KeyLIME+

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 how clinicians learn, think, and perform in an increasingly complex healthcare system.     Episode Length:  43:02     Resources to check-out     Dizon JI, Mendoza NB, Gasevic D, Ganotice Jr FA. Assessing AI-driven metacognitive offloading: Initial development and validation of the Metacognitive Laziness Scale. ECNU Review of Education. 2026 Jun;9(2):20965311261450994.   https://journals.sagepub.com/doi/full/10.1177/20965311261450994     Sears, K., Goldsworthy, S., & Goodman, W. M. (2010). The relationship between simulation in nursing education and medication safety. The Journal of Nursing Education, 49(1), 52-55. https://doi.org/10.3928/01484834-20090918-12        Journey of Nursing Regulation https://www.ncsbn.org/public-files/JNR_Simulation_Supplement.pdf    Ke, Y., Jin, L., Ong, J.C.L. et al. AI-induced never-skilling in medical education. Nat Med 32, 1997–2006 (2026). https://doi.org/10.1038/s41591-026-04438-y https://www.nature.com/articles/s41591-026-04438-y    Contact us: [email protected]       Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski       

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 check-out   Harper, L., Coderre, S., Lithgow, K., Kelly‐Turner, K., Davis, M., & McLaughlin, K. (2025). We should nudge clinicians and trainees to participate in health professions education programmes. Medical Education, 59(12), 1333-1340.  Nudge: Improving Decisions about Health, Wealth, and Happiness.  Thaler, R. H., & Sunstein, C. R. (2021). Nudge: The final edition. Penguin.  Contact us: [email protected]       Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

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 medical education evolve to meet the needs of learners, physicians, and patients in today's healthcare environment Episode Length:  47:48   Resources to check-out   John Norcini, Irina Grabovsky, Michael A Barone, M Brownell Anderson, Ravi S Pandian, Alex J Mechaber, The Associations Between United States Medical Licensing Examination Performance and Outcomes of Patient Care, Academic Medicine, Volume 99, Issue 3, March 2024, Pages 325–330, https://doi.org/10.1097/ACM.0000000000005480  Contact us: [email protected]       Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

[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 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 quietly sculpt our professional culture. Chris and Mike reflect on their own professional experiences, the impacts felt by learners in both family and specialty practice, and what it might take to move toward a more respectful, connected, and collaborative medical community.   Length of Episode: 38:11   Contact us: [email protected]     Follow: Dr. 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 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 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.ynharari.com/book/nexus/   Contact us: [email protected]    Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski