Keylime

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. Advance online publication. https://doi.org/10.54531/SATA2045  Not just 'what you say' but 'how

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 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       

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       

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     

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   Contact us: keylime@royalcollege.ca    Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski   

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   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    St

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://quality

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   

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    

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/   Con

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            

[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

[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 m

[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. Cam

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    https://www.nejm.org/doi/10.1056/NEJMms2308228 Being Well whi

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.c

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

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