KeyLIME: Recent Episodes

KeyLIME

Key Literature in Medical Education (KeyLIME) is a bi-weekly podcast produced by the Royal College of Physicians and Surgeons of Canada.

Bringing you the main points of a medical education article in just 20 minutes. Articles that are important, innovative, or will impact your educational practice are discussed.

Earn MOC credits under Section 2 for each podcast.

View Details

[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: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

[32] Designing Learning That Learns: The Promise of Precision Medical Education

This episode was first released on January 06, 2026

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: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

[28] Cookies, Charisma & Bias: Exploring the Hidden Consequences and Impact of Teaching Evaluations

This episode was first released on November 11, 2025

Description

In this episode, Adam (and resident guest co-host Mario Corrado) speak with Dr. Lynfa Stroud about the complexities of teaching evaluations in medical education. They discuss some of the biases that influence evaluations, the unintended consequences that can arise, and the delicate power dynamics between learners and educators. Their conversation underscores the need for a more nuanced, supportive approach to assessing teaching quality - one that moves beyond student ratings to foster genuine growth and development in medical education.

Length of episode: 48:34

Resources to check out

How Teacher Evaluations Broke the University "We give them all A's, and they give us all fives." By Rose Horowitch

https://www.theatlantic.com/ideas/archive/2025/09/teacher-evaluations-grade-inflation/684185/

The Doctor Fox Lecture: A Paradigm of Educational Seduction Donald H. Naftulin, M.D., John E. Ware, Jr., and Frank A. Donnelly https://romanfrigg.org/wp-content/uploads/links/Dr_Fox_Lecture.pdf

Stroebe, W. (2020). Student Evaluations of Teaching Encourages Poor Teaching and Contributes to Grade Inflation: A Theoretical and Empirical Analysis. Basic and Applied Social Psychology, 42(4), 276–294. https://doi.org/10.1080/01973533.2020.1756817

https://www.tandfonline.com/doi/full/10.1080/01973533.2020.1756817

Contact us: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

On this episode of KeyLIME+, Adam sits down with 'the medical futurist', Dr. Bertalan Meskó, to explore what it means to prepare for the future of medicine in an era currently shaped by artificial intelligence. Using prompt engineering as a starting point, the conversation moves beyond the technical to focus on a deeper shift in how clinicians adapt in the face of rapid change. Together, they examine the risks of over-reliance on AI, the pitfalls of bold predictions, and the enduring role of human connection in healthcare. The discussion ultimately reframes AI not as the destination, but as a tool for helping clinicians prepare for what lies ahead.

Length of Episode: 39:23

Resources to check out:

Meskó B. Prompt Engineering as an Important Emerging Skill for Medical Professionals: Tutorial. J Med Internet Res. 2023 Oct 4;25:e50638.

Episode 38 AI and Emerging Skill Gaps: Deskilling, Never-Skilling, Mis-Skilling – and What Educators Can Do About It All

Contact us: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

Clinical teaching happens in real time, but feedback about that teaching does not. Too often, feedback shows up late, feels vague, or never arrives at all, especially for the everyday teaching that happens on shift, in the hallway, or at the bedside. Adam speaks with Dr. Esther Bui about why that gap persists, and what it might look like to close it. Esther shares what led her team to build myTE, an app-based tool designed to capture in-the-moment teaching feedback. Together, they explore what traditional evaluation systems tend to miss, why authentic quality feedback is so important, and how trust and psychological safety shape the experience.

Length of Episode: 30:27

Resources to check out:

Halani S, Kumar SS, Lim DY, Hefferon D, Prakash V, Kumagai AK, Bui E. "In-the-moment" feedback: a novel app for clinical teaching evaluations. Can Med Educ J. 2025 Nov 6;16(5):86-88.

Contact us: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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/

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

Contact

Contact us: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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://amzn.to/4q0QFqC

Contact us: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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

Contact us: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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.

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: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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 us: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

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 us: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

In this episode, Adam (and resident guest co-host Mario Corrado) speak with Dr. Lynfa Stroud about the complexities of teaching evaluations in medical education. They discuss some of the biases that influence evaluations, the unintended consequences that can arise, and the delicate power dynamics between learners and educators. Their conversation underscores the need for a more nuanced, supportive approach to assessing teaching quality - one that moves beyond student ratings to foster genuine growth and development in medical education.

Length of episode: 48:34

Resources to check out

How Teacher Evaluations Broke the University "We give them all A's, and they give us all fives." By Rose Horowitch

https://www.theatlantic.com/ideas/archive/2025/09/teacher-evaluations-grade-inflation/684185/

The Doctor Fox Lecture: A Paradigm of Educational Seduction Donald H. Naftulin, M.D., John E. Ware, Jr., and Frank A. Donnelly https://romanfrigg.org/wp-content/uploads/links/Dr_Fox_Lecture.pdf

Stroebe, W. (2020). Student Evaluations of Teaching Encourages Poor Teaching and Contributes to Grade Inflation: A Theoretical and Empirical Analysis. Basic and Applied Social Psychology, 42(4), 276–294. https://doi.org/10.1080/01973533.2020.1756817

https://www.tandfonline.com/doi/full/10.1080/01973533.2020.1756817

Contact

Contact us: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

On this episode of KeyLIME+, Adam speaks with Charlotte van Sassen about the subtle ways that knowledge of patient outcomes can influence how supervisors assess clinical reasoning. Their conversation uncovers the impact of outcome bias on feedback and evaluation in medical education, exploring the challenges this presents for fairness and learning. They also discuss strategies to recognize and address these biases, aiming to improve how we support trainee development in complex clinical environments.

Length of episode : 30:52

Resources to check out:

https://pubmed.ncbi.nlm.nih.gov/40479526/

van Sassen C, Mamede S, van den Broek W, Bindels P, Zwaan L. Does Knowledge of Clinical Case Outcome Influence Supervisor Evaluation of Resident Clinical Reasoning? Acad Med. 2025 Jun 6

Zwaan L, Monteiro S, Sherbino J, et al Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workupsBMJ Quality & Safety 2017;26:104-110. https://qualitysafety.bmj.com/content/26/2/104.abstract

Caplan RA, Posner KL, Cheney FW. Effect of Outcome on Physician Judgments of Appropriateness of Care. JAMA. 1991;265(15):1957–1960. doi:10.1001/jama https://jamanetwork.com/journals/jama/article-abstract/385633

Contact us: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

This episode of KeyLIME+ delves into the complexities of clinical learning environments in medical education. Adam and guest co-host Danielle Chang speak with Jena Hall about the dynamic nature of these environments, their impact on patient outcomes, and the importance of adapting to external societal influences. They discuss the challenges of physician burnout, the role of social media, and the integration of AI in medical training. The conversation emphasizes the need for intentional adaptability in educational practices to foster a supportive and effective learning atmosphere for the doctors of tomorrow.

Length of episode : 39:45

Resources to check out:

Nordquist J, Silva S, Caverzagie K, Hall J. Clinical learning environments: Updates. Med Teach. 2025 Jun;47(6):911-917. https://pubmed.ncbi.nlm.nih.gov/39901697/

Asch DA, Nicholson S, Srinivas S, et al. Evaluating obstetrical residency programs using patient outcomes. JAMA. 2009;302(12):1277–1283. doi: 10.1001/jama.2009.1356

Thoma B, Karwowska A, Samson L, Labine N, Waters H, Giuliani M, Chan TM, Atkinson A, Constantin E, Hall AK, Gomez-Garibello C, Fowler N, Tourian L, Frank J, Anderson R, Snell L, Van Melle E. Emerging concepts in the CanMEDS physician competency framework. Can Med Educ J. 2023 Mar 21;14(1):4-12. https://pubmed.ncbi.nlm.nih.gov/36998506/

Contact us: keylime@royalcollege.ca

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

In today’s show, Adam chats with Gustavo Patino to discuss the implications of artificial intelligence in medical education publishing. They explore the need for transparency in AI model reporting, issues related to predictive accuracy, and the potential biases that can arise in AI applications. The conversation emphasizes the growing need for clear reporting guidelines in the use of AI in health professions education research and reviews some practical strategies to achieve this goal.

Length of Episode: 31:04

Contact us: keylime@royalcollege.ca  

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski  

View Details

On this episode of KeyLIME+, Adam speaks with Maria Mylopoulos to explore the concept of adaptive expertise in medical education. They discuss theories of expertise development, the importance of fostering adaptive expertise, and the need for a shift in educational practices to better prepare physicians for the complexities and uncertainties of modern healthcare. They review the differences between routine and adaptive expertise, as well as strategies for promoting productive struggle and variation in learning environments. The conversation emphasizes the necessity of embracing uncertainty as a fundamental aspect of expert practice and the importance of integrating innovative ideas from physicians on the ground into educational theory.

Length of episode : 33:11

Resources to check out

Mylopoulos M, Kulasegaram K, Woods NN. Developing the experts we need: Fostering adaptive expertise through education. J Eval Clin Pract. 2018 Jun;24(3):674-677.

https://pubmed.ncbi.nlm.nih.gov/29516651/

Contact

Contact us: keylime@royalcollege.ca  

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski  

View Details

On this episode, Adam and guest resident co-host Amit Chopra speak with emergency physician and trauma team leader Andrew Petrosoniak about the evolution of M&M rounds in healthcare and his vision for M&M rounds 2.0. They talk about the importance of shifting away from individual blame to a systems-oriented approach in case analysis. The conversation explores the exciting potential of integrating video review into M&M rounds and the potential to start capitalizing on this technology for performance coaching, just like athletes have done for decades.

Length of episode :  51:41

Resources to check out: 

M&M rounds 2.0: the future of performance improvement | Canadian Journal of Emergency Medicine

Contact us: keylime@royalcollege.ca  

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski  

View Details

[12] Avoid the trap of false growth mindset This episode was first released on February 18, 2025.

Description: -

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 : 

  1. Memari M, Gavinski K, Norman MK. Beware False Growth Mindset: Building Growth Mindset in Medical Education Is Essential but Complicated. Acad Med. 2024 Mar 1;99(3):261-265. https://pubmed.ncbi.nlm.nih.gov/37643577/

  2. PISA 2018 Results (Volume I): https://www.oecd.org/en/publications/pisa-2018-results-volume-i_5f07c754-en/full-report.html

  3. A national experiment reveals where a growth mindset improves achievement: https://pubmed.ncbi.nlm.nih.gov/31391586/

  4. Yeager DS, Dweck CS. What can be learned from growth mindset controversies? Am Psychol. 2020 Dec;75(9):1269-1284. doi: 10.1037/amp0000794. PMID: 33382294; PMCID: PMC8299535. https://pmc.ncbi.nlm.nih.gov/articles/PMC8299535/

@MemariMD

@katiegavinski

Contact us: keylime@royalcollege.ca  

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski  

View Details

[2] Listening to podcasts while you exercise is an exercise in futility: fact or fiction? This episode was first released on October 1, 2024.

Description : -

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 Residents' Podcast Knowledge Acquisition and Retention. Acad Med. 2024 May 1;99(5):575-581. doi: 10.1097/ACM.0000000000005592. Epub 2023 Dec 18. PMID: 38109353. https://pubmed.ncbi.nlm.nih.gov/38109353/

Perham, N., & Currie, H. (2014). Does listening to preferred music improve reading comprehension performance? Applied Cognitive Psychology, 28(2), 279–284. https://doi.org/10.1002/acp.2994 https://psycnet.apa.org/record/2014-08687-016

Contact us: keylime@royalcollege.ca 

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

[9] Debunking myths in education with Dr. Paul Kirschner This episode was first released on January 7, 2025.

Description: -

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 and Cognition, 9 (4), 475-479.

Bjork, E. L., & Bjork, R. A. (2011). Making things hard on yourself, but in a good way: Creating desirable difficulties to enhance learning.

Brown, Peter C. (2014). Make it stick : the science of successful learning. Cambridge, Massachusetts :The Belknap Press of Harvard University Press

Paul’s 3 recent books:

  1. How Learning Happens: Seminal Works in Educational Psychology and What They Mean in Practice

  2. How Teaching Happens: Seminal Works in Teaching and Teacher Effectiveness and What They Mean in Practice

  3. Ten Steps to Complex Learning

Contact us: keylime@royalcollege.ca  

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski  

View Details

[1] Does the pursuit of excellence in medicine conflict with the pursuit of well-being? This is Episode #1 which was first released on 17, 2024.

Description: -

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 Unnecessary Discomfort in Training. N Engl J Med. 2024 Feb 8;390(6):568-572. doi: 10.1056/NEJMms2308228. Epub 2024 Jan 17. PMID: 38231543. https://pubmed.ncbi.nlm.nih.gov/38231543/ 

Resources to check out :

Dr. Rosenbaum’s recent related publications  

  1. https://www.nejm.org/doi/10.1056/NEJMms2308228 Being Well while Doing Well — Distinguishing Necessary from Unnecessary Discomfort in Training

  2. https://pubmed.ncbi.nlm.nih.gov/38265727/ Beyond Moral Injury - Can We Reclaim Agency, Belief, and Joy in Medicine?

  3. https://pubmed.ncbi.nlm.nih.gov/38197811/ On Calling - From Privileged Professionals to Cogs of Capitalism?

  4. https://pubmed.ncbi.nlm.nih.gov/38170694/ What Do Trainees Want? The Rise of House Staff Unions

  5. Podcast ‘Not Otherwise Specified’ https://not-otherwise-specified-podcast.nejm.org/e/tough-love/

Contact us: keylime@royalcollege.ca 

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski 

View Details

In the Season 1 finale of KeyLIME+, Adam shares reflections on a memorable first year, highlighting listener feedback and key insights from across the season. We revisit important conversations about balancing wellness with excellence in medical education, rethinking med school admissions, applying cognitive load theory to clinical teaching, and leading change with humility. Thanks to all our listeners and contributors for being part of Season 1 — KeyLIME+ will be back in September with an exciting Season 2!

Length of episode: 36:50

Resources to check out 

Episodes mentioned: -

Episode 8 Is applying to med school like playing the lottery?

https://keylimepodcast.libsyn.com/7-is-applying-to-med-school-like-playing-the-lottery

Episode 11 Challenging the status quo of CBME in Canada

https://keylimepodcast.libsyn.com/11-challenging-the-status-quo-of-cbme-in-canada

Episode 14 Exploring cognitive load in the workplace: A new tool for medical educators

https://keylimepodcast.libsyn.com/14-exploring-cognitive-load-in-the-workplace-a-new-tool-for-medical-educators

Contact us: keylime@royalcollege.ca   

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski   

View Details

On this episode of KeyLIME+, Adam speaks with Drs. Saleem Razack and Stuart Lubarsky about the concept of medical expertise. They dig into definitions and interpretations of medical expertise, ideas around cognitive load, and the role of illness scripts in clinical reasoning. They also address the recent public discussion about the centrality of medical expertise within the CanMEDS framework and what we might expect in the next iteration of CanMEDS.

Length of episode: 50:25

Resources to check out:  

Lubarsky S, Dory V, Audétat M-C, Custers E, Charlin B. Using script theory to cultivate illness script formation and clinical reasoning in health professions education. Can. Med. Ed. J [Internet]. 2015 Dec. https://journalhosting.ucalgary.ca/index.php/cmej/article/view/36631

Kahneman D, Klein G. Conditions for intuitive expertise: a failure to disagree. Am Psychol. 2009 Sep;64(6):515-26. https://pubmed.ncbi.nlm.nih.gov/19739881/

Contact us: keylime@royalcollege.ca 

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

View Details

In this episode of KeyLIME+, Adam is joined by Dr. Sam Daniel as they discuss the challenges and innovations in today’s Continuing Professional Development (CPD) landscape. They explore the impact of CPD on physician behaviour, the importance of moral norms when it comes to engaging with CPD, and the barriers to effective learning. Sam shares insights from his recent paper and emphasizes the need for CPD educators to consider broader systemic changes, beyond simply content delivery. The conversation also touches on the future of CPD, including the role of AI and the importance of advocacy.

Length of episode: 36:00

Resources to check out:  

https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04597-3

Contact us: keylime@royalcollege.ca    

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

View Details

Dans cet épisode de KeyLIME+, Adam reçoit le Dr Sam Daniel et discute avec lui des défis et innovations dans le milieu actuel du développement professionnel continu (DPC). Ensemble, ils explorent l’influence du DPC sur le comportement des médecins, l’importance des normes morales dans le contexte du DPC et les obstacles à un apprentissage efficace. Le Dr Daniel nous parle de son récent article et souligne la nécessité d’avoir du personnel enseignant au DPC qui envisage des changements systémiques plus vastes, au-delà de la simple présentation de contenu. La conversation porte aussi sur l’avenir du DPC, y compris le rôle de l’IA et l’importance de la sensibilisation.

Durée de l’épisode : 36 min.

Ressource à consulter :

https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04597-3

Pour communiquer avec nous : keylime@royalcollege.ca

Suivre : Dr Adam Szulewski https://x.com/Adam_Szulewski

The title of the study in English since it’s the official title and the paper is only available in English.

View Details

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

Resources:

Make it stick: The science of successful learning by Peter C Brown, Henry L Roediger III, Mark A McDaniel 1st edition. Cambridge, Massachusetts : The Belknap Press of Harvard University Press, 2014.

Worth the Effort: the Start and Stick to Desirable Difficulties (S2D2) Framework | Educational Psychology Review

Resources to check out:  

https://link.springer.com/content/pdf/10.1007/s10648-024-09852-7.pdf

Study Smart - Study Smart

https://www.sciencedirect.com/science/article/pii/S2211368120300279

https://www.sciencedirect.com/science/article/pii/S2211368120300590

https://link.springer.com/article/10.1007/s10459-022-10149-z

Contact us: keylime@royalcollege.ca    

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

View Details

Dans 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.

Durée de l’épisode : 56:04

Ressources à consulter 

  • Read, D. W., Manrique, H. M. et Walker, M. J. (2022). « On the working memory of humans and great apes: Strikingly similar or remarkably different? » Neuroscience & Biobehavioral Reviews, 134, 104496.

  • Kristin Fraser sur la théorie de la charge cognitive et la simulation en formation médicale

Fraser, K., Ma, I., Teteris, E., Baxter, H., Wright, B. et McLaughlin, K. (2012). « Emotion, cognitive load and learning outcomes during simulation training ». Medical education, 46(11), 1055-1062.

  • Sweller, J., Van Merrienboer, J. J. et Paas, F. G. (1998). « Cognitive architecture and instructional design ». Educational Psychology Review, 10, 251-296.

  • Fraser, K., Huffman, J., Ma, I., Sobczak, M., McIlwrick, J., Wright, B. et McLaughlin, K. (2014). « The emotional and cognitive impact of unexpected simulated patient death: a randomized controlled trial ». Chest, 145(5), 958-963.

Coordonnées : keylime@collegeroyal.ca  

Suivre le Dr Adam Szulewski : https://x.com/Adam_Szulewski

View Details

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, Isaacson W, Stevenson N, Purdy E. Exploring participant experience to optimize the design and delivery of stress exposure simulations in emergency medicine. AEM Educ Train. 2023 Mar 30;7(2):e10852 https://pubmed.ncbi.nlm.nih.gov/37008650/

@char.alexander93

@purdy_eve

Contact us: keylime@royalcollege.ca  

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski  

View Details

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, Watling CJ, Brand PLP. Feedback and coaching. Eur J Pediatr. https://pubmed.ncbi.nlm.nih.gov/34021400/

Contact us: keylime@royalcollege.ca  

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski  

View Details

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 discussed:

Blissett S, Rodriguez S, Qasim A, O'Sullivan P. Beyond the Task: Developing a Tool to Measure Workplace Characteristics That Affect Cognitive Load and Learning. Acad Med. 2024 May 9. https://pubmed.ncbi.nlm.nih.gov/38722251/

Contact us: keylime@royalcollege.ca  

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski  

View Details

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 the risks associated with advocacy work, including professional and public backlash, and emphasize the importance of mentorship and advocacy skill development.

Length of Episode: 46:26

Resources to check out: 

Watling C, Sandomierski D, Poinar S, Shaw J, LaDonna K. The courage to advocate: How two professions approach public advocacy work. Med Educ. 2024 Nov;58(11):1361-1368. doi: 10.1111/medu.15430. Epub 2024 May 15. PMID: 38749669.

https://pubmed.ncbi.nlm.nih.gov/38749669/

Dobson article - https://pubmed.ncbi.nlm.nih.gov/22836842/ Resistance article - https://pubmed.ncbi.nlm.nih.gov/34232150/#full-view-affiliation-1

Contact us: keylime@royalcollege.ca   

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski   

View Details

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 : 

  1. Memari M, Gavinski K, Norman MK. Beware False Growth Mindset: Building Growth Mindset in Medical Education Is Essential but Complicated. Acad Med. 2024 Mar 1;99(3):261-265. https://pubmed.ncbi.nlm.nih.gov/37643577/

  2. PISA 2018 Results (Volume I): https://www.oecd.org/en/publications/pisa-2018-results-volume-i_5f07c754-en/full-report.html

  3. A national experiment reveals where a growth mindset improves achievement: https://pubmed.ncbi.nlm.nih.gov/31391586/

  4. Yeager DS, Dweck CS. What can be learned from growth mindset controversies? Am Psychol. 2020 Dec;75(9):1269-1284. doi: 10.1037/amp0000794. PMID: 33382294; PMCID: PMC8299535. https://pmc.ncbi.nlm.nih.gov/articles/PMC8299535/

@MemariMD

@katiegavinski

Contact us: keylime@royalcollege.ca  

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski  

View Details

In 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:

https://pubmed.ncbi.nlm.nih.gov/39105665/

Ott MC, Dengler L, Hibbert K, Ott M. Fixing disconnects: Exploring the emergence of principled adaptations in a competency-based curriculum. Med Educ. 2024 Aug 6. doi: 10.1111/medu.15475. Epub ahead of print. PMID: 39105665.

https://pubmed.ncbi.nlm.nih.gov/36274774/

Ott MC, Pack R, Cristancho S, Chin M, Van Koughnett JA, Ott M. "The Most Crushing Thing": Understanding Resident Assessment Burden in a Competency-Based Curriculum. J Grad Med Educ. 2022 Oct;14(5):583-592. doi: 10.4300/JGME-D-22-00050.1. PMID: 36274774; PMCID: PMC9580312.

Contact us: keylime@royalcollege.ca  

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski  

View Details

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. They also delve into the complexities of continuous training for a diverse group of practitioners, including paramedics, fellows, and senior physicians, all working together to enhance the speed and quality of trauma care at one of the world’s busiest air ambulance services.

Length of Episode: 35:10 minutes

Resources to check out:

https://www.londonsairambulance.org.uk/

Contact us: keylime@royalcollege.ca  

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski  

View Details

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 and Cognition, 9 (4), 475-479.

Bjork, E. L., & Bjork, R. A. (2011). Making things hard on yourself, but in a good way: Creating desirable difficulties to enhance learning.

Brown, Peter C. (2014). Make it stick : the science of successful learning. Cambridge, Massachusetts :The Belknap Press of Harvard University Press

Paul’s 3 recent books:

  1. How Learning Happens: Seminal Works in Educational Psychology and What They Mean in Practice

  2. How Teaching Happens: Seminal Works in Teaching and Teacher Effectiveness and What They Mean in Practice

  3. Ten Steps to Complex Learning

Contact us: keylime@royalcollege.ca  

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski  

View Details

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_Szulewski 

View Details

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 implications of AI for both medical learners and educators.

Length of Episode: 44:01

Article discussed:

Rajaram A. Large language models in medical education: new tools for experimentation and discovery. Can Med Educ J. 2024 Jul.

For more information, check out these resources that we mentioned during our conversation with Akshay: 

1. Rajaram – LLMs in Medical Education: new tools for experimentation and discovery: https://journalhosting.ucalgary.ca/index.php/cmej/article/view/78879  2. Different versions of ChatGPT: https://www.cnet.com/tech/services-and-software/the-free-version-of-chatgpt-just-got-a-big-upgrade/  3. IBM Research Retrieval Augmented Generation: https://youtu.be/T-D1OfcDW1M?si=OznZlMpG_Rb-nifS  4. Retrieval Augmented Generation: https://bea.stollnitz.com/blog/rag/  5. Gao et al: Comparing scientific abstracts generated by ChatGPT to real abstracts with detectors and blinded human reviewers: https://www.nature.com/articles/s41746-023-00819-6  6. https://openai-openai-detector.hf.space  7. NEJM Grand Rounds – Google’s Exploration of LLMs in Medicine https://open.spotify.com/episode/5hweI4jXl64vfNJ7Wnn6pr?si=a5d5fa751ca94860 

View Details

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-based curriculum. Journal of Graduate Medical Education, 14(5), 583-592.

Boyd VA, Whitehead CR, Thille P, Ginsburg S, Brydges R, Kuper A. Competency-based medical education: the discourse of infallibility. Med Educ. 2018 Jan;52(1):45-57. doi: 10.1111/medu.13467. Epub 2017 Oct 27. PMID: 29076231. https://pubmed.ncbi.nlm.nih.gov/29076231/

Contact us: keylime@royalcollege.ca 

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski 

View Details

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, K. W., & Hall, A. K. (2023). The assessment burden in competency-based medical education: how programs are adapting. Academic Medicine, 98(11), 1261-1267.

Schumacher DJ, Cate OT, Damodaran A, Richardson D, Hamstra SJ, Ross S, Hodgson J, Touchie C, Molgaard L, Gofton W, Carraccio C; ICBME Collaborators. Clarifying essential terminology in entrustment. Med Teach. 2021 Jul;43(7):737-744. doi: 10.1080/0142159X.2021.1924365. Epub 2021 May 14. PMID: 33989100.

Contact us: keylime@royalcollege.ca 

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski 

View Details

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, Publisher McClelland & Stewart, 2024. https://healthsci.queensu.ca/stories/blog/introducing-health-all 

Contact us: keylime@royalcollege.ca 

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski 

View Details

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:

Title

The Emergency Mind: Wiring Your Brain for Performance Under Pressure

Author

Dan Dworkis

Publisher

Amazon Digital Services LLC - KDP Print US, 2021

ISBN

9798746482327

Length

228 pages

https://www.amazon.ca/Emergency-Mind-Wiring-Performance-Pressure/dp/B094GY88RK

Contact us: keylime@royalcollege.ca 

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski 

View Details

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 Residents' Podcast Knowledge Acquisition and Retention. Acad Med. 2024 May 1;99(5):575-581. doi: 10.1097/ACM.0000000000005592. Epub 2023 Dec 18. PMID: 38109353. https://pubmed.ncbi.nlm.nih.gov/38109353/

Perham, N., & Currie, H. (2014). Does listening to preferred music improve reading comprehension performance? Applied Cognitive Psychology, 28(2), 279–284. https://doi.org/10.1002/acp.2994 https://psycnet.apa.org/record/2014-08687-016

Contact us: keylime@royalcollege.ca 

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski

View Details

Meet your host Dr. Adam Szulewski

View Details

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 Unnecessary Discomfort in Training. N Engl J Med. 2024 Feb 8;390(6):568-572. doi: 10.1056/NEJMms2308228. Epub 2024 Jan 17. PMID: 38231543. https://pubmed.ncbi.nlm.nih.gov/38231543/ 

Resources to check out :

Dr. Rosenbaum’s recent related publications  

  1. https://www.nejm.org/doi/10.1056/NEJMms2308228 Being Well while Doing Well — Distinguishing Necessary from Unnecessary Discomfort in Training

  2. https://pubmed.ncbi.nlm.nih.gov/38265727/ Beyond Moral Injury - Can We Reclaim Agency, Belief, and Joy in Medicine?

  3. https://pubmed.ncbi.nlm.nih.gov/38197811/ On Calling - From Privileged Professionals to Cogs of Capitalism?

  4. https://pubmed.ncbi.nlm.nih.gov/38170694/ What Do Trainees Want? The Rise of House Staff Unions

  5. Podcast ‘Not Otherwise Specified’ https://not-otherwise-specified-podcast.nejm.org/e/tough-love/

Contact us: keylime@royalcollege.ca 

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski 

View Details

Joining Jason live from Chicago are special guest hosts Anna Cianciolo, Larry Gruppen, John Mahan and Brian Mavis!

Part 1 of a live session recorded at the 2017 CGEA Conference. Our guest hosts discuss a paper where the authors found that learners had specific strategies for attempting to manage situations where they were directly questioned by preceptors.

View Details

Sometimes health professional education can be embarrassing. Despite the maturity of the field, there are occasions when a study, such as the one in Jon's paper selection this week, can highlight shared assumptions among clinician educators. So, what is the most effective way to teach a technical skill? The KeyLIME team is here to help you figure it out!

Authors: Rossettini G, Rondoni A, Palese A, Cecchetto S, Vicentini M, Bettale F, Furri L, Testa M.

Publication details: Effective teaching of manual skills to physiotherapy students. A Randomized Clinical Trial. Medical Education. 2017. August. [ePub ahead of print]

View Details

Empathy is widely regarded as a critical element of patient care and medical education. The more you have, the greater the patient and provider satisfaction, greater adherence to therapy, greater physician well-being and perceived clinical decision-making, greater physician joy at work. Jason's paper selection looks at "what is 'empathy' in health care, anyway?" and has the co-hosts questioning their own construct of empathy.

Authors: Costa P, de Carvalho-Filho MA, Schweller M, Thiemann P, Salgueira A, Benson J, Costa MJ, Quince T.

Publication details: Measuring Medical Students' Empathy: Exploring the Underlying Constructs of and Associations Between Two Widely Used Self-Report Instruments in Five Countries. Academic Medicine. 2016 Nov 1. [Epub ahead of print] PubMed Link

View Details

Feedback to learners has always been important in Med Ed and is getting even more air time with the advent of CBME and mastery learning. While there has been a lot of literature on various aspects of feedback, it has not been broadly assessed. This scoping review, chosen by Linda, offers a wide perspective on the literature which may lead to further deeper reviews.

Authors: Bing-You R, Hayes V, Varaklis K, Trowbridge R, Kemp H, McKelvy D.

Publication details: Feedback for Learners in Medical Education: What Is Known? A Scoping Review. Academic Medicine. 2017 Feb 7. [Epub ahead of print] PubMed Link

View Details

Gender bias in the workplace should come as no surprise to KeyLIME-ers. Yet, many do not realize how pervasive sexism can be in the assessment of trainees in our residency programs. Jon's selection showcases the significant issue of gender bias in the academic environment and the hosts attempt to understand the scope of the problem.

Authors: Dayal A, O’Connor DM, Qadri U, Arora VM.

Publication details: Comparison of Male vs Female Resident Milestone Evaluations by Faculty During Emergency Medicine Residency Training. JAMA Internal Medicine. 2017. March 6. [ePub ahead of print] PubMed Link

View Details

As the old adage goes- does ‘practice make perfect’? Or the not so old saying coming from mastery learning – does ‘perfect practice makes perfect’? The authors of Linda's selected paper - a report on a randomized education trial - want to convince us that ‘imperfect practice makes perfect’.

Authors: Dyre L , Tabor A, Ringstead C, Toldsgaard, MG.

Publication details: Imperfect practice makes perfect: error management training improves transfer of learning. Medical Education. 2017 Feb;51(2):196-206. PubMed Link

View Details

Jason selects an article from Medical Education and the co-hosts discuss: When it comes to physicians in practice, what should clinician-educators focus on to make the most difference in patient outcomes?

Authors: Norcini JJ, Boulet JR, Opalek A, Dauphinee WD.

Publication details: Patients of doctors further from medical school graduation have poorer outcomes. Medical Education. 2017. 51(5):480. PubMed Link

View Details

Linda's article selection asks: if HPESUs (health professions education scholarship units) are defined as “organizational structures within which a group of people is substantively engaged in health professions education scholarship’’ - does this mean heads of HPESUs act as Institutional Entrepreneurs?

Authors: Varpio L, O'Brien B, Durning S, van der Vleuten C, Gruppen L, Ten Cate O, Humphrey-Murto S, Irby DM, Hamstra SJ, Hu W.

Publication details: Health Professions Education Scholarship Unit Leaders as Institutional Entrepreneurs. Academic Medicine. 2017. Jan 24 [ePub ahead of print]. PubMed Link

View Details

In this episode: In this week's paper, selected by Jon, the co-hosts discuss whether a a closed-book exam - that requires a learner to have encoded and recall the required information - is a superior educational process to an open-book exam that requires a learner to appraise and apply an array of widely available information?

Authors: Durning SJ, Dong T, Ratcliffe T, Schuwirth L, Artino AR Jr, Boulet JR, Eva K.

Publication details: Comparing Open-Book and Closed-Book Examinations: A Systematic Review. Academic Medicine. 2016 Apr; 91(4):583-99. PubMed link

View Details

When was the last time you, dear KeyLIME listener, was observed performing a clinical task by someone who had some kind of power over your career? Was it a colleague as part of a simulation? An administrative leader? Was it at a conference? Was it a mandatory peer review? Was it comfortable for you? Did you change what you would normally do in that situation? Jason's choice this week explores that kind of experience, namely: the lived experience of physicians who have had direct observation while performing clinical tasks.

Authors: LaDonna K, Hatala R, Lingard L, Voyer S, Watling C.

Publication details: Staging a performance: Learners’ perceptions about direct observation during residency. Medical Education. 2017 May;51(5):498-510

View Details

Linda's selection hails from a relatively unknown journal. The paper's author proposes that there is a link between the quality of case presentations (CP) by learners and the learner’s diagnostic reasoning (DR) ability.

Author: Onishi, H.

Publication details: Assessment of Clinical Reasoning by Listening to Case Presentations: VSOP Method for Better Feedback. Journal of Medical Education and Curricular Development. 2016 (3): 125-131. Link to article abstract

View Details

For nearly 100 years, there have been calls from experts and other stakeholders to change medical education to incorporate “health systems science” (HSS). This push for HSS in health professions education is heating up, as multiple countries seek physicians who have new sets of skills and behaviours to improve the performance of health care systems and improve patient outcomes. Jason presents a qualitative study that sets out to identify “value-added roles for medical students within the health care delivery system” in Pennsylvania, USA.

Authors: Gonzalo JD, Graaf D, Johannes B, Blatt B, Wolpaw DR.

Publication details: Adding Value to the Health Care System: Identifying Value-Added Systems Roles for Medical Students. American Journal of Medical Quality. 2016 Apr 26. [Epub ahead of print] PubMed Link

View Details

What are the effective solutions to prevent burnout and promote wellness for clinicians? Jon presents a systematic review that attempts to answer that problem. (All three hosts wanted to present this paper but Jon was the quickest to grab it!) His own specialty (Emergency Medicine) consistently ranks high in several studies on burnout.

Authors: Panagioti M, Efharis Panagopoulou E, Peter Bower P, Lewith G, Kontopantelis E, Chew-Graham C, Dawson S, van Marwijk H, Geraghty K, Esmail A.

Publication details: Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA Internal Medicine. 2016 Dec. [ePub ahead of print] PubMed Link

View Details

Linda presents an article that summarizes five contemporary theories about motivation to learn, articulates key intersections and distinctions among these theories, and identifies important considerations for future research - the hosts agree all Clinician Educators in training should have this article on their bookshelf!

Authors: Cook DA, Artino AR Jr

Publication details: Motivation to learn: an overview of contemporary theories. Medical Education. 2016. 50(10):997-1014. PubMed Link

View Details

In this episode: Jason has chosen today’s article to discuss how the ratio of teachers to learners is an important design factor. Length: 28:14 min.

Authors: Loewen PS, Gamble A, Legal M, Shah K, Tkachuk S, Zed PJ.

Publication details: Learner-Preceptor Ratios for Practice-Based Learning Across Health Disciplines: A Systematic Review. Medical Education. 2016 Nov 23. [Epub ahead of print] Read the article here.

View Details

In this episode: Jon’s chosen paper discusses the quality of blogs and podcasts used by residents - now that text books are in the process of becoming extinct. Length: 23:47 min.

Authors: Lin M, Joshi N, Grock A, Swaminathan A, Morley EJ, Branzetti J, Taira T, Ankel F, Yarris LM.

Publication details: Approved Instructional Resources Series: A National Initiative to Identify Quality Emergency Medicine Blog and Podcast Content for Resident Education. J Grad Med Educ. 2016 May;8(2):219-25. PubMed Link

View Details

In this episode: Jason rates this paper’s method section as a 5 because of the gargantuan effort involved, he also suggests we stop calling data ‘Teacher Evaluation’ and instead call it ‘Learner Satisfaction’. Length: 27:15 min.

Authors: Uttl B, White CA, Gonzalez DW

Publication details: Meta-analysis of faculty's teaching effectiveness: Student evaluation of teaching ratings and student learning are not related. Studies in Educational Evaluation. 2016 Sept 19 Link to journal page

View Details

In this episode: Jon presents an important paper that one day could be known as the archeology of CBME. Length: 18:07 min.

Authors: Hauer KE, Chesluk B, Iobst W, Holmboe E, Baron RB, Boscardin CK, Cate OT, O'Sullivan PS.

Publication details: Reviewing residents' competence: a qualitative study of the role of clinical competency committees in performance assessment. Academic Medicine. 2015 Aug;90(8):1084-92 PubMed Link

View Details

In this episode: Linda presents a ‘thought paper’ on the very complex task of Handover - she calls it a paper that nicely combines educational theory and practical aspects. Linda believes it will win the ‘paper of the year’ award! Length: 28 min.

Authors: Young JQ, Ten Cate O, O'Sullivan PS, Irby DM.

Publication details: Unpacking the Complexity of Patient Handoffs Through the Lens of Cognitive Load Theory. Teaching and Learning in Medicine. 2016;28(1):88-96. PubMed Linkv

View Details

Released on Nov 22, 2016

In this episode: Jon presents a commentary paper that discusses assessment by words not numbers. Length: 19:30 min

Authors: Cook DA, Kuper A, Hatala R, Ginsburg S.

Publication details: When Assessment Data Are Words: Validity Evidence for Qualitative Educational Assessments. Academic Medicine. 2016 Apr 5. [Epub ahead of print] PubMed Link

View Details

In this episode: Jason chose a rare paper on accreditation, it’s large in both number of pages and sample size and discusses the patterns found in US residency clinical learning. Length: 22:15 min

Authors: Wagner R, Koh NJ, Patow C, Newton R, Casey BR, Weiss KB on behalf of the CLER Program

Publication details: Detailed Findings from the CLER National Report of Findings 2016. Journal of Graduate Medical Education. 2016 May;8(2 Suppl 1):35-54. PubMed Link

View Details

In this episode: KeyLIME LIVE guest co-host Eric J Warm selects a narative review by medical ‘Rock Star’ van der Vleuten on 12 Tips for programmatic assessment. If there’s one thing the audience can take away from the ICRE 2016 Jason R Frank says these tips should be it! Length: 25:52 min

Authors: van der Vleuten CP, Schuwirth LW, Driessen EW, Govaerts MJ, Heeneman S.

Publication details: 12 Tips for programmatic assessment. Medical Teacher. 2014 Nov 20:1-6. [Epub ahead of print

In this episode: KeyLIME LIVE guest co-host Eric J Warm selects a narative review by medical ‘Rock Star’ van der Vleuten on 12 Tips for programmatic assessment. If there’s one thing the audience can take away from the ICRE 2016 Jason R Frank says these tips should be it! Length: 25:52 min

Authors: van der Vleuten CP, Schuwirth LW, Driessen EW, Govaerts MJ, Heeneman S.

Publication details: 12 Tips for programmatic assessment. Medical Teacher. 2014 Nov 20:1-6. [Epub ahead of print] PubMed Link

View Details

In this episode: This podcast was recorded at ICRE 2016 Niagara Falls. Jon presents the first paper in the KeyLIME Live session which discusses the definitions relevant to a health professionals education scholarship. Length: 21:52 min

Authors: Varpio L, Gruppen L, Hu W, O'Brien B, Ten Cate O, Humphrey-Murto S, Irby DM, van der Vleuten C, Hamstra SJ, Durning SJ.

Publication details: Working Definitions of the Roles and an Organizational Structure in Health Professions Education Scholarship: Initiating an International Conversation. Academic Medicine. 2016 Aug 30. [Epub ahead of print] PubMed Link

View Details

In this episode: Jason’s second podcast in Sydney is selected by guest host Anthony Llewellyn which summarizes the selection techniques to find the right person for the right job. onthewards produces weekly podcasts and topical articles aimed at medical students and junior doctors to help ease the transition from medical school to internship. Our podcasts are hosted by Dr James Edwards who talks to leading medical educators about common clinical topics that junior doctors are faced with when working on the hospital wards Length: 34:55 min

View Details

In this episode: Jason’s in Sydney for the first of two KeyLIME podcasts from Down Under with two guest hosts Anthony Llewellyn and Marie-Louise Stokes to discuss a prospective cohort study on traning milestones. onthewards produces weekly podcasts and topical articles aimed at medical students and junior doctors to help ease the transition from medical school to internship. Our podcasts are hosted by Dr James Edwards who talks to leading medical educators about common clinical topics that junior doctors are faced with when working on the hospital wards. Length: 26:00 min

View Details

In this episode: Linda reviews an article chosen by Medical Education. She calls it “When is a clerkship not a clerkship?” Length: 20:05 min

Authors: Worley P, Couper I, Strasser R, Graves L, Cummings B-A, Woodman R, Stagg S, Hirsh D and the Consortium of Longitudinal Integrated Clerkships (CLIC).

Publication details: A typology of longitudinal integrated clerkships. Medical Education. 2016. [epub ahead of print] PubMed Link

View Details

In this episode: Jason presents a time and motion study of internal medicine residents duty hours. Length: 18:15 min

Authors: Leafloor CW, Lochnan HA, Code C, Keely EJ, Rothwell DM, Forster AJ, Huang AR.

Publication details: Time-motion studies of internal medicine residents' duty hours: a systematic review and meta-analysis. Journal of Advances in Medical Education and Practice. 2015. 17(6):621-9 PubMed Link

View Details

In this episode: Linda’s choice this week is a research paper that aims to develop an inventory of competencies for Program Directors. With a TWIST this episode: Jon agrees with Jason!! Length: 24:51 min

Authors: Lieff SJ, Zaretsky A, Bandiera G, Imrie K, Spadafora S, Glover Takahashi S.

Publication details: What do I do? Developing a competency inventory for postgraduate (residency) program directors. Medical Teacher. 2016 Apr 6:1-6. [Epub ahead of print] PubMed Link

View Details

In this episode: Jon’s longer that usual discussion is about Duty-Hour flexibility in surgical training. Length: 30:35 min

Authors: Bilimoria KY, Chung JW, Hedges LV, Dahlke AR, Love R, Cohen ME, Hoyt DB, Yang AD, Tarpley JL, Mellinger JD, Mahvi DM, Kelz RR, Ko CY, Odell DD1, Stulberg JJ, Lewis FR.

Publication details: National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. The New England Journal of Medicine. 2016 Feb;[ePub ahead of print] PubMed Link

View Details

In this episode: Jason selected a paper on ‘why specialty choice is important’ to broaden your horizons, as it’s not his normal type of paper. Length: 18:41 min

Authors: Lapièce B, Reynaert C, van Meerbeeck P, Dory V.

Publication details:Title Social dominance theory and medical specialty choice. Advances in Health Sciences Education. 2016 Mar;21 (1):79-92. PubMed Link

View Details

In this episode: Linda presents a editorial/commentary type of paper that she refers to as ‘What enables CE research ?’ Length: 14:41 min

Authors: Blanchard RD, Visintainer PF, La Rochelle J.

Publication details: Cultivating Medical Education Research Mentorship as a Pathway Towards High Quality Medical Education Research. Journal of General Internal Medicine. 2015 Sept;30 (9):1359-62 PubMed Link

View Details

In this episode: Jon Sherbino’s chosen article on cognitive overload asks ‘can you teach too much?’ Length: 19:24 min

Authors: Sewell JL, Boscardin CK, Young JQ, ten Cate O, O’Sullivan P.

Publication details: Measuring cognitive load during procedural skills training with colonoscopy as an exemplar. Medical Education. 2016 Jun;[ePub ahead of print] PubMed Link

View Details

In this episode: Jason chose a paper that asks ‘Is bias in the eye of the beholder?’ Bias alert - Jon Sherbino is one of the authors ;) Length: 21:45 min

Authors: Zwaan L, Monteiro S, Sherbino J, Ilgen J, Howey B, Norman G.

Publication details: Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups. BMJ Quality and Safety. 2016 Jan;[ePub ahead of print] PubMed Link

View Details

In this episode: Linda discusses: "Why do a masters degree in Medical Education?" Length: 16:00 min

Authors: Sethi A, Schofield S, Ajjawi R, McAleer S.

Publication details: How do postgraduate qualifications in medical education impact on health professionals? Medical Teacher. 2016 Feb;38 2):162-7 PubMed Link

View Details

In this episode: Jon Sherbino discusses “see one, do one, teach one” and why this is not 21st Century methodology. Length: 13:36 min

Authors: Sawyer T, White M, Zaveri P, Chang T, Ades A, French H, Anderson J, Auerbach M, Johnston L, Kessler D.

Publication details: Learn, See, Practice, Prove, Do, Maintain: An Evidence-Based Pedagogical Framework for Procedural Skill Training in Medicine. Academic Medicine. 2015 Aug;90(8):1025-33 PubMed Link

View Details

In this episode: Linda Snell presents a paper on positive effects of social media on medical students. Length: 22:20 min

Authors: Chretien KC, Tuck MG, Simon M, Singh LO, Kind T.

Publication details: A Digital Ethnography of Medical Students who Use Twitter for Professional Development. Journal of General Internal Medicine. 2015 Nov;30(11):1673-80. PubMed Link

View Details

Episode Length: 28:47

Author: Dhindsa et. al.,

Publication: Individualized pattern recognition for detecting mind wandering from EEG during live lectures. PLoS One. 2019 Sep 12;14(9):e0222276

Today's episode was chosen by Jonathan Sherbino.

Does Mind Wandering during lectures have a negative affect on learning? In this study 16 lecture audience members use EEGs and self-report their attention.

You may hear Jon say 'mind watering' on a few occasions, but in fairness it was recorded late at night.

Voting on Methods and Impact start at 24:55

View Details

In this episode: Jon Sherbino presents a paper that looks beyond traidtional feedback and provides a new model. Length: 16:12 min

Authors: Sargeant J, Lockyer J, Mann K, Holmboe E, Silver I, Armson H, Driessen E, MacLeod T, Yen W, Ross K, Power M.

Publication details: Facilitated Reflective Performance Feedback: Developing an Evidence- and Theory-Based Model That Builds Relationship, Explores Reactions and Content, and Coaches for Performance Change (R2C2). Academic Medicine. 2015 Jul; ePub ahead of print PubMed Link

View Details

Episode length: 24:38

Author: Sukhera et. al.

Publication: The Implicit Association Test in health professions education: A meta-narrative review Perspect Med Educ. 2019 Oct; 8(5): 267–275.

The authors set out to synthesize existing knowledge about the IAT, about how and why it is used for teaching and learning in HPE. They set out to understand the assumptions and theoretical positions that inform those assumptions

Voting for Methodology and Educational Impact: 18:50

View Details

Episode 272 was first released on July 14, 2020.

Episode length: 26:52

Author: Puschel et. al.

Publication: Academic excellence in Latin America: Social accountability of medical schools Medical Teacher June 2020.

Social accountability is a key dimension of and a standard of excellence in medical education. But what is social accountability and why is it important?

Voting for Methodology and Educational Impact: 21:03

View Details

Episode length: 28:46

Author: Young et. al.

Publication: A mobile app to capture EPA assessment data: Utilizing the consolidated framework for implementation research to identify enablers and barriers to engagement Perspect Med Educ June 2020.

Tech is never a solution for poor educational design. But, good educational design can fail because of logistics.

Voting for Methodology and Educational Impact: 22:50

View Details

Episode length: 27:23

Author: Young M.

Publication: The utility of failure: a taxonomy for research and scholarship Perspect Med Educ. 2019 Dec;8(6):365-371.

Purpose of study:

Meredith riffed philosophy of science concepts and on Firestein’s book called Failure: why science is successful (Oxford Press 2016) and explored the idea that failure of a well-designed study has benefit. She set out to:

• provide language for describing scholarly failures,

• promote learning and interpretation from failed projects, and

• support discussions of the value of failed scholarly projects (p.366).

Voting for Methodology: 25:13

View Details

Episode length: 28:11

Author: Thoma et. al.

Publication: Next Steps in the Implementation of Learning Analytics in Medical Education: Consensus from an International Cohort of Medical Educators J Grad Med Educ. 2020 Jun;12(3):303-311.

Purpose: From the authors:

“We sought to characterize barriers to the use of learning analytics techniques in medical education by identifying the questions of educators interested in this field.”

View Details

Episode length: 40:35

The purpose of this paper is 1) To describe interpretations of commonly used phrases in Letters of reference by PDs other than in pediatrics. 2) To identify areas of agreement or variation between pediatrics, surgery, and IM LORs.

Author Saudek et. al.

Publication Pediatric, Surgery, and Internal Medicine Program Director Interpretations of Letters of Recommendation. Acad Med. 2019 Nov;94

Audience questions/comments start at: 24:52

36:30 Voting on Methodology and Educational Impact

View Details

How good are you at diagnosis?

Is Diagnosis a top priority in Medical Education?

Barnett et al., Comparative Accuracy of Diagnosis by Collective Intelligence of Multiple Physicians vs IndividualPhysicians. JAMA Network Open. 2019 Mar 1;2(3)

View Details

Jon's selected paper for review today is about 'Complexity Science' and does it address the oxymoron of bring order to a system that is unpredictable.

Authors: Cristancho et al.

Publication details: What is the state of complexity science in medical education research? Med Educ. 2019 Jan;53(1):95-104

View Details

Episode length 29:38

Jason's chosen paper is on Authorship, which is a fundamental attribution for scholarly contribution, and is the basis of career advancement, global recognition, funding, wellness, professional identity, and even historical legacy. Unfortunately, it is mired in tomfoolery.

Voting on Methods at 27:15, and Educational Impact 27:30

Authors: Maggio et. al.

Publication details: Exploring researchers' perspectives on authorship decision making. Med Educ. 2019 Sep 1. doi: 10.1111/medu.13950. [Epub ahead of print]

View Details

Length of Episode: 24:45

  1. Jon - Is it time to start using the emoji in biomedical literature?
  2. Lara - Extraneous factors in judicial decisions
  3. Linda -Incidence of and risk factors for nodding off at scientific sessions
  4. Jason - It takes biking to learn: Physical activity improves learning a second language

View Details

Today's paper was chosen by Dr. Linda Snell discussing the shift in responsibility and the need to survive.

Authors: Walzak et al.,

Publication details: Working in the dead of night: exploring the transition to after-hours duty Med Educ. 2019 Mar;53(3):296-305

View Details

Released on May 14, 2019

Linda's article discusses what happens to those who go to medical school after parental influence.

Authors:Griffin B, Hu W.

Publication details:Parental career expectations: effect on medical students’ career attitudes over time. Med Educ. 2019 Feb 7. [Epub ahead of print]

View Details

Episode length 24:50

This updated Time-and-Motion study chosen by Jason Frank is a secondary analysis of the iCOMPARE cluster RCT of 2 duty hours approaches back in episode 165. 

The authors selected 6 US university affiliated and community-based hospitals that had interns working on general medicine wards in 2016. They hired 23 observers and trained them who over 3 months, conducted 1:1 observations of 194 workdays.

Jon believes the observers deserve a medal of honour for spending nearly 200 days hospitals watching interns walk around!

Voting for Methods and Impact - at 20 minutes in.

Authors:  Chaiyachati et al.,

Publication details:  Assessment of Inpatient Time Allocation Among First-Year Internal Medicine Residents Using Time-Motion Observations JAMA Intern Med. 2019 Apr 15. 

View Details

Episode length - 25:45

The purpose of this study is

(1) to discuss the terms used in reference to clinical reasoning;

(2) describe how the research team categorized those terms in relation to the meanings inferred by each term and

(3) to report where there are disagreements in those interpretations 

Voting on Methods and Educational Impact start at 19:30

Authors: Young et al.,

Publication details:The terminology of clinical reasoning in health professions education: Implications and considerations. Med Teach. 2019 Jul 17:1-8 

View Details

Jason selects an important paper on Physician burnout and how concerns have reached a strident pitch

Authors: Panagioti, et al,.

Publication details:Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction A Systematic Review and Meta-analysisJAMA Intern Med. 2018;178(10):1317-1330.

View Details

Tell me something, dear clinician-educator: In your institution, who is more likely to be recognized, your colleague the hard-core science researcher, or your most outstanding teacher? Who will make full professor sooner? 

Authors: Shinkai et al. 

Publication details: Rethinking the Educator Portfolio: An Innovative Criteria-Based Model Acad Med. 2018 Jul;93(7) 

View Details

This paper, Smirnova et al, is a team of heavy hitting meded authors. The group set out to describe how CPIs, as measures of the activities, behaviours, and abilities of clinicians, can inform medical education and health care quality improvement.    Authors conclusions: 19:55

Jason's Spare Keys: 20:37

Voting for Methods = 2, N/A, N/A, 2.

Voting for Impact = 5, 4, 5, 4.

Authors:Smirnova A et. al.,

Publication details:Defining and Adopting Clinical Performance Measures in Graduate Medical Education: Where Are We Now and Where Are We Going? Acad Med. 2019 May;94(5):671-677 

View Details

Jon's chosen article explores the information-gathering techniques of residents by analyzing their initial visual fixation patterns in a simulated resuscitation environment.

Authors: Szulewski et al.,

Publication details: A new way to look at simulation-based assessment: the relationship between gaze-tracking and exam performance CJEM. 2019 Jan;21(1):129-137. Epub 2018 Jun 21. 

View Details

This is Lara Varpio's 6th 'Methods Consult' for KeyLIME. 

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.

Additional material about Thomas Kuhn, ontologies and epistemologies:

  1. Stanford Encyclopedia of Philosophy [Internet]. Stanford University: Center for the Study of Language and Information; 2019. Available from: https://plato.stanford.edu
  2. Kuhn, TS. The Structure of Scientific Revolutions. 50th ed. Chicago IL: University of Chicago Press; 2012 (Original work published in 1962).
  3. Okasha, S. Philosophy of Science: A Very Short Introduction. 2nd ed. Oxford UK: Oxford University Press; 2016.

View Details

Episode length 25:55

This paper was selected by Lara Varpio it focuses on two important qualities for all clinicians to embrace and embody in their clinical work: empathy and compassion.

Voting on Methods at 22:30, and Educational Impact 23:27

Authors: Krishnasamy et. al.,

Publication details: How does medical education affect empathy and compassion in medical students? A meta-ethnography: BEME Guide No. 57. 2019 Med Teach. 2019 Aug 7:1-12. 

View Details

Total length of episode 38:17

This episode was recorded live at ICRE 2019 in Ottawa, Ontario.

Jon presents paper first paper at 7:30

Purpose: “…we sought to determine which interventions aimed at increasing under-represented populations are associated with meeting the desired outcomes of increasing the representation of these populations within the health professions student body.”

Audience participation

1) 24:42 Stan Hamstra - @StanHamstra

2) 28:04 Paula Craigo  -

3) 29:05 Saleem Razack @SaleemRazack 

Methodology vote starts at: 32:04

Educational Impact vote: 34:26

Authors:  Simone et al.,

Publication details:What are the features of targeted or systemwide initiatives that affect diversity in healthprofessions trainees? A BEME systematic review: BEME Guide No. 50 2018 Medical Teacher, 40:8, 762-780, 

View Details

Why a robust body of theory-driven research is needed for education in the clinical setting.

Authors: Cleland J, Durning S.

Publication details:Education and service: how theories can help in understanding tensions. Medical Education 2019 53: 42–55

Length: 22:52

View Details

How did the Master Clinicians in your environment get their mastery ?

Authors: Murthy VK, O'Brien B, Dhaliwal G.

Publication details:An Inquiry Into the Early Careers of Master Clinicians J Grad Med Educ. 2018 Oct;10(5):500-506 

View Details

Jon's paper discusses the wish list of many PD's in how to identify a resident in difficulty.

Authors:Ross S et al.,

Publication details: Association of a Competency-Based Assessment System With Identification of and Support for Medical Residents in Difficulty. JAMA Netw Open. 2018 Nov 2;1(7):e184581.

View Details

Today's article for discussion was chosen by Linda. The autors aimed to ‘use a structured framework and individualized EMR-level data to guide how residents receive practice feedback, interpret data on their patient, panels, engage them in quality improvement efforts, and prepare them for practice.’

Authors: Haynes et al.,

Publication details: Continuity Clinic Practice Feedback Curriculum for Residents: A Model for Ambulatory Education. Journal of Graduate Medical Education, April 2019

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Jason paper is fanning the flames on the hot topic of 'Coaching'.

Linda wants to know if it works in Medicine.

Jon compares Coaching in medicine to a Diving Coach i.e. the 'triple lutz salchows' !! 

Authors: Watling CJ, LaDonna KA

Publication details:  Where philosophy meets culture: Exploring how coaches conceptualize their roles. Med Educ. 2019 Jan 23. [Epub ahead of print]  

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

This paper is so hot, Jon had to put his oven-mitts on!

As patient volumes increase, it is becoming increasingly important to find novel ways to teach junior medical learners about the intricacies of managing multiple patients simultaneously and about working in a resource-limited environment.

Authors:  Tsoy E et al.

Publication details:  Creating GridlockED: A Serious Game for Teaching About Multipatient Environments Acad Med. 2019 Jan;94(1):66-70 

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

Programmatic assessment (PA) is one of the big 5 features of the competency-based era. (The other 4 components of CBME are: outcome competencies, sequenced acquisition of expertise, tailored teaching/coaching, and learning activities.)

So, what is this “programmatic assessment” stuff? The promise of PA is that it is a supposed to be better way of organizing assessment.

Authors: Bok et al,.

Publication details:

Validity evidence for programmatic assessment in competency-based education  Perspect Med Educ 2018 Dec;7(6):362-372

Want to learn more about KeyLIME? Click here!

View Details

Today's article seeks to inductively develop insights into the concept of psychological safety for medical learners 

Author Hsiang-Te Tsuei, et. al.

Publication  Exploring the Construct of Psychological Safety in Medical Education Acad Med. 2019 Nov;94 

16:18 Audience participation starts

23:05 Voting on Methodology and Educational Impact

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Want to learn more about KeyLIME? Click here!

View Details

Author:  Steenhof et. al.,

Publication: Productive failure as an instructional approach to promote future learning. Adv Health Sci Educ Theory Pract. 2019 Oct;24(4):739-749. 

Voting for Methodology and Impact: 17:32 

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Want to learn more about KeyLIME? Click here!

View Details

Linda Snell's chosen paper was the 2nd paper reviewed at KeyLIME LIVE at the ICRE 2019 in Ottawa.

Feedback and debriefing –both essential for learning and improving future performance … are the underlying theories and actions unique, or is there a need to reconceptualize into a shared framework?

Questions/comments from audience

Paula Craigo - 14:47

Walter Tavares (Author) - 16:00

Educational Impact voting 17:31

Authors: Tavares et. al.,

Publication details: Learning Conversations: An Analysis of Their Theoretical Roots and Their Manifestations of Feedback and Debriefing in Medical Education Acad Med. 2019 Jul 30

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Background: As health education evolves, a pipeline of individuals who possess the competencies necessary to develop new curricular content and deliver it via novel pedagogies is needed. Clinician educators (CEs)* are increasingly an important part of the medical education workforce.

The purpose of the review is to identify knowledge gaps, scope a body of literature, clarify concepts

Voting on Methods at 19:14, and Educational Impact 20:37

Authors: Friedman et. al.,

Publication details: Clinician-Educator Tracks for Trainees in Graduate Medical Education: A Scoping Review Acad Med. 2019 Jun 4

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Today's paper was chosen by the new KeyLIME host Lara Varpio !

Lara was drawn to this manuscript because it deals with an issue that is of particular interest to her - the move from being a mentee to being a mentor.

Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Authors: Balmer et al.,

Publication details: How mentor identity evolves: Findings from a 10-year follow-up study of a national professional development program. Academic Medicine. July 2018 93(7).

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Jason's selected paper discusses Physicians with poor malpractice liability records may pose a risk to patient safety.

Authors:  Studdert et al.,

Publication details: Changes in Practice among Physicians with Malpractice Claims N Engl J Med. 2019 Mar 28;380(13):1247-1255 

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

Jon picked today's paper which discusses the experience of shame in medical education.

Authors:  Bynum et al,.

Publication details: Sentinel Emotional Events: The Nature, Triggers, and Effects of Shame Experiences in Medical Residents Acad Med. 2019;94:85–93.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

Episode length - 33:24

The WHO has recognized that it’s hard to recruit and retain health workers in remote and rural areas and recommended clinical rotations in rural areas during studies.

This paper is a ‘comprehensive literature review ‘ to assess the published evidence for the impact of rural rotations on urban-based postgraduate learners in all disciplines.

Voting on Methods and Educational Impact at 26:39

Authors: Malhi et al.,

Publication details: The impact of rural rotations on urban based postgraduate learners: A literature review. Med Teach. 2019 May 1:1-9

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

This is a KeyLIVE LIVE episode from Central Group on Educational Affair (CGEA) meeting in Rochester, Minnesota hosted by the Mayo Clinic of Medicine and Science.

Authors:  Chan TM, Stukus D, Leppink J, Duque L, Bigham BL, Mehta N, Thoma B

Publication details: Social Media and the 21st-Century Scholar: How You Can Harness Social Media to Amplify Your Career J Am Coll Radiol. 2018 Jan;15(1 Pt B):142-148

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

It's the perennial topic in Medical Education - 'Feedback' and what do we really know about the quality of feedback given in our clinical environments? This paper sets out to gather validity evidence.

Authors:  Bing-You R, Ramesh S, Hayes V, Varaklis K, Ward D & Blanco M

Publication details: Trainees' Perceptions of Feedback: Validity Evidence for Two FEEDME (Feedback in Medical Education) Instruments, Teaching and Learning in Medicine, 2017 Dec 14.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

When was the last time you, dear KeyLIME listener, was observed performing a clinical task by someone who had some kind of power over your career? Was it a colleague as part of a simulation? An administrative leader? Was it at a conference? Was it a mandatory peer review? Was it comfortable for you? Did you change what you would normally do in that situation? Jason's choice this week explores that kind of experience, namely: the lived experience of physicians who have had direct observation while performing clinical tasks.

Authors: LaDonna K, Hatala R, Lingard L, Voyer S, Watling C.

Publication details: Staging a performance: Learners’ perceptions about direct observation during residency. Medical Education. 2017 May;51(5):498-510. Read the article here.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: In this week's paper, selected by Jon, the co-hosts discuss whether a a closed-book exam - that requires a learner to have encoded and recall the required information - is a superior educational process to an open-book exam that requires a learner to appraise and apply an array of widely available information?

Authors: Durning SJ, Dong T, Ratcliffe T, Schuwirth L, Artino AR Jr, Boulet JR, Eva K.

Publication details: Comparing Open-Book and Closed-Book Examinations: A Systematic Review. Academic Medicine. 2016 Apr; 91(4):583-99. PubMed link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason has chosen today’s article to discuss how the ratio of teachers to learners is an important design factor. Length: 28:14 min.

Authors: Loewen PS, Gamble A, Legal M, Shah K, Tkachuk S, Zed PJ.

Publication details: Learner-Preceptor Ratios for Practice-Based Learning Across Health Disciplines: A Systematic Review. Medical Education. 2016 Nov 23. [Epub ahead of print] Read the article here.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Linda Snell's article choice investigates whether there is a gender differences in teaching evaluations. The retrospective study was performed at a North American medical school, there were 14,107 teaching evaluations of 965 faculty members.

Gender is also the subject for KeyLIME episode 174. 'Gender differences in attending physicians feedback to residents: A qualitative analysis'.

Authors: Morgan HK, Purkiss JA, Porter AC, Lypson ML, Santen SA, Christner J, Grum CM, and Hammoud MM.

Publication details:  Student evaluation of faculty physicians: gender differences in teaching evaluations. Journal of Women's Health.25,5. 453-456. (2016). 

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

Linda presents two papers in order to answer two questions...

  1. How Attending Physicians Negotiate Their Work Environment – “to generate an empiric, detailed, and updated view of the attending physician preceptor role and its interface with the complex work environment.”
  2. How evidence from observing attending physicians in the workplace links to a competency-based framework (CanMEDS competencies / Roles)

Article 1)

Authors: Bacchus M, Ward DR, de Grood J, Lemaire JB

Publication details: How evidence from observing attending physicians links to a competency-based framework Med Educ. 2017 Jun; 51(6):633-644.

Article 2)

Authors: Lemaire JB, Wallace JE, Sargious PM, Bacchus M, Zarnke K, Ward DR, Ghali WA.

Publication details: How Attending Physician Preceptors Negotiate Their Complex Work Environment: A Collective Ethnography. Acad Med. 2017 Jun 20. [Epub ahead of print]

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME?

View Details

Today's paper is selected by Jon, he starts by confessing his own CPD is passive, and with no outcomes assessed he's unable to see if his interventions have changed his practice.

Authors: Greenberg CC, Ghousseini HN, Pavuluri Quamme SR, Beasley HL, Frasier LL, Brys NA, Dombrowski JC, Wiegmann DA

Publication details: Wisconsin Surgical Coaching Program. A Statewide Surgical Coaching Program Provides Opportunity for Continuous Professional Development.  Ann Surg. 2017 Jun 22. [Epub ahead of print] PubMed link

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

This KeyLIME article is a scoping review, on how student-provided medical education influences clinical outcomes.

Authors: Vijn TW, Fluit CRMG, Kremer JAM, Beune T, Faber MJ, Wollersheim H

Publication details: Involving Medical Students in Providing Patient Education for Real Patients: A Scoping Review. J Gen Intern Med. 2017 Sep;32(9):1031-1043 9.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

This is a KeyLIVE LIVE episode from Central Group on Educational Affair (CGEA) meeting in Rochester, Minnesota hosted by the Mayo Clinic of Medicine and Science..

Authors:  Mueller AS, Jenkins TM, Osborne M, Dayal A, O'Connor DM, Arora VM. 

Publication details: Gender Differences in Attending Physicians' Feedback to Residents: A Qualitative Analysis. J Grad Med Educ. 2017 Oct;9(5):577-585.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

We're continuing the re-runs for a while, starting with the Episode that has had over 8,000 downloads since November 2018!

Jonathan Sherbino discusses a paper on the 'art of observation' and how it can be used to improve observation skills in medical ophthalmology students. Observation is often not provided explicitly so will formal training in the visual arts help to gain observation skills.

Authors: Gurwin J, Revere KE, Niepold S, Bassett B, Mitchell R, Davidson S, DeLisser H, Binenbaum G.

Publication details: A Randomized Controlled Study of Art Observation Training to Improve Medical Student Ophthalmology Skills. Ophthalmology. 2018 Jan;125(1):8-14.Epub 2017 Aug 7.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Episode Length: 33:30

Welcome to the KeyLIME Holiday Special “re run” series! We’re going to continue our trip down memory lane by sharing our annual Holiday Specials from the last four years.

Last year's KeyLIME Holiday Special (2021) was our fourth edition and featured the following papers:

1) Levy IM et al. Is Teaching Simple Surgical Skills Using an Operant Learning Program More Effective Than Teaching by Demonstration? Clin Orthop Relat Res. 2016; 474:945–955 (Lara's pick)

2) Han H-C et al. Predictors of ManuScript Rejection sYndrome (MiSeRY): a cohort study. Med J Aust. 2019;211(11):511-513 (Linda's pick)

3) Bauer GR. Biased Outcome reporting Guidelines for Underwhelming Studies (BOGUS) statement and checklist. BMJ. 2021;10(375):e067350.(Jason's pick)

4) Lee et. al,. Web-Based Surveys for Data Gathering from Medical Educators: An Exploration of the Efficacy and Impact of Follow-Up Reminders. ERIC. 2002 April (Jon's pick)

*No abstracts available for the four Holiday Special articles.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode Length: 31:14

Welcome to the KeyLIME Holiday Special “re run” series! We’re going to continue our trip down memory lane by sharing our annual Holiday Specials from the last four years.

Today's episode is our third holiday special from 2020.

Articles discussed are as follows:

1) Narula R et al. Humor as a Learning Aid in Medical Education. NJIRM. 2011; 2(1)

2) Myers KA. Can academic satire exist in the age of 'fake news'_Tracking the citation record of a 'holiday review' paper. BMJ. 2019;367.

3) Babenko O et al. Students perceptions of learning environment and their leisure-time exercise in medical school - Does sport background matter. Perspectives on Medical Education. 2020: 9:92–97.

4) Phillips D et al. Deconstructing Access Points. 2009.

*No abstracts available for the four Holiday Special articles.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode Length: 24:10

Welcome to the KeyLIME Holiday Special “re run” series! We’re going to continue our trip down memory lane by sharing our annual Holiday Specials from the last four years.

Our second holiday special appeared in 2019, and featured the following articles:

1) O’Reilly-Shah VN et al. Is it time to start using the emoji in biomedical literature? BMJ 2018; 363 (Jon Sherbino's pick)

2) Danziger S et al.Extraneous factors in judicial decisions. Proc Natl Acad Sci USA. 2011;108(17):6889-92. (Lara Varpio's pick)

3) Rockwood K et al. Incidence of and risk factors for nodding off at scientific sessions. CMAJ. 2004;171(12):1443-5. (Linda Snell's pick)

4) Fengqin L et al. It takes biking to learn: Physical activity improves learning a second language. PLoS One. 2017;12(5):e0177624. (Jason Frank's pick)

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Welcome to the KeyLIME Holiday Special “re run” series! We’re going to continue our trip down memory lane by sharing our annual Holiday Specials from the last four years.

Our first holiday special appeared in 2018, and was hosted by 3 special elves:

Peaches Monkey-Bums (Jonathan Sherbino), Tinker McJingles (Linda Snell), and, Puddin Angel-Pants (Jason Frank)

with a shout out to the honorary host Sugar Sparkly-socks (Lara Varpio)

Their discussions include - Santa's little helpers, cookies and boring speakers!

Authors:

  1. Wigley C et al. Santa’s little helpers: a novel approach to developing patient information leaflets. BMJ. 2017;359:j5565. (Jonathan Sherbino's pick)

2 a) Bartlett M. The gift of food and the utility of student feedback. Med Educ. 2018;52(10):1000-1002 (Jason Frank's pick, part 1)

2 b) Hessler M et al. Availability of cookies during an academic course session affects evaluation of teaching. Med Educ. 2018; 52(10):1064-1072. (Jason Frank's pick, part 2)

  1. Ewers R. Boring speakers talk for longer. Nature. 2018;561(7724):464. (Linda Snell's pick)

View the episode abstract here.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

We're embarking on another set of reruns for a few weeks while the hosts use this time to evaluate the impact and future of KeyLIME. We hope to have some news soon, but in the meantime, we know you'll love this series of Method Consults by Dr. Lara Varpio.

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.

In this consult, originally released in February 2022, Lara tackles a topic she is often asked about: the distinction between theory, theoretical frameworks and conceptual frameworks. Although she has explored the topic in the past, she is taking a different approach this time - using concrete examples, found in an article entitled Intersections of power: Videoconferenced debriefing of a rural interprofessional simulation team by an urban interprofessional debriefing team (Full reference below)

Dalinghaus K, G Regehr and L Nimmon. Intersections of power: videoconferenced debriefing of a rural interprofessional simulation team by an urban interprofessional debriefing team.Perspect Med Educ. 2021; 10, 286–292.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

We're embarking on another set of reruns for a few weeks while the hosts use this time to evaluate the impact and future of KeyLIME. We hope to have some news soon, but in the meantime, we know you'll love this series of Method Consults by Dr. Lara Varpio.

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.

In this consult, originally released in November 2021, Lara talks about the foundational principles of mixed methods research and the different interpretations of those principles. Bonus! - she haS provided a ton of resources for those who would like to explore the topic further!

Selected Readings and Resources for Mixed Methods Research: Recommended Journals for Methods and Exemplar Studies:

  • Journal of Mixed Method Research
  • International Journal of Multiple Research Approaches

Professional Organizations and Mixed Methods Communities:

  • The American Education Research Association (AERA) Mixed Methods Special Interest Group (SIG)
  • The Mixed Methods International Research Association (MMIRA)

Select Methods Articles:

  • Johnson RB, AJ Onwuegbuzie and LA Turner. Toward a definition of mixed methods research. Journal of mixed methods research. 2007;1(2), 112-133.
  • Creswell JW, AC Klassen, VL Plano Clark and KC Smith. Best practices for mixed methods research in the health sciences. Bethesda (Maryland): National Institutes of Health, 2013. 2011;541-545.
  • Guetterman TC, JF Molina-Azorina, and MD Fetters. Virtual special issue on “integration in mixed methods research”. Journal of mixed methods research. 2020; 14(4), 430–435.
  • Bryman A. Barriers to integrating quantitative and qualitative research. Journal of mixed methods research. 2007;1(1), 8-22.
  • Fàbregues S, JF Molina-Azorin, and & MD Fetters. Virtual special issue on “quality in mixed methods research”. Journal of mixed methods research. 2021;15(2), 146–151.
  • Maxwell JA. Expanding the history and range of mixed methods research. Journal of mixed methods research. 2016; 10(1), 12-27.

Mixed Methods Webinars:

  • Mixed Methods International Research Association

    • https://www.ualberta.ca/international-institute-for-qualitative-methodology/webinars/mixed-methods-webinar/index.html
  • AHRQ Advanced Methods Webinars:

    • Integrating Mixed Methods in Health Services and Delivery System Research

Access KeyLIME pod

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

We're embarking on another set of reruns for a few weeks while the hosts use this time to evaluate the impact and future of KeyLIME. We hope to have some news soon, but in the meantime, we know you'll love this series of Method Consults by Dr. Lara Varpio.

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.

In this consult, originally released in November 2020, Lara discusses bias, and how it plays a role in objectivist and subjectivist data.

A full transcript of this episode can be found here.

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

We're embarking on another set of reruns for a few weeks while the hosts use this time to evaluate the impact and future of KeyLIME. We hope to have some news soon, but in the meantime, we know you'll love this series of Method Consults by Dr. Lara Varpio.

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.

In this consult, originally released in October 2020 Lara responds to a listener email who, after listening to Episode 259, requested a consult on the difference between theories & models and theoretical & conceptual frameworks. Lara goes beyond the request and touches on the following topics:

  • Theory
  • Theoretical framework
  • Conceptual framework
  • Objective deductive approach
  • Subjective Inductive approach
  • Social Constructive ism
  • Social Construction-ism
  • Citations

Varpio et. al., The Distinctions Between Theory, Theoretical Framework, and Conceptual Framework. Academic Medicine. 2020;95(7):989-994.

A full transcript of this episode can be found here.

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

We're embarking on another set of reruns for a few weeks while the hosts use this time to evaluate the impact and future of KeyLIME. We hope to have some news soon, but in the meantime, we know you'll love this series of Method Consults by Dr. Lara Varpio.

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.

In this consult, originally released in February 2019, Lara explains paradigms, ontology and epistemology.

Additional material about Thomas Kuhn, ontologies and epistemologies:

  1. Stanford Encyclopedia of Philosophy [Internet]. Stanford University: Center for the Study of Language and Information; 2019. Available from: https://plato.stanford.edu
  2. Kuhn, TS. The Structure of Scientific Revolutions. 50th ed. Chicago IL: University of Chicago Press; 2012 (Original work published in 1962).
  3. Okasha, S. Philosophy of Science: A Very Short Introduction. 2nd ed. Oxford UK: Oxford University Press; 2016.

A full transcript of this episode can be found here.

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

We're embarking on another set of reruns for a few weeks while the hosts use this time to evaluate the impact and future of KeyLIME. We hope to have some news soon, but in the meantime, we know you'll love this series of Method Consults by Dr. Lara Varpio.

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.

In this consult, originally released in March 2019, Lara discusses survey response sample sizes with her colleague, Dr. Christina St Onge.

A full transcript of this episode can be found here.

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

We're embarking on another set of reruns for a few weeks while the hosts use this time to evaluate the impact and future of KeyLIME. We hope to have some news soon, but in the meantime, we know you'll love this series of Method Consults by Dr. Lara Varpio.

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.

In this consult, originally released in August 2018, Lara shares her reflections on thematic analysis and qualitative research; specifically, on thematic emergence, and how it is commonly used in qualitative research manuscripts.

A full transcript of this episode can be found here.

Further reading suggestions:

  • Varpio L, R Ajjawi, L Monrouxe, B O’Brien, C Rees. Shedding the Cobra Effect: Problematizing Thematic Emergence, Triangulation, Saturation and Member Checking. Medical Education. State of the Science Issue. 2017; 51(1), 40-50.
  • Ten Tweets from Victoria Clarke: https://twitter.com/drvicclarke/status/1014814432139141121

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

We're embarking on another set of reruns for a few weeks while the hosts use this time to evaluate the impact and future of KeyLIME. We hope to have some news soon, but in the meantime, we know you'll love this series of Method Consults by Dr. Lara Varpio.

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.

In this consult, originally released in May 2018, Lara explores the topic of formal literature reviews.

A full transcript of this episode can be found here.

Cited & Additional Readings:

• McGaghie WC. Varieties of Integrative Scholarship: Why Rules of Evidence, Criteria, and Standards Matter. Academic Medicine. 2015; 90: 294-302.

• Thomas AT, S Lubarsky, SJ Durning, ME Young. Knowledge Syntheses in Medical Education: Demystifying Scoping Reviews. Academic Medicine. 2017;92: 161-166.

• Arksey, H, L O’Malley. Scoping Studies: Towards a Methodological Framework. International Journal of Social Research Methodology. 2005; 8(1): 19-32.

• Cook, DA, CP West. Conducting systematic reviews in medical education: A stepwise approach. Medical Education. 2012; 46(10): 943-952.

• Levac D, H Colquhoun, KK O’Brien. Scoping studies: Advancing the methodology. Implementation Science. 2010; 5:69.

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

We're embarking on another set of reruns for a few weeks while the hosts use this time to evaluate the impact and future of KeyLIME. We hope to have some news soon, but in the meantime, we know you'll love this series of Method Consults by Dr. Lara Varpio.

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.

In this consult, originally released in March 2018, Lara discusses the philosophy of science. For those interested in taking a deeper dive, she shares the following citations:

• Crotty, The Foundations of Social Research: Meaning and Perspective in the Research Process (1998).

• Howell, An Introduction to the Philosophy of Methodology. (2012)

• Godfrey-Smith. Theory and reality: An introduction to the philosophy of science. (2003)

A full transcript of this episode can be found here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

We're embarking on another set of reruns for a few weeks while the hosts use this time to evaluate the impact and future of KeyLIME. We hope to have some news soon, but in the meantime, we know you'll love this series of Method Consults by Dr. Lara Varpio.

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.

In this consult, originally released in January 2018, Lara gives some background and the benefits of interdisciplinary collaboration for illuminating research: "It's not about what's in it for me, but what's in it for us."

A copy of the transcript can be found here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #18... Episode 249: Nurture or Torture? Time to Redesign Training to End Mistreatment of Trainees. This study looks at the frequent mistreatment of general surgery residents and its association with burnout and suicidal thoughts.

Hu et. al., Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training. N Engl J Med. 2019;381(18):1741-1752

View the episode abstract here.

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #17... Episode 282: The Failure of Failure to Fail Formulations. The authors of this research paper looked to determine how physician supervisors conceptualize and recognize incompetence in trainees, in the hopes to offer further insight and possible new solutions to address under-documentation of underperformance.

Gingerich A et al. Seeing but not believing: insights into the intractability of failure to fail. Medical Education. 2020;54(12):1148-1158.

View the episode abstract here.

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #16... Episode 271: Good Tech + Good Design = Great #MedEd. Jon presents a study that identifies key enablers and barriers to engagement mobile apps that utilize the framework of entrustable professional activities (EPAs) to capture and deliver feedback.

Young et. al., A mobile app to capture EPA assessment data: Utilizing the consolidated framework for implementation research to identify enablers and barriers to engagement. Perspect Med Educ. 2020;9(4):210-219.

View the episode abstract here.

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #15... Episode 261: Being While Becoming. We discuss...when do you feel you ‘became’ a doctor? Much of the literature on identity formation suggests that this happens sometime during early residency, when trainees are immersed in the workplace with some autonomy. In this article, the authors present the results of their analysis: development of a conceptual framework and distinct identity formation themes.

Jarvis-Selinger et. al.Understanding Professional Identity Formation in Early Clerkship: A Novel Framework. Acad Med. 2019; 94(10):1574-1580.

View the episode abstract here.

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #14... Episode 182: How can you tell if that paper of yours has an impact? we discuss altmetrics and measures of dissemination - and which of these measures result in the greatest increase of citations.

Maggio LA et al. #MedEd: Exploring the relationship between altmetrics and traditional measures of dissemination in health professions education. Perspectives in Medical Education. 2018;7(4):239-247

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #14... Episode 182: How can you tell if that paper of yours has an impact? we discuss altmetrics and measures of dissemination - and which of these measures result in the greatest increase of citations.

Maggio LA et al. #MedEd: Exploring the relationship between altmetrics and traditional measures of dissemination in health professions education. Perspectives in Medical Education. 2018;7(4):239-247

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #13... we grapple with some big questions in our rerun of Episode 168: Good news about bad news: see one, reflect on one, learn more. Breaking bad news is a challenging task even for experienced practicing physicians, even more so for trainees. How did you learn to break bad news? Do you do it well? How can we all do better?

Karnieli-Miller, O et al.See, Reflect, Learn more: Qualitative Analysis of Breaking Bad News Reflective Narratives. Medical Education. 2018;52(5):497-512.

View the abstract here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #12... we revisit Episode 161: What a difference a year (apparently) makes!, an episode where we discussed a study taking a new look at the perennial issue of the impact of experience on patient outcomes. The authors set out to describe the association between clinician years in practice and 30-day and in-hospital mortality by looking at hospitalists in the US.

Goodwin J, et al. Association of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population. JAMA Intern Med. 2018;178(2):196-203.

View the abstract here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #11... Episode 158: Dear Author, Nope. - The Editors [Reasons for Rejecting a Manuscript]. The authors of this study looked to inform scholars about common reasons for internal editor review rejections, increase transparency of the process, and provide suggestions for improving submissions.

Meyer HS et al. Making the First Cut: An Analysis of Academic Medicine Editors' Reasons for Not Sending Manuscripts Out for External Peer Review. Acad Med. 2018; 93(3):464-470.

View the abstract here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #10, we play back Episode #154, where we discussed ITERs, (In-Training Evaluation Reports), a fundamental building block of health professions education. They have been much maligned over the years; however, this article's "assessment supergroup" looks to show us the value of narrative comments in ITERs in a systematic review with "gold standard methods" (as per Jason, today's reviewer.)

Hatala R et al. Using In-Training Evaluation Report (ITER) Qualitative Comments to Assess Medical Students and Residents: A Systematic Review. Acad Med. 2017; 92(6):868-879.

View the abstract here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #9, we play back Episode #132, where we examineed a paper that proposed a link between the quality of case presentations (CP) by learners and the learner’s diagnostic reasoning (DR) ability.

Onishi, H. Assessment of Clinical Reasoning by Listening to Case Presentations: VSOP Method for Better Feedback. Journal of Medical Education and Curricular Development. 2016; (3): 125-131.

View the abstract here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #8, re-discover episode 140, The End of Empathy? which looked at: "what is 'empathy' in health care, anyway?" and had us questioning our own construct of empathy.

Costa, P et al. Measuring Medical Students' Empathy: Exploring the Underlying Constructs of and Associations Between Two Widely Used Self-Report Instruments in Five Countries. Academic Medicine. 2017;92(6):860-867.

View the abstract here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

*Please note: some listeners will find this a tough episode*

This week, in summer re run #7, we bring back episode #146, on an important, yet difficult, topic: The Mortality Rate of Residency Education. The stressors and impact of medical practice on physician health have been documented for decades and issues of the wellness of health care providers are an increasingly discussed topic in medical education. This study sets out to document the “mortality rate” of medical training by examining and characterizing US resident (postgraduate) trainee deaths from 2000-2014.

Yaghmour NA, et al. Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014: Implications for the Learning Environment. Acad Med. 2017 Jul;92(7):976-983.

View the abstract here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #6, the hosts share a KeyLIME Live! episode (#148), entitled: The Flipped Classroom - What is the evidence? This systematic review examines the evidence for the FC as a pedagogical strategy in medical education.

Chen F, et al. A systematic review of the effectiveness of flipped classrooms in medical education. Medical Education. 2017. 51(6):585-597

View the abstract here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #5, the hosts play back episode 33, entitled: Tensions in informed self-assessment: how the desire for feedback and reticence to collect and use it can conflict. The authors looked to explore the tensions described by learners and professionals when informing their self-assessments of clinical performance.

Mann, K, et al. Tensions in informed self-assessment: how the desire for feedback and reticence to collect and use it can conflict. Academic Medicine. 2011; 86:1120–1127.

View the abstract here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet!

This week, in summer re run #4, we revist Episode 12, entitled: Successful Self-Directed Lifelong Learning in Medicine: A Conceptual Model Derived from Qualitative Analysis of a National Survey of Paediatric Resident. They examined the authors' model for successful self-directed learning; which was created by analyzing qualitative data from a national survey of residents.

Li S, et al. Successful Self-Directed Lifelong Learning in Medicine: A Conceptual Model Derived from Qualitative Analysis of a National Survey of Paediatric Resident. Academic Medicine. 2010;85(7):1229-36.

View the abstract here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet! This week, in summer re run #3, we revist Episode 4, entitled: Perspective: The ACGME Toolbox: Half empty or half full? They examine The Accreditation Council for Graduate Medical Education's (AGME) 'toolbox': assessment tools developed to address the transition to a curriculum designed around defined objectives that a resident must meet in order to successfully complete a residency training program

Green ML et al. Measuring the intensity of resident supervision in the department of veterans affairs: the resident supervision index. Academic Medicine. 2010 May;85(5):787-90.

View the abstract here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet! This week, in summer re run #2, we revisit Episode 2, where Linda, Jason and Jon discuss giving feedback and the impact it has on leaners.

Bienstock JL,e t al. To the point: Medical education reviews – providing feedback. American Journal of Obstetrics and Gynecology. 2007 Jun;196(6):508-13

View the abstract here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasig some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet! This week, in summer re run #1, the KeyLIME team goes all the way back to Episode #1, where the team discussed clinical supervision, and the effectiveness of instruments used to assess clinical teachers.

Fluit CRMG et al. Assessing the Quality of Clinical Teachers: A Systematic Review of Content and Quality of Questionnaires for Assessing Clinical Teachers. Journal of General Internal Medicine. 2010. 85(7): 1171-81.

View the abstract here

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

In this weeks episode: Linda highlights an article that looks to summarise doctors' attitudes to Maintenance of Professional Competence (MPC) programmes in order to inform the development of these programmes and identify under-researched areas.

Episode length: 29:12

Author: Weise, A et. al.

Publication: Weise, A et al Doctors' attitudes to maintenance of professional competence: A scoping review. Med Educ. 2022;56:374–386.

Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

In this weeks episode, the co-hosts take a critical look at outcome evaluation, focusing specifically on the Kirkpatrick Model.

Episode length: 35:51

Author: Allen et. al.

Publication: Evaluation in health professions education-Is measuring outcomes? Med Educ. 2022 Jan;56(1):127-136

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 34:55

Author: Weise et. al.

Publication: Orientation of medical trainees to a new clinical environment (the ready-steady-go model): a constructivist grounded theory study. BMC Med Ed. (2022) 22:37.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

In this week's episode, Jon shares a study that examines first authors' accounts of authorship decisions on a recent multi-author paper, shedding light on the complicated nature of authorship decisions.

Episode length: 33:11

Author: Konopasky et. al.

Publication: I, we and they: A linguistic and narrative exploration of the authorship process Med Educ. 2022 Apr;56(4):456-464

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 37:09

Author: Strowd et. al.

Publication: Student Faculty and Coach perspectives on why athletes excel in med school. Teaching and learning in Med 2022, 34(1):43-59

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 32:40

Author: van Zanten et. al.,

Publication: Making the grade: licensing examination performance by medical school accreditation status BMC Med Educ. 2022 Jan 14;22(1):36.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 38:58

Author: Krzyaniak et. al

Publication: Unheard Voices: A Qualitative Study of Resident Perspectives on Remediation J Grad Med Educ. 2021 Aug;13(4):507-514.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 28:01

Author: Howard et. al.

Publication: Learning Curves in Health Professions Education Simulation Research A Systematic Review Simul Healthc. 2021 Apr 1;16(2):128-135

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 30:50

Author: Schaye et. al.

Publication: Development of a Clinical Reasoning Documentation Assessment Tool for Resident and Fellow Admission Notes: a Shared Mental Model for FeedbackJ Gen Intern Med. 2022 Feb;37(3):507-512.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

A re-run from KeyLIME LIVE at the ICRE in Halifax 2018.

Episode length: 22:26

Author: Horsley, T. Regehr, G.

Publication: When are two interventions the same? Implications for reporting guidelines in education.Medical Educ 2018 52: 139–147

This years KeyLIME LIVE at the ICRE will take place on Friday October 28, 2022 in Montreal!

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 29:55

Author: O'Brien et. al.

Publication: Perception of Medical Student Mistreatment: Does Specialty Matter? Acad Med. 2022 Feb 1;97(2):247-253

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 24:44

Author: Murphy et. al.

Publication: Mentoring Relationships and Gender Inequities in Academic Medicine: Findings From a Multi-Institutional Qualitative Study Acad Med. 2021 Sept 7. Online ahead of print.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 18:45

In today's episode the hosts review papers from around the world!

Jon - African Journal of Health Professions Education

Lara - Bangladesh Journal of Medical Education

Linda - Japaneses Journal of Medical Education

Jason - Journal of Education and Health Promotion (India)

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 35:12

Author: Daniel et. al,.

Publication: An update on developments in medical education in response to the COVID-19 pandemic: A BEME scoping review: BEME Guide No. 64 Med Teach 2021 Mar;43(3):253-271.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode Length: 23:51

Author: Blouin D.

