KeyLIME+

About KeyLIME+

KeyLIME+ is a bi-weekly podcast hosted by Dr. Adam Szulewski and features in-depth interviews with authors and experts as they explore what we think we know about medical education and where we're going as a field.

Publisher

your host Adam Szulewski

Category

education · health & fitness

Language

en

Explicit

No

First episode

17 Sept 2024

Latest episode

13 Oct 2026

Latest episodes

58 episodes in the feed.

1. 

   13 Oct 2026

   [49] Developing Judgment: How Experts Think and Make Decisions in Complex Environments

   In this episode of KeyLIME+, Adam speaks with Dr. Gary Klein about how people make decisions in complex, high‑pressure environments. Drawing on decades of research, Gary describes how expert decision making often looks very different from the step‑by‑step models many of us were taught. The conversation explores what intuition really means in expert performance and how judgment develops over time. Gary emphasizes that experience alone is not enough, and that learning depends on how people reflect on their decisions, notice what they missed, and adapt their thinking. He also discusses the ShadowBox method as a practical way to make expert thinking visible and to support learning through comparison and self‑reflection, offering a clear window into how decisions are actually made in practice and what that might mean for how we prepare clinicians to think and act in real clinical settings. Episode Length: 34:26 Resources to check-out [42] La Concordance de Script et la Formation par Concordance : Des origines aux nouvelles applications Books Seeing what others don't Sources of Power: How people make decisions Kahneman D, Klein G. Conditions for intuitive expertise: a failure to disagree. Am Psychol. 2009 Sep;64(6):515-26. White, M. R., Braund, H., Howes, D., Egan, R., Gegenfurtner, A., van Merrienboer, J. J. G., & Szulewski, A. (2018). Getting Inside the Expert's Head: An Analysis of Physician Cognitive Processes During Trauma Resuscitations. Annals of Emergency Medicine, 72(3), 289-298. Merrienboer_2018_getting_inside_the_expert_head.pdf Website: https://www.shadowboxtraining.com/ Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

2. 

   29 Sept 2026

   [48] Live from the Sim Tank: What's Next for Simulation-Based 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 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 (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: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

3. 

   15 Sept 2026

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

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

Podcast Authority Score: 31 / 100

A composite of feed quality, social presence, YouTube performance and engagement. Read the methodology.

Quality

62

Social presence

0

YouTube

0

Engagement

0

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