KeyLIME+

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

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/ [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 [https://academic.oup.com/academicmedicine/article-abstract/75/2/182/8357178?login=false] Contact Contact us: keylime@royalcollege.ca [keylime@royalcollege.ca] Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski [https://x.com/Adam_Szulewski]

[41] Thinking Beyond the Patient: Planetary Health in Medical Education

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 [keylime@royalcollege.ca] Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski [https://x.com/Adam_Szulewski]

[40] Mentorship Matters: Turning Potential into Performance in Medical Education

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://mentoringinhealthcare.com/] ; https://amzn.to/4q0QFqC [https://amzn.to/4q0QFqC] Contact us: keylime@royalcollege.ca [keylime@royalcollege.ca] Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski [https://x.com/Adam_Szulewski]

[39] From the Sidelines to the Bedside: What Medical Education Can Learn from Coaching and Feedback in Sports

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 [https://asmepublications.onlinelibrary.wiley.com/doi/10.1111/medu.12407] Contact us: keylime@royalcollege.ca [keylime@royalcollege.ca] Follow: Dr. Adam Szulewski https://x.com/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 All

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.nejm.org/doi/full/10.1056/NEJMra2503232] https://www.ynharari.com/book/nexus/ [https://www.ynharari.com/book/nexus/] Contact us: keylime@royalcollege.ca [keylime@royalcollege.ca] Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski [https://x.com/Adam_Szulewski]