Publication: Health professions education as a discipline: Evidence based on Krishnan's framework. Med Teach. 2021 Dec 29;1-5.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode Length: 30:00

Author: Molloy et. al.

Publication: Developing a learning-centred framework for feedback literacy 2019 Assessment & Evaluation in Higher Education, 45:4, 527-540

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 15:36

Lara Varpio once again bares the methods in the madness!

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 18:45

In today's episode the Hosts selected papers from around the world!

  1. Jon - African Journal of Health Professions Education
  2. Lara - Bangladesh Journal of Medical Education
  3. Linda - Japanese Journal of Medical Education
  4. Jason - Journal of Education and Health Promotion (India)

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

The KeyLIME Question show Part Two!

Episode length: 35:34

If you have any questions you'd like answered on future shows please email keylime@royalcollege.ca

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

The long awaited KeyLIME Question show is finally here!

Episode length: 34:54

Part two will be aired next week.

If you have any questions you'd like answered on future shows please email keylime@royalcollege.ca

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Four papers discussed for the KeyLIME Holiday Special.

Lara's choice: Is Teaching Simple Surgical Skills Using an Operant Learning Program More Effective Than Teaching by Demonstration? I. Martin Levy MD, Karen W. Pryor BA, Theresa R. McKeon BA Clin Orthop Relat Res 2016 April 474:945–955

Linda's: Predictors of ManuScript Rejection sYndrome (MiSeRY): a cohort study Hui-Chen Han, Anoop Ninan Koshy, Tina Lin, Matias Yudi, David Clark, Andrew W Teh1,, Omar Farouque Med J Aust. 2019 Dec;211(11):511-513

Jason's: Bauer GR. Biased Outcome reporting Guidelines for Underwhelming Studies (BOGUS) statement and checklist. BMJ 2021 Dec 10;375:e067350.

Jon's: Lee et. al,. Impact of follow-ups for web surveys. ERIC 2002 April

See you in the New Year!

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 29:28

Part 2 of the AAMC KeyLIME live event.

  1. Lipman JM, Park YS, Papp KK, Tekian A. Content of an Educational Handover Letter From Medical Schools to Surgical Residencies: A Mixed Methods Analysis. Acad Med. 2021;96;S136-S143.

  2. Colbert-Getz JM, Bierer B, Berry A, Bradley E, Han H, Mooney C, Szauter K, Teal CR, Youm J, O'Brien BC. What is and Innovation Article? A Systematic Overview of Innovation in Health Professions Education Journals. Acad Med. 2021;96;S39-S47.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 29:02

First two papers reviewed at the AAMC on Nov 29, 2021.

  1. Brondfield S, Lee K, O'Sullivan PS. The Cognitive Load of Inpatient Consults: A Covergent Parallel Mixed Methods Studay Using the Consult Cognitive Load Instrument. Acad Med. 2021;96;S119-S125.
  2. Burk-Rafel J, Reinstein I, Feng J, Kim MM, Miller LH, Cocks PM, Marin M, Aphinyanaphongs Y. Development and Validaton of a Machine Learning-Based Decisions Support Tool for Residency Applicant Screening and Review. Acad Med. 2021;96;S54-S61.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 15:04

Today's episode is a re-run of Episode 284 which was originally aired on Oct 6, 2020.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 28:30

Selected Readings and Resources for Mixed Methods Research

Recommended Journals for Methods and Exemplar Studies

  • Journal of Mixed Method Research
  • International Journal of Multiple Research Approaches

Professional Organizations and Mixed Methods Communities

  • The American Education Research Association (AERA) Mixed Methods Special Interest Group (SIG)

  • The Mixed Methods International Research Association (MMIRA)

Select Methods Articles

Johnson, R. B., Onwuegbuzie, A. J., & Turner, L. A. (2007). Toward a definition of mixed methods research. Journal of mixed methods research, 1(2), 112-133.

Creswell, J. W., Klassen, A. C., Plano Clark, V. L., & Smith, K. C. (2011). Best practices for mixed methods research in the health sciences. Bethesda (Maryland): National Institutes of Health, 2013, 541-545.

Guetterman, T. C., Molina-Azorin, J. F., & Fetters, M. D. (2020). Virtual special issue on “integration in mixed methods research”. Journal of mixed methods research

Bryman, A. (2007). Barriers to integrating quantitative and qualitative research. Journal of mixed methods research, 1(1), 8-22.

Fàbregues, S., Molina-Azorin, J. F., & Fetters, M. D. (2021). Virtual special issue on “quality in mixed methods research”. Journal of mixed methods research

Maxwell, J. A. (2016). Expanding the history and range of mixed methods research. Journal of mixed methods research, 10(1), 12-27.

Mixed Methods Webinars

  • Mixed Methods International Research Association

    • https://www.ualberta.ca/international-institute-for-qualitative-methodology/webinars/mixed-methods-webinar/index.html
  • AHRQ Advanced Methods Webinars:

    • Integrating Mixed Methods in Health Services and Delivery System Research https://youtu.be/SmP2znJLZs4

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 35:38

Authors: Harms et. al.

Publication details: One Room Schoolhouse: A Novel Intervention for Inspired Academic Half-Day Learning in Distributed Campus Settings J Med Educ Curric Dev. 2021 July

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 37:30

Authors: Wu et. al.

Publication details: The Development of Visual Expertise in ECG Interpretation: An Eye-Tracking Augmented Re Situ Interview Approach, Teaching and Learning in Medicine, 33:3, 258-269. 2021

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 48:17

Authors: Albert et. al.

Publication details: Barriers to cross-disciplinary knowledge flow: The case of medical education research Perspect Med Educ. 2021 Oct 14. Online ahead of print.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 28:45

Authors: Mardiastuti et. al.

Publication details: Professional identity formation of medical teachers in a non-Western setting 2021 Medical Teacher VOL. 43, NO. 8, 868–873

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 30:38

Authors: Kelleher et. al.

Publication details: Warnings in early narrative assessment that might predict performance in residency: signal froman internal medicine residency program Perspect Med Educ July 2021

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 38:31

Authors: Nemeth et. al.

Publication details: Exploring Mentoring Experiences, Perceptions, and Needs of General Internal Medicine Clinician Educators Navigating Academia: a Mixed-Methods Study

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 35:31

Authors: Teunissen et. al.

Publication details: Contextual Competence: How residents develop competent performance in new settings Med Educ 2021 Sep;55(9):1100-1109

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 36:01

Authors: LaDonna K

Publication details: Wrestling With the Invincibility Myth: Exploring Physicians’ Resistance to Wellness and Resilience Building Interventions Acad Med 2021 Aug 10. Online ahead of print.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 39:55

Authors: Hamza & Regehr

Publication details: Eco-Normalization: Evaluating the Longevity of an Innovation in Context 2021 August. Academic medicine: journal of the Association of American Medical CollegesPublish Ahead of Print

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 37:13

Authors: Wyatt et. al.

Publication details: "Changing the narrative": a study on professional identity formation among Black/African American physicians in the U.S Adv Health Sci Educ Theory Pract 2021 Mar;26(1):183-198

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 41:43

Authors: Cullen et. al.

Publication details: Improving Our Ability to Predict Resident Applicant Performance: Validity Evidence for a Situational Judgment Test, Teaching and Learning in Medicine, (2020)32:5, 508-521

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 42:33

Authors: Gin et. al.

Publication details: How supervisor trust affects early residents’ learning and patient care: A qualitative study Perspect Med Educ. 2021

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

This episode was first released in January 2019.

Episode 204 Pedagogy of the Oppressed (Teachers)

Tell me something, dear clinician-educator: In your institution, who is more likely to be recognized, your colleague the hard-core science researcher, or your most outstanding teacher? Who will make full professor sooner?

Authors: Shinkai et al.

Publication details: Rethinking the Educator Portfolio: An Innovative Criteria-Based Model Acad Med. 2018 Jul;93(7)

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

This Episode first aired in March 2019.

Programmatic assessment (PA) is one of the big 5 features of the competency-based era. (The other 4 components of CBME are: outcome competencies, sequenced acquisition of expertise, tailored teaching/coaching, and learning activities.)

So, what is this “programmatic assessment” stuff? The promise of PA is that it is a supposed to be better way of organizing assessment.

Authors: Bok et al,.

Publication details:

Validity evidence for programmatic assessment in competency-based education Perspect Med Educ 2018 Dec;7(6):362-372

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

This Episode was first aired on Feb 12, 2019, there have been 3, 429 downloads to date.

How did the Master Clinicians in your environment get their mastery ?

Episode length: 21:48

Authors: Murthy VK, O'Brien B, Dhaliwal G.

Publication details: An Inquiry Into the Early Careers of Master Clinicians J Grad Med Educ. 2018 Oct;10(5):500-506

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Today's episode is #5 of the 'Best of KeyLIME'.

This paper originally aired in June 2019 and was chosen by the then new KeyLIME host Lara Varpio !

Lara was drawn to this manuscript because it deals with an issue that is of particular interest to her - the move from being a mentee to being a mentor.

Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Authors: Balmer et al.,

Publication details: How mentor identity evolves: Findings from a 10-year follow-up study of a national professional development program. Academic Medicine. July 2018 93(7).

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Today's episode is #4 of the 'Best of KeyLIME'. This episode first aired in December 2017.

Linda has chosen the paper this week which is a Research synthesis. The authors review the progress made in developing the key components for training educators and rewarding teaching excellence, explore reasons for the limited reform, and identify possible directions for the future.

Authors: Irby, DM and P O’Sullivan.

Publication details: Developing and Rewarding Teachers as Educators and Scholars: Progress and Challenges. Medical Education. [ePub ahead of print]. Read article here!

Read the episode abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Today's episode is the 3rd 'Best of KeyLIME' for the summer break. This episode first aired in March 2019.

Jon picked today's paper which discusses the experience of shame in medical education.

Authors: Bynum et al,.

Publication details: Sentinel Emotional Events: The Nature, Triggers, and Effects of Shame Experiences in Medical Residents Acad Med. 2019;94:85–93.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

A transcript of this episode is available upon request.

View Details

Here is the 2nd 'Best of KeyLIME' to be aired again over the summer break, like last weeks episode it is also from 2017.

Coming to you from ICRE 2017, this is our first of the two part KeyLIME Live where we were joined by co-hosts Glenn Regehr and Karen Hauer. Up first is Karen's selection, which explores a hot topic in medical education: The Flipped Classroom (FC). This systematic review examines the evidence for the FC as a pedagogical strategy in medical education.

Authors: Chen F, Lui AM, Martinelli SM.

Publication details: A systematic review of the effectiveness of flipped classrooms in medical education. Medical Education. 2017. 51(6):585-597 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

A transcript of this episode is available upon request.

View Details

This is the first summer 2021 'Best of' KeyLIME episode. It was originally aired in November 2017.

https://keylimepodcast.libsyn.com/147-rudeness-breaks-teams

This week’s paper aims to explore the impact of rudeness on the performance of medical teams. Jon shares: as a clinician, he thinks a lot about the function of a system to optimize the quality of patient care and prevent error, and, as an educator, he often thinks of how to effectively teach and structure patient encounters for learners to facilitate their acquisition of knowledge and experience – he’s aware that with improved experience, learners can provide better care. However, he admits he has never given serious attention to the psychology of team performance on patient outcomes – this paper changes all that!

Authors: Riskin A, Erez A, Foulk TA, Kugelman A, Gover A, Shoris I, Riskin KS, Bamberger PA.

Publication details: The Impact of Rudeness on Medical Team Performance: A Randomized Trial. Pediatrics. 2015 Sep;136(3):487-95. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

A transcript of this episode is available upon request.

View Details

Episode Length: 

Authors: Price T, G Wong, L Withers, et al.

Publication:  Optimising the delivery of remediation programmes for doctors: A realist review. 2021. Medical Education. 00:1–16. 

Voting starts at: 

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode Length: 25:16

Authors: Fox, MF & I Nikivincze

Publication: Being highly prolific in academic science: characteristics of individuals and their departments. Higher Education. 2021. 81: 1237–1255

Voting starts at: 20:10

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode Length:  30:55

Author: Ribeiro DL et al.

Publication: ‘I found myself a despicable being!’: Medical students face disturbing moral dilemmas. Med Educ. 2021. 55(7):857-871.

Voting starts at: 22:40

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

This audio is Part 2 of the KeyLIME Live! session at ICRE, recorded on May 19th. (see last week's episode for Part 1)

We all know the KeyLIME-ers love #meded journals...But #meded journals can't tell the whole story of our field. Join us for a "friendly cutthroat debate" between the 4 Amigas and Amigos of the KeyLIME Podcast as they debate 4 critical reads from non-journal sources. In part 2, you'll hear the results of the top critical read, as chosen by the participants from the live audience - will your pick match theirs? Listen here to find out!

Episode Length: 18:42

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available

View Details

This audio is Part 1 of the KeyLIME Live! session at ICRE, recorded on May 19th.

WE all know the KeyLIME-ers love #meded journals...But #meded journals can't tell the whole story of our field. Join us for a "friendly cutthroat debate" between the 4 Amigas and Amigos of the KeyLIME Podcast as they debate 4 critical reads from non-journal sources. You'll hear the first two picks this episode - in Part 2, the final 2 will be presented and participants from the live audience vote for their favourite. Listen to the Part 1 today and stop by next week for Part 2!

*Please note there are no abstracts for this episode

Episode Length: 19:15

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode Length:  40:15

Author: Chan et. al.

Publication: Social media in knowledge translation and education for physicians and trainees: a scoping review Perspect Med Educ. 2020 Feb;9(1):20-30

Voting starts at: 25:40

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode Length: 33:11

Author: Hope, Dewar & Hay

Publication: Is there a Replication Crisis in Medical Education Research Acad Med 2021 Mar.

Voting on impact starts at: 24:37

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 39:07

Voting for Methodology and Educational Impact: 30:13

Author: Naji et. al.

Publication:Global prevalence of burnout among postgraduate medical trainees: a systematic review and meta-regression

CMAJ Open. 2021 Mar 8;9(1):E189-E200.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode Length: 40:05

Author: Ottrey et. al.

Publication: Exploring health care graduates' conceptualisations of preparedness for practice: A longitudinal qualitative research study Med Educ. 2021 Feb22.

Voting for methods and impact start at: 32:05

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 31:16

Voting for Methodology and Educational Impact: 24:17

Author: Donahue et. al..

Publication:The Carbon Footprint of Residency Interview Travel J Grad Med Educ 2021 13(1):89-94.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 38:15

Voting for Methodology and Educational Impact: 29:25

Author: Kua et. al.

Publication: A scoping review of adaptive expertise in education Medical Teacher 2021,VOL.43.NO.3,347-355

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 34:33

Author: Bochatay et. al.

Publication: The Role of Power in Health Care Conflict: Recommendations for Shifting Toward Constructive Approaches Acad Med 2021 Jan 1;96(1):134-141.

Purpose: Enter Bochatay et al in this paper from Academic Medicine from the January 2021 issue, entitle: The Role of Power in Health Care Conflict: Recommendations for Shifting Toward Constructive Approaches. The authors “examined the role of power in conflicts between healthcare professionals in different cultural contexts…”

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 36:49

Voting for Methodology and Educational Impact: 27:00

Author: Black et. al

Publication: Engendering belonging: thoughtful gatherings with/in online and virtual spaces Gender and Education 2020, vol.32, no. 1, 115-129

“We use collaborative autoethnography to engage in inquiry about the roles of conferences, and their

inhabited notions of representation, membership and inclusion/exclusion.”

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 31:35

Voting for Methodology and Educational Impact: 24:51

Author: Wolcott et. al.

Publication: A review to characterise and map the growth mindset theory in health professions education Med Educ. 2020 Sept 21.

NEW ! Listen to the very end to hear the "Getting In on the InBox"

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 20:07

KeyLIME guest Dr. Tony Artino presents 'Six Survey Design Principles'.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode can be found here

View Details

Episode length: 31:53

Voting for Methodology and Educational Impact: 25:40

Author: Ashworth et. al.

Publication: A review of multi-source feedback focusing on psychometrics, pitfalls and some possible solutions. SN Soc Sci (2021) 1:24

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 27:35

Voting for Methodology and Educational Impact: 22:35

Author: Artino et. al.

Publication: “The Questions Shape the Answers”: Assessing the Quality of Published Survey Instruments in Health Professions Education Research Acad Med. 2018 Mar;93(3):456-463

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 29:02

Voting for Methodology and Educational Impact: 23:00

Author:Riikka Hofmann, Jan D. Vermunt.

Publication:Professional learning, organisational change and clinical leadership development outcomes. Medical Education. 2021;55:252–265.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 39:30

Author: Sawatsky et. al.

Publication: Coaching Versus Competency to Facilitate Professional Identity Formation Acad Med 2020 Oct;95(10):1511-1514.

Purpose: This week we return to another great paper by Sawatsky et al (including medical sociologist Fred Hafferty) from the Mayo Clinic. The authors set out to describe how coaching can promote professional identity formation in meded. What they really deliver is a powerful argument about the importance of assessment for learning in a CBME world.

Voting for Educational Impact: 34:17

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 29:45

Voting for Methodology and Educational Impact: 24:20

Author: Grad et. al.

Publication: Does spaced education improve clinical knowledge among Family Medicine residents? A cluster randomized controlled trial Adv HealthSci Educ Theory Pract 2021 Jan 3

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 35:10

Author: Schuwirth et., al.

Publication: A history of assessment in medical education Adv HealthSci Educ Theory Pract 2020 Dec;25(5):1045-1056

Purpose

  • The authors present three phases in the development of our thinking about assessment in medical education

Voting on Educational Impact: 31:50

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 31:22

Voting for Educational Impact: 26:15

Author: Biesta & van Braak

Publication: Biesta & van Braak, Beyond the Medical Model: Thinking Differently about Medical Education and Medical Education Research. Teaching and Learning in Medicine 2020 32:4, 449-456

Purpose: To ‘inform discussion about the practice of medical education by proposing to view medical education in terms of three domains of purpose while acknowledging the dynamics of educational interaction and communication.’ What are the best forms of research to inform Med Ed practice…beyond the medical model?

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 33:05

Publication: Using Learning Curves to Identify and Explain Growth Patterns of Learners in Bronchoscopy Simulation: A Mixed-Methods Study Acad Med. 2020 Dec;95(12):1921-1928

Author: Mema et. al.

Purpose : Enter the thoughtful work of Mema, Mylopulos, Tekian, and Park: Using Learning Curves to Identify and Explain Growth Patterns of Learners in Bronchoscopy Simulation in Academic Medicine. These authors compared the growth trajectories of novice vs experts learning a specific skill. Specifically, they set out to: …describe learning curves of novice trainees while practicing on a VR bronchoscopy simulator and to investigate and explain patterns of growth that can reassure or alert educators regarding trainee performance.

Voting for Methods and Impact: 26:45

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 28:11

Author: Thoma et. al.

Publication: Next Steps in the Implementation of Learning Analytics in Medical Education: Consensus from an International Cohort of Medical Educators J Grad Med Educ. 2020 Jun;12(3):303-311.

Purpose: From the authors:

“We sought to characterize barriers to the use of learning analytics techniques in medical education by identifying the questions of educators interested in this field.”

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode Length: 30:56

Articles discussed today are:

Narula, R. et al., Humor as a Learning Aid in Medical Education

Myers, K.A. Can academic satire exist in the age of 'fake news'_Tracking the citation record of a 'holiday review' paper

Babenko, O. et al., Students perceptions of learning environment and their leisure-time exercise in medical school - Does sport background matter

Phillips, D. and Kent, A. Deconstructing Access Points

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 32:50

The 3 papers reviewed in this episode are:

  1. Steinert Y, Mann K, Anderson B, et al. A systematic review of faculty development initiatives designed to enhance teaching effectiveness: A 10-year update: BEME Guide No. 40. Med Teach. 2016;38(8):769-786. doi:10.1080/0142159X.2016.1181851
  2. McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Acad Med. 2011;86(6):706-711. doi:10.1097/ACM.0b013e318217e119
  3. Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004;79(10 Suppl):S70-S81. doi:10.1097/00001888-200410001-00022

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 32:00

  1. Barrows HS. A taxonomy of problem-based learning methods. Med Educ. 1986;20(6):481-486. doi:10.1111/j.1365-2923.1986.tb01386.x
  2. Colliver JA, Conlee MJ, Verhulst SJ, Dorsey JK. Reports of the decline of empathy during medical education are greatly exaggerated: a reexamination of the research. Acad Med. 2010;85(4):588-593. doi:10.1097/ACM.0b013e3181d281dc
  3. Van der Vleuten CP, Norman GR, De Graaff E. Pitfalls in the pursuit of objectivity: issues of reliability. Med Educ. 1991;25(2):110-118. doi:10.1111/j.1365-2923.1991.tb00036.x

Next weeks 3 papers are: -

  1. Steinert Y, Mann K, Anderson B, et al. A systematic review of faculty development initiatives designed to enhance teaching effectiveness: A 10-year update: BEME Guide No. 40. Med Teach. 2016;38(8):769-786. doi:10.1080/0142159X.2016.1181851
  2. McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Acad Med. 2011;86(6):706-711. doi:10.1097/ACM.0b013e318217e119
  3. Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004;79(10 Suppl):S70-S81. doi:10.1097/00001888-200410001-00022

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 37.22

Author: Van Bruggen et. al.

Publication: Developing a Novel 4-C Framework to Enhance Participation in Faculty Development. Teach Learn Med. Aug-Sept 2020;32(4):371-379

Purpose: To better understand and address challenges with faculty non participation in a required teaching qualification program.

Voting for Methodology and Educational Impact: 29:55

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 11:30

This is Lara Varpio's 8th Methods Consult.

Her other Methods Consults can be found here: -

Methods Consult # 1 Episode 153

Methods Consult # 2 Episode 163

Methods Consult # 3 Episode 170

Methods Consult # 4 Episode 185

Methods Consult # 5 Episode 209

Methods Consult # 6 Episode 208

Methods Consult # 7 Episode 284

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

A transcript of this episode can be found here

View Details

Episode length: 30:28

Author: Brennan et. al.

Publication: Remediating professionalism lapses in medical students and doctors: A systematic review Med Educ. 2020 Mar;54(3):196-204.

Dr. Sherbino refers to Episode [282] The failure of failure to fail formulations

Purpose : “What interventions are used to remediate lapses in professionalism in medical students and doctors and what is the evidence for their effectiveness? By synthesising the evidence on this topic, this review will facilitate the ability of organisations to design remedial interventions…”

Voting for Methodology and Educational Impact: 24:15

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 32:10

Author: Shaw et. al

Publication: How biased are you? The effect of prior performance information on attending physician ratings and implications for learner handover Advances in Health Sciences Education June 2020.

Purpose : To determine whether prior performance information either positive or negative (PPI) in the form of LH influences the assessment of learners in the clinical context. Second question aim to ascertain how participants use LH in their assessments.

Voting for Methodology and Educational Impact: 24:45

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 35:00

Author: Barber et. al

Publication: Social Accountability Frameworks and Their Implications for Medical Education and Program Evaluation: A Narrative Review Academic Medicine (online ahead of print)

Purpose: In this Academic Medicine paper ahead-of-print, the authors set out to conduct a narrative review to identify “common themes and indicators” across “large scale social accountability frameworks”.

Voting for Methodology and Educational Impact: 28:15

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 29:14

Author: Gottlieb et. al

Publication: Impostor syndrome among physicians and physicians in training: A scoping review Med Educ. 2020 Feb;54(2):116-124

Purpose: The authors aimed to evaluate all available published studies discussing IS among physicians and physicians in training, with a goal to describe the prevalence and scope of IS to identify current trends and define future areas of research.

Voting for Methodology and Educational Impact: 24:19

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 29:15

Author: Balmer et. al.

Publication: Applying the Theory of Gendered Organizations to the Lived Experience of Women with Established Careers in Academic Medicine Teaching and Learning in Medicine, DOI: 10.1080/10401334.2020.1767106

Selected for the AMEE conference as one of the best research papers submitted this year.

Lara refers to Episode 281 on Resident Duty Hours

Voting for Methodology and Educational Impact: 24:54

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 37:30

Author: Petersen et. al.

Publication:Reputation and impact in academic careers PNAS October 28, 2014 111(43) 15316-15321; first published October 6, 2014.

Spare Keys: 29.03

Voting for Methodology and Impact: 31:05

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense. 

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 15:04

This is Lara Varpio's 7th Methods Consult, and in this episode she explains:

  • Theory
  • Theoretical framework
  • Conceptual framework
  • Objective deductive approach
  • Subjective Inductive approach
  • Social Constructive ism
  • Social Construction-ism
  • Citations

Varpio et. al., The Distinctions Between Theory, Theoretical Framework, and Conceptual FrameworkAcademic Medicine: July 2020 - Volume 95 - Issue 7 - p 989-994

KeyLIME Episode [259] Surgical Teaching: Halstead 2.0 Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available here.

View Details

Episode length: 27:04

Author: Bullock et. al.

Publication: They Don’t See a Lot of People My Color: A Mixed Methods Study of Racial/Ethnic Stereotype Threat Among Medical Students on Core Clerkships Acad Med. 2020 Aug 4.

Purpose: The research team set out to determine the prevalence of racial stereotype threat in medical students AND to explore students’ experiences of stereotype threat in clinical rotations.

Voting for Methodology and Educational Impact: 23:00

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 25:55

Author: Gingerich et. al.

Publication: Seeing but not believing: Insights into the intractability of failure to fail Med Educ. 2020 Jun 19.

Purpose: “We need to identify the social rules regarding what can and cannot be said … to inform further improvement to our assessments, … How do physician supervisors conceptualize and recognize incompetence in trainees?”

Voting for Methodology and Educational Impact: 19:54

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 32:45

Author: Landrigan et. al.

Publication: Effect on Patient Safety of a Resident Physician Schedule without 24-Hour Shifts N Engl J Med. 2020 June 25;382(26):2514-2523.

Purpose: This Boston group has produced multiple previous papers relating to modified resident duty hours vs various outcomes. This time they share a multicentre study to look at the effect of 16-hour shifts vs “extended duration” duty hours for trainees in pediatric ICUs on “serious medical errors”, the ROSTERS study.

Methodology and Impact voting starts: 27:10

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 28:46

Author: Maggio et. al.

Publication: #MedEd: Exploring the relationship between altmetrics and traditional measures of dissemination in health professions education. Perspectives in Medical Education Feb 2018.

Purpose of the study: To examine the relationship between altmetrics and traditional measures: journal article citations and access counts.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode Length: 27:26

KeyLIMErs know that we talk about assessment a lot. Assessment has always been the sexier older sibling to other major aspects of meded, such as curriculum. Assessment always gets the publications, the grants, the exam committees, the competence committees, the appeals, the lawyers, the Karolinska Prizes, the Hollywood glitz. Curriculum stays home and watches Netflix again. But are we really fooling ourselves into keeping busy with all of this “assessment” activity?

Are all these forms and ratings just the meded equivalent of Monty Python’s machine-that-goes-bing? (See: https://www.youtube.com/watch?v=arCITMfxvEc). This speaks to the perennial question of validity.

Authors: Marceau et. al.

Publication details: Validity as a social imperative for assessment in health professions education: a concept analysis. Med Educ. 2018 Jun;52(6):641-653

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Episode Length: 41:53

This is #5 the Best of KeyLIME for the Summer months of 2020.

Episode 174 was originally aired on June 12, 2018.

This is a KeyLIVE LIVE episode from Central Group on Educational Affair (CGEA) meeting in Rochester, Minnesota hosted by the Mayo Clinic of Medicine and Science.

Authors: Mueller et. al.

Publication details: Gender Differences in Attending Physicians' Feedback to Residents: A Qualitative Analysis. J Grad Med Educ. 2017 Oct;9(5):577-585.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode Length: 18:32

This is #4 the Best of KeyLIME for the Summer months of 2020.

Episode 188 was originally aired on Sept 18, 2018.

Linda's selected paper tests the hypothesis that medical students with higher exposure to the humanities would report higher levels of positive physician qualities.

Authors: Mangione S et al.

Publication details: Medical Students' Exposure to the Humanities Correlates with Positive Personal Qualities and Reduced Burnout: A Multi-Institutional U.S. Survey. J Gen Intern Med. 2018 May;33(5):628-634. Epub 2018 Jan 29.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode Length: 40:07

Authors: Rietmeijer et al.

Publication details:Patterns of direct observation and their impact during residency: general practice supervisors’ Med Educ. 2018 Jul 24. [Epub ahead of print]

Purpose: Research question: What are the manifestations, meanings and effects of DO in developing postgraduate training relationships?

Authors chose to focus on and understanding the perspective of clinical supervisors as they play a pivotal role in the DO in clinical education / practice. In the Netherlands GP residents PGY1 and 3 are directly supervised for the year by an experienced, faculty developed supervisor

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode Length: 22:15

Jon's article provides a brief description of the three key steps to learning, and introduces four major learning-science strategies.

Authors: Van Hoof TJ and Doyle TJ

Publication details: Van Hoof TJ, Doyle TJ Learning science as a potential new source of understanding and improvement for continuing education and continuing professional development Medical Teacher Jan 2018.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 27:45

This 'Best of' Episode was originally aired in September 2018 and has been downloaded over 2, 500 times!!

Here are some citations for those listeners who are interested in taking a deeper dive into Philosophy of science:

  1. Crotty, The Foundations of Social Research: Meaning and Perspective in the Research Process (1998).
  2. Howell, An Introduction to the Philosophy of Methodology. (2012)
  3. Godfrey-Smith. Theory and reality: An introduction to the philosophy of science. (2003)

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available upon request.

View Details

Episode length: 24:38

Author: Sukhera et. al.

Publication: The Implicit Association Test in health professions education: A meta-narrative review Perspect Med Educ. 2019 Oct; 8(5): 267–275.

The authors set out to synthesize existing knowledge about the IAT, about how and why it is used for teaching and learning in HPE. They set out to understand the assumptions and theoretical positions that inform those assumptions

Voting for Methodology and Educational Impact: 18:50

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available here.

View Details

Episode length: 26:52

Author: Puschel et. al.

Publication: Academic excellence in Latin America: Social accountability of medical schools Medical Teacher June 2020.

Social accountability is a key dimension of and a standard of excellence in medical education. But what is social accountability and why is it important?

Voting for Methodology and Educational Impact: 21:03

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available here.

View Details

Episode length: 28:46

Author: Young et. al.

Publication: A mobile app to capture EPA assessment data: Utilizing the consolidated framework for implementation research to identify enablers and barriers to engagement Perspect Med Educ June 2020.

Tech is never a solution for poor educational design. But, good educational design can fail because of logistics.

Voting for Methodology and Educational Impact: 22:50

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available here.

View Details

Episode length: 27:23

Author: Young M.

Publication: The utility of failure: a taxonomy for research and scholarship Perspect Med Educ. 2019 Dec;8(6):365-371.

Purpose of study:

Meredith riffed philosophy of science concepts and on Firestein’s book called Failure: why science is successful (Oxford Press 2016) and explored the idea that failure of a well-designed study has benefit. She set out to:

• provide language for describing scholarly failures,

• promote learning and interpretation from failed projects, and

• support discussions of the value of failed scholarly projects (p.366).

Voting for Methodology: 25:13

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available here.

View Details

Episode length: 24:35

Author: Santhosh et. al.

Publication: Intensive Care Unit Educators: A Multicenter Evaluation of Behaviors Residents Value in Attending Physicians Ann Am Thorac Soc. 2017 Apr;14(4):513-516.

Purpose of study: Researchers set out to identify the teaching behaviors of ICU physicians that are commonly observed by residents in the faculty educators they respect and admire.

Voting for Methodology and Impact: 20:07

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available here.

View Details

Episode Length: 34:39

Author: Winkler-Schwartz et. al.

Publication: Machine Learning Identification of Surgical and Operative Factors Associated With Surgical Expertise in Virtual Reality Simulation

Purpose of study: “To identify surgical and operative factors selected by a machine learning algorithm to accurately classify participants by level of expertise in a virtual reality surgical procedure.”

Voting for Methodology and Impact: 28:07

Read a KeyLIMErs response to this Episode here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available here.

View Details

Episode Length: 24:49

4 COVID Publications, selected by...

Jon - Russell et. al., Peabody's Paradox: Balancing Patient Care and Medical Education in a Pandemic JGME June 2020.

Lara - Gibbes Miller et. al., The Role of Medical Students During the COVID-19 Pandemic Ann Intern Med. 2020 Apr 7.

Linda - Burns et al., A remotely conducted paediatric bootcamp for fourth‐year medical students MEDICAL EDUCATION ADAPTATIONS April 2020.

Jason - Potts Residency and Fellowship Program Accreditation: Effects of the Novel Coronavirus (COVID-19) Pandemic jamcollsurg 2020 Jun;230(6):1094-1097.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available here.

View Details

Episode Length: 23:55

4 COVID Publications, selected by...

Linda - Rakowsky Five Questions for Residency Leadership in the Time of COVID-19: Reflections of Chief Medical Residents From an Internal Medicine Program Acad Med. 2020 Apr 13;10.1097/ACM.

Lara - Moon The Impact Of The Coronavirus Outbreak On Medical School Admissions

Jon - Ungtrakul Multiple Mini-Interview during a COVID-19 Pandemic Med Educ 2020 May 4

Jason - Rose Medical Student Education in the Time of COVID-19 JAMA 2020 Mar 31.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available here.

View Details

Episode Length: 32:06

Author: Ricotta et. al.

Publication: The Mindful Manager: Validation of a Rounding Leadership Instrument for Residents J Gen Intern Med. 2020 Apr;35(4):1161-1166

What are the skills needed to lead rounds?

The purpose of this study is: “To develop and collect validity evidence for a direct observation instrument of internal medicine residents’ leadership skills during daily in patient care rounds for future formative assessment.”

Voting for Methodology and Impact: 27:10

Lara's shout-out is for the GEA (AAMC) regional meetings that were cancelled this year, today's shout out is for the Central GEA Region.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available here.

View Details

Episode Length: 28:38

Author: Vande Walle et. al.

Publication: Development and Assessment of the Wisconsin Surgical Coaching Rubric. JAMA Surg. 2020 Apr 22

Purpose: In this study, they set out to “evaluate the validity” of a tool that measures the performance of a surgical coach.

Additional reading: In his classic and hugely popular 2011 essay in the New Yorker (link: https://www.newyorker.com/magazine/2011/10/03/personal-best) “Personal Best” surgeon-author influencer Atul Gawande asks why doctors don’t have formal coaches.

Voting for Methodology and Impact: 21:15

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode can be found here.

View Details

Episode Length: 29:53

Author: Veen et. al.,

Publication: Knowledge, skills and beetles: respecting the privacy of private experiences in medical education. Perspect Med Educ. 2020 Apr;9(2):111-116.

Medical Education is interested in understanding the learners' internal states... if only we could see inside the clinical maybe we could measure states like self-reflection and empathy.

Voting for Educational Impact: 24:00

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available here.

View Details

Episode Length: 23:18

Author: Cook et. al.

Publication: Internet-Based Learning in the Health Professions A Meta-analysis JAMA. 2008 Sep 10;300(10):1181-96

It's an oldie but a goodie, Cook et al., published this paper back in 2008. To see if Education is better with or without Internet! Specifically elements of effective learning with an on-line forum compared to an in person forum?

Voting for Methodology and Impact: 18:29

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available here.

View Details

Episode Length: 33:29

Author: Jarvis-Selinger et. al.

Publication: Understanding Professional Identity Formation in Early Clerkship: A Novel Framework Acad Med. 2019 Oct;94(10):1574-1580.

Purpose: When do you feel you ‘became’ a doctor? Much of the literature on identity formation suggests that this happens sometime during early residency, when trainees are immersed in the workplace with some autonomy.

Voting for Methodology and Impact: 27:13

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available here

View Details

Episode Length: 32:56

Author: Dow et. al.

Publication: Evaluating a Center for Interprofessional Education via Social Network Analysis Acad Med. 2020 Feb;95(2):207-212.

Purpose: To find an alternative method of measuring the impact of an academic institute for interprofessional education (IPE).

Voting for Methodology and Impact: 28:03

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode can be found here.

View Details

Episode Length: 27:05

Author: Swendiman et., al.

Publication: Qualities and Methods of Highly Effective Surgical Educators: A Grounded Theory Model J Surg Educ. 2019 Sep - Oct;76(5):1293-1302

Purpose: “To identify personal qualities and teaching methods of highly effective surgical educators using a novel research

design.” (And 3..2..1.. Lara’s head explodes as she reads that GT is considered novel.)

Voting for Methodology and Impact: 20.03

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode is available here.

View Details

Episode Length: 36:24

Author: Klasen et. al.

Publication: Allowing failure for educational purposes in postgraduate clinical training: A narrative review Med Teach. 2019 Nov;41(11):1263-1269.

Purpose: The authors conducted a narrative literature review to explore the postgraduate medical education literature for existing knowledge of the when, why, and how failures are used for learning

Voting for Methodology and Impact: 31:30

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode can be found here: Transcript for Ep 258

View Details

Episode Length: 33:15

Author: Pal NE et. al.,

Publication: Teachers’ mindsets in medical education: A pilot survey of clinical supervisors Med Teach. 2020 Mar;42(3):291-298.

Today's episode looks at Mindsets in Medical Education. This paper by Pal et. al., was chosen by Linda Snell and discusses whether supervisors think key components of competencies are fixed or learnable.

Voting for Methodology and Educational Impact:27:00

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcription for this Episode is available upon request.

View Details

Episode Length: 25:35

Author: Deslauriers et. al.,

Publication: Measuring actual learning versus feeling of learning in response to being actively engaged in the classroom Proc Natl Acad Sci U S A. 2019 Sep 24;116(39):19251-19257.

Voting for Methodology and Educational Impact: 19:11

This is a study of two contrasting instructional methods: Active Learning and Passive Lecture.

This may be the paper to show that colleague who is carrying out Death by PowerPoint (DPP).

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcription for this Episode can be found here: Transcription for Ep 256

View Details

Episode Length: 34:50

Author: Jain, N.

Publication: Political disclosure: resisting ableism in medical education Disability & Society (2019)

Purpose of study: This paper explores the ways political disclosure is enacted by medical students to deepen our understanding of inclusion and the complexity of disability experiences. It studies political disability disclosure including the reasons for it, as well as the facilitators and barriers to that disclosure.

Voting for Methodology and Impact: 29:30

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode can be found here: Transcript for Ep 255

View Details

Episode Length: 32:18

Author: Sawatsky et.al.,

Publication: Autonomy and Professional Identity Formation in Residency Training: A Qualitative Study. Med Educ. 2020 Jan 28.

Thinking about professional identity formation, the authors sought to characterize the relationship between individual aspects and the context in which residents work, with a special focus on autonomy, making decisions, and responsibility for patients.

Voting for Methodology and Impact: 27:00

Jon's great debate on pronunciation: 29:55

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode can be found here: Transcript for Ep 254

View Details

To-date this first Episode of 2020 has had 1, 657 downloads!

“…the objectives of the current study were (a) to compare the effectiveness of productive failure relative

to direct instruction on acquisition and application of a novel concept, and (b) to compare the effectiveness of productive failure relative to direct instruction on an assessment which tests students’ preparation for future learning.”

Episode Length: 21:06

Author: Steenhof et. al.,

Publication: Productive failure as an instructional approach to promote future learning. Adv Health Sci Educ Theory Pract. 2019 Oct;24(4):739-749.

Voting for Methodology and Impact: 17:32

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode can be found here: Transcript for Ep 253

View Details

Episode Length: 28:50

Author: Samuriwo et. al.,

Publication: ‘Man up’: Medical students’ perceptions of gender and learning in clinical practice: A qualitative study Med Educ. 2020 Feb;54(2):150-161.

Do you think that there are differences in how learners gender impacts their learning?

  • This study set out to examine how medical students perceive the impact of their gender on their learning experiences in clinical practice within medical education’s community of practice.

Voting on Methods and Educational Impact start at 24:21

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode can be found here: Transcript for Ep 252

View Details

Episode Length: 33:15

Author: McGrath et. al.,

Publication: You say it, we say it, but how do we use it? Communities of practice: Acritical analysis Med Educ. 2019 Dec 18

Could Linda's choice be 'Paper of the Year'?

The authors ‘aimed to critically analyse how theories are used in medical education research’ using Communities of Practice (CoP) as an example in a bid to address ‘the concern addressed in the medical education research context is that theories are used inconsistently and inexplicitly’.

Voting on Methods and Educational Impact start at 25:10

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode can be found here: Transcript for Ep 251

View Details

Episode Length: 28:47

Author: Dhindsa et. al.,

Publication: Individualized pattern recognition for detecting mind wandering from EEG during live lectures. PLoS One. 2019 Sep 12;14(9):e0222276

Today's episode was chosen by Jonathan Sherbino.

Does Mind Wandering during lectures have a negative affect on learning? In this study 16 lecture audience members use EEGs and self-report their attention.

You may hear Jon say 'mind watering' on a few occasions, but in fairness it was recorded late at night.

Voting on Methods and Impact start at 24:55

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode can be found here: Transcript for Ep 250

View Details

Episode Length: 26:50

Author: Hu et. al.,

Publication: Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training N Engl J Med. 2019 Oct 31;381(18):1741-1752

This paper examines self-reported mistreatments among US General Surgery residents.

"Could be paper of the year" Jonathan Sherbino

"You're either part of the problem or part of the solution" Lara Varpio

Voting on Methods and Impact start at 23:30

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode can be found here: Transcript for Episode 249

View Details

Episode Length: 30:15

Author: Tremblay et. al.,

Publication: Detection of ResidentsWith Progress Issues Using a Key Word–Specific Algorithm Journal of Graduate Medical Education, December 2019

The purpose of the study - The authors “sought to develop a novel computerized semantic analysis, which consists of an algorithm that is able to detect residents with progress issues, based on certain key words. The goal is to create a functional algorithm to identify residents at risk of failure.”

Voting for Methodology and Impact: 26:05

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Want to learn more about KeyLIME? Click here!

Full transcript for this Episode can be found here: Transcript for Episode 248

View Details

Episode Length: 21:06

Author: Steenhof et. al.,

Publication: Productive failure as an instructional approach to promote future learning. Adv Health Sci Educ Theory Pract. 2019 Oct;24(4):739-749.

Voting for Methodology and Impact: 17:32

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Want to learn more about KeyLIME? Click here!

Transcription of Episode 247 can be found here

View Details

Length of Episode: 24:45

  1. Jon - Is it time to start using the emoji in biomedical literature?
  2. Lara - Extraneous factors in judicial decisions
  3. Linda -Incidence of and risk factors for nodding off at scientific sessions
  4. Jason - It takes biking to learn: Physical activity improves learning a second language

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Want to learn more about KeyLIME? Click here!

*No abstracts available for the four Holiday Special articles.

View Details

Episode length: 40:35

The purpose of this paper is 1) To describe interpretations of commonly used phrases in Letters of reference by PDs other than in pediatrics. 2) To identify areas of agreement or variation between pediatrics, surgery, and IM LORs.

Author Saudek et. al.

Publication Pediatric, Surgery, and Internal Medicine Program Director Interpretations of Letters of Recommendation. Acad Med. 2019 Nov;94

Audience questions/comments start at: 24:52

36:30 Voting on Methodology and Educational Impact

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Want to learn more about KeyLIME? Click here!

View Details

Episode length 26:45

Today's article seeks to inductively develop insights into the concept of psychological safety for medical learners 

Author Hsiang-Te Tsuei, et. al.

Publication Exploring the Construct of Psychological Safety in Medical Education Acad Med. 2019 Nov;94 

16:18Audience participation starts

23:05 Voting on Methodology and Educational Impact

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Lara Varpio: @LaraVarpio

Want to learn more about KeyLIME? Click here!

View Details

Episode length 26:41

This is the last episode recorded live at the ICRE 2019 in Ottawa. Three classic papers are reviewed by Dr.s Linda Snell, Jonathan Sherbino and Jason Frank.

Do they fit your definition of Classic?

  1. 00:55 Hafferty. Beyond Curriculum Reform: Confronting Medicine's Hidden Curriculum. Acad Med. 1998 Apr;73(4):403-7.
  2. 8:40 Barsuk et. al., Long-Term Retention of Central Venous Catherter Insertion Skills After Simulation-Based Mastery Learning. Acad Med. 2010 Oct;85(10 Suppl):S9-12.
  3. 13:55 Tamblyn et. al., Association Between Licensing Examination Scores and Resource Use and Quality of Care in Primary Care Practice. JAMA. 1998 Sep 16;280(11):989-96.

Audience participation

22:01 KeyLIMEr from Mexico

23:38 KeyLIMEr from Texas

25:20 "The poor of Habits" (book) recommended

* There are no abstracts for this episode.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Episode length - 22:04 This episode was recorded live at the ICRE 2019 in Ottawa. Another 3 classic papers are reviewed by Dr.s Linda Snell, Jonathan Sherbino and Jason Frank. Do they fit your definition of Classic? 00:50 Jason's classic choice. Choudry et. al., Systematic Review: The relationship between clinical experience and quality of health care. Ann Intern Med. 2005 Feb 15;142(4):260-73. 8:25 Jon's choice Eva et. al., The Ability of the Multiple Mini-Interview to Predict Preclerkship Performance in Medical School Acad Med. 2004 Oct;79(10 Suppl):S40-2. 13:50 Linda's choice. Irby. What clinical teachers in medicine need to know. Acad Med. 1994 May;69(5):333-42. Voting for the 3 papers 20:50 There are no abstracts for this episode.* Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Episode length - 25:44 This episode is the review of the first 3 classic papers discussed at the ICRE 2019 in Ottawa. 4:04 Jon Sherbino's choice. Harden et. al., Assessment of clinical competence using objective structured examination. Med J. 1975 Feb 22;1(5955):447-51. 9:36 Linda's choice. Ende, J. Feedback in Clinical Medical Education JAMA. 1983 Aug 12;250(6):777-81. 16:09 Jason's classic choice. Sibley et. al., A ramdonized trial of continuing medical education. N Engl J Med. 1982 Mar 4;306(9):511-5. Voting for the 3 papers 23:48 There is no abstract for this episode.* Follow our co-hosts on Twitter!**

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Episode length 22:16

Linda Snell chosen paper was the 2nd paper reviewed at KeyLIME LIVE at the ICRE 2019 in Ottawa.

Feedback and debriefing –both essential for learning and improving future performance … are the underlying theories and actions unique, or is there a need to reconceptualize into a shared framework?

Questions/comments from audience

Paula Craigo - 14:47

Walter Tavares (Author)- 16:00

Educational Impact voting 17:31

Authors: Tavares et. al.,

Publication details: Learning Conversations: An Analysis of Their Theoretical Roots and Their Manifestations of Feedback and Debriefing in Medical Education Acad Med. 2019 Jul 30

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Total length of episode 38:17

This episode was recorded live at ICRE 2019 in Ottawa, Ontario.

Jon presents paper first paper at 7:30

Purpose: “…we sought to determine which interventions aimed at increasing under-represented populations are associated with meeting the desired outcomes of increasing the representation of these populations within the health professions student body.”

Audience participation

1) 24:42 Stan Hamstra - @StanHamstra

2) 28:04 Paula Craigo -

3) 29:05 Saleem Razack @SaleemRazack

Methodology vote starts at: 32:04

Educational Impact vote: 34:26

Authors: Simone et al.,

Publication details: What are the features of targeted or systemwide initiatives that affect diversity in health professions trainees? A BEME systematic review: BEME Guide No. 50 2018 Medical Teacher, 40:8, 762-780,

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Episode length 25:58

Background: As health education evolves, a pipeline of individuals who possess the competencies necessary to develop new curricular content and deliver it via novel pedagogies is needed. Clinician educators (CEs)* are increasingly an important part of the medical education workforce.

The purpose of the review is to identify knowledge gaps, scope a body of literature, clarify concepts

Voting on Methods at 19:14, and Educational Impact 20:37

Authors: Friedman et. al.,

Publication details: Clinician-Educator Tracks for Trainees in Graduate Medical Education: A Scoping Review Acad Med. 2019 Jun 4

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Episode length 29:38

Jason's chosen paper is on Authorship, which is a fundamental attribution for scholarly contribution, and is the basis of career advancement, global recognition, funding, wellness, professional identity, and even historical legacy. Unfortunately, it is mired in tomfoolery.

Voting on Methods at 27:15, and Educational Impact 27:30

Authors: Maggio et. al.

Publication details: Exploring researchers' perspectives on authorship decision making. Med Educ. 2019 Sep 1. doi: 10.1111/medu.13950. [Epub ahead of print]

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Episode length 25:55

This paper was selected by Lara Varpio it focuses on two important qualities for all clinicians to embrace and embody in their clinical work: empathy and compassion.

Voting on Methods at 22:30, and Educational Impact 23:27

Authors: Krishnasamy et. al.,

Publication details: How does medical education affect empathy and compassion in medical students? A meta-ethnography: BEME Guide No. 57. 2019 Med Teach. 2019 Aug 7:1-12.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Episode length 29:59

These days we live in a world of healthcare and HPE where resources are limited – choices must be made; there are increasing demands for transparency; there is more scrutiny of costs and efficiency of spending.

No voting on Methology but voting on Educational Impact starts at 27:00

Authors: Maloney et al.,

Publication details: AMEE Guide No. 123 – How to read studies of educational costs Med Teach. 2019 May;41(5):497-504.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Episode length - 25:45

The purpose of this study is

(1) to discuss the terms used in reference to clinical reasoning;

(2) describe how the research team categorized those terms in relation to the meanings inferred by each term and

(3) to report where there are disagreements in those interpretations

Voting on Methods and Educational Impact start at 19:30

Authors: Young et al.,

Publication details: The terminology of clinical reasoning in health professions education: Implications and considerations. Med Teach. 2019 Jul 17:1-8

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Episode length 24:10

Now 32:45 with Dr. Thomas's rebuttal at the end of the episode

This Evidence based Medicine paper tries to answer 3 important questions:

  1. What are HP educators’ attitudes toward using educational research evidence to inform their teaching and assessment practices?

  2. To what extent do HP educators use educational research evidence in their practice?

  3. What are the individual and organizational supports and barriers of evidence-informed education from the perspective of HP educators?

Authors: Thomas et al.,

Publication details: Use of evidence in health professions education: Attitudes, practices, barriers and supports Med Teach. 2019 May 3:1-11

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

The views expressed in the KeyLIME podcast are solely those of the hosts and do not necessarily reflect those of any organization or institution to which the hosts are affiliated including the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Episode 206 was originally aired in February 2019 and was a big hit with KeyLIMErs. This Episodes starts with a few out-takes from the last year - we hope you enjoy them.

Episode total length is : - 22:25

Let us know what you think at KeyLIME@royalcollege.ca

Authors: Panagioti, et al,.

Publication details: Panagioti, et al,. Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction A Systematic Review and Meta-analysis JAMA Intern Med. 2018;178(10):1317-1330.

View Episode 206 abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Want to learn more about KeyLIME? Click here!

Next week:

The hosts will be back from their summer vacation - Jonathan Sherbino has chosen this paper to review from Medical Teacher Use of evidence in health professions education: Attitudes, practices, barriers and supports Med Teach. 2019 May 3:1-11

View Details

The 4th Summer re-run - originally posted in November 2018.

Length of podcast 22:59

Purpose of this study "To identify the different machine learning (ML) techniques that have been applied to automate physician competence assessment and evaluate how these techniques can be used to assess different competence domains in several medical specialties.”

Authors: Dias et al.,

Publication details: Using Machine Learning to Assess Physician Competence: A Systematic Review Acad Med. 2018 Aug

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Want to learn more about KeyLIME? Click here!

View Details

The 3rd Summer re-run - originally posted in October 2018.

A narrative review chosen by Linda Snell on Assessment and Feedback, are they a risky recipe for learning.

"An amazing paper - everyone should read it" ~ Jason Frank.

Authors: Watling CJ, Ginsburg S.

Publication details: Assessment, feedback and the alchemy of learning.Med Educ. 2018 Aug 2 [Epub ahead of print]

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Want to learn more about KeyLIME? Click here!

View Details

This Episode is a re-run of Episode 189 that was aired in September 2018.

“While several narrative and systematic reviews have begun to identify the characteristics of research-favourable environments, these reviews have ignored the contextual complexities and multiplicity of environmental characteristics. Therefore, the current synthesis adopts a realist approach to explore what interventions work for whom and under what circumstances.”

It's rare but Linda, Jon and Jason all agree and give this paper triple 5 points for Methods!

Let us know what you think at KeyLIME@royalcollege.ca

Authors: Ajjawi R et al

Publication details: What really matters for successful research environments? A realist synthesis Journal of Medical Education 2018 [ePub ahead of print]

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Today's paper is a re-run, originally released in September 2018. It has been downloaded many many times.

The paper examines the Direct versus Indirect Supervision methods used in health professions education.

Does it matter how much time you spend with an attending on an Internal Medicine Ward?

Although Jason likes the Methodology, there maybe a fatal floor in the logic.

Let us know what you think at KeyLIME@royalcollege.ca

Authors: Finn KMet al

Publication details: Effect of Increased Inpatient Attending Physician Supervision on Medical Errors, Patient Safety, and Resident Education: A Randomized Clinical Trial.JAMA Intern Med. 2018 Jul 1;178(7):952-959.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Episode Length: 26:50 This paper, Smirnova et al, is a team of heavy hitting meded authors. The group set out to describe how CPIs, as measures of the activities, behaviours, and abilities of clinicians, can inform medical education and health care quality improvement. Authors conclusions: 19:55

Jason's Spare Keys: 20:37

Voting for Methods = 2, N/A, N/A, 2.

Voting for Impact = 5, 4, 5, 4.

Authors: Smirnova A et. al.,

Publication details: Defining and Adopting Clinical Performance Measures in Graduate Medical Education: Where Are We Now and Where Are We Going? Acad Med. 2019 May;94(5):671-677

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

Def of gnarly

 a**:** DIFFICULT, HAIRY skidded around gnarly hairpin turns— Austin Murphy

b: BAD, NASTY has some pretty gnarly karma coming— Drew Barrymore

 c**:** COOL, GOOD some gnarly guitar playing

View Details

Episode length - 28:19

This manuscript is from the Lancet it highlights feminist and gender issues in both medicine and medical education.

Instead of reporting on a study, this manuscript focuses on how feminist theory has been applied to medical education, and how rigorous application of feminist theory can help address some of medical education’s modern challenges.

Jon's Shout Out #1 9:31,Shout out #2 18:40

Voting on Methods and Educational Impact at 23:00

Authors: Sharma M

Publication details:Applying feminist theory to medical education. Lancet. 2019 Feb 9;393(10171):570-578

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Episode length - 33:24

The WHO has recognized that it’s hard to recruit and retain health workers in remote and rural areas and recommended clinical rotations in rural areas during studies.

This paper is a ‘comprehensive literature review ‘ to assess the published evidence for the impact of rural rotations on urban-based postgraduate learners in all disciplines.

Voting on Methods and Educational Impact at 26:39

Authors: Malhi et al.,

Publication details: The impact of rural rotations on urban based postgraduate learners: A literature review. Med Teach. 2019 May 1:1-9

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Episode length 24:50

This updated Time-and-Motion study chosen by Jason Frank is a secondary analysis of the iCOMPARE cluster RCT of 2 duty hours approaches back in episode 165.

The authors selected 6 US university affiliated and community-based hospitals that had interns working on general medicine wards in 2016. They hired 23 observers and trained them who over 3 months, conducted 1:1 observations of 194 workdays.

Jon believes the observers deserve a medal of honour for spending nearly 200 days hospitals watching interns walk around!

Voting for Methods and Impact - at 20 minutes in.

Authors: Chaiyachati et al.,

Publication details: Assessment of Inpatient Time Allocation Among First-Year Internal Medicine Residents Using Time-Motion Observations JAMA Intern Med. 2019 Apr 15.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Jon's selected paper for review today is about 'Complexity Science' and does it address the oxymoron of bring order to a system that is unpredictable.

Authors: Cristancho et al.

Publication details: What is the state of complexity science in medical education research? Med Educ. 2019 Jan;53(1):95-104

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Lara Varpio: @LaraVarpio

Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Want to learn more about KeyLIME? Click here!

View Details

Today's paper was chosen by the new KeyLIME host Lara Varpio !

Lara was drawn to this manuscript because it deals with an issue that is of particular interest to her - the move from being a mentee to being a mentor.

Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.

Authors: Balmer et al.,

Publication details: How mentor identity evolves: Findings from a 10-year follow-up study of a national professional development program. Academic Medicine. July 2018 93(7).

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Today's article for discussion was chosen by Linda. The autors aimed to ‘use a structured framework and individualized EMR-level data to guide how residents receive practice feedback, interpret data on their patient, panels, engage them in quality improvement efforts, and prepare them for practice.’

Authors: Haynes et al.,

Publication details: Continuity Clinic Practice Feedback Curriculum for Residents: A Model for Ambulatory Education. Journal of Graduate Medical Education, April 2019

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

How good are you at diagnosis?

Is Diagnosis a top priority in Medical Education?

Barnett et al., Comparative Accuracy of Diagnosis by Collective Intelligence of Multiple Physicians vs IndividualPhysicians. JAMA Network Open. 2019 Mar 1;2(3)

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

Jon's paper discusses the wish list of many PD's in how to identify a resident in difficulty.

Authors:Ross S et al.,

Publication details: Association of a Competency-Based Assessment System With Identification of and Support for Medical Residents in Difficulty. JAMA Netw Open. 2018 Nov 2;1(7):e184581.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

Linda's article discusses what happens to those who go to medical school after parental influence.

Authors:Griffin B, Hu W.

Publication details:Parental career expectations: effect on medical students’ career attitudes over time. Med Educ. 2019 Feb 7. [Epub ahead of print]

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

Jason paper is fanning the flames on the hot topic of 'Coaching'.

Linda wants to know if it works in Medicine.

Jon compares Coaching in medicine to a Diving Coach i.e. the 'triple lutz salchows' !!

Authors: Watling CJ, LaDonna KA

Publication details: Where philosophy meets culture: Exploring how coaches conceptualize their roles. Med Educ. 2019 Jan 23. [Epub ahead of print]

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Jon's chosen article explores the information-gathering techniques of residents by analyzing their initial visual fixation patterns in a simulated resuscitation environment.

Authors: Szulewski et al.,

Publication details: A new way to look at simulation-based assessment: the relationship between gaze-tracking and exam performance CJEM. 2019 Jan;21(1):129-137. Epub 2018 Jun 21.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Jason's selected paper discusses Physicians with poor malpractice liability records may pose a risk to patient safety.

Authors: Studdert et al.,

Publication details: Changes in Practice among Physicians with Malpractice Claims N Engl J Med. 2019 Mar 28;380(13):1247-1255 

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

Jon chose a letter to the Editor.

Study - A robot equipped with AI - performs breast biopsy without a clinician present.

Authors: Shlomi Laufer, Anne-Lise D. D'Angelo, and Carla M. Pugh

Publication details: Sensor Technology in Assessments of Clinical Skill. N Engl J Med. 2015 Feb 19;372(8):784-6.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Dear KeyLIMErs,

Do you have any stories to tell us about your first week of call? The KeyLIME hosts would like to hear from you, email them at KeyLIME@royalcollege.ca

Today's paper was chosen by Dr. Linda Snell discussing the shift in responsibility and the need to survive.

Authors: Walzak et al.,

Publication details: Working in the dead of night: exploring the transition to after-hours duty Med Educ. 2019 Mar;53(3):296-305

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Jon picked today's paper which discusses the experience of shame in medical education.

Authors: Bynum et al,.

Publication details:Sentinel Emotional Events: The Nature, Triggers, and Effects of Shame Experiences in Medical Residents Acad Med. 2019;94:85–93.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

Programmatic assessment (PA) is one of the big 5 features of the competency-based era. (The other 4 components of CBME are: outcome competencies, sequenced acquisition of expertise, tailored teaching/coaching, and learning activities.)

So, what is this “programmatic assessment” stuff? The promise of PA is that it is a supposed to be better way of organizing assessment.

Authors: Bok et al,.

Publication details:

Validity evidence for programmatic assessment in competency-based education Perspect Med Educ 2018 Dec;7(6):362-372

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Why a robust body of theory-driven research is needed for education in the clinical setting.

Authors: Cleland J, Durning S.

Publication details:Education and service: how theories can help in understanding tensions. Medical Education 2019 53: 42–55

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

This is re-recording of Lara Varpio's 5th 'Methods Consult' which was Episode 196 for KeyLIME. This discussion is in response to the Mangione paper reviewed in KeyLIME Episode 188.

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.


Follow our guest host on Twitter!

Lara Varpio: @LaraVarpio

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

A transcript of this episode can be found here

View Details

This is Lara Varpio's 6th 'Methods Consult' for KeyLIME.

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.

Additional material about Thomas Kuhn, ontologies and epistemologies:

  1. Stanford Encyclopedia of Philosophy [Internet]. Stanford University: Center for the Study of Language and Information; 2019. Available from: https://plato.stanford.edu
  2. Kuhn, TS. The Structure of Scientific Revolutions. 50th ed. Chicago IL: University of Chicago Press; 2012 (Original work published in 1962).
  3. Okasha, S. Philosophy of Science: A Very Short Introduction. 2nd ed. Oxford UK: Oxford University Press; 2016.

Follow our guest host on Twitter!

Lara Varpio: @LaraVarpio

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

A transcript of this episode can be found here

View Details

How did the Master Clinicians in your environment get their mastery ?

Authors: Murthy VK, O'Brien B, Dhaliwal G.

Publication details:An Inquiry Into the Early Careers of Master Clinicians J Grad Med Educ. 2018 Oct;10(5):500-506 

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

Jason selects an important paper on Physician burnout and how concerns have reached a strident pitch

Authors: Panagioti, et al,.

Publication details: Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction A Systematic Review and Meta-analysis JAMA Intern Med. 2018;178(10):1317-1330.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

This paper is so hot, Jon had to put his oven-mitts on!

As patient volumes increase, it is becoming increasingly important to find novel ways to teach junior medical learners about the intricacies of managing multiple patients simultaneously and about working in a resource-limited environment.

Authors: Tsoy E et al.

Publication details: Creating GridlockED: A Serious Game for Teaching About Multipatient Environments Acad Med. 2019 Jan;94(1):66-70

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Tell me something, dear clinician-educator: In your institution, who is more likely to be recognized, your colleague the hard-core science researcher, or your most outstanding teacher? Who will make full professor sooner?

Authors: Shinkai et al.

Publication details: Rethinking the Educator Portfolio: An Innovative Criteria-Based Model Acad Med. 2018 Jul;93(7)

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Those who can, do. Those who cannot, teach. Those who cannot teach, teach teaching.

There is a small literature in med ed suggesting that ‘to teach is to learn twice’.

Authors: Smith et al.

Publication details: Those Who Teach, Can Do: Characterizing the Relationship Between Teaching and Clinical Skills in a Residency Program J Grad Med Educ. 2018 Aug;10(4):459-463

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Jonathan Sherbino selected this article which focused on exploring physician behaviours during the AGF (audit and group feedback) sessions.

Authors: Cooke et al

Publication details: How do physicians behave when they participate in audit and feedback activities in a group with their peers? Implement Sci. 2018 Jul 31;13(1):104

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Today's KeyLIME Holiday Special is hosted by 3 Elves:
Peaches Monkey-Bums (Jonathan Sherbino),
Tinker McJingles (Linda Snell) and
Puddin Angel-Pants (Jason Frank) with a shout out to the honorary host Sugar Sparkly-socks (Lara Varpio)

Their discussions include - Santa's little helpers, Cookies and Boring speakers!

We'll be back with Episode 202 on January 8, 2019!

Authors:

  1. Wigley C et al.,Santa’s little helpers: a novel approach to developing patient information leafletsBMJ 2017;359:(Jonathan Sherbino's pick)

2 a) Bartlett M. The gift of food and the utility of student feedback. Med Educ. 2018 Oct;52(10):1000-1002 (Jason Frank's pick)

2 b) Hessler M et al. Availability of cookies during an academic course session affects evaluation of teaching. Med Educ. 2018; 52(10):1064-1072. (Jason Frank's pick)

  1. Ewers R. Boring speakers talk for longer.Correspondence Nature Vol 561. September 2018. (Linda Snell's pick)

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

KeyLIME LIVE edition. This is the first paper to be discussed at the AAMC on Nov 2, 2018 in Texas.

The paper was chosen by Lara Varpio - In this study, the authors set out to study how learners and faculty reconcile identity tensions that are evoked during the process of implicit bias recognition and management.

Authors: Sukhera J et. al.

Publication details: Striving while Accepting: Exploring the Relationship Between Identity and Implicit Bias Recognition and Management Acad Med. 2018 Nov;93

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

This is the 2nd paper reviewed for KeyLIME LIVE at AAMC in Texas. Linda Snell's chose this article to discuss teaching of technical skills.

See one, do one, mess it up? Do one first?

Or see one, do a few and get better with practice and feedback?

Authors: Kulasegaram K et. al.,

Publication details: Do one then see one: Sequencing discovery learning and direct 1 instruction for simulation-based technical skills training Acad Med. 2018 Nov;93

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Linda's selected this paper for KeyLIME LIVE at the ICRE in Halifax October 2018.

The Research question: What are the manifestations, meanings and effects of Direct Observation in developing postgraduate training relationships?

Let us know what you think at KeyLIME@royalcollege.ca

Authors: Rietmeijer et al.

Publication details: Patterns of direct observation and their impact during residency: general practice supervisors’ Med Educ. 2018 Jul 24. [Epub ahead of print]

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Today's episode was recorded live at the ICRE 2018 in Halifax, Nova Scotia. The commentary paper on reporting innovations/interventions was selected by the guest host Lara Varpio.

Authors: Horsley, T, Regehr, G.

Publication details: When are two interventions the same? Implications for reporting guidelines in education.Medical Educ 2018 52: 139–147

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

‘CPD is composed of diverse educational and developmental activities that address multiple aspects of physician competencies’: in Canada, as for UGME and PGME, CanMEDS 2015 is the competency framework.

Authors: Jeong D, Presseau J, ElChamaa R, Naumann DN, Mascaro C, Luconi F, Smith KM, Kitto S.

Publication details: Barriers and Facilitators to Self-Directed Learning in Continuing Professional Development for Physicians in Canada: A Scoping Review Acad Med. 2018 Jul;93(7):1079-1084.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Apparently, the current answer to everything in medicine, and health professions education is no different, is artificial intelligence.

Authors: Dias et. al.

Publication details: Using Machine Learning to Assess Physician Competence: A Systematic Review Acad Med. 2018 Aug

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

KeyLIMErs know that we talk about assessment a lot. Assessment has always been the sexier older sibling to other major aspects of meded, such as curriculum. Assessment always gets the publications, the grants, the exam committees, the competence committees, the appeals, the lawyers, the Karolinska Prizes, the Hollywood glitz. Curriculum stays home and watches Netflix again. But are we really fooling ourselves into keeping busy with all of this “assessment” activity?

Are all these forms and ratings just the meded equivalent of Monty Python’s machine-that-goes-bing? (See: https://www.youtube.com/watch?v=arCITMfxvEc). This speaks to the perennial question of validity.

Authors: Marceau et. al.

Publication details: Validity as a social imperative for assessment in health professions education: a concept analysis. Med Educ. 2018 Jun;52(6):641-653

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

This is Lara Varpio's 5th 'Methods Consult' for KeyLIME. Today's discussion is in response to the Mangione paper reviewed in KeyLIME Episode 188.

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.


Follow our guest host on Twitter!

Lara Varpio: @LaraVarpio

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Jonathan loves life-hacks. Today's paper is about electrical brain stimulation on medical students to improve technical skills !

Authors: Ciechanski et al.

Publication details: Effects of Transcranial Direct-Current Stimulation on Neurosurgical Skill Acquisition: A Randomized Controlled Trial. World Neurosurg. 2017 Dec;108:876-884.e4. Epub 2017 Aug 31.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

A narrative review chosen by Linda Snell on Assessment and Feedback, are they a risky recipe for learning.

"An amazing paper - everyone should read it" ~ Jason Frank.

Authors: Watling CJ, Ginsburg S.

Publication details: Assessment, feedback and the alchemy of learning.Med Educ. 2018 Aug 2 [Epub ahead of print]

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this paper the Faculty of Pharmacy at the University of Toronto, set out explore how core curriculum leaders in their school perceived the new pharmacy competency framework.

Let us know what you think at KeyLIME@royalcollege.ca

Authors: Paradis E, Zhao R, Kellar J, Thompson A.

Publication details: How are competency frameworks perceived and taught? : An exploratory study in the context of pharmacy education. Perspect Med Educ. 2018 Jun;7(3):200-206

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

“While several narrative and systematic reviews have begun to identify the characteristics of research-favourable environments, these reviews have ignored the contextual complexities and multiplicity of environmental characteristics. Therefore, the current synthesis adopts a realist approach to explore what interventions work for whom and under what circumstances.”

It's rare but Linda, Jon and Jason all agree and give this paper triple 5 points for Methods!

The Outtakes that Jason refers to can be heard at the beginning of Episodes 184 and 186

Let us know what you think at KeyLIME@royalcollege.ca

Authors: Ajjawi R et al

Publication details: What really matters for successful research environments? A realist synthesis Journal of Medical Education 2018 [ePub ahead of print]

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Linda's selected paper tests the hypothesis that medical students with higher exposure to the humanities would report higher levels of positive physician qualities.

Let us know what you think at KeyLIME@royalcollege.ca

Authors: Mangione S et al

Publication details: Medical Students' Exposure to the Humanities Correlates with Positive Personal Qualities and Reduced Burnout: A Multi-Institutional U.S. Survey. J Gen Intern Med. 2018 May;33(5):628-634. Epub 2018 Jan 29.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Today's paper examines the Direct versus Indirect Supervision methods used in health professions education.

Does it matter how much time you spend with an attending on an Internal Medicine Ward?

Although Jason likes the Methodology, there maybe a fatal floor in the logic.

Let us know what you think at KeyLIME@royalcollege.ca

Authors: Finn KMet al

Publication details: Effect of Increased Inpatient Attending Physician Supervision on Medical Errors, Patient Safety, and Resident Education: A Randomized Clinical Trial.JAMA Intern Med. 2018 Jul 1;178(7):952-959.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Today's re-run of Episode 147 aims to explore the impact of rudeness on the performance of medical teams. Jon shares: as a clinician, he thinks a lot about the function of a system to optimize the quality of patient care and prevent error, and, as an educator, he often thinks of how to effectively teach and structure patient encounters for learners to facilitate their acquisition of knowledge and experience – he’s aware that with improved experience, learners can provide better care. However, he admits he has never given serious attention to the psychology of team performance on patient outcomes – this paper changes all that!

Authors: Riskin A, Erez A, Foulk TA, Kugelman A, Gover A, Shoris I, Riskin KS, Bamberger PA.

Publication details: The Impact of Rudeness on Medical Team Performance: A Randomized Trial. Pediatrics. 2015 Sep;136(3):487-95. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Methods Consult #4: Thematic Emergence and the Lady of the Lake   Further reading suggestions: * Varpio, L., Ajjawi, R., Monrouxe, L., O’Brien, B., Rees, C. (2017). Shedding the Cobra Effect: Problematizing Thematic Emergence, Triangulation, Saturation and Member Checking. Medical Education. State of the ScienceIssue. 51(1), 40-50. * Ten Tweets from Victoria Clarke: https://twitter.com/drvicclarke/status/1014814432139141121

Disclaimer: The views expressed in this podcast are those of the author, Lara Varpio, and are not necessarily those of the Department of Defense or other American federal agencies.   A transcript of this episode can be found here

View Details

This week we have a re-run episode. It's Episode 173 'Ripped from the Headlines #3'.

If you'd like to hear 'Ripped from the Headlines #1 & #2'  they are Episodes 151 & 167.

The intro is a little different this week as a few of the many out-takes have been included. If you'd like to hear more let us know!!

View Details

Jon's chosen article tackles an intermediate step crucial to the functioning of a competency committee – the review and assessment of the learner portfolio

Authors: Andrea Oudkerk Pool, Marjan J. B. Govaerts, Debbie A. D. C. Jaarsma and Erik W. Driessen.

Publication details: Andrea Oudkerk Pool • Marjan J. B. Govaerts • Debbie A. D. C. Jaarsma • Erik W. Driessen From aggregation to interpretation: how assessors judge complex data in a competency-based portfolio Adv in Health Sci Educ (2018) 23:275–287

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Linda's chosen article is from Perspectives in Medical Education discussing altmetrics and traditional measures of dissemination.

Authors: Lauren A. Maggio, Todd C. Leroux, Holly S. Meyer, Anthony R. Artino Jr.

Publication details: Lauren A. Maggio, Todd C. Leroux, Holly S. Meyer, Anthony R. Artino Jr. #MedEd: Exploring the relationship between altmetrics and traditional measures of dissemination in health professions education. Perspectives in Medical Education Feb 2018.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

This is the last of the summer re-run episodes. Next week it will business as usual. Please let us know if you have any requests for the next holiday re-runs by email us at keylime@royalcollege.ca

The assessment literature has seen strong a migration towards emphasizing direct observation and the use of expert raters in the last decade. Rater cognition (i.e. how an individual constructs an assessment of performance) has been a critical element in ensuring the validity of direct observation assessments.

Authors: Gomez-Garibello C. Young M

Publication details:

Emotions and Assessment: Considerations for Rater-Based Judgments of Entrustment. Medical Education. 2017. [ePub ahead of print)

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME?

View Details

It's definitely summer in the northern hemisphere! Here's #4 of the summer re-run series. We hope you enjoy it!

What is the most effective way to prepare senior medical students for the transition to residency?

Do the new intensive 'Surgical Boot Camps' for junior residency work? This study attempted to fill some of the gaps in the understanding of the effects of such courses on learning and performance in residency.

Authors: Wunder JA, Brandt CP, Lipman JM.

Publication details: A surgical residency preparatory course for senior medical students leads to earlier independence in ACGME competencies. Am J Surg. 2017 Nov 8. [Epub ahead of print]

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

These 5 Top KeyLIME episodes of the summer re-run series have had the top downloads in the last 6 months.

Linda has chosen the paper this week which is a Research synthesis. The authors review the progress made in developing the key components for training educators and rewarding teaching excellence, explore reasons for the limited reform, and identify possible directions for the future.

Authors: Irby, DM and P O’Sullivan.

Publication details: Developing and Rewarding Teachers as Educators and Scholars: Progress and Challenges. Medical Education. [ePub ahead of print]. Read article here!

Read the episode abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

It's summertime! Jason, Jon and Linda are at the beach. Here's the 2nd episode from their Top 5 KeyLIME episodes that are running during July (Tuesday's)

Coming to you from ICRE 2017, this is our first of the two part KeyLIME Live where we were joined by co-hosts Glenn Regehr and Karen Hauer. Up first is Karen's selection, which explores a hot topic in medical education: The Flipped Classroom (FC). This systematic review examines the evidence for the FC as a pedagogical strategy in medical education.

Authors: Chen F, Lui AM, Martinelli SM.

Publication details: A systematic review of the effectiveness of flipped classrooms in medical education. Medical Education. 2017. 51(6):585-597 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Today we start the beginning of the 5 week 'summer re-run' series which will take us through the month of July.

We hope you like KeyLIME's Top 5!

This paper aims to explore the impact of rudeness on the performance of medical teams. Jon shares: as a clinician, he thinks a lot about the function of a system to optimize the quality of patient care and prevent error, and, as an educator, he often thinks of how to effectively teach and structure patient encounters for learners to facilitate their acquisition of knowledge and experience – he’s aware that with improved experience, learners can provide better care. However, he admits he has never given serious attention to the psychology of team performance on patient outcomes – this paper changes all that!

Authors: Riskin A, Erez A, Foulk TA, Kugelman A, Gover A, Shoris I, Riskin KS, Bamberger PA.

Publication details: The Impact of Rudeness on Medical Team Performance: A Randomized Trial. Pediatrics. 2015 Sep;136(3):487-95. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Jason chose an interesting case report of an innovation by Orthopedics surgeons reviewing the cutting edge of curriculum design for the anticipated CBME in Canada.

Authors: Markku T. Nousiainen, Polina Mironova, Melissa Hynes, Susan Glover Takahashi, Richard Reznick, William Kraemer, Benjamin Alman, Peter Ferguson & The CBC Planning Committee (2018):

Publication details: Eight-year outcomes of a competency-based residency training program in orthopedic surgery, Medical Teacher 2018 Jan 18:1-13

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Jon'sarticle provides a brief description of the three key steps to learning, and introduces four major learning-science strategies.

Authors: Van Hoof TJ and Doyle TJ

Publication details: Van Hoof TJ, Doyle TJ Learning science as a potential new source of understanding and improvement for continuing education and continuing professional development Medical Teacher Jan 2018.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

This is a KeyLIVE LIVE episode from Central Group on Educational Affair (CGEA) meeting in Rochester, Minnesota hosted by the Mayo Clinic of Medicine and Science..

Authors: Mueller AS, Jenkins TM, Osborne M, Dayal A, O'Connor DM, Arora VM.

Publication details: Gender Differences in Attending Physicians' Feedback to Residents: A Qualitative Analysis. J Grad Med Educ. 2017 Oct;9(5):577-585.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

The hosts introduce a new series called “Ripped from the Headlines”, inspired by Riffed from the headlines on CBC Radio. In this series, one of the hosts selects three quotes – two real, one fake – and asks their co-hosts to spot the fake!

In this third iteration (#1 Ep151, 32 Ep167), Linda has selected the three quotes …did her co-host guess right? Did you? Listen to find out!

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Jason'sarticle choice discusses undergraduate assessments to the prediction of internship performance.  

Authors:Ming Lee and Michelle Vermillion

Publication details: Ming Lee and Michelle Vermillion, Comparative values of medical school assessments in the prediction of internship performance, Medical Teacher. Feb 2018.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

This is a KeyLIVE LIVE episode from Central Group on Educational Affair (CGEA) meeting in Rochester, Minnesota hosted by the Mayo Clinic of Medicine and Science.

Authors: Chan TM, Stukus D, Leppink J, Duque L, Bigham BL, Mehta N, Thoma B

Publication details: Social Media and the 21st-Century Scholar: How You Can Harness Social Media to Amplify Your Career J Am Coll Radiol. 2018 Jan;15(1 Pt B):142-148

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Cited & Additional Readings:

McGaghie, W.C., (2015). Varieties of Integrative Scholarship: Why Rules of Evidence, Criteria, and Standards Matter. Academic Medicine. 90: 294-302

Thomas, A.T., Lubarsky, S., Durning, S.J., Young, M.E. (2017).Knowledge Syntheses in Medical Education: Demystifying Scoping Reviews. Academic Medicine. 92: 161-166.

Arksey, H., O’Malley, L. (2005). Scoping Studies: Towards a Methodological Framework. International Journal of Social Research Methodology. 8(1): 19-32.

Cook, D.A., West, C.P. (2012). Conducting systematic reviews in medical education: A stepwise approach. Medical Education. 46(10): 943-952.

Levac, D., Colquhoun, H., O’Brien, K.K. (2010). Scoping studies: Advancing the methodology. Implementation Science. 5:69.                                     

Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Health Sciences, the US Navy, or the US Department of Defense.

A transcript of this episode can be found here

View Details

Linda Snell's article choice investigates whether there is a gender differences in teaching evaluations. The retrospective study was performed at a North American medical school, there were 14,107 teaching evaluations of 965 faculty members.

Gender is also the subject for KeyLIME episode 174. 'Gender differences in attending physicians feedback to residents: A qualitative analysis'.

Authors: Morgan HK, Purkiss JA, Porter AC, Lypson ML, Santen SA, Christner J, Grum CM, and Hammoud MM.

Publication details: Student evaluation of faculty physicians: gender differences in teaching evaluations. Journal of Women's Health.25,5. 453-456. (2016).

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Linda Snell's article choice discusses the process and training for Breaking Bad News (BBN). It's a challenging task and even more so for trainees.

Authors: Karnieli-Miller, O. Palombo, M. Meitar, D

Publication details: See, Reflect, Learn more: Qualitative Analysis of Breaking Bad News Reflective Narratives Medical Education 2017. [ePub ahead of print]

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

The hosts introduce a new series called “Ripped from the Headlines”, inspired by Riffed from the headlines on CBC Radio. In this series, one of the hosts selects three quotes – two real, one fake – and asks their co-hosts to spot the fake!

In this second iteration (first was KeyLIME episode 151) , Jon has selected three quotes …did his co-host guess right? Did you? Listen to find out!

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank 

Jonathan Sherbino: @sherbino 

Linda Snell: @LindaSMedEd 

Want to learn more about KeyLIME? Click here!

View Details

Jonathan Sherbino discusses a paper on the 'art of observation' and how it can be used to improve observation skills in medical ophthalmology students. Observation is often not provided explicitly so will formal training in the visual arts help to gain observation skills.

Authors: Gurwin J, Revere KE, Niepold S, Bassett B, Mitchell R, Davidson S, DeLisser H, Binenbaum G.

Publication details: A Randomized Controlled Study of Art Observation Training to Improve Medical Student Ophthalmology Skills. Ophthalmology. 2018 Jan;125(1):8-14.Epub 2017 Aug 7.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode Jason discusses a paper on inflexible duty-hours in residency programs and how they adversely affect the training of physicians.

Authors: S.V. Desai, D.A. Asch, L.M. Bellini, K.H. Chaiyachati, M. Liu, A.L. Sternberg, Tonascia, A.M. Yeager, J.M. Asch, J.T. Katz, M. Basner, D.W. Bates, K.Y. Bilimoria, D.F. Dinges, O. Even‑Shoshan, D.M. Shade, J.H. Silber, D.S. Small, K.G. Volpp, and J.A. Shea.

Publication details: N Engl J Med. 2018 Mar 20. doi: 10.1056/NEJMoa1800965. [Epub ahead of print] PubMed Link

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Jon has chosen an unusual article for today's episode. A novel approach to teaching - in this study it's from a kiosk in a busy airport!

Authors: Chang MP, Gent LM, Sweet M, Potts J, Ahtone J, Idris AH.

Publication details: A novel educational outreach approach to teach Hands-Only Cardiopulmonary Resuscitation to the public. Resuscitation. 2017 Jul;116:22-26. Epub 2017 Apr 29.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Here are some citations for those listeners who are interested in taking a deeper dive into Philosophy of science:

  1. Crotty, The Foundations of Social Research: Meaning and Perspective in the Research Process (1998).
  2. Howell, An Introduction to the Philosophy of Methodology. (2012)
  3. Godfrey-Smith. Theory and reality: An introduction to the philosophy of science. (2003)

A full transcript of this episode can be found here

View Details

Today's KeyLIME article is a scoping review, on how student-provided medical education influences clinical outcomes.

Authors: Vijn TW, Fluit CRMG, Kremer JAM, Beune T, Faber MJ, Wollersheim H

Publication details: Involving Medical Students in Providing Patient Education for Real Patients: A Scoping Review. J Gen Intern Med. 2017 Sep;32(9):1031-1043 9.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

One of the biggest ongoing controversies in medical education is around the role of experience in practice on patient outcomes. KeyLIMErs will know that we have previously covered several previous papers looking at factors that influence graduates’ practice outcomes, including time since graduation. The literature on this topic is mixed and conflicting.

Authors: Goodwin J, Salameh H, Zhou J, Singh S, Kuo YF, Nattinger AB.

Publication details:

Associationof Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population. JAMA Intern Med. 2018 Feb 1;178(2):196-203.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME?

View Details

It's the perennial topic in Medical Education - 'Feedback' and what do we really know about the quality of feedback given in our clinical environments? This paper sets out to gather validity evidence.

Authors: Bing-You R, Ramesh S, Hayes V, Varaklis K, Ward D & Blanco M

Publication details: Trainees' Perceptions of Feedback: Validity Evidence for Two FEEDME (Feedback in Medical Education) Instruments, Teaching and Learning in Medicine, 2017 Dec 14.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Workplace Based Assessment is a hot topic in Med Ed and pretty essential to CBME and being used in many clinical learning settings, but is our understanding of it is limited, evident is varied and conflicting.

Authors: Barrett A, Galvin R, Scherpbier AJ, Teunissen PW, O'Shaughnessy A, Horgan M.

Publication details:

Is the learning value of workplace-based assessment being realised? A qualitative study of trainer and trainee perceptions and experiences. Postgrad Med J. 2017 Mar;93(1097):138-142.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME?

View Details

Jon's paper seeks to inform scholars about common reasons for internal editor review rejections, which will hopefully stop letters that start like this 'Dear So and So, Thank you for your submission. Our journal receives many more submissions than it can publish. Unfortunately, we are unable to publish your manuscript'.

Authors: Meyer HS, Durning SJ, Sklar D and Maggio LA

Publication details:

Making the First Cut: An Analysis of Academic Medicine Editors' Reasons for Not Sending Manuscripts Out for External Peer Review. Acad Med. 2017 Aug 1. [Epub ahead of print]

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

The assessment literature has seen strong a migration towards emphasizing direct observation and the use of expert raters in the last decade. Rater cognition (i.e. how an individual constructs an assessment of performance) has been a critical element in ensuring the validity of direct observation assessments.

Authors: Gomez-Garibello C. Young M

Publication details:

Emotions and Assessment: Considerations for Rater-Based Judgments of Entrustment. Medical Education. 2017. [ePub ahead of print)

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME?

View Details

What is the most effective way to prepare senior medical students for the transition to residency?

Do the new intensive 'Surgical Boot Camps' for junior residency work? This study attempted to fill some of the gaps in the understanding of the effects of such courses on learning and performance in residency.

Authors: Wunder JA, Brandt CP, Lipman JM.

Publication details: A surgical residency preparatory course for senior medical students leads to earlier independence in ACGME competencies. Am J Surg. 2017 Nov 8. [Epub ahead of print]

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Linda presents two papers in order to answer two questions...

  1. How Attending Physicians Negotiate Their Work Environment – “to generate an empiric, detailed, and updated view of the attending physician preceptor role and its interface with the complex work environment.”
  2. How evidence from observing attending physicians in the workplace links to a competency-based framework (CanMEDS competencies / Roles)

Article 1)

Authors: Bacchus M, Ward DR, de Grood J, Lemaire JB

Publication details: How evidence from observing attending physicians links to a competency-based framework Med Educ. 2017 Jun; 51(6):633-644.

Article 2)

Authors: Lemaire JB, Wallace JE, Sargious PM, Bacchus M, Zarnke K, Ward DR, Ghali WA.

Publication details: How Attending Physician Preceptors Negotiate Their Complex Work Environment: A Collective Ethnography. Acad Med. 2017 Jun 20. [Epub ahead of print]

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME?

View Details

Jason’s chosen article for today’s podcast discusses the assessment tool ITERs and documented narratives.

Often ITERs are horribly misused but are still deployed as institutions need to record that a trainee was present and competencies were achieved.

Authors: Hatala R, Sawatsky AP, Dudek N, Ginsburg S, Cook DA.

Publication details: Using In-Training Evaluation Report (ITER) Qualitative Comments to Assess Medical Students and Residents: A Systematic Review. Acad Med. 2017 Jun;92(6):868-879.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME?

View Details

This is Lara Varpio's first 'Methods Consult' for KeyLIME.

As a PHD trained scientist working in the field, it is of Lara's opinion that her job is to help others gain the skills and expertise needed to engage in Health Professions Education scholarship and research.

In this first consult Lara gives some background and the benefits of interdisciplinary collaboration for illuminating research.

It's not about what's in it for me, but what's in it for us.


Follow our guest host on Twitter!

Lara Varpio: @LaraVarpio

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

A copy of the transcript can be found here

View Details

Today's paper is selected by Jon, he starts by confessing his own CPD is passive, and with no outcomes assessed he's unable to see if his interventions have changed his practice.

Authors: Greenberg CC, Ghousseini HN, Pavuluri Quamme SR, Beasley HL, Frasier LL, Brys NA, Dombrowski JC, Wiegmann DA

Publication details: Wisconsin Surgical Coaching Program. A Statewide Surgical Coaching Program Provides Opportunity for Continuous Professional Development. Ann Surg. 2017 Jun 22. [Epub ahead of print] PubMed link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

The hosts introduce a new series called “Ripped from the Headlines”, inspired by Riffed from the headlines on CBC Radio. In this series, one of the hosts selects three quotes – two real, one fake – and asks their co-hosts to spot the fake!

In this first iteration, Jason has selected the following three quotes …did his co-host guess right? Did you? Listen to find out!

  1. “…We employed the VARK questionnaire to assess the differences in learning styles and approaches among medical undergraduates. A totally of 284 students participated…Participants whose teaching was tailored to their respective learning styles had superior learning outcomes in comparison with controls…”
  2. “…The reported strategies and attitudes helped to develop, mental, physicial and social resource pools that fostered effective decision making. Successful coping…encouraged the maintenance of resilience-promoting abilities. In relation to Conservation of Resources Theory, physician resilience emerged as the ability to invest personal resources in a way that initiatives positive resource spirals…”
  3. “…many educators tasking with implementing CBME understandably feel they have limited power to protest…For too long CBME has been allowed to propagate based the regulatory and administrative power of a small group…CBME…is faith-based medical education, replete with its own unopposable truths and its authorized high priests…”

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Linda has chosen the paper this week which is a Research synthesis. The authors review the progress made in developing the key components for training educators and rewarding teaching excellence, explore reasons for the limited reform, and identify possible directions for the future.

Authors: Irby, DM and P O’Sullivan.

Publication details: Developing and Rewarding Teachers as Educators and Scholars: Progress and Challenges. Medical Education. [ePub ahead of print]. Read article here!

Read the episode abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Coming to you from ICRE 2017, this is the second recording from KeyLIME Live where we were joined by co-hosts Glenn Regehr and Karen Hauer. Part 2 finds the co-hosts discussing an observational study where the authors assert that the #meded literature lacks studies that provide validity evidence for workplace-based assessments (WBAs).

As any frequent listener knows, the hosts have often discussed the importance of the contemporary shift away from high-stakes, end-of-training exams, to programmatic assessment, an approaching involving a system that emphasizes WBAs sampled in authentic environments, often with direct observation, and collated in meaningful ways for decision-making. Will this paper change their point of view? Listen to find out!

Authors: Naidoo S, Lopes S, Patterson F, Mead HM, MacLeod S.

Publication details: Can colleagues', patients' and supervisors' assessments predict successful completion of postgraduate medical training? Med Educ. 2017. 51(4):423-431. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Coming to you from ICRE 2017, this is our first of the two part KeyLIME Live where we were joined by co-hosts Glenn Regehr and Karen Hauer. Up first is Karen's selection, which explores a hot topic in medical education: The Flipped Classroom (FC). This systematic review examines the evidence for the FC as a pedagogical strategy in medical education.

Authors: Chen F, Lui AM, Martinelli SM.

Publication details: A systematic review of the effectiveness of flipped classrooms in medical education. Medical Education. 2017. 51(6):585-597 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

This week’s paper aims to explore the impact of rudeness on the performance of medical teams. Jon shares: as a clinician, he thinks a lot about the function of a system to optimize the quality of patient care and prevent error, and, as an educator, he often thinks of how to effectively teach and structure patient encounters for learners to facilitate their acquisition of knowledge and experience – he’s aware that with improved experience, learners can provide better care. However, he admits he has never given serious attention to the psychology of team performance on patient outcomes – this paper changes all that!

Authors: Riskin A, Erez A, Foulk TA, Kugelman A, Gover A, Shoris I, Riskin KS, Bamberger PA.

Publication details: The Impact of Rudeness on Medical Team Performance: A Randomized Trial. Pediatrics. 2015 Sep;136(3):487-95. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

*Author’s Note: Some KeyLIME podcast followers will find this a tough episode to discuss.*

Issues of the wellness of health care providers are an increasingly discussed in medical education. The stressors and impact of medical practice on physician health have been documented for decades. So perhaps it is time to document the “mortality rate” of medical training… Jason's selection for this podcast, from Yaghmour et al in Academic Medicine, sets out to study and characterize US resident (postgraduate) trainee deaths from 2000-2014.

Authors: Yaghmour NA, Brigham TP, Richter T, Miller RS, Philibert I, Baldwin DC Jr, Nasca TJ.

Publication details: Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014: Implications for the Learning Environment. Acad Med. 2017 Jul;92(7):976-983. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Almost all postgraduate (residency) training programs apply a competency framework to structure curriculum, teaching, learning and assessment, with the CanMEDS framework being one of the most frequently used. Linda's selection this week, a grounded theory analysis of observations and interviews, aims to explore how the CanMEDS framework informs residents’ practice-based training and interactions with supervisors.

Authors: Renting N, Raat ANJ, Dornan T, Wenger-Trayner E, van der Wal MA, Borleffs JCC, Gans ROB, Jaarsma ADC.

Publication details: Integrated and implicit: how residents learn CanMEDS roles by participating in practice. Med Educ. 2017 May 9. [Epub ahead of print] PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Part 2 of a live session recorded at the 2017 CGEA Conference in Chicago with special guest hosts Anna Cianciolo, Larry Gruppen, John Mahan and Brian Mavis!

Part 2 finds Jason and the guest hosts mulling over a major question in medical education today: how do supervising physicians make decisions regarding who and how much to trust trainees and students who report to them.

Authors:

Sheu L, O'Sullivan PS, Aagaard EM, Tad-Y D, Harrell HE, Kogan JR, Nixon J, Hollander H, Hauer KE.

Publication details: How Residents Develop Trust in Interns: A Multi-Institutional Mixed-Methods Study. Academic Medicine. 2016. (10):1406-1415. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Anna Cianciolo (@anna_cianciolo) [Guest host]

Larry Gruppen(@lgruppen) [Guest host]

John Mahan (@mededMahan) [Guest host]

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Joining Jason live from Chicago are special guest hosts Anna Cianciolo, Larry Gruppen, John Mahan and Brian Mavis!

Part 1 of a live session recorded at the 2017 CGEA Conference. Our guest hosts discuss a paper where the authors found that learners had specific strategies for attempting to manage situations where they were directly questioned by preceptors.

Authors: Lo L and Regehr, G.

Publication details: Medical Students' Understanding of Directed Questioning by Their Clinical Preceptors. Teaching and Learning in Medicine. 2017. 29 (1):5-12. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Anna Cianciolo (@anna_cianciolo) [Guest host]

Larry Gruppen(@lgruppen) [Guest host]

John Mahan (@mededMahan) [Guest host]

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Sometimes health professional education can be embarrassing. Despite the maturity of the field, there are occasions when a study, such as the one in Jon's paper selection this week, can highlight shared assumptions among clinician educators. So, what is the most effective way to teach a technical skill? The KeyLIME team is here to help you figure it out!

Authors: Rossettini G, Rondoni A, Palese A, Cecchetto S, Vicentini M, Bettale F, Furri L, Testa M.

Publication details: Effective teaching of manual skills to physiotherapy students. A Randomized Clinical Trial. Medical Education. 2017. August. [ePub ahead of print] Read the article here.

*View the abstract here***

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

We're doing something a little different this week as we welcome guest host: Lara Varpio.

Do you get lost in the med ed lingo? Do you regularly say "epistemology", "reflexivity" or "ethnography"? Do you want to know more? Lara Varpio, Associate Professor and Associate Director of Research, Graduate Programs in Health Professions Education at Uniformed Services University of the Health Sciences in Bethesda, MD gets the KeyLIME hosts up to speed.

Here is a list of her five recommended resources:

1) As a good starting point for those trying to work in qualitative research: Qualitative Research in Counseling Psychology: A Primer on Research Paradigms and Philosophy of Science

2) To help qualitative researchers answer questions they commonly get from medical educators: JGME Qualitative Rip Out Series

3) If you're looking to learn more about grounded theory: AMEE Guide #70

4) To learn about the guiding principles that you should consider before conducting qualitative research: Standards for reporting qualitative research: a synthesis of recommendations.

5) Finally, she lists two great articles on methods and methodologies, both quantitative and qualitative that are used in modern medical education research: Beyond a good story: from Hawthorne Effect to reactivity in health professions education research and Shedding the cobra effect: problematising thematic emergence, triangulation, saturation and member checking

To learn more about each recommendation and why she recommends them (plus a few bonus recommendations!) listen in!!


Follow our guest host on Twitter!

Lara Varpio: @LaraVarpio

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Empathy is widely regarded as a critical element of patient care and medical education. The more you have, the greater the patient and provider satisfaction, greater adherence to therapy, greater physician well-being and perceived clinical decision-making, greater physician joy at work. Jason's paper selection looks at "what is 'empathy' in health care, anyway?" and has the co-hosts questioning their own construct of empathy.

Authors: Costa P, de Carvalho-Filho MA, Schweller M, Thiemann P, Salgueira A, Benson J, Costa MJ, Quince T.

Publication details: Measuring Medical Students' Empathy: Exploring the Underlying Constructs of and Associations Between Two Widely Used Self-Report Instruments in Five Countries. Academic Medicine. 2016 Nov 1. [Epub ahead of print] PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Feedback to learners has always been important in Med Ed and is getting even more air time with the advent of CBME and mastery learning. While there has been a lot of literature on various aspects of feedback, it has not been broadly assessed. This scoping review, chosen by Linda, offers a wide perspective on the literature which may lead to further deeper reviews.

Authors: Bing-You R, Hayes V, Varaklis K, Trowbridge R, Kemp H, McKelvy D.

Publication details: Feedback for Learners in Medical Education: What Is Known? A Scoping Review. Academic Medicine. 2017 Feb 7. [Epub ahead of print] PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Gender bias in the workplace should come as no surprise to KeyLIME-ers. Yet, many do not realize how pervasive sexism can be in the assessment of trainees in our residency programs. Jon's selection showcases the significant issue of gender bias in the academic environment and the hosts attempt to understand the scope of the problem.

Authors: Dayal A, O’Connor DM, Qadri U, Arora VM.

Publication details: Comparison of Male vs Female Resident Milestone Evaluations by Faculty During Emergency Medicine Residency Training. JAMA Internal Medicine. 2017. March 6. [ePub ahead of print]PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

As the old adage goes- does ‘practice make perfect’? Or the not so old saying coming from mastery learning – does ‘perfect practice makes perfect’? The authors of Linda's selected paper - a report on a randomized education trial - want to convince us that ‘imperfect practice makes perfect’.

Authors: Dyre L , Tabor A, Ringstead C, Toldsgaard, MG.

Publication details: Imperfect practice makes perfect: error management training improves transfer of learning. Medical Education. 2017 Feb;51(2):196-206.PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Jason selects an article from Medical Education and the co-hosts discuss: When it comes to physicians in practice, what should clinician-educators focus on to make the most difference in patient outcomes?

Authors: Norcini JJ, Boulet JR, Opalek A, Dauphinee WD.

Publication details: Patients of doctors further from medical school graduation have poorer outcomes. Medical Education. 2017. 51(5):480.PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Linda's article selection asks: if HPESUs (health professions education scholarship units) are defined as “organizational structures within which a group of people is substantively engaged in health professions education scholarship’’ - does this mean heads of HPESUs act as Institutional Entrepreneurs?

Authors: Varpio L, O'Brien B, Durning S, van der Vleuten C, Gruppen L, Ten Cate O, Humphrey-Murto S, Irby DM, Hamstra SJ, Hu W.

Publication details: Health Professions Education Scholarship Unit Leaders as Institutional Entrepreneurs. Academic Medicine. 2017. Jan 24 [ePub ahead of print]. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: In this week's paper, selected by Jon, the co-hosts discuss whether a a closed-book exam - that requires a learner to have encoded and recall the required information - is a superior educational process to an open-book exam that requires a learner to appraise and apply an array of widely available information?

Authors: Durning SJ, Dong T, Ratcliffe T, Schuwirth L, Artino AR Jr, Boulet JR, Eva K.

Publication details: Comparing Open-Book and Closed-Book Examinations: A Systematic Review. Academic Medicine. 2016 Apr; 91(4):583-99. PubMed link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

When was the last time you, dear KeyLIME listener, was observed performing a clinical task by someone who had some kind of power over your career? Was it a colleague as part of a simulation? An administrative leader? Was it at a conference? Was it a mandatory peer review? Was it comfortable for you? Did you change what you would normally do in that situation? Jason's choice this week explores that kind of experience, namely: the lived experience of physicians who have had direct observation while performing clinical tasks.

Authors: LaDonna K, Hatala R, Lingard L, Voyer S, Watling C.

Publication details: Staging a performance: Learners’ perceptions about direct observation during residency. Medical Education. 2017 May;51(5):498-510. Read the article here.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Linda's selection hails from a relatively unknown journal. The paper's author proposes that there is a link between the quality of case presentations (CP) by learners and the learner’s diagnostic reasoning (DR) ability.

Author: Onishi, H.

Publication details: Assessment of Clinical Reasoning by Listening to Case Presentations: VSOP Method for Better Feedback. Journal of Medical Education and Curricular Development. 2016 (3): 125-131. Link to article abstract

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

This week's selection was a suggestion from Miguel Galán de Juana, one of our loyal listeners!

For nearly 100 years, there have been calls from experts and other stakeholders to change medical education to incorporate “health systems science” (HSS). This push for HSS in health professions education is heating up, as multiple countries seek physicians who have new sets of skills and behaviours to improve the performance of health care systems and improve patient outcomes. Jason presents a qualitative study that sets out to identify “value-added roles for medical students within the health care delivery system” in Pennsylvania, USA.

Authors: Gonzalo JD, Graaf D, Johannes B, Blatt B, Wolpaw DR.

Publication details: Adding Value to the Health Care System: Identifying Value-Added Systems Roles for Medical Students. American Journal of Medical Quality. 2016 Apr 26. [Epub ahead of print] PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

What are the effective solutions to prevent burnout and promote wellness for clinicians? Jon presents a systematic review that attempts to answer that problem. (All three hosts wanted to present this paper but Jon was the quickest to grab it!) His own specialty (Emergency Medicine) consistently ranks high in several studies on burnout.

Authors: Panagioti M, Efharis Panagopoulou E, Peter Bower P, Lewith G, Kontopantelis E, Chew-Graham C, Dawson S, van Marwijk H, Geraghty K, Esmail A.

Publication details: Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA Internal Medicine. 2016 Dec. [ePub ahead of print] PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Linda presents an article that summarizes five contemporary theories about motivation to learn, articulates key intersections and distinctions among these theories, and identifies important considerations for future research - the hosts agree all Clinician Educators in training should have this article on their bookshelf!

Authors: Cook DA, Artino AR Jr

Publication details: Motivation to learn: an overview of contemporary theories. Medical Education. 2016. 50(10):997-1014. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

Linda reviews a commentary and literature synthesis that aims to characterize the theoretical foundations of the Socratic method in teaching, and contrast it with pimping by introducing the construct of “psychological safety".

Authors: Stoddard HA, O'Dell DV.

Publication details: Would Socrates Have Actually Used the "Socratic Method" for Clinical Teaching? J Gen Intern Med. 2016 Sep;31(9):1092-6. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason has chosen today’s article to discuss how the ratio of teachers to learners is an important design factor. Length: 28:14 min.

Authors: Loewen PS, Gamble A, Legal M, Shah K, Tkachuk S, Zed PJ.

Publication details: Learner-Preceptor Ratios for Practice-Based Learning Across Health Disciplines: A Systematic Review. Medical Education. 2016 Nov 23. [Epub ahead of print] Read the article here.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon’s chosen paper discusses the quality of blogs and podcasts used by residents - now that text books are in the process of becoming extinct. Length: 23:47 min.

Authors: Lin M, Joshi N, Grock A, Swaminathan A, Morley EJ, Branzetti J, Taira T, Ankel F, Yarris LM.

Publication details: Approved Instructional Resources Series: A National Initiative to Identify Quality Emergency Medicine Blog and Podcast Content for Resident Education. J Grad Med Educ. 2016 May;8(2):219-25. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason rates this paper’s method section as a 5 because of the gargantuan effort involved, he also suggests we stop calling data ‘Teacher Evaluation’ and instead call it ‘Learner Satisfaction’. Length: 27:15 min.

Authors: Uttl B, White CA, Gonzalez DW

Publication details: Meta-analysis of faculty's teaching effectiveness: Student evaluation of teaching ratings and student learning are not related. Studies in Educational Evaluation. 2016 Sept 19 Link to journal page

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon presents an important paper that one day could be known as the archeology of CBME. Length: 18:07 min.

Authors: Hauer KE, Chesluk B, Iobst W, Holmboe E, Baron RB, Boscardin CK, Cate OT, O'Sullivan PS.

Publication details: Reviewing residents' competence: a qualitative study of the role of clinical competency committees in performance assessment. Academic Medicine. 2015 Aug;90(8):1084-92PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda presents a ‘thought paper’ on the very complex task of Handover - she calls it a paper that nicely combines educational theory and practical aspects. Linda believes it will win the ‘paper of the year’ award! Length: 28 min.

Authors: Young JQ, Ten Cate O, O'Sullivan PS, Irby DM.

Publication details: Unpacking the Complexity of Patient Handoffs Through the Lens of Cognitive Load Theory. Teaching and Learning in Medicine. 2016;28(1):88-96.PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon presents a commentary paper that discusses assessment by words not numbers. Length: 19:30 min

Authors: Cook DA, Kuper A, Hatala R, Ginsburg S.

Publication details: When Assessment Data Are Words: Validity Evidence for Qualitative Educational Assessments. Academic Medicine. 2016 Apr 5. [Epub ahead of print] PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason chose a rare paper on accreditation, it’s large in both number of pages and sample size and discusses the patterns found in US residency clinical learning. Length: 22:15 min

Authors: Wagner R, Koh NJ, Patow C, Newton R, Casey BR, Weiss KB on behalf of the CLER Program

Publication details: Detailed Findings from the CLER National Report of Findings 2016. Journal of Graduate Medical Education. 2016 May;8(2 Suppl 1):35-54. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: KeyLIME LIVE guest co-host Eric J Warm selects a narative review by medical ‘Rock Star’ van der Vleuten on 12 Tips for programmatic assessment. If there’s one thing the audience can take away from the ICRE 2016 Jason R Frank says these tips should be it! Length: 25:52 min

Authors: van der Vleuten CP, Schuwirth LW, Driessen EW, Govaerts MJ, Heeneman S.

Publication details: 12 Tips for programmatic assessment. Medical Teacher. 2014 Nov 20:1-6. [Epub ahead of print] PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Eric J. Warm: @CincyIM

Want to learn more about KeyLIME? Click here!

View Details

In this episode: This podcast was recorded at ICRE 2016 Niagara Falls. Jon presents the first paper in the KeyLIME Live session which discusses the definitions relevant to a health professionals education scholarship. Length: 21:52 min

Authors: Varpio L, Gruppen L, Hu W, O'Brien B, Ten Cate O, Humphrey-Murto S, Irby DM, van der Vleuten C, Hamstra SJ, Durning SJ.

Publication details: Working Definitions of the Roles and an Organizational Structure in Health Professions Education Scholarship: Initiating an International Conversation. Academic Medicine. 2016 Aug 30. [Epub ahead of print] PubMed Link

View the abstract here

Follow the KeyLIME co-hosts on Twitter!**

Eric J. Warm: @CincyIM [Guest host]

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason’s second podcast in Sydney is selected by guest host Anthony Llewellyn which summarizes the selection techniques to find the right person for the right job. onthewards produces weekly podcasts and topical articles aimed at medical students and junior doctors to help ease the transition from medical school to internship. Our podcasts are hosted by Dr James Edwards who talks to leading medical educators about common clinical topics that junior doctors are faced with when working on the hospital wards Length: 34:55 min

"onthewards produces weekly podcasts and topical articles aimed at medical students and junior doctors to help ease the transition from medical school to internship. Our podcasts are hosted by Dr James Edwards who talks to leading medical educators about common clinical topics that junior doctors are faced with when working on the hospital wards."

Authors: Schmidt, F. John E. Hunter

Publication details: The Validity and Utility of Selection Methods in Personnel Psychology: Practical and Theoretical Implications of 85 Years of Research Findings. 1998. ; Journal: Psychological Bulletin; 124(2):262-274. Article Link

View the abstract here

Follow our co-hosts on Twitter!

Anthony Llewellyn: @drallewellyn [Guest host]

Marie-Louise Stokes: @marie_stokes [Guest host]

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason’s in Sydney for the first of two KeyLIME podcasts from Down Under with two guest hosts Anthony Llewellyn and Marie-Louise Stokes to discuss a prospective cohort study on traning milestones. onthewards produces weekly podcasts and topical articles aimed at medical students and junior doctors to help ease the transition from medical school to internship. Our podcasts are hosted by Dr James Edwards who talks to leading medical educators about common clinical topics that junior doctors are faced with when working on the hospital wards. Length: 26:00 min

"onthewards produces weekly podcasts and topical articles aimed at medical students and junior doctors to help ease the transition from medical school to internship. Our podcasts are hosted by Dr James Edwards who talks to leading medical educators about common clinical topics that junior doctors are faced with when working on the hospital wards."

Authors: Li ST, Tancredi DJ, Schwartz A, Guillot AP, Burke AE, Trimm RF, Guralnick S, Mahan JD, Gifford KA; Association of Pediatric Program Directors (APPD) Longitudinal Educational Assessment Research Network (LEARN) Validity of Resident Self-Assessment Group

Publication details: Competent for Unsupervised Practice: Use of Pediatric Residency Training Milestones to Assess Readiness. Academic Medicine. 2016 Jul 26. [Epub ahead of print] PubMed Link

View the abstract PDF here

Follow our co-hosts on Twitter!

Anthony Llewellyn: @drallewellyn [Guest host]

Marie-Louise Stokes: @marie_stokes [Guest host]

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda reviews an article chosen by Medical Education. She calls it “When is a clerkship not a clerkship?” Length: 20:05 min

Authors: Worley P, Couper I, Strasser R, Graves L, Cummings B-A, Woodman R, Stagg S, Hirsh D and the Consortium of Longitudinal Integrated Clerkships (CLIC).

Publication details: A typology of longitudinal integrated clerkships. Medical Education. 2016. [epub ahead of print] PubMed Link

**View the abstract here****

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason presents a time and motion study of internal medicine residents duty hours. Length: 18:15 min

Authors: Leafloor CW, Lochnan HA, Code C, Keely EJ, Rothwell DM, Forster AJ, Huang AR.

Publication details: Time-motion studies of internal medicine residents' duty hours: a systematic review and meta-analysis. Journal of Advances in Medical Education and Practice. 2015. 17(6):621-9 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

MJ Green, author of Episode 92's "Comics and medicine: peering into the process of professional identity formation" records a rebuttal to our review! Length: 14:29 min

Follow this link to listen to episode 92 and for further details on the article.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda’s choice this week is a research paper that aims to develop an inventory of competencies for Program Directors. With a TWIST this episode: Jon agrees with Jason!! Length: 24:51 min

Authors: Lieff SJ, Zaretsky A, Bandiera G, Imrie K, Spadafora S, Glover Takahashi S.

Publication details: What do I do? Developing a competency inventory for postgraduate (residency) program directors. Medical Teacher. 2016 Apr 6:1-6. [Epub ahead of print] PubMed Link

**View the abstract here****

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon’s longer that usual discussion is about Duty-Hour flexibility in surgical training. Length: 30:35 min

Authors: Bilimoria KY, Chung JW, Hedges LV, Dahlke AR, Love R, Cohen ME, Hoyt DB, Yang AD, Tarpley JL, Mellinger JD, Mahvi DM, Kelz RR, Ko CY, Odell DD1, Stulberg JJ, Lewis FR.

Publication details: National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. The New England Journal of Medicine. 2016 Feb;[ePub ahead of print] PubMed Link

**View the abstract here****

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason selected a paper on ‘why specialty choice is important’ to broaden your horizons, as it’s not his normal type of paper. Length: 18:41 min

Authors: Lapièce B, Reynaert C, van Meerbeeck P, Dory V.

Publication details:Title Social dominance theory and medical specialty choice. Advances in Health Sciences Education. 2016 Mar;21 (1):79-92. PubMed Link

*View the abstract here*

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda presents a editorial/commentary type of paper that she refers to as ‘What enables CE research ?’ Length: 14:41 min

Authors: Blanchard RD, Visintainer PF, La Rochelle J.

Publication details: Cultivating Medical Education Research Mentorship as a Pathway Towards High Quality Medical Education Research. Journal of General Internal Medicine. 2015 Sept;30 (9):1359-62 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon Sherbino’s chosen article on cognitive overload asks ‘can you teach too much?’ Length: 19:24 min

Authors: Sewell JL, Boscardin CK, Young JQ, ten Cate O, O’Sullivan P.

Publication details: Measuring cognitive load during procedural skills training with colonoscopy as an exemplar. Medical Education. 2016 Jun;[ePub ahead of print] PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason chose a paper that asks ‘Is bias in the eye of the beholder?’ Bias alert - Jon Sherbino is one of the authors ;)Length: 21:45 min

Authors: Zwaan L, Monteiro S, Sherbino J, Ilgen J, Howey B, Norman G.

Publication details: Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups. BMJ Quality and Safety. 2016 Jan;[ePub ahead of print] PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda discusses: "Why do a masters degree in Medical Education?" Length: 16:00 min

Authors: Sethi A, Schofield S, Ajjawi R, McAleer S.

Publication details: How do postgraduate qualifications in medical education impact on health professionals? Medical Teacher. 2016 Feb;38 2):162-7 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon Sherbino discusses “see one, do one, teach one” and why this is not 21st Century methodology. Length: 13:36 min

Authors: Sawyer T, White M, Zaveri P, Chang T, Ades A, French H, Anderson J, Auerbach M, Johnston L, Kessler D.

Publication details: Learn, See, Practice, Prove, Do, Maintain: An Evidence-Based Pedagogical Framework for Procedural Skill Training in Medicine. Academic Medicine. 2015 Aug;90(8):1025-33 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda Snell presents a paper on positive effects of social media on medical students. Length: 22:20 min

Authors: Chretien KC, Tuck MG, Simon M, Singh LO, Kind T.

Publication details: A Digital Ethnography of Medical Students who Use Twitter for Professional Development. Journal of General Internal Medicine. 2015 Nov;30(11):1673-80. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon Sherbino presents a paper that looks beyond traidtional feedback and provides a new model. Length: 16:12 min

Authors: Sargeant J, Lockyer J, Mann K, Holmboe E, Silver I, Armson H, Driessen E, MacLeod T, Yen W, Ross K, Power M.

Publication details: Facilitated Reflective Performance Feedback: Developing an Evidence- and Theory-Based Model That Builds Relationship, Explores Reactions and Content, and Coaches for Performance Change (R2C2). Academic Medicine. 2015 Jul; ePub ahead of print PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason presents a paper hot off the press! This pre-publication from Medical Education discusses relationships between medical microculture and the willingness of residents to report adverse events. Length: 20:20 min

Authors: Appelbaum NP, Dow A, Mazmanian PE, Jundt DK, Appelbaum EN.

Publication details: The effect of power, leadership, and psychological safety on resident event reporting. Medical Education. 2016;[ePub ahead of print] PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason‘s selected paper sets out to examine the relationship between burnout, and loneliness or social network centricity. Length: 21:30 min

Authors: Shapiro J, Zhang B, Warm EJ.

Publication details: Residency as a Social Network: Burnout, Loneliness, and Social Network Centrality. Journal of Graduate Medical Education. 2015 Dec;7(4):617-23.PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda’s paper selection discusses whether competence is linear. Length: 16:25 min

Authors: Durning SJ, Lubarsky S, Torre D, Dory V, Holmboe E

Publication details: Considering "Nonlinearity" Across the Continuum in Medical Education Assessment: Supporting Theory, Practice, and Future Research Directions. The Journal of Continuing Education in the Health Professions. 2015 Jul;35(3):232-43. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon presents a paper that offers a counterpoint to a traditional understanding of validity.Length: 18:15 min

Authors: Cook DA, Brydges R, Ginsburg S, Hatala

Publication details: A contemporary approach to validity arguments: a practical guide to Kane’s framework. Medical Education. 2015 Jun;49 (6):560-75 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: It's our 100th episode! Jason chooses an article that discusses developing trust in trainees. Length: 20:55 min

Authors: Hauer KE, Oza SK, Kogan JR, Stankiewicz CA, Stenfors-Hayes T, Cate OT, Batt J, O’Sullivan PS.

Publication details: How clinical supervisors develop trust in their trainees: a qualitative study. Medical Education. 2015 Aug;49 (8):783-95 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: This podcast comes to you LIVE from ICRE 2015 in Vancouver. Invited guest host Kevin Eva who presented this paper. Length: 21:15 min

Authors: Hu WCY, Thistlewaite JE, Weller J, Gallego G, Monteith J, McColl GJ

Publication details: ‘It was serendipity’: A qualitative study of academic careers in medical education. Medical Education 2015: 49: 1124–1136 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: This podcast comes to you LIVE from ICRE 2015 in Vancouver. Invited guest host Eric Holmboe reviews his selection on implementing educational interventions for chronic disease. Length: 12:50min

Authors: Bogetz JF, Rassbach CE, Bereknyei S, Mendoza FS, Sanders LM, Braddock CH III.

Publication details: Training Health Care Professionals for 21st-Century Practice: A Systematic Review of Educational Interventions on Chronic Care. Academic Medicine. 2015 Jun [ePub ahead of print]:1-12 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Eric Holmboe: @boedudley [Guest host]

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Linda Snell presents another duty hours paper - with a twist! Length: 15:50 min

Authors: Arora M, Prochaska MT, Farnan JM, Meltzer DO.

Publication details: Patient Perceptions of Whom is Most Involved in Their Care with Successive Duty Hour Limits. Journal of General Internal Medicine. 2015 Sept;30(9):1275-8. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jason paper today continues the discussion of educational imprinting. Length: 16:45 min

Authors: Ryskina KL, Dine CJ, Kim EJ, Bishop TF, Epstein AJ.

Publication details: Effect of Attending Practice Style on Generic Medication Prescribing. Journal of General Internal Medicine. 2015 Sept;30 (9):1286-1293 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon presents what the hosts consider important paper regarding a complex issue. Length: 16:20 min

Authors: Novick RJ,Lingard L, Cristancho, SM.

Publication details: The Call, the Save, and the Threat: Understanding Expert Help-Seeking Behavior During Nonroutine Operative Scenarios. Journal of Surgical Education. 2015 Mar-Apr;72(2):302-9 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

QD Nguyen, one of the authors of Episode 83's "What is reflection?" records a rebuttal to our review! Length: 5:02 min

Follow this link to listen to episode 83 and for further details on the article.

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Today's paper is Jason's choice - the co-hosts discuss, are milestones good for assessment? Length: 22:50 min

Authors: Bartlett KW, Whicker SA, Bookman J, Narayan AP, Staples, BB, Hering H, McGann KA

Publication details: Milestone-Based Assessments Are Superior to Likert-Type Assessments in Illustrating Trainee Progression. Journal of Graduate Medical Education. 2015 Mar;7 (1):75-80. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon’s chosen article discusses the best and most influential papers in the medical education field. Length: 19:10 min

Author: Azer SA.

Publication details: The Top-Cited Articles in Medical Education: A Bibliometric Analysis. Academic Medicine. 2015 June [ePub ahead of print]:1-15. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda speaks about good identity formation. Length: 8:33 min

Author: Green MJ.

Publication details: Comics and medicine: peering into the process of professional identity formation. Academic Medicine. 2015 Jun;90 (6):774-9. PubMed Link

View the abstract here

Click here to listen to the author's rebuttal!

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon presents an early generation CBME implementation paper. Length: 18:10 min

Authors: Schultz K, Griffiths J, Lacasse M.

Publication details: The Application of Entrustable Professional Activities to Inform Competency Decisions in a Family Medicine Residency Program. Academic Medicine. 2015 Feb 23. [ePub ahead of print]. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda presents a paper discussing the advantages and disadvantages of EHR becoming the norm. Length: 16:11 min

Authors: Varpio L, Day K, Elliot-Miller P, King JW, Kuziemsky C, Parush A, Roffey T, Rashotte J.

Publication details: The impact of adopting EHRs: how losing connectivity affects clinical reasoning. Medical Education. 2015 May;49(5):476-86. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason presents a paper on 16 ways to actually teach clinical reasoning. Length: 27:45 min

Authors: Cutrer WB, Sullivan WM, Fleming AE.

Publication details: Educational strategies for improving clinical reasoning. Current Problems in Pediatrics and Adolescent Health Care. 2013 Oct;43(9):248-57. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon presents a paper that gets to the heart of the nature verses nurture debate. Length: 17:10 min

Authors: Mosing MA, Madison G, Pedersen NL, Kuja-Halkola R, Ullén F.

Publication details: Practice does not make perfect: no causal effect of music practice on music ability. Psychological Science. 2014 Sept; 25(9):1795-803. Abstract link.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda’s article selection highlights the dual role of residents – learners and workers. Length: 19:04 min

Authors: Naveh E, Katz-Navon, T, Stern, Z.

Publication details: Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. Advances in Health Sciences Education: Theory and Practice. 2015 Mar; 20 (1): 59-71. Abstract link.

**View the abstract here****

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon shares a paper comparing Checklists Vs Global rating scales. All 3 hosts give this paper 5 out of 5 for Methodology. Length: 19:05 min

Authors: Ilgen JS, Ma IWY, Hatala R, Cook DA.

Publication details: A systematic review of validity evidence for checklists versus global rating scales in simulation-based assessment. Medical Education, Feb 2015; 49(2): 161-73. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason discusses what impacts the scores you give your teacher. Length: 19:25 min

Authors: Spooren P, Brockx B, Mortelmans D.

Publication details: On the Validity of Student Evaluation of Teaching: The State of the Art. Review of Educational Research. 2013 Dec; 83(4): 598-642. Abstract link

**View the abstract here****

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda presents a controversial paper. Length: 17:15 min

Authors: Ojeda JC, Colbert JA, Lin X, McMahon GT, Doubilet PM, Benson CB, Wu J, Katz JT, Yialamas MA

Publication details: Pocket-sized ultrasound as an aid to physical diagnosis for internal medicine residents: a randomized trial. Journal of General Internal Medicine. 2015 Feb; 30(2):199-206. PubMed Link

View the abstract here

Click here to listen to the author's rebuttal!

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon discusses ‘Reflection’ – it’s never gone out of style although no standardized definition of it is available, does this study provide one?; Length: 16:55 min

Authors: Nguyen QD, Fernandez N, Karsenti T, Charlin B.

Publication details: What is reflection? A conceptual analysis of major definitions and a proposal of a five-component model. Medical Education, Dec 2014, 48(12): 1176-89. Link to article

View the abstract here

Click here to listen to the author's rebuttal!

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jason presents a paper on how spending may be influenced by your residency training.; Length: 19:39 min

Authors: Chen C, Petterson S, Phillips R, Bazemore A, Mullan F

Publication details: Spending patterns in region of residency training and subsequent expenditures for care provided by practicing physicians for Medicare beneficiaries. JAMA. 2014: 312 (22):2385-93. Link to article

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Linda asks "Is bundling better?”Length: 19:22 min

Authors: Starmer AJ, Sectish TC, Simon DW, Keohane C, McSweeney ME, Chung EY, Yoon CS, Lipsitz SR, Wassner AJ, Harper MB, Landrigan CP

Publication details: Rates of Medical Errors and Preventable Adverse Events Among Hospitalized Children Following Implementation of a Resident Handoff Bundle. JAMA, Dec 2013;310 (21): 2262-70. Link to article

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jason presents a paper that suggests the geography of your training determines your future practice..; Length: 22:00 min

Authors: Asch DA, Nicholson S, Srinivas SK, Herrin J, Epstein AJ.

Publication details: How Do You Deliver a Good Obstetrician? Outcome-Based Evaluation of Medical Education. Academic Medicine, Jan 2014; 89 (1):24-6; Link to article

*View the abstract here*

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jon introduces a novel platform of an open access digital journal. Length: 19:50 min

Authors: Thoma B, Chan T, Benitez J, Lin M.

Publication details: Educational Scholarship in the Digital Age: A Scoping Review and Analysis of Scholarly Products. 2014. The Winnower. Article Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda presents a paper that she calls "a contender for Paper of the Year." Length: 22:12 min

Authors: Gingerich A, Kogan J, Yeates P, Govaerts M, Holmboe E.;

Publication details: Seeing the 'black box' differently: assessor cognition from three research perspectives. Medical Education (Nov 2014), 48 (11): 1055-68. PubMed Link

*View the abstract here*

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason presents this educational trial paper by Starmer et al. and asks, “can I make a better handover and can I pass the test?” He Length: 28:00 min

Authors: Starmer AJ, Spector ND, Srivastava R, West DC, Rosenbluth G, Allen AD, Noble EL, Tse LL, Dalal AK, Keohane CA, Lipsitz SR, Rothschild JM, Wien MF, Yoon CS, Zigmont KR, Wilson KM, O'Toole JK, Solan LG, Aylor M, Bismilla Z, Coffey M, Mahant S, Blankenburg RL, Destino LA, Everhart JL, Patel SJ, Bale JF Jr, Spackman JB, Stevenson AT, Calaman S, Cole FS, Balmer DF, Hepps JH, Lopreiato JO, Yu CE, Sectish TC, Landrigan CP; I-PASS Study Group.

Publication details: Changes in Medical Errors after Implementation of a Handoff Program, NEJM, 371 (19): 1803-12. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda presents a paper Program Directors' perceptions of duty hours. Length: 21:33 min

Authors: Garg M, Drolet BC, Tammaro D, Fischer SA.

Publication details: Resident duty hours: a survey of internal medicine program directors. Journal of General Internal Medicine. Oct 2014, 29 (10): 1349-54. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon presents an interesting paper on the measurement of time in learning medical procedures. Length: 12:23 min

Authors: Pusic MV, Brydges R, Kessler D, Szyld D, Nachbar M, Kalet A..

Publication details: What's your best time? Chronometry in the learning of medical procedures. Medical Education. May 2014, 48 (5): 479-88. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: KeyLIME is presented LIVE from The International Conference on Residency Education (ICRE) where the audience participated in discussion on feedback after student assessment.;. Length: 29:43 min

Author: Harrison CJ, Könings KD, Molyneux A, Schuwirth LW, Wass V, van der Vleuten CP

Publication details: Web-based feedback after summative assessment: how do students engage? Medical Education. Jul 2013, 47(7): 734-44. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Janet Bull (KeyLIME contest winner) chooses and presents a paper on assessing trainees at KeyLIME Live! at the ICRE in Toronto. Length: 19:06 min

Author: Kogan JR, Conforti LN, Iobst WF, Holmboe ES;

Publication details: Reconceptualizing Variable Rater Assessments as Both an Educational and Clinical Care Problem. Academic Medicine. 2014, 89 (5): 721-7 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Janet Bull: @jbull4seasons [Guest host]

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jason Frank presents a colossal paper that could be Paper of the Year. Understanding trust as an essential element of trainee supervision and learning in the workplace Length: 22:11 min

Author: Hauer KE, ten Cate O, Boscardin C, Irby DM, Iobst, W, O’Sullivan PS.

Publication details: Understanding trust as an essential element of trainee supervision and learning in the workplace Advances in Health Sciences Education 2014. 19 (3): 435-56; PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Linda Snell leads the discussion on Entrustment and mapping of observable practice activities for resident assessment. Length: 32:05 min

Author: Warm EJ, Mathis BR, Held JD, Pai S, Tolentino J, Ashbrook L, Lee CK, Lee D, Wood S, Fichtenbaum CJ, Schauer D, Munyon R, Mueller C.

Publication details: Entrustment and mapping of observable practice activities for resident assessment. Journal of General Internal Medicine (Aug 2014), 29 (8): 1177-82. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jon Sherbino compares the speed and accuracy of answering clinical questions using Google versus summary resources.Length: 18:13 min

Authors: Kim S, Noveck H, Galt J, Hogshire L, Willett L, O’Rourke K.

Publication details: Searching for Answers to Clinical Questions Using Google Versus Evidence-Based Summary Resources: A Randomized Controlled Crossover Study. Academic Medicine 2014, 89 (6): 940-3 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jason Frank presents a paper he says demonstrates important framing around Med Ed outcomes. Length: 23:09 min

Authors: Norcini J, Boulet JR, Opalek A, Dauphinee WD

Publication details: The Relationship Between Licensing Examination Performance and the Outcomes of Care by International Medical School Graduates. Academic Medicine. 2014, 89 (8): 1157-62. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Linda presents a paper that may stimulate how you may think of your own institution Length: 17:10 min

Authors: Guerrasio J, Furfari KA, Rosenthal LD, Nogar CL, Wray KW, Aagaard EM.

Publication details: Failure to fail: The institutional perspective. Medical Teacher. 2014. [ePub ahead of print]: 1-5. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jon discusses a paper from the Journal of Surgical Education. Length: 16:43 min

Authors: Shalhoub J, Vesey AT, Fitzgerald JEF.

Publication details: What Evidence is There for the Use of Workplace-Based Assessment in Surgical Training?. Journal of Surgical Education. 2014. (14): 1-10. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jason presents a paper that can be used as a springboard for important conversations. Length: 16:17 min

Author: Glass J.

Publication details: Competency based training is a framework for incompetence. BMJ 2014, 348.PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Linda presents a paper discussing RCTs in Medical Education. Length:17:54 min

Authors: Madson L, Rosenbaum M, Kreiter C, Lynch A, Witt A.;

Publication details: A Randomized Controlled Trial Assessing the Feasibility of Examination Room Versus Conference Room Teaching in a Psychiatric Setting. Teaching and Learning in Medicine. 2014, 26 (1): 40-8.PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jon discusses the opportunities and pitfalls of big data in a commentary paper; Length: 15:32 min

Authors: Ellaway RH; Pusic MC; Galbraith RM; Cameron T.

Publication details: Developing the role of big data and analytics in health professional education; Medical Teacher. 2014. 36 (3): 216-22. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Linda discusses why narrative descriptions should replace grades for medical education. Length: 23:55 min

Authors: Hanson JL, Rosenberg AA, Lane JL

Publication details: Narrative descriptions should replace grades and numerical ratings for clinical performance in medical education in the United States. Frontiers in Psychology. 4:1-10 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jon presents a paper on the effetct of duty hours reform. Length: 16:19 min

Authors: Silber JH, Romano PS, Itani KMF, Rosen AK, Small D, Lipner RS, Bosk CL, Wang Y, Halenar MJ, Korovaichuk S, Even-Shoshan O, Volpp KG.

Publication details: Assessing the Effects of the 2003 Resident Duty Hours Reform on Internal Medicine Board Scores. Academic Medicine. 2014. 89 (4): 1-8. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jason presents a paper that explores and compares Med Ed institutions where studies take place. Length: 16:11 min

Author: Brosnan C.

Publication details: Making sense of differences between medical schools through Bourdieu's concept of 'field'. Medical Education. 44 (7): 645-52 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Linda presents a single author paper that continues with the current assessment theme. Assessment is key to measuring performance in the clinical context. Length: 20:35 min

Author: Baker K

Publication details: Determining resident clinical performance: getting beyond the noise. Anesthesiology. 2011, 115 (4): 862-78;PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jon discusses the internal monologue of observers and how it leads them to look and pay attention to different elements of a learner's behavior. Length: 20:00 min

Authors: Yeates, P; O’Neill, P; Mann, K; Eva, K.

Publication details: Seeing the same thing differently: Mechanisms that contribute to assessor differences in directly-observed performance assessments. Advances in health Sciences Education. 2013. 18 (3): 325-41. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Linda selects an article that she calls a good model o for a commentary paper. Length: 22:48 min

Authors: Hirsh, DA; Holmboe, ES; ten Cate, O.

Publication details: Time to Trust: Longitudinal Integrated Clerkships and Entrustable Professional Activities. Academic Medicine.2014. 89 (2): 201-4 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jon discusses an article that’s worth having in your library! Length: 19:33 min

Authors: Farnan, JM; Petty, LA; Georgitis, E; Martin, S; Chiu, E; Prochaska, M; Arora, VM

Publication details: A Systematic Review: The Effect of Clinical Supervision on Patient and Residency Education Outcomes. Academic Medicine. 87 (4): 428-42 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here

View Details

In this episode: Jason discusses a paper that asks important questions on how education changes patient outcomes. Length: 14:49 min.

Authors: Krell, KR; Birkmeyer, NJ; Reames, BN; Carlin, AM; Birkmeyer, JD; Finks, JF for the Michigan Bariatric Surgery Collaborative

Publication details: Effects of Resident Involvement on Complication Rates after Laparoscopic Gastric Bypass. Journal of The American College of Surgeons. [ePub ahead of print]: 1-8PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda discusses the source paper that she first saw as an article in the New York Times (health section) on unprepared surgeons. Length: 20:58 min.

Authors: Mattar, SG; Alseidi, AA; Jones, DB; Jeyarajah, DR; Swanstrom, LL; Aye, RW; Wexner, SD; Martinez, JM; Ross, SB; Awad, MM; Franklin, ME; Arregui, ME; Schirmer, BD; Minter, RM.

Publication details: General Surgery Residency Inadequately Prepares Trainees for Fellowship: Results of a Survey of Fellowship Program Directors. Annals of Surgery. 258(3): 440-9 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon's paper selection discuses how perception of a team’s cohesiveness can change your trust in them Length: 15:54 min.

Authors: HDeOrtentiis, PS; Summers, JK; Ammeter, AP; Douglas, C; Ferris, GR

Publication details: Cohesion and satisfaction as mediators of the team trust – team effectiveness relationship: An interdependence theory perspective, Career Development International. 18(5):521-43. Link to journal

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: "It's all about assessment in residency education" Linda presents this paper - Composite reliability of a workplace-based assessment toolbox for postgraduate medical education.Length: 19:11 min.

Authors: Moonen-van Loon, J.M.; Overeem, K.; Donkers, H.H.; van der Vleuten, C.P.; Driessen, E.W

Publication details: Composite reliability of a workplace-based assessment toolbox for postgraduate medical education. Advances in health Sciences Education. 2013; 18(5):1087-102.PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason describes this paper as an example of a systematic needs assessment. Length: 14:08 min.

Authors: Van der Lee N, Fokkema JP, Westerman M, Driessen EW, van der Vleuten CP, Scherpbier AJ, Scheele F.

Publication details: The CanMEDS framework: relevant but not quite the whole story. Medical Teacher. 2013; 35(11):949-55. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon discusses an article he couldn’t put down and that he says blows up decades of myths around learning styles. Length: 19:20 min.

Authors: Kirschner, P.A.; van Merrienboer, J.J.G.

Publication details: Reviewing residents' competence: a qualitative study of the role of clinical competency committees in performance assessment. Educational Psychologist. 2013 48(3):169-83 Link to the article

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda discusses how residents' feedback is used for teaching performance. Length: 15:51 min.

Authors: van der Leeuw, R.M.; Slootweg, I.A.; Heineman, M.J.; Lombarts, K.M

Publication details: Reviewing residents' competence: a qualitative study of the role of clinical competency committees in performance assessment. Medical Education. 41(11):1089-98.PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon presents a paper from 2012 JAMA Special Edition. The hosts are unanimous: three thumbs up for both Methods and Impact!Length: 11:01 min.

Authors: Yeates, P.; O'Neill, P.; Mann, K.; Eva, K.W.;

Publication details: Effect of Exposure to Good vs Poor Medical Trainee Performance on Attending Physician Ratings of Subsequent Performances. JAMA; 308(21):2226-32.PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason pitches a paper that he thinks is a good candidate for KeyLIMES paper of the year and that he says contains information every Clinical Educator needs to know. Length: 13:12 min.

Authors: Birkmeyer, J.D.; Finks, J.F.; O'Reilly, A.; Oerline, M.; Carlin, A.M.; Nunn, A.R.; Dimick, J.; Banerjee, M.; Bikrmeyer, N.J.; Michigan Bariatric Surgery Collaborative

Publication details: Surgical skill and complication rates after bariatric surgery. New England Journal of Medicine. 369(15): 1434-42. Link to article.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason discusses a paper from an open access journal. Length: 12:45 min.

Authors: Gesell, S.B.; Barkin, S.L.; Valente, T.W.

Publication details: Social network diagnostics: a tool for monitoring group interventions. Implementation Science. 2013; 8(1): 116. Link to article.

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon presents an editorial on assessment that reminds educators of the rich history of expert opinion and suggests ways to minimize associated bias. Length: 14:43 min.

Author: Hodges, B.

Publication details: Assessment in the post-psychometric era: Learning to love the subjective and collective. Medical Teacher; 35(7):564-68. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda discusses if the think-aloud protocol reflects thinking. Length: 16:07 min.

Authors: Durning, S.J.; Artino, A.R.Jr.; Beckman, T.J.; Graner, J.; van der Vleuten, C.; Holmboe, E.; Schuwirth, L.

Publication details: Does the think-aloud protocol reflect thinking? Exploring functional neuroimaging differences with thinking (answering multiple choice questions) versus thinking aloud. Medical Teacher; 2013; 35: 720–726. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon calls the methods of this paper exemplary, and tells those wanting know how to do a Med Ed systematic review to pick this up! Length: 18:01 min.

Authors: Cook, D.A.; Brydges, R.; Zendejas, B.; Hamstra, S.J.; Hatala, R.

Publication details: Technology-enhanced simulation to assess health professionals: a systematic review of validity evidence, research methods, and reporting quality. Academic Medicine; 88(6):872-83 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda presents a paper that looks at an evaluation tool for measuring residents as educators. Length: 16:36 min.

Authors: Butani, L; Paterniti, D; Tancredi, D; Li, ST.

Publication details: Attributes of residents as teachers and role models - A mixed methods study of stakeholders. Medical Teacher; 2012 Nov 8. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason discusses a paper on teaching awards in institutions. Length: 14:31 min.

Authors: Huggett, K.N.; Greenberg, R.B.; Rao, D.; Richards, B.; Chauvin, S.W.; Fulton, T.B.; Kalishman, S.; Littlefield, J.; Perkowski, L.; Robins, L.; Simpson, D.

Publication details: The design and utility of institutional teaching awards: A literature review. Medical Teacher; 34 (11):907-19. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jonathan presents a paper that looks at the idea of testing. Length: 16:45 min.

Authors: Kreiter, C.D.; Green, J.; Lenoch, S.; Saiki, T.

Publication details: The overall impact of testing on medical student learning: quantitative estimation of consequential validity. Advances in Health Sciences Education; Epub ahead of print:1-10. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda’s paper this week: "Have Motivation Theories Guided the Development and Reform of Medical Education Curricula? A review of the Literature" Length: 22:01 min.

Authors: Kusurkar, R.A.; Croiset, G.; Mann, K.V.; Custers, E.; ten Cate, O.

Publication details: Have Motivation Theories Guided the Development and Reform of Medical Education Curricula? A Review of the Literature. Academic Medicine; 87(6):735-743 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda presents a paper that discusses if simulation can replace part of clinical time. Length: 16:51 min.

Authors: Watson, K.; Wright, A.; Morris, N.; McMeeken, J.; Rivett, D.; Blackstock, F.; Jones, A.; Haines, T.; O'Connor, V.; Watson, G.; Peterson, R.; Jull, G.

Publication details: Can simulation replace part of clinical time? Two parallel randomised controlled trials. Medical Education; 2012 May 30 [Epub ahead of print] PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason presents a note worthy paper on multi-source feedback he says could change your narrative on the topic and that all CEs should have it in their library. Length: 18:55 min.

Authors: Archer, J.; McAvoy, P.

Publication details: Social network diagnostics: a tool for monitoring group interventions. Medical Education; 45 (9): 886-893. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda discusses 'Student perspectives on assessment: experience in a competency-based portfolio system' Length: 17:47 min

Authors: Altahawi, F.; Sisk, B.; Poloskey, S.; Hicks, C.; Dannefer, E.

Publication details: Student perspectives on assessment: experience in a competency-based portfolio system. Medical Teacher; 34(3):221-5. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda presents a paper on OSTE's used for faculty development. Length: 18:15 min

Authors: Julian, K.; Appelle, N.; O'Sullivan, P.; Morrizon, E.H.; Wamsley, M.

Publication details: The Impact of an Objective Structured Teaching Evaluation on Faculty Teaching Skills. Teaching and Learning in Medicine; 24(1):3-7. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda discusses a reflections paper that she calls useful for Clinical Educators. Length: 16:59 min

Authors: Gordon, J.; Markham, P.; Lipworth, W.; Kerridge, I.; Little, M.

Publication details: The dual nature of medical enculturation in postgraduate medical training and practice. Medical Education; 2012 Sept; 46(9):894–902. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda presents a paper that uses marketing research concepts to investigate specialty selection by medical students. Length: 14:17 min

Authors: Weissman, C.; Schroeder, J.; Elchalal, U.; Weiss, Y.; Tandeter, H.; Zisk-Rony, R.Y.

Publication details: Using marketing research concepts to investigate specialty selection by medical students. Medical Education; 2012 Oct;46(10):974–982. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: The hosts explore conflicts in external feedback for self-assessment with Jon's paper selection. Length: 18:34 min

Authors: Mann, K.; van der Vleuten, C.; Eva, K.; Armson, H.; Chesluk, B.; Dornan, T.; Holmboe, E.; Lockyer, J.; Loney, E.; Sargeant, J.

Publication details: Tensions in informed self-assessment: how the desire for feedback and reticence to collect and use it can conflict. Academic Medicine; 2011; 86:1120–1127. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon's choice of paper discusses O-Scores and closing the gap between volume and competence. Length:15:42 min

Authors: Gofton, W.T.; Dudek, N.L.; Wood, T.J.; Balaa, F.; Hamstra, S.J.

Publication details: The Ottawa Surgical Competency Operating Room Evaluation (O-SCORE): A Tool to Assess Surgical Competence. Academic Medicine; 2012 Aug 21. [Epub ahead of print] PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda selects a review paper and the hosts discuss if compentency really is enough. Length: 20:22 min

Authors: Jarvis-Selinger, S.; Pratt, D.D.; Regehr, G.

Publication details: Competency Is Not Enough: Integrating Identity Formation Into the Medical Education Discourse. Academic Medicine; 2012; 87 (9): 1-6PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: A podcast on podcasting! The hosts discuss how podcasts were evaluated for core teaching over a six week period to undergrad general surgery clerkship. Length: 14:31 min

Authors: White, J.; Sharma, N.; Boora, P.

Publication details: Surgery 101: Evaluating the use of podcasting in a general surgery clerkship. Medical Teacher; 33(11):941-3. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Guest host Ming-Ka Chan's selection introdcuces a proposed model for an optimal mentoring environment. Length: 12:37 min

Authors: Davis, O.; Nakamura, J.

Publication details: Detailed Findings from the CLER National Report of Findings 2016. Academic Medicine, 85(6):1060-6. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Ming-Ka Chan @MKChan_RCPSC [Guest host]

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon discusses the reliability of OSCE's and how many front line teachers seem to regard it as a 'gold standard' because of its ubiquitous presence in UG med ed. Length: 14:22 min

Authors: Brannick, M.; Erol-Korkmaz, H.; Prewett, M.

Publication details: A systematic review of the reliability of objective structured clinical examination scores. Medical Education; 45(12):1181-9. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Not your typical KeyLIME review: Linda presents a report driven from a conference. Length: 18:58 min

Authors: Fincher, R.; White, C.B.; Huang, G.; Schwartzstein, R.

Publication details: Toward Hypothesis-Driven Medical Education Research: Task Force Report from the Millennium Conference 2007 on Educational Research. Academic Medicine; 2010;85(5):821-8. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon and his KeyLIME co-hosts debate the two systems for reducing diagnostic errors in med students. Length: 16:12 min

Authors: Coderre S, Wright B, McLaughlin K.

Publication details: To Think Is Good: Querying an Initial Hypothesis Reduces Diagnostic Error in Medical Students. Academic Medicine, Vol.85, No.7/July 2010 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda's choice of paper discusses how, although junior students are taught physical exam skills, their clinical experiences contradict this. Length: 14:24 min

Authors: Kugler, J.; Verghese, A

Publication details: The Physical Exam and other forms of Fiction. Journal of General Internal Medicine; 25(8):756-7. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: The co-hosts discuss the implications of political science for medical education leadership and change implementation. Length: 9:10 min

Authors: Nordquist, J.; Grigsby, R.

Publication details: Medical schools viewed from a political perspective: how political skills can improve education leadership. Medical Education; December 2012. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: If you are looking for a methodological approach to how to do a systematic review, today's paper is for you! Length: 19:38 min

Authors: Cook, D.; Hatala, R.; Brydges, R.; Zendejas, B.; Szostek, J.; Wang, A.; Erwin, P.; Hamstra, S.

Publication details: A systematic review of the reliability of objective structured clinical examination scores. Journal of the American Medical Association; Sep 7 2011. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: The hosts of KeyLIME discuss “Hand offs in the Era of duty hours”, Academic Medicine. 87(4): 403-10. The article has 12 authors (all but 2 are trainers) and offers a number of suggestions on the transition of care - where errors are of great interest. Length: 15:26 min.

Authors: DiRienzo CM, Frush K, Barfield ME, Gopwani PR, Griffith BC, Jiang XS, Mehta AI, Papavassiliou P, Rialon KL, Stephany AM, Zhang T, Andolsek KM.

Publication details: Handoffs in the Era of Duty Hours Reform: A Focused Review and Strategy to Address Changes in the Accreditation Council for Graduate Medical Education Common Program Requirements. Academic Medicine. 87(4): 403-10 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda leads the discussion on a paper she believes could be the best paper of the year on a hot topic: the effects of supervision on education and patient outcomes.

Length: 13:26 min

Authors: Farnan, J.M.; Petty, L.A.; Georgitis, E.; Martin, S.; Chiu, E.; Prochaska, M.; Arora,V.M.

Publication details: A systematic review of the reliability of objective structured clinical examination scores. Academic Medicine; April 2012. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason's paper selection presents a novel method of educational clinic organization that redistributes patients to residents based on a more sophisticated workload model. Length: 10:03 min

Authors: Young, J.Q.; Niehaus, B.; Lieu, S.C.; O'Sullivan, P.S.;

Publication details: A systematic review of the reliability of objective structured clinical examination scores. Academic Medicine; September 2010. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Guest host Anna Oswald's paper selection observes the possible differences in assessment results between the web-based simulation of patients system and regular course exams. Length: 18:00 min

Authors: Botezatu, M.; Hult, H.; Tessma, M.; Fors, U.

Publication details: Virtual patient simulation for learning and assessment - Superior results in comparison with regular course exams. Medical Teacher; October 2010. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Anna Oswald: @AnnaOswald2 [Guest host]

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: In the last episode recorded in Riyadh, Jason explores the "long and arduous" publication process and some pitfalls that can be easily avoided if you have the proper guide before you start. Length: 9:05 min

Author: Bordage, G.

Publication details: The Physical Exam and other forms of Fiction. Academic Medicine. 2001. Sep;76(9):889-96. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Two articles for the price of one! Both of Linda's papers discuss how randomized controlled trials are not necessarily the way to improve the quality of medical education studies. Length: 10:06 min

Authors: Article 1: Carney, P.A.; Nierenberg, D.W.; Pipas, C.F., Brooks, W.B., Stukel, T.A.;, Keller A.M. Article 2: Sullivan, G

Publication details: Article 1 Educational Epidemiology - Applying Population-Based Design and Analytic Approaches to Study Medical Education JAMA. 2004 Sep 1;292(9):1044-50. PubMed Link Article 2 Getting Off the "Gold Standard" - Randomized Controlled Trials and Education Research. J Grad Med Educ. 2011 Sep;3(3):285-9.PubMed Link

View the abstract here Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason makes everyone’s brain melt with his choice of article. Length: 10:04 min

Authors: Shirom, A.; Nirel, N.; Vinokur, A.

Publication details: Work hours and caseload as predictors of physician burnout. Applied Psychology. 59(4) 2010. Pages 539–565 Article details

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason's selected article aims to find an answer to the ongoing debate about the best means to assess competence in clinical settings. Length: 10:30 min

Authors: Ginsburg, S.; McIlroy, J.; Oulanova, O.; Eva, K.; Regehr, G

Publication details: Toward authentic clinical evaluation - Pitfalls in the pursuit of competency. Academic Medicine. 2010 May;85(5):780-6. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason's choice of article looks to identify factors that predict residents who will have difficulty during training. Length: 9:50 min

Authors: Brenner, A.M.; Mathai, S.; Jain, S.; Mohl, P.C.

Publication details: Can we predict problem residents? Academic Medicine. 2010 Jul;85(7):1147-51. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Today's article, presented by Jon, aims to determine if a lecture that begins with the key message(s) and the accompanying outline of key points leads to better short and medium-term content retention when compared to delivery of equivalent content without an outline structure. Length: 7:55 min

Authors: Puhan, A.; Khan, K.S.; Steurer, J.

Publication details: When Assessment Data Are Words: Validity Evidence for Qualitative Educational Assessments. Medical Teacher. 2010;32(7):e289-93. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason uses this week’s article to show that, contrary to popular belief, you can teach successful Lifelong Learning skills to residents Length: 12:40 min

Authors: Li, S.; Paterniti, D.A.; Co, J.P.T.; West, D.C.

Publication details: Successful Self-Directed Lifelong Learning in Medicine: A Conceptual Model Derived from Qualitative Analysis of a National Survey of Paediatric Resident. Academic Medicine. 2010 Jul;85(7):1229-36 PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda's choice this week is a great example of why you can’t always judge an article by its title. Listen to learn more! Length: 9:57 min

Author: Kjaer, N.

Publication details: Introducing competency-based postgraduate medical training: gains and losses. International Journal of Medical Education 2011. 2: 110–115. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon lets us know how well the authors support their title’s declaration in today's article. Length: 11:05 min

Authors: Karpicke, J.D.; Blunt, J.R.

Publication details: Retrieval Practice Produces More Learning than Elaborative Studying with Concept Mapping. Science. 2011. 331(6018): 772-775 Article details

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jason presents an article that discusses how no validated index of clinical supervision exists, despite the fact that educators, learners, and health care decision-makers would all agree that clinical supervision is a critical activity. Length: 15:20 min

Authors: Byrne, J.M.; Kashner, M.; Gilman, S.C.; Aron, D.C.; Cannon, G.W.; Chang, B