[18] No pain, no gain: The importance of desirable difficulty in medical education
KeyLIME+ (Key Lessons and Innovations in Medical Education)
Release Date: 05/13/2025
KeyLIME+ (Key Lessons and Innovations in Medical Education)
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...
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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...
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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...
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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...
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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...
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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...
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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: ...
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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...
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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...
info_outlineKeyLIME+ (Key Lessons and Innovations in Medical Education)
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...
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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.
Resources to check out:
Contact us: keylime@royalcollege.ca
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