Shows
KeyLIME+[18] No pain, no gain: The importance of desirable difficulty in medical education 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 ...2025-05-1337 minKeyLIME+[18] No pain, no gain: The importance of desirable difficulty in medical education 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 ...2025-05-1337 minKeyLIME+[17] Retour à l’essentiel – La théorie de la charge cognitive en formation médicaleDans 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...2025-04-2956 minKeyLIME+[17] Retour à l’essentiel – La théorie de la charge cognitive en formation médicaleDans 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...2025-04-2956 minKeyLIME+[16] From inoculation to exposure: A new approach to teaching stress management in simulation 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, Isa...2025-04-1538 minKeyLIME+[16] From inoculation to exposure: A new approach to teaching stress management in simulation 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, Isa...2025-04-1538 minKeyLIME+[15] Getting feedback and coaching right 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, Watl...2025-04-0143 minKeyLIME+[15] Getting feedback and coaching right 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, Watl...2025-04-0143 minKeyLIME+[14] Exploring cognitive load in the workplace: A new tool for medical educators 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 di...2025-03-1841 minKeyLIME+[14] Exploring cognitive load in the workplace: A new tool for medical educators 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 di...2025-03-1841 minKeyLIME+[13] The art of advocacy in medical education: making trouble the ‘right way’ 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...2025-03-0447 minKeyLIME+[13] The art of advocacy in medical education: making trouble the ‘right way’ 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...2025-03-0447 minKeyLIME+[12] Avoid the trap of false growth mindset 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: B...2025-02-1845 minKeyLIME+[12] Avoid the trap of false growth mindset 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: B...2025-02-1845 minKeyLIME+[11] Challenging the status quo of CBME in CanadaIn 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...2025-02-0445 minKeyLIME+[11] Challenging the status quo of CBME in CanadaIn 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...2025-02-0445 minKeyLIME+[10] How learning happens at one of the busiest air ambulance services in the world 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...2025-01-2135 minKeyLIME+[10] How learning happens at one of the busiest air ambulance services in the world 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...2025-01-2135 minKeyLIME+[9] Debunking myths in education with Dr. Paul Kirschner 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...2025-01-0752 minKeyLIME+[9] Debunking myths in education with Dr. Paul Kirschner 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...2025-01-0752 minKeyLIME+[8] Is applying to med school like playing the lottery? 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_Szulewski2024-12-2328 minKeyLIME+[8] Is applying to med school like playing the lottery? 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_Szulewski2024-12-2328 minKeyLIME+[7] Medical Education 2.0: Teaching tomorrow’s doctors in an AI-world Adam’s guest today is Dr. Akshay Rajaram, a community emergency physician and AI expert. Our conversation about the impact of AI on medical education is inspired by a recent paper that Akshay wrote in the Canadian Medical Education Journal titled “Large Language models in medical education: new tools for experimentation and discovery”. We are also joined by a resident co-host, Dr. Henry Li, who is a PGY4 pediatric emergency medicine resident from the University of Alberta who also has a special interest in the field. We cover some AI and LLM model basics as well as some of the im...2024-12-1044 minKeyLIME+[7] Medical Education 2.0: Teaching tomorrow’s doctors in an AI-world Adam’s guest today is Dr. Akshay Rajaram, a community emergency physician and AI expert. Our conversation about the impact of AI on medical education is inspired by a recent paper that Akshay wrote in the Canadian Medical Education Journal titled “Large Language models in medical education: new tools for experimentation and discovery”. We are also joined by a resident co-host, Dr. Henry Li, who is a PGY4 pediatric emergency medicine resident from the University of Alberta who also has a special interest in the field. We cover some AI and LLM model basics as well as some of the im...2024-12-1044 minKeyLIME+[6] Part 2 “The good, the bad, and the future of CBME” This episode is Part 2 of a live recording with Dr. Shiphra Ginsburg and Dr. David Taylor as they discuss their perspectives on CBME. In part 2, we touch on the assessment burden in CBME as well as the tone of the discourse around CBME in the literature. Adam moderates the discussion and provides his take on the topics covered at the end. Length of Episode: 38 minutes Resources to check out : Ott, M. C., Pack, R., Cristancho, S., Chin, M., Van Koughnett, J. A., & Ott, M. (2022). “The most crushing thing”: understanding resident assessment burden in a competency...2024-11-2638 minKeyLIME+[6] Part 2 “The good, the bad, and the future of CBME” This episode is Part 2 of a live recording with Dr. Shiphra Ginsburg and Dr. David Taylor as they discuss their perspectives on CBME. In part 2, we touch on the assessment burden in CBME as well as the tone of the discourse around CBME in the literature. Adam moderates the discussion and provides his take on the topics covered at the end. Length of Episode: 38 minutes Resources to check out : Ott, M. C., Pack, R., Cristancho, S., Chin, M., Van Koughnett, J. A., & Ott, M. (2022). “The most crushing thing”: understanding resident assessment burden in a competency...2024-11-2638 minKeyLIME+[5] Part 1 “The good, the bad, and the future of CBME” In this episode, Adam is joined by two med ed heavyweights, Dr. Shiphra Ginsburg and Dr. David Taylor, who discuss their views on CBME in Canada in front of a live audience of medical educators. In Part 1 of this lively discussion, our guests discuss whether using EPAs as the unit of measurement in CBME makes sense as well as the challenge of differentiating signal from noise in an assessment environment with so much data. Length of Episode: 40 minutes Resources to check out : Szulewski, A., Braund, H., Dagnone, D. J., McEwen, L., Dalgarno, N., Schultz...2024-11-1247 minKeyLIME+[5] Part 1 “The good, the bad, and the future of CBME” In this episode, Adam is joined by two med ed heavyweights, Dr. Shiphra Ginsburg and Dr. David Taylor, who discuss their views on CBME in Canada in front of a live audience of medical educators. In Part 1 of this lively discussion, our guests discuss whether using EPAs as the unit of measurement in CBME makes sense as well as the challenge of differentiating signal from noise in an assessment environment with so much data. Length of Episode: 40 minutes Resources to check out : Szulewski, A., Braund, H., Dagnone, D. J., McEwen, L., Dalgarno, N., Schultz...2024-11-1247 min
The Emergency Mind PodcastEP 109: Keylime+ X Emergency Mind - Learning to Perform Under PressureIn this episode of the Emergency Mind Podcast, host Dan collaborates with the Key Lime Plus Podcast from the Royal College of Physicians and Surgeons of Canada. Joined by Dr. Adam Szulewski and Dr. Julie Law, they discuss the dynamics of performing under pressure from the perspectives of students and teachers. They explore the use of simulation in medical training, the concept of cognitive load, and the challenges of translating book knowledge into real-world practice. The conversation highlights the importance of introspection, the potential of measuring cognitive overload through technology, and the intersection of patient safety with performance training. The...2024-10-2945 minKeyLIME+[4] A former federal Canadian Minister of Health’s prescription for a healthier Canada Adam invites Dr. Jane Philpott (the Dean of the Faculty of Health Sciences at Queen’s University and former federal Minister of Health) to discuss the changes she’s seen in medical education over her career thus far. Jane also talks about where she sees the field of medical education (as well as Canadian healthcare in general) moving forward in the coming years. Length of Episode: 35 minutes Resources to check out : Dr. Philpott’s book Health for All : A Doctor's Prescription for a Healthier Canada, Publisher2024-10-2936 minKeyLIME+[4] A former federal Canadian Minister of Health’s prescription for a healthier Canada Adam invites Dr. Jane Philpott (the Dean of the Faculty of Health Sciences at Queen’s University and former federal Minister of Health) to discuss the changes she’s seen in medical education over her career thus far. Jane also talks about where she sees the field of medical education (as well as Canadian healthcare in general) moving forward in the coming years. Length of Episode: 35 minutes Resources to check out : Dr. Philpott’s book Health for All : A Doctor's Prescription for a Healthier Canada, Publisher2024-10-2936 minKeyLIME+[3] Performance under pressure Dr. Dan Dworkis joins us to discuss his perspective on performance under pressure and how it applies to teaching residents in clinical practice settings that are sometimes unpredictable and messy. We’re also joined by a guest co-host, Dr. Julie La, who is a PGY5 general surgery resident and PhD student, who provides her perspective on the topic. Length of Episode: 47:50 Resources to check out : Dr. Dworkis’ book: 2024-10-1547 minKeyLIME+[3] Performance under pressure Dr. Dan Dworkis joins us to discuss his perspective on performance under pressure and how it applies to teaching residents in clinical practice settings that are sometimes unpredictable and messy. We’re also joined by a guest co-host, Dr. Julie La, who is a PGY5 general surgery resident and PhD student, who provides her perspective on the topic. Length of Episode: 47:50 Resources to check out : Dr. Dworkis’ book: 2024-10-1547 minKeyLIME+[2] Listening to podcasts while you exercise is an exercise in futility: fact or fiction? 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 Resid...2024-10-0139 minKeyLIME+[2] Listening to podcasts while you exercise is an exercise in futility: fact or fiction? 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 Resid...2024-10-0139 minKeyLIME+[1] Does the pursuit of excellence in medicine conflict with the pursuit of well-being? 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 Unnecess...2024-09-1740 minKeyLIME+[0] Introducing the New KeyLIME+ podcastMeet your host Dr. Adam Szulewski2024-09-1704 minKeyLIME+[1] Does the pursuit of excellence in medicine conflict with the pursuit of well-being? 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 Unnecess...2024-09-1740 minKeyLIME+[0] Introducing the New KeyLIME+ podcastMeet your host Dr. Adam Szulewski2024-09-1704 min
The Emergency Mind Podcast31: Adam Szulewski MD PhD on Understanding Cognitive LoadUnderstanding cognitive load theory during a crisis, measuring expertise, building systems to improve performance, and more, with emergency doctor and cognitive load expert Dr. Adam Szulewski.
2020-12-1354 min