supervision—evaluating performance with evidence rather than assumptions—and how clinics can evolve into applied research training clinics that demonstrate clinical impact to stakeholders. Carlos also looks ahead to what’s next: AI-enabled transcription and analysis, nonverbal synchrony research, and faster insight generation that could accelerate both supervision and outcomes research. He closes with the leadership principle that guides his career—“lift as you climb”—and why building others up is the real legacy of effective education and clinical work.

Simulation Manager at South Texas College

Recorded live at IMSH 2026, this episode of On Record features Ruben Torres, Simulation Manager at South Texas College, sharing how a deep background in AV and networking naturally evolved into leading simulation operations across nursing and paramedic training. Ruben walks through why video recording is essential to simulation—not as “gotcha” surveillance, but as a tool for reflective learning and stronger debriefs, where students can review decisions, identify improvements, and build confidence before stepping into real clinical environments.

Ruben also gets practical about what it takes to run a world-class simulation program: designing for realism (including keeping faculty physically removed so students feel truly “in it”), selecting and integrating the right technology components, and supporting faculty who may not be as comfortable with tech through structured training—especially at the start of each semester. He discusses how adopting the IVS VALT system improved access and consistency, enabling simulation recordings to be available across multiple campuses on the school network, and he outlines how South Texas College ladders simulation experiences through the nursing curriculum—from foundational skills to robust capstone scenarios. The conversation closes with Ruben’s passion for the mission behind it all: leveraging simulation and video to help develop future clinicians and reduce the risk of medical errors.

Episode Guest: Stephanie Morris
Child Advocacy Studies Program Coordinator, Northwest Arkansas Community College

Stephanie Morris brings over a decade of frontline legal experience to her role as the Child Advocacy Studies (CAST) Program Coordinator at Northwest Arkansas Community College. A former deputy prosecuting attorney specializing in crimes against children, she now leads a nationally recognized program that equips future and current professionals—from law enforcement to social workers—with the tools to identify and respond to child maltreatment. Stephanie leverages immersive simulation environments and advanced video technology to train students in trauma-informed practices, courtroom preparation, and multidisciplinary collaboration. Her passion is rooted in transforming how we prepare frontline workers—starting in the classroom, not the field.

Please consider learning more about CAST and the Zero Abuse Project: https://zeroabuseproject.org/

Dr. Marie Lindley is an Associate Dean for Strategic Initiatives and Innovation and a Clinical Associate Professor with extensive experience in higher education leadership and simulation-based learning. With simulation as a long-standing passion—and firsthand experience with high-fidelity training dating back more than two decades—Dr. Lindley has helped drive innovation that supports both learner development and faculty adoption at scale. In this episode, recorded live at IMSH 2026 in San Antonio, she discusses how simulation has evolved over the past 25 years and why video has become central to improving outcomes. She explains how recorded sessions strengthen observation, enable meaningful “highlight” moments, and make debriefs more targeted—while also helping learners build confidence and accountability in preparation for real clinical environments where observation is increasingly common (including emerging models like virtual nursing). Dr. Lindley also shares practical insight on implementation, emphasizing that adoption hinges on reducing friction for faculty through intuitive workflows, fewer logins, and fewer clicks, and she offers guidance on pursuing funding through development offices, private foundations, and state grants.