Libsyn Directory

[1] Does the pursuit of excellence in medicine conflict with the pursuit of well-being?

KeyLIME+ (Key Lessons and Innovations in Medical Education)

Release Date: 09/17/2024

[48] Live from the Sim Tank: What's Next for Simulation-Based Education

KeyLIME+ (Key Lessons and Innovations in Medical Education)

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...

[47] Why Good Ideas Get Stuck: Sludge, Nudges, and Choice Architecture

KeyLIME+ (Key Lessons and Innovations in Medical Education)

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...

[46] High Standards, Changing Realities: Competence, Certification, and the Evolving Healthcare Landscape

KeyLIME+ (Key Lessons and Innovations in Medical Education)

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...

2026 Summer Rewind #4

KeyLIME+ (Key Lessons and Innovations in Medical Education)

[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...

2026 Summer Rewind #3

KeyLIME+ (Key Lessons and Innovations in Medical Education)

[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...

2026 Summer Rewind #2

KeyLIME+ (Key Lessons and Innovations in Medical Education)

[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...

2026 Summer Rewind #1

KeyLIME+ (Key Lessons and Innovations in Medical Education)

[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...

[45] The Physician’s Next Skill Set: From AI to What Comes Next

KeyLIME+ (Key Lessons and Innovations in Medical Education)

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...

[44] Formative, Not Performative: Rethinking Teaching Evaluations to Help Teachers Grow

KeyLIME+ (Key Lessons and Innovations in Medical Education)

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,...

[43] The Hidden Curriculum Exposed: When the CEOs of Canada’s Family Medicine and Specialist Colleges Compare Notes on Medicine’s Unwritten Lessons

KeyLIME+ (Key Lessons and Innovations in Medical Education)

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...

More Episodes

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 while Doing Well — Distinguishing Necessary from Unnecessary Discomfort in Training

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

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

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

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

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

TOPICS