Ekstasis: Frequently Asked Questions

Can the presenter jump in during the deliberations?

Can the presenter jump in during the deliberations?

No. The deliberate reflection is accomplished when the presenter is not part of the discussion, but is listening to the discussions. There is also a tendency for the presenter to come up with explanations to justify an action that can derail the discussion.

What is the optimal group size?

What is the optimal group size?

The optimal group size is eight. If the group size far exceeds eight, we recommend a fishbowl model

How do you ensure that the presenter is not blamed?

How do you ensure that the presenter is not blamed?

Participants in the group discussion need to focus inwards, and use “I” statements. They should also ensure that there is no blaming of the presenter or the learner.

Can we have more time in the model?

Can we have more time in the model?

It is recommended that the facilitator sticks to the time limits to ensure meaningful deliberations rather than endless philosophizing. This also ensures that participants are engaged in the model.

What are the ground rules for running Ekstasis?

What are the ground rules for running Ekstasis?

  • Leadership creates buy-in to the process and need for peer consultations.
  • Groups dynamics are conducive to respectful deliberations.
  • The presenter should not be let off the hook. There is sometimes a tendency among colleagues to find excuses. Maintaining the structure of Ekstasis helps to create the appropriate deliberative process.
  • Keep the focus on the presenter.
  • Ensure that all the participants participate in the deliberations.
  • This is not a Morbidity & Mortality review of a clinical scenario. The emphasis should be on the educational milieu.

What do you do if you're stuck?

What do you do if you're stuck?

One suggestion is to refer back to sample questions as a way to get the conversation going again.

What if you finish early in the section?

What if you finish early in the section?

If you do finish early, and have exhausted all potential questions, you can move to the next section.

Why do we need sections?

Why do we need sections?

The sections are to maintain fidelity to the model and to ensure that the presenter goes into the deliberate listener mode. It is also to concentrate the discussion in specific areas.

Is it OK for students/residents to attend the sessions?

Is it OK for students/residents to attend the sessions?

We recommend keeping it at peer levels for an open conversation to occur. We also recommend a multidisciplinary model (when possible).

How do we get people to present in Ekstasis?

How do we get people to present in Ekstasis?

We recommend local champions and senior faculty to be the initial presenters. Subsequently, the presenters can be decided alphabetically, on a first-come, first-served basis, or other arrangement, with an option for a faculty to ‘jump the line’ if needed.