[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.hbs.edu/ris/Publication%20Files/24-013_d9b45b68-9e74-42d6-a1c6-c72fb70c7282.pdf 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  

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 professionnelle.    Length of episode:  17:20    Contact us: [email protected]      Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

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: [email protected]      Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

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 episode:  44:23    Resources to check out  Goffman E. The presentation of self in everyday life. New York: Anchor Books. 1959  Gormley, G., & Nestel, D. (2025). Not just 'what you say' but 'how you say it': co-creating psychological safety through micro-communication skills in simulation-based education. Journal of Healthcare Simulation. Advance online publication. https://doi.org/10.54531/SATA2045  Not just 'what you say' but 'how you say it': co-creating psychological safety through micro-communication skills in simulation-based education    Episode 30 of KeyLIME+ [30] Less Tech, More Training: Simplifying Simulation for Busy Healthcare Teams  https://keylimepodcast.libsyn.com/30-less-tech-more-training-simplifying-simulation-for-busy-healthcare-teams     Contact us: [email protected]     Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski        

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 and human-centredness.  Length of episode:  42:24  Contact us: [email protected]      Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski          

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 human-centredness.    Length of episode:  30:46    Contact us: [email protected]      Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski       

In this episode of KeyLIME+, Adam speaks with Dr. Sanjay Desai to explore the concept of precision education in medical training. They discuss how data and technology can personalize medical education, making it more efficient and tailored to individual learner needs. Sanjay emphasizes the importance of using data to assess learner performance and the need for a shift in power towards learners, allowing them greater agency in their education. The conversation also touches on the foundational principles of precision education, the challenges of implementing these innovations, and the balance between fostering innovation and ensuring trust in medical education.   Length of episode:  35:28  Contact    Contact us: [email protected]      Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski       

On this episode of KeyLIME+, Adam sits down with Terry Soleas to unpack how AI is changing medical education. Together, they explore why AI literacy is essential for healthcare professionals and how understanding the technology can help us harness its benefits while avoiding its pitfalls. The conversation dives into the tension between innovation and skill atrophy, the importance of human oversight, and the evolving role of educators in an AI-driven world. From practical "yes" and "no" zones for AI use to strategies for keeping curricula agile, Terry offers insights into how we can prepare for a future where AI is everywhere.  Length of episode:  36:18  Contact    Contact us: [email protected]      Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski     

In this episode of KeyLIME+, Adam, along with co-host Greta Askin, delve into the novel area of Visually Enhanced Mental Simulation (VEMS) with guest Vic Brazil. They discuss how VEMS differs from traditional high-fidelity simulations, emphasizing its simplicity, flexibility, and effectiveness in engaging healthcare teams. The conversation highlights the importance of teamwork, communication, and cognitive load in simulation training. They review practical applications and some tips about how educators might integrate VEMS into their own teaching.    Length of episode: 43.17       Contact   Contact us: [email protected]    Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski   

In this episode of KeyLIME+, Adam sits down with David Morkal, a retired fire chief from the New York Fire Department. They explore David's unique journey from a background in theater to leading teams in high-pressure firefighting situations. The discussion delves into leadership lessons learned from David's experience working during 9/11, the importance of mentorship, coping with trauma, and the evolution of peer support programs within the fire service. David offers thoughtful insights on the value of experience, empathy, and the need for ongoing connections between generations in both firefighting and medicine.   Length of episode: 36:48  Contact   Contact us: [email protected]     Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski