KeyLIME+

Dans cet épisode de KeyLIME+, Adam s'entretient avec le Dr Bernard Charlin à propos de la théorie de la concordance de script, une approche permettant de comprendre et d'évaluer le raisonnement clinique dans des contextes médicaux incertains et complexes. Ils explorent comment le test de concordance de script saisit certaines des nuances de la prise de décision en situation réelle en analysant la manière dont les cliniciens ajustent leur réflexion face à de nouvelles informations. Ils approfondissent également comment cette approche va au-delà de l'évaluation pour devenir un puissant outil d'apprentissage, offrant une rétroaction personnalisée qui remet en question les hypothèses et aiguise le jugement clinique. Bernard partage aussi ses réflexions sur l'impact étendu de ce test dans différentes spécialités ainsi que sur la manière dont les technologies émergentes, comme l'intelligence artificielle, pourraient en façonner l'avenir. Episode Length: 32:29 Resources to check out: Hudon A, Phan V, Charlin B, Wittmer R. Teaching Clinical Reasoning in Health Care Professions Learners Using AI-Generated Script Concordance Tests: Mixed Methods Formative Evaluation. JMIR Form Res. 2025 Nov 20;9:e76618. https://pubmed.ncbi.nlm.nih.gov/41264864/ Bernard Charlin, Jacques Tardif, Henny P A Boshuizen, Scripts and Medical Diagnostic Knowledge: Theory and Applications for Clinical Reasoning Instruction and Research, Academic Medicine, Volume 75, Issue 2, February 2000, Pages 182–190 Scripts and Medical Diagnostic Knowledge | Academic Medicine | Oxford Academic Contact Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

In this episode, Adam speaks with Dr. Ruth Gotian about the critical role of mentorship in cultivating high-performance individuals. Drawing on her research on elite performers - including Nobel laureates, Olympic athletes, and successful physicians - Ruth highlights how success can be nurtured through intrinsic motivation, resilience, and supportive mentoring relationships. The discussion explores distinctions between mentorship and sponsorship, the powerful impact of mentorship on reducing burnout, and offers practical strategies for medical educators to enhance their own mentorship practices. Length of episode: 36.39 Resources to check out Ruth's new book, "Mentoring in Healthcare: The Definitive Guide to Cultivating Individual and Organizational Success": https://mentoringinhealthcare.com/ ; https://amzn.to/4q0QFqC Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

In this episode, Adam sits down with Dr. Raja-Elie Abdulnour to explore how AI is reshaping medical education and why it has the potential to quietly erode clinical reasoning. They discuss the emerging risks of deskilling, never-skilling, and mis-skilling, and how AI can widen gaps between high-performing and low-performing learners. Raja-Elie introduces the DEFT-AI framework, a practical approach for turning AI-assisted moments into teaching opportunities that strengthen, rather than outsource clinical judgment. Their conversation highlights both the promise of AI and the need to help learners use it wisely so we do not lose the core of what it means to be a medical expert. Length of episode: 41:30 Resources to check out: - https://www.nejm.org/doi/full/10.1056/NEJMra2503232 https://www.ynharari.com/book/nexus/ Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

This episode of KeyLIME+ highlights Specialty Café, a sister Royal College podcast that focuses on conversational storytelling to support medical students exploring specialty choice. Through informal discussions with physicians from a wide range of specialties, host Cameron Wong speaks with Adam about how the Specialty Café podcast offers insights into training pathways, daily practice, challenges, and personal reflections that are often absent from traditional career guidance. Length of episode: 18:59 Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

In this second half of our special two-part episode of KeyLIME+, recorded live in Quebec City at the International Conference on Residency Education, Adam is joined by resident co-host Dr. Rory Clarke and guests Drs. Kimberly Lomis and Martin Pusic to explore how AI is transforming medical education. They discuss how AI is reshaping trust, connection, and growth in residency education, including its potential to enhance personal connections, mentorship, and personalized learning. Along the way, they share practical strategies educators can use to strike the right balance between innovation and human-centredness. Length of episode: 42:24 Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

In this episode of KeyLIME+, Adam speaks with Dr. Sanjay Desai to explore the concept of precision education in medical training. They discuss how data and technology can personalize medical education, making it more efficient and tailored to individual learner needs. Sanjay emphasizes the importance of using data to assess learner performance and the need for a shift in power towards learners, allowing them greater agency in their education. The conversation also touches on the foundational principles of precision education, the challenges of implementing these innovations, and the balance between fostering innovation and ensuring trust in medical education. Length of episode: 35:28 Contact Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

In this episode of KeyLIME+, Adam, along with co-host Greta Askin, delve into the novel area of Visually Enhanced Mental Simulation (VEMS) with guest Vic Brazil. They discuss how VEMS differs from traditional high-fidelity simulations, emphasizing its simplicity, flexibility, and effectiveness in engaging healthcare teams. The conversation highlights the importance of teamwork, communication, and cognitive load in simulation training. They review practical applications and some tips about how educators might integrate VEMS into their own teaching. Length of episode: 43.17 Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

In this episode, Adam (and resident guest co-host Mario Corrado) speak with Dr. Lynfa Stroud about the complexities of teaching evaluations in medical education. They discuss some of the biases that influence evaluations, the unintended consequences that can arise, and the delicate power dynamics between learners and educators. Their conversation underscores the need for a more nuanced, supportive approach to assessing teaching quality - one that moves beyond student ratings to foster genuine growth and development in medical education. Length of episode: 48:34 Resources to check out How Teacher Evaluations Broke the University "We give them all A's, and they give us all fives." By Rose Horowitch https://www.theatlantic.com/ideas/archive/2025/09/teacher-evaluations-grade-inflation/684185/ The Doctor Fox Lecture: A Paradigm of Educational Seduction Donald H. Naftulin, M.D., John E. Ware, Jr., and Frank A. Donnelly https://romanfrigg.org/wp-content/uploads/links/Dr_Fox_Lecture.pdf Stroebe, W. (2020). Student Evaluations of Teaching Encourages Poor Teaching and Contributes to Grade Inflation: A Theoretical and Empirical Analysis. Basic and Applied Social Psychology, 42(4), 276–294. https://doi.org/10.1080/01973533.2020.1756817 https://www.tandfonline.com/doi/full/10.1080/01973533.2020.1756817 Contact Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

This episode of KeyLIME+ delves into the complexities of clinical learning environments in medical education. Adam and guest co-host Danielle Chang speak with Jena Hall about the dynamic nature of these environments, their impact on patient outcomes, and the importance of adapting to external societal influences. They discuss the challenges of physician burnout, the role of social media, and the integration of AI in medical training. The conversation emphasizes the need for intentional adaptability in educational practices to foster a supportive and effective learning atmosphere for the doctors of tomorrow. Length of episode : 39:45 Resources to check out: Nordquist J, Silva S, Caverzagie K, Hall J. Clinical learning environments: Updates. Med Teach. 2025 Jun;47(6):911-917. https://pubmed.ncbi.nlm.nih.gov/39901697/ Asch DA, Nicholson S, Srinivas S, et al. Evaluating obstetrical residency programs using patient outcomes. JAMA. 2009;302(12):1277–1283. doi: 10.1001/jama.2009.1356 Thoma B, Karwowska A, Samson L, Labine N, Waters H, Giuliani M, Chan TM, Atkinson A, Constantin E, Hall AK, Gomez-Garibello C, Fowler N, Tourian L, Frank J, Anderson R, Snell L, Van Melle E. Emerging concepts in the CanMEDS physician competency framework. Can Med Educ J. 2023 Mar 21;14(1):4-12. https://pubmed.ncbi.nlm.nih.gov/36998506/ Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

On this episode of KeyLIME+, Adam speaks with Maria Mylopoulos to explore the concept of adaptive expertise in medical education. They discuss theories of expertise development, the importance of fostering adaptive expertise, and the need for a shift in educational practices to better prepare physicians for the complexities and uncertainties of modern healthcare. They review the differences between routine and adaptive expertise, as well as strategies for promoting productive struggle and variation in learning environments. The conversation emphasizes the necessity of embracing uncertainty as a fundamental aspect of expert practice and the importance of integrating innovative ideas from physicians on the ground into educational theory. Length of episode : 33:11 Resources to check out Mylopoulos M, Kulasegaram K, Woods NN. Developing the experts we need: Fostering adaptive expertise through education. J Eval Clin Pract. 2018 Jun;24(3):674-677. https://pubmed.ncbi.nlm.nih.gov/29516651/ Contact Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

[12] Avoid the trap of false growth mindset This episode was first released on February 18, 2025. Description: - In this episode, Adam discusses the complexities of growth mindset in medical education with guests Milad Memari and Katie Gavinski. They explore the differences between growth and fixed mindsets, the dangers of misapplying mindset theory, and the trap of false growth mindset. The conversation emphasizes practical strategies for educators to promote a growth mindset among learners, the challenges of assessment in medical training, and the need for systemic changes informed by mindset theory to support learner development. Length of Episode: 45:09 Resources to check out : Memari M, Gavinski K, Norman MK. Beware False Growth Mindset: Building Growth Mindset in Medical Education Is Essential but Complicated. Acad Med. 2024 Mar 1;99(3):261-265. https://pubmed.ncbi.nlm.nih.gov/37643577/ PISA 2018 Results (Volume I): https://www.oecd.org/en/publications/pisa-2018-results-volume-i_5f07c754-en/full-report.html A national experiment reveals where a growth mindset improves achievement: https://pubmed.ncbi.nlm.nih.gov/31391586/ Yeager DS, Dweck CS. What can be learned from growth mindset controversies? Am Psychol. 2020 Dec;75(9):1269-1284. doi: 10.1037/amp0000794. PMID: 33382294; PMCID: PMC8299535. https://pmc.ncbi.nlm.nih.gov/articles/PMC8299535/ @MemariMD @katiegavinski Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

[9] Debunking myths in education with Dr. Paul Kirschner This episode was first released on January 7, 2025. Description: - In this episode, Adam and Dr. Paul Kirschner discuss some of the biggest myths in education—like multitasking, learning styles, and the belief that Googling can replace knowledge. They dive into what sets experts apart from novices and explore how certain 'desirable difficulties'—those useful challenges in learning —actually improve long-term retention, even if they're tough to stomach. Length of Episode: 52:41 Resources to check out: The Ten Deadly Sins of Education by Dr. Paul Kirschner Bjork, R. A., & Bjork, E. L. (2020). Desirable difficulties in theory and practice. Journal of Applied research in Memory and Cognition, 9 (4), 475-479. Bjork, E. L., & Bjork, R. A. (2011). Making things hard on yourself, but in a good way: Creating desirable difficulties to enhance learning. Brown, Peter C. (2014). Make it stick : the science of successful learning. Cambridge, Massachusetts :The Belknap Press of Harvard University Press Paul's 3 recent books: How Learning Happens: Seminal Works in Educational Psychology and What They Mean in Practice How Teaching Happens: Seminal Works in Teaching and Teacher Effectiveness and What They Mean in Practice Ten Steps to Complex Learning Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

In the Season 1 finale of KeyLIME+, Adam shares reflections on a memorable first year, highlighting listener feedback and key insights from across the season. We revisit important conversations about balancing wellness with excellence in medical education, rethinking med school admissions, applying cognitive load theory to clinical teaching, and leading change with humility. Thanks to all our listeners and contributors for being part of Season 1 — KeyLIME+ will be back in September with an exciting Season 2! Length of episode: 36:50 Resources to check out Episodes mentioned: - Episode 8 Is applying to med school like playing the lottery? https://keylimepodcast.libsyn.com/7-is-applying-to-med-school-like-playing-the-lottery Episode 11 Challenging the status quo of CBME in Canada https://keylimepodcast.libsyn.com/11-challenging-the-status-quo-of-cbme-in-canada Episode 14 Exploring cognitive load in the workplace: A new tool for medical educators https://keylimepodcast.libsyn.com/14-exploring-cognitive-load-in-the-workplace-a-new-tool-for-medical-educators Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski