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Explore every episode of the podcast KeyLIME+

Dive into the complete episode list for KeyLIME+. Each episode is cataloged with detailed descriptions, making it easy to find and explore specific topics. Keep track of all episodes from your favorite podcast and never miss a moment of insightful content.

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TitlePub. DateDuration
[49] Developing Judgment: How Experts Think and Make Decisions in Complex Environments13 Oct 202600:35:13

In this episode of KeyLIME+, Adam speaks with Dr. Gary Klein about how people make decisions in complex, high‑pressure environments. Drawing on decades of research, Gary describes how expert decision making often looks very different from the step‑by‑step models many of us were taught. 

The conversation explores what intuition really means in expert performance and how judgment develops over time. Gary emphasizes that experience alone is not enough, and that learning depends on how people reflect on their decisions, notice what they missed, and adapt their thinking. He also discusses the ShadowBox method as a practical way to make expert thinking visible and to support learning through comparison and self‑reflection, offering a clear window into how decisions are actually made in practice and what that might mean for how we prepare clinicians to think and act in real clinical settings. 

  

Episode Length: 34:26 

 

 Resources to check-out  

 

[42] La Concordance de Script et la Formation par Concordance : Des origines aux nouvelles applications 

 

Books 

Seeing what others don't 

Sources of Power: How people make decisions 

 

Kahneman D, Klein G. Conditions for intuitive expertise: a failure to disagree. Am Psychol. 2009 Sep;64(6):515-26. 

 

White, M. R., Braund, H., Howes, D., Egan, R., Gegenfurtner, A., van Merrienboer, J. J. G., & Szulewski, A. (2018). Getting Inside the Expert's Head: An Analysis of Physician Cognitive Processes During Trauma Resuscitations. Annals of Emergency Medicine, 72(3), 289-298. Merrienboer_2018_getting_inside_the_expert_head.pdf 

 

Website: https://www.shadowboxtraining.com/ 

 

 

Contact us: keylime@royalcollege.ca      

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

 

[48] Live from the Sim Tank: What's Next for Simulation-Based Education29 Sep 202600:43:03

On this special live edition of KeyLIME+, recorded at the Sim Tank innovation event held at Queen's University, Adam brings together a panel of simulation and education leaders to explore how artificial intelligence is transforming medical simulation training. From personalized learning and adaptive assessment to concerns about de-skilling, data ownership, and the evolving role of educators, the conversation examines both the promise and the pitfalls of tech-enhanced simulation. Together, the panel reflects on how emerging technologies may reshape not just how we teach medicine using sim, but how clinicians learn, think, and perform in an increasingly complex healthcare system. 

  

Episode Length:  43:02 

  

Resources to check-out  

 

Dizon JI, Mendoza NB, Gasevic D, Ganotice Jr FA. Assessing AI-driven metacognitive offloading: Initial development and validation of the Metacognitive Laziness Scale. ECNU Review of Education. 2026 Jun;9(2):20965311261450994. 

 https://journals.sagepub.com/doi/full/10.1177/20965311261450994 

  

Sears, K., Goldsworthy, S., & Goodman, W. M. (2010). The relationship between simulation in nursing education and medication safety. The Journal of Nursing Education, 49(1), 52-55. https://doi.org/10.3928/01484834-20090918-12     

 

Journey of Nursing Regulation https://www.ncsbn.org/public-files/JNR_Simulation_Supplement.pdf 

 

Ke, Y., Jin, L., Ong, J.C.L. et al. AI-induced never-skilling in medical education. Nat Med 32, 1997–2006 (2026). https://doi.org/10.1038/s41591-026-04438-y https://www.nature.com/articles/s41591-026-04438-y 

 

Contact us: keylime@royalcollege.ca      

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

    

 

[47] Why Good Ideas Get Stuck: Sludge, Nudges, and Choice Architecture15 Sep 202600:34:07

In this episode, Dr. Lea Harper joins Adam to discuss how behavioral economics can shape clinician behavior in medical education and clinical practice. They explore the difference between nudging and sludge, the role of default options, and how system design influences everyday decisions. 

Using examples from health care and beyond, the conversation examines how unnecessary friction slows progress and how thoughtful system design can help good ideas get over the finish line and effect meaningful change. 

Episode Length:  34:06 

 Resources to check-out  

Harper, L., Coderre, S., Lithgow, K., Kelly‐Turner, K., Davis, M., & McLaughlin, K. (2025). We should nudge clinicians and trainees to participate in health professions education programmes. Medical Education, 59(12), 1333-1340. 

Nudge: Improving Decisions about Health, Wealth, and Happiness.  Thaler, R. H., & Sunstein, C. R. (2021). Nudge: The final edition. Penguin. 

Contact us: keylime@royalcollege.ca      

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

[46] High Standards, Changing Realities: Competence, Certification, and the Evolving Healthcare Landscape01 Sep 202600:47:49

Are we chasing a standard of excellence that today's healthcare system can realistically sustain? On this episode of KeyLIME+, Adam speaks with medical education leaders Drs. Farhan Bhanji and Damon Dagnone about the future of medical education and healthcare in Canada. They explore Competence by Design, the tension between certification and licensure, the physician workforce crisis, and the changing role of internationally trained physicians in Canada. As pressures mount on healthcare systems, regulators, and training programs, the conversation explores an important question: how should medical education evolve to meet the needs of learners, physicians, and patients in today's healthcare environment

Episode Length:  47:48 

 Resources to check-out  

John Norcini, Irina Grabovsky, Michael A Barone, M Brownell Anderson, Ravi S Pandian, Alex J Mechaber, The Associations Between United States Medical Licensing Examination Performance and Outcomes of Patient Care, Academic Medicine, Volume 99, Issue 3, March 2024, Pages 325–330, https://doi.org/10.1097/ACM.0000000000005480 

Contact us: keylime@royalcollege.ca      

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

2026 Summer Rewind #418 Aug 202600:38:10
[43] The Hidden Curriculum Exposed: When the CEOs of Canada's Family Medicine and Specialist Colleges Compare Notes on Medicine's Unwritten Lessons

This episode was first released on May 26, 2026

On this episode of KeyLIME+, Adam sits down with Chris Watling and Mike Allan (the CEOs of Canada's two national medical colleges) to unpack the hidden curriculum in medicine. Together, they explore how subtle signals in our learning and working environments shape identity, influence career pathways, and reinforce hierarchies both between and within disciplines. From the loss of shared spaces like physician lounges, to structural pressures such as competition for residents and fragmented training pathways, to the powerful role of public narratives, the conversation examines how these forces quietly sculpt our professional culture. Chris and Mike reflect on their own professional experiences, the impacts felt by learners in both family and specialty practice, and what it might take to move toward a more respectful, connected, and collaborative medical community.  

Length of Episode: 38:11 

 Contact us: keylime@royalcollege.ca    

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

  

 

 

2026 Summer Rewind #304 Aug 202600:41:31
[38] AI and Emerging Skill Gaps: Deskilling, Never‑Skilling, Mis‑Skilling—and What Educators Can Do About It All

This episode was first released on March 17, 2026

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  

2026 Summer Rewind #221 Jul 202600:35:57

[32] Designing Learning That Learns: The Promise of Precision Medical Education

This episode was first released on January 06, 2026

 

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     

2026 Summer Rewind #107 Jul 202600:48:35

[28] Cookies, Charisma & Bias: Exploring the Hidden Consequences and Impact of Teaching Evaluations

This episode was first released on November 11, 2025

Description

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 us: keylime@royalcollege.ca    

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

 

[45] The Physician's Next Skill Set: From AI to What Comes Next24 Jun 202600:39:26

On this episode of KeyLIME+, Adam sits down with 'the medical futurist', Dr. Bertalan Meskó, to explore what it means to prepare for the future of medicine in an era currently shaped by artificial intelligence. Using prompt engineering as a starting point, the conversation moves beyond the technical to focus on a deeper shift in how clinicians adapt in the face of rapid change. Together, they examine the risks of over-reliance on AI, the pitfalls of bold predictions, and the enduring role of human connection in healthcare. The discussion ultimately reframes AI not as the destination, but as a tool for helping clinicians prepare for what lies ahead. 

Length of Episode: 39:23 

Resources to check out: 

Meskó B. Prompt Engineering as an Important Emerging Skill for Medical Professionals: Tutorial. J Med Internet Res. 2023 Oct 4;25:e50638.   

Episode 38 AI and Emerging Skill Gaps: Deskilling, Never-Skilling, Mis-Skilling – and What Educators Can Do About It All 

Contact us: keylime@royalcollege.ca    

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

  

 

 

[44] Formative, Not Performative: Rethinking Teaching Evaluations to Help Teachers Grow09 Jun 202600:30:05

Clinical teaching happens in real time, but feedback about that teaching does not. Too often, feedback shows up late, feels vague, or never arrives at all, especially for the everyday teaching that happens on shift, in the hallway, or at the bedside. Adam speaks with Dr. Esther Bui about why that gap persists, and what it might look like to close it. Esther shares what led her team to build myTE, an app-based tool designed to capture in-the-moment teaching feedback. Together, they explore what traditional evaluation systems tend to miss, why authentic quality feedback is so important, and how trust and psychological safety shape the experience. 

Length of Episode: 30:27

Resources to check out: 

Halani S, Kumar SS, Lim DY, Hefferon D, Prakash V, Kumagai AK, Bui E. "In-the-moment" feedback: a novel app for clinical teaching evaluations. Can Med Educ J. 2025 Nov 6;16(5):86-88. 

 

Contact us: keylime@royalcollege.ca    

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

[43] The Hidden Curriculum Exposed: When the CEOs of Canada's Family Medicine and Specialist Colleges Compare Notes on Medicine's Unwritten Lessons26 May 202600:38:10

On this episode of KeyLIME+, Adam sits down with Chris Watling and Mike Allan (the CEOs of Canada's two national medical colleges) to unpack the hidden curriculum in medicine. Together, they explore how subtle signals in our learning and working environments shape identity, influence career pathways, and reinforce hierarchies both between and within disciplines. From the loss of shared spaces like physician lounges, to structural pressures such as competition for residents and fragmented training pathways, to the powerful role of public narratives, the conversation examines how these forces quietly sculpt our professional culture. Chris and Mike reflect on their own professional experiences, the impacts felt by learners in both family and specialty practice, and what it might take to move toward a more respectful, connected, and collaborative medical community.  

Length of Episode: 38:11 

 Contact us: keylime@royalcollege.ca    

       

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

  

 

[42] La Concordance de Script et la Formation par Concordance : Des origines aux nouvelles applications12 May 202600:32:30

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   

[41] Thinking Beyond the Patient: Planetary Health in Medical Education28 Apr 202600:37:14

On this episode of KeyLIME+, Adam and guest resident co-host Julia Sawatzky speak with Dr. Bhavini Gohel to explore the intersection of planetary health and medical education, highlighting how climate change impacts healthcare and what physicians can do to help. Together, they unpack what planetary health really means, why it has become an important issue for clinicians and educators, and how it shows up in everyday practice. The conversation also explores how medical training can meaningfully integrate planetary health without adding burden, and what this can mean for the future roles of physicians as educators, advocates, and system stewards. 

 

Episode Length: 37:13 

  

Contact us  

Contact us: keylime@royalcollege.ca      

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

[40] Mentorship Matters: Turning Potential into Performance in Medical Education14 Apr 202600:36:39

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   

[39] From the Sidelines to the Bedside: What Medical Education Can Learn from Coaching and Feedback in Sports31 Mar 202600:47:18

On this episode of KeyLIME+, Adam sits down with Drs. Victor Do and Cory Rohlfsen, both medical educators and former competitive athletes, to explore how lessons from high-performance sports coaching can inform feedback and coaching in medical education. Victor and Cory share firsthand insights about the culture of feedback in sports, where direct, real-time, and goal-oriented coaching is not only expected but embraced. They contrast this with the challenges faced in medical education, where feedback can sometimes feel less immediate, less authentic, and complicated by multiple competing factors. Together, they discuss the crucial role of trust, shared goals, and direct observation in making feedback meaningful and how these elements might be better integrated into medical education to support learner growth and ultimately improve patient care. 

Length of episode:  47:17 

Resources to check: Learning culture and feedback: an international study of medical athletes and musicians https://asmepublications.onlinelibrary.wiley.com/doi/10.1111/medu.12407   

Contact us: keylime@royalcollege.ca     

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

 

 

[38] AI and Emerging Skill Gaps: Deskilling, Never‑Skilling, Mis‑Skilling—and What Educators Can Do About It All17 Mar 202600:41:31

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  

[37] Café des spécialités : Infuser des idées de carrière, une conversation à la fois03 Mar 202600:17:21

Cet épisode de KeyLIME+ présente le Café des spécialités, un balado du Collège royal dans lequel des médecins témoignent sur le ton de la conversation pour aider les étudiant·es en médecine à choisir une spécialité. Christina Toma, animateur du balado, explique à Adam que le Café des spécialités offre un aperçu des parcours de formation, de la pratique quotidienne, des défis et des réflexions personnelles de médecins de différentes spécialités, des aspects souvent absents des ressources traditionnelles d'orientation professionnelle. 

 

Length of episode:  17:20 

 

Contact us: keylime@royalcollege.ca     

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

[36] Specialty Café: Brewing Careers, One Conversation at a Time03 Mar 202600:18:42

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    

[35] From What You Say to How You Say It: Unlocking the Human Element of Simulation-Based Education17 Feb 202600:44:24

In this episode of KeyLIME+, Adam and guest resident co-host Charlie Irwin speak with Gerry Gormley about getting simulation right in medical education. They discuss the importance of micro communication skills in creating psychologically safe learning environments, the shared responsibility of educators and learners in fostering safety, and the balance between challenge and support in simulation training. They emphasize the need for educators to hone their communication skills to better engage learners and prepare them for real-world challenges. 

 

Length of episode:  44:23 

 

Resources to check out 

  • Goffman E. The presentation of self in everyday life. New York: Anchor Books. 1959 

  • Gormley, G., & Nestel, D. (2025). Not just 'what you say' but 'how you say it': co-creating psychological safety through micro-communication skills in simulation-based education. Journal of Healthcare Simulation. 

Not just 'what you say' but 'how you say it': co-creating psychological safety through micro-communication skills in simulation-based education 

 

Episode 30 of KeyLIME+ [30] Less Tech, More Training: Simplifying Simulation for Busy Healthcare Teams 

  • https://keylimepodcast.libsyn.com/30-less-tech-more-training-simplifying-simulation-for-busy-healthcare-teams 

  

Contact us: keylime@royalcollege.ca    

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski     

  

[34] KeyLIME+ live at ICRE Part 2: Building Trust, Fostering Growth, and Strengthening Connection with AI in Medical Education03 Feb 202600:41:23

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    

  

  

[33] KeyLIME+ live at ICRE Part 1: Building Trust, Fostering Growth, and Strengthening Connection with AI in Medical Education20 Jan 202600:30:54

In this first 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:  30:46 

 

Contact us: keylime@royalcollege.ca     

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

  

[32] Designing Learning That Learns: The Promise of Precision Medical Education06 Jan 202600:35:57

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     

 

[31] AI Literacy for Medical Educators: Building Smarter Learning23 Dec 202500:36:18

On this episode of KeyLIME+, Adam sits down with Terry Soleas to unpack how AI is changing medical education. Together, they explore why AI literacy is essential for healthcare professionals and how understanding the technology can help us harness its benefits while avoiding its pitfalls. The conversation dives into the tension between innovation and skill atrophy, the importance of human oversight, and the evolving role of educators in an AI-driven world. From practical "yes" and "no" zones for AI use to strategies for keeping curricula agile, Terry offers insights into how we can prepare for a future where AI is everywhere. 

Length of episode:  36:18 

Contact   

Contact us: keylime@royalcollege.ca     

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski     

[30] Less Tech, More Training: Simplifying Simulation for Busy Healthcare Teams09 Dec 202500:43:18

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   

[29] Building resilience and leadership across the frontlines: what medicine can learn from firefighting25 Nov 202500:36:49

In this episode of KeyLIME+, Adam sits down with David Morkal, a retired fire chief from the New York Fire Department. They explore David's unique journey from a background in theater to leading teams in high-pressure firefighting situations. The discussion delves into leadership lessons learned from David's experience working during 9/11, the importance of mentorship, coping with trauma, and the evolution of peer support programs within the fire service. David offers thoughtful insights on the value of experience, empathy, and the need for ongoing connections between generations in both firefighting and medicine. 

Length of episode: 36:48 

 

Contact us: keylime@royalcollege.ca    

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

[28] Cookies, Charisma & Bias: Exploring the Hidden Consequences and Impact of Teaching Evaluations11 Nov 202500:48:35

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    

 

[27] Assessment under the influence28 Oct 202500:30:53

On this episode of KeyLIME+, Adam speaks with Charlotte van Sassen about the subtle ways that knowledge of patient outcomes can influence how supervisors assess clinical reasoning. Their conversation uncovers the impact of outcome bias on feedback and evaluation in medical education, exploring the challenges this presents for fairness and learning. They also discuss strategies to recognize and address these biases, aiming to improve how we support trainee development in complex clinical environments. 

 Length of episode :  30:52 

 

 Resources to check out:   

https://pubmed.ncbi.nlm.nih.gov/40479526/ 

van Sassen C, Mamede S, van den Broek W, Bindels P, Zwaan L. Does Knowledge of Clinical Case Outcome Influence Supervisor Evaluation of Resident Clinical Reasoning? Acad Med. 2025 Jun 6 

Zwaan L, Monteiro S, Sherbino J, et al Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workupsBMJ Quality & Safety 2017;26:104-110. https://qualitysafety.bmj.com/content/26/2/104.abstract 

Caplan RA, Posner KL, Cheney FW. Effect of Outcome on Physician Judgments of Appropriateness of Care. JAMA. 1991;265(15):1957–1960. doi:10.1001/jama https://jamanetwork.com/journals/jama/article-abstract/385633 

Contact us: keylime@royalcollege.ca     

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[26] The Lasting Impact of Clinical Learning Environments: Why Where You Train Matters in Medicine14 Oct 202500:39:46

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     

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[25] AI Reporting Reform: Raising the Bar for Transparency of Large Language Model use in Medical Education Research30 Sep 202500:31:04

In today's show, Adam chats with Gustavo Patino to discuss the implications of artificial intelligence in medical education publishing. They explore the need for transparency in AI model reporting, issues related to predictive accuracy, and the potential biases that can arise in AI applications. The conversation emphasizes the growing need for clear reporting guidelines in the use of AI in health professions education research and reviews some practical strategies to achieve this goal. 

Length of Episode: 31:04 

Contact us: keylime@royalcollege.ca    

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

[24] Embracing Complexity: Fostering Adaptive Expertise in Medical Education16 Sep 202500:33:11

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    

[23] M&M rounds 2.002 Sep 202500:51:42

On this episode, Adam and guest resident co-host Amit Chopra speak with emergency physician and trauma team leader Andrew Petrosoniak about the evolution of M&M rounds in healthcare and his vision for M&M rounds 2.0. They talk about the importance of shifting away from individual blame to a systems-oriented approach in case analysis. The conversation explores the exciting potential of integrating video review into M&M rounds and the potential to start capitalizing on this technology for performance coaching, just like athletes have done for decades.  

 Length of episode :  51:41 

 Resources to check out:   

M&M rounds 2.0: the future of performance improvement | Canadian Journal of Emergency Medicine 

Contact us: keylime@royalcollege.ca     

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

  

  

 

Summer Rewind #419 Aug 202500:46:07
[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 :   

  1. 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/  

  1. PISA 2018 Results (Volume I): https://www.oecd.org/en/publications/pisa-2018-results-volume-i_5f07c754-en/full-report.html  

  1. A national experiment reveals where a growth mindset improves achievement: https://pubmed.ncbi.nlm.nih.gov/31391586/  

  1. 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   

Summer Rewind #305 Aug 202500:40:11
[2] Listening to podcasts while you exercise is an exercise in futility: fact or fiction?

This episode was first released on October 1, 2024.

Description : -

Adam and guest resident co-host, Dr. Victoria Turnbull, interview Dr. Michael Gottlieb about a recent paper of his that should be relevant to anyone who listens to podcasts for learning. The paper looked at immediate and delayed recall of podcast content of residents listening to podcasts during aerobic exercise and at rest. We also discuss multitasking, cognitive load, and the way our brains make decisions.  

Length of Episode: 38 minutes  

Resources to check out : 

Gottlieb M, Cooney R, Haas MRC, King A, Fung CC, Riddell J. A Randomized Trial Assessing the Effect of Exercise on Residents' Podcast Knowledge Acquisition and Retention. Acad Med. 2024 May 1;99(5):575-581. doi: 10.1097/ACM.0000000000005592. Epub 2023 Dec 18. PMID: 38109353. https://pubmed.ncbi.nlm.nih.gov/38109353/ 

Perham, N., & Currie, H. (2014). Does listening to preferred music improve reading comprehension performance? Applied Cognitive Psychology, 28(2), 279–284. https://doi.org/10.1002/acp.2994 https://psycnet.apa.org/record/2014-08687-016 

Contact us: keylime@royalcollege.ca  

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Summer Rewind #222 Jul 202500:53:38
[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: 

  1. How Learning Happens: Seminal Works in Educational Psychology and What They Mean in Practice 

  1. How Teaching Happens: Seminal Works in Teaching and Teacher Effectiveness and What They Mean in Practice 

  1. Ten Steps to Complex Learning 

 Contact us: keylime@royalcollege.ca   

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Summer Rewind #108 Jul 202500:40:17
[1] Does the pursuit of excellence in medicine conflict with the pursuit of well-being?

This is Episode #1 which was first released on 17, 2024.

Description: - 

Adam invites Dr. Lisa Rosenbaum to discuss her recent publication in the NEJM titled Being Well while Doing Well — Distinguishing Necessary from Unnecessary Discomfort in Training.  

This thought-provoking paper is the 3rd in a series of 4 essays in the NEJM by Dr. Rosenbaum.  It's a social commentary on recent cultural and societal changes and their impact on medical education. We discuss Lisa's critical perspectives on the important notions of wellness and professional identity in our field.  

Length of Episode: 40 minutes  

Article discussed: Rosenbaum L. Being Well while Doing Well - Distinguishing Necessary from Unnecessary Discomfort in Training. N Engl J Med. 2024 Feb 8;390(6):568-572. doi: 10.1056/NEJMms2308228. Epub 2024 Jan 17. PMID: 38231543. https://pubmed.ncbi.nlm.nih.gov/38231543/ 

Resources to check out : 

Dr. Rosenbaum's recent related publications   

  1. https://www.nejm.org/doi/10.1056/NEJMms2308228 Being Well while Doing Well — Distinguishing Necessary from Unnecessary Discomfort in Training  

  1. https://pubmed.ncbi.nlm.nih.gov/38265727/ Beyond Moral Injury - Can We Reclaim Agency, Belief, and Joy in Medicine?  

  1. https://pubmed.ncbi.nlm.nih.gov/38197811/ On Calling - From Privileged Professionals to Cogs of Capitalism?  

  1. https://pubmed.ncbi.nlm.nih.gov/38170694/ What Do Trainees Want? The Rise of House Staff Unions  

  1. Podcast 'Not Otherwise Specified' https://not-otherwise-specified-podcast.nejm.org/e/tough-love/   

 Contact us: keylime@royalcollege.ca  

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[22] Season 1 finale: Your feedback24 Jun 202500:40:28

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    

[21] Unpacking Medical Expertise: Illness Scripts, Clinical Reasoning, and the Future of CanMEDS10 Jun 202500:50:24

On this episode of KeyLIME+, Adam speaks with Drs. Saleem Razack and Stuart Lubarsky about the concept of medical expertise. They dig into definitions and interpretations of medical expertise, ideas around cognitive load, and the role of illness scripts in clinical reasoning. They also address the recent public discussion about the centrality of medical expertise within the CanMEDS framework and what we might expect in the next iteration of CanMEDS.  

Length of episode: 50:25 

Resources to check out:    

Lubarsky S, Dory V, Audétat M-C, Custers E, Charlin B. Using script theory to cultivate illness script formation and clinical reasoning in health professions education. Can. Med. Ed. J [Internet]. 2015 Dec. https://journalhosting.ucalgary.ca/index.php/cmej/article/view/36631 

Kahneman D, Klein G. Conditions for intuitive expertise: a failure to disagree. Am Psychol. 2009 Sep;64(6):515-26. https://pubmed.ncbi.nlm.nih.gov/19739881/  

Contact us: keylime@royalcollege.ca  

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski     

[20] Thinking outside the box: Reimagining CPD for Real Impact27 May 202500:34:53

In this episode of KeyLIME+, Adam is joined by Dr. Sam Daniel as they discuss the challenges and innovations in today's Continuing Professional Development (CPD) landscape. They explore the impact of CPD on physician behaviour, the importance of moral norms when it comes to engaging with CPD, and the barriers to effective learning. Sam shares insights from his recent paper and emphasizes the need for CPD educators to consider broader systemic changes, beyond simply content delivery. The conversation also touches on the future of CPD, including the role of AI and the importance of advocacy. 

 

Length of episode: 36:00 

Resources to check out:    

https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04597-3

 

 

Contact us: keylime@royalcollege.ca      

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski      

[19] Adopter une optique différente : doit-on repenser le DPC pour avoir un impact réel?27 May 202500:35:54

Dans cet épisode de KeyLIME+, Adam reçoit le Dr Sam Daniel et discute avec lui des défis et innovations dans le milieu actuel du développement professionnel continu (DPC). Ensemble, ils explorent l'influence du DPC sur le comportement des médecins, l'importance des normes morales dans le contexte du DPC et les obstacles à un apprentissage efficace. Le Dr Daniel nous parle de son récent article et souligne la nécessité d'avoir du personnel enseignant au DPC qui envisage des changements systémiques plus vastes, au-delà de la simple présentation de contenu. La conversation porte aussi sur l'avenir du DPC, y compris le rôle de l'IA et l'importance de la sensibilisation.

Durée de l'épisode : 36 min.

Ressource à consulter :  

https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04597-3

 

Pour communiquer avec nous : keylime@royalcollege.ca    

Suivre : Dr Adam Szulewski https://x.com/Adam_Szulewski    

#

 The title of the study in English since it's the official title and the paper is only available in English.

[18] No pain, no gain: The importance of desirable difficulty in medical education13 May 202500:37:01

Description:  
In this episode of KeyLIME+, Adam speaks with educational psychologist Anique de Bruin, exploring the concept of desirable difficulty in medical education. They discuss how well-designed challenging learning conditions can enhance long-term learning and knowledge transfer, despite the initial struggles that learners might face. The conversation delves into practical techniques such as retrieval practice and interleaved practice, the importance of self-regulated learning, and the new S2D2 framework. They also touch on the paradox of procrastination and its potential benefits, as well as the unique challenges of learning in clinical settings. 

 Length of episode: 37:00 minutes 

Resources: 

Make it stick: The science of successful learning by Peter C Brown, Henry L Roediger III, Mark A McDaniel 1st edition. Cambridge, Massachusetts : The Belknap Press of Harvard University Press, 2014. 

Worth the Effort: the Start and Stick to Desirable Difficulties (S2D2) Framework | Educational Psychology Review 

Resources to check out:   

https://link.springer.com/content/pdf/10.1007/s10648-024-09852-7.pdf 

Study Smart - Study Smart 

https://www.sciencedirect.com/science/article/pii/S2211368120300279 

https://www.sciencedirect.com/science/article/pii/S2211368120300590 

https://link.springer.com/article/10.1007/s10459-022-10149-z 

 

Contact us: keylime@royalcollege.ca     

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[17] Retour à l'essentiel – La théorie de la charge cognitive en formation médicale29 Apr 202500:56:05

Dans cet épisode, le Dr André Tricot, psychologue spécialisé en formation et chercheur, se joint à Adam pour explorer en profondeur la théorie de la charge cognitive. Ils discutent des répercussions de cette théorie sur l'enseignement et l'apprentissage de différents groupes d'âge dans des contextes variés, dont celui de la formation médicale en particulier. Ils se penchent aussi sur des stratégies pour optimiser l'apprentissage, sur le rôle essentiel de l'attention ainsi que sur l'incidence de la surcharge et de la « sous-charge » cognitives sur le rendement – et les erreurs – d'experts et d'expertes. 

Durée de l'épisode : 56:04 

Ressources à consulter  

  • Read, D. W., Manrique, H. M. et Walker, M. J. (2022). « On the working memory of humans and great apes: Strikingly similar or remarkably different? » Neuroscience & Biobehavioral Reviews, 134, 104496.  

  • Kristin Fraser sur la théorie de la charge cognitive et la simulation en formation médicale   

Fraser, K., Ma, I., Teteris, E., Baxter, H., Wright, B. et McLaughlin, K. (2012). « Emotion, cognitive load and learning outcomes during simulation training ». Medical education, 46(11), 1055-1062.  

  • Sweller, J., Van Merrienboer, J. J. et Paas, F. G. (1998). « Cognitive architecture and instructional design ». Educational Psychology Review, 10, 251-296. 

  • Fraser, K., Huffman, J., Ma, I., Sobczak, M., McIlwrick, J., Wright, B. et McLaughlin, K. (2014). « The emotional and cognitive impact of unexpected simulated patient death: a randomized controlled trial ». Chest, 145(5), 958-963. 

Coordonnées : keylime@collegeroyal.ca   

Suivre le Dr Adam Szulewski : https://x.com/Adam_Szulewski 

[16] From inoculation to exposure: A new approach to teaching stress management in simulation15 Apr 202500:38:05

Description 

Adam and guest co-host Charlotte Alexander speak with physician and applied anthropologist, Dr. Eve Purdy about the nuances of team stress management in simulation training. The conversation highlights the importance of getting stress management training right during high-pressure simulations. Adam, Charlotte and Eve explore how teams can better manage stress through well-designed authentic scenarios that avoid trickery as well as the importance of recognizing and naming stress in both professional and personal contexts so that we can perform at our best. 

Length of Episode: 38:04

Paper discussed: 

Brazil V, Orr R, Canetti EFD, Isaacson W, Stevenson N, Purdy E. Exploring participant experience to optimize the design and delivery of stress exposure simulations in emergency medicine. AEM Educ Train. 2023 Mar 30;7(2):e10852 https://pubmed.ncbi.nlm.nih.gov/37008650/ 

 @char.alexander93 

@purdy_eve   

 Contact us: keylime@royalcollege.ca   

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[15] Getting feedback and coaching right01 Apr 202500:43:04

In this episode of KeyLIME+, Adam (along with co-host Dr. Victor Do) delve into the critical role of feedback and coaching in medical education with guest Dr. Adelle Atkinson. They explore the distinctions between feedback and coaching, the significance of low-stakes assessment, and the impact of the learning environment on learner outcomes. The conversation emphasizes the need for strong relationships between supervisors and learners, the idea of psychological safety, and the importance of providing actionable feedback to foster growth and competence in medical training.  

Length of Episode: 43:03 

Resources to check out:   

Atkinson A, Watling CJ, Brand PLP. Feedback and coaching. Eur J Pediatr. https://pubmed.ncbi.nlm.nih.gov/34021400/   

Contact us: keylime@royalcollege.ca    

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

 

[14] Exploring cognitive load in the workplace: A new tool for medical educators18 Mar 202500:41:14

In this episode of KeyLIME+, Adam and resident guest co-host Dr. Kim Vella, chat with Dr. Sarah Blissett about her recent paper on cognitive load theory in medical education. The conversation explores the development of the Workplace Cognitive Load Tool, which measures how various workplace characteristics impact cognitive load and learning for medical trainees. The discussion highlights the importance of understanding cognitive load in the chaotic environment of medical training, the factors that enhance or impede learning, and practical strategies for educators to optimize the learning experience in complex clinical settings. 

Length of episode: 41:13 

Article discussed: 

Blissett S, Rodriguez S, Qasim A, O'Sullivan P. Beyond the Task: Developing a Tool to Measure Workplace Characteristics That Affect Cognitive Load and Learning. Acad Med. 2024 May 9. https://pubmed.ncbi.nlm.nih.gov/38722251/ 

 Contact us: keylime@royalcollege.ca   

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski   

[13] The art of advocacy in medical education: making trouble the 'right way'04 Mar 202500:47:03

In this episode of KeyLIME+, Adam and resident guest co-host Adom Bondzi-Simpson engage in a thoughtful discussion with Dr. Chris Watling about the nuances of public advocacy in the fields of medicine and law. They explore the differences in how physicians and lawyers approach advocacy, the challenges faced by physicians in public advocacy, and the importance of interdisciplinary collaboration. The conversation highlights the evolving role of advocacy in medical education and the professional identity of physicians, emphasizing the need for a collective professional responsibility in addressing some of these issues. They also talk about the idea of courage and the risks associated with advocacy work, including professional and public backlash, and emphasize the importance of mentorship and advocacy skill development. 

Length of Episode: 46:26 

Resources to check out:  

Watling C, Sandomierski D, Poinar S, Shaw J, LaDonna K. The courage to advocate: How two professions approach public advocacy work. Med Educ. 2024 Nov;58(11):1361-1368. doi: 10.1111/medu.15430. Epub 2024 May 15. PMID: 38749669. 

https://pubmed.ncbi.nlm.nih.gov/38749669/  

Dobson article - https://pubmed.ncbi.nlm.nih.gov/22836842/ Resistance article - https://pubmed.ncbi.nlm.nih.gov/34232150/#full-view-affiliation-1 

Contact us: keylime@royalcollege.ca    

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[12] Avoid the trap of false growth mindset18 Feb 202500:45:10

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 :   

  1. 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/  

  1. PISA 2018 Results (Volume I): https://www.oecd.org/en/publications/pisa-2018-results-volume-i_5f07c754-en/full-report.html  

  1. A national experiment reveals where a growth mindset improves achievement: https://pubmed.ncbi.nlm.nih.gov/31391586/  

  1. 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   

 

[11] Challenging the status quo of CBME in Canada04 Feb 202500:45:31

In this episode of KeyLIME+, host Adam Szulewski and guest resident co-host Brij Karmur speak with Dr. Mary Ott to explore the complexities around both the theory and the implementation of Competency-Based Medical Education (CBME) in Canada. They discuss the disconnects between the intended and enacted curriculum, the assessment burden on residents, and the need for adaptive responses to improve learner development. The conversation highlights the challenges and opportunities for CBME 2.0. Mary also shares some of the struggles she's experienced getting work published that challenges the status quo.

Length of Episode: 45:30 

Resources to check out: 

https://pubmed.ncbi.nlm.nih.gov/39105665/ 

Ott MC, Dengler L, Hibbert K, Ott M. Fixing disconnects: Exploring the emergence of principled adaptations in a competency-based curriculum. Med Educ. 2024 Aug 6. doi: 10.1111/medu.15475. Epub ahead of print. PMID: 39105665. 

 https://pubmed.ncbi.nlm.nih.gov/36274774/ 

 Ott MC, Pack R, Cristancho S, Chin M, Van Koughnett JA, Ott M. "The Most Crushing Thing": Understanding Resident Assessment Burden in a Competency-Based Curriculum. J Grad Med Educ. 2022 Oct;14(5):583-592. doi: 10.4300/JGME-D-22-00050.1. PMID: 36274774; PMCID: PMC9580312. 

Contact us: keylime@royalcollege.ca   

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[10] How learning happens at one of the busiest air ambulance services in the world21 Jan 202500:35:11

In this episode, Dr. Tom Hurst, Medical Director of London HEMS and consultant in critical care at King's College Hospital, joins Adam to discuss the unique challenges and operations of London HEMS—a leading helicopter EMS service known for its rapid, high-acuity trauma response in London, England. Their conversation highlights the real-world application of medical education principles in a high-pressure clinical environment, exploring how lessons from this setting can inform more traditional medical education contexts. 

Tom emphasizes the pivotal role of teamwork, particularly the integration of paramedics and physicians in delivering emergency interventions right at the scene. They also delve into the complexities of continuous training for a diverse group of practitioners, including paramedics, fellows, and senior physicians, all working together to enhance the speed and quality of trauma care at one of the world's busiest air ambulance services. 

Length of Episode: 35:10 minutes 

Resources to check out: 

https://www.londonsairambulance.org.uk/ 

Contact us: keylime@royalcollege.ca   

  Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski   

  

[9] Debunking myths in education with Dr. Paul Kirschner07 Jan 202500:52:42

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: 

  1. How Learning Happens: Seminal Works in Educational Psychology and What They Mean in Practice 

  1. How Teaching Happens: Seminal Works in Teaching and Teacher Effectiveness and What They Mean in Practice 

  1. Ten Steps to Complex Learning 

 Contact us: keylime@royalcollege.ca   

  Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski   

[8] Is applying to med school like playing the lottery?23 Dec 202400:28:34

In this episode we discuss the new admissions policy at the school of medicine at Queen's University, which now features a lottery system as part of its process. Adam speaks to the assistant dean of admissions, Dr. Peggy DeJong, about this change, which represents a first for Canadian medical schools.   

Length of Episode 28:33 

 Resources to check out : 

https://meds.queensu.ca/academics/mdprogram/admissions/methods-selection 

Contact us: keylime@royalcollege.ca  

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski  

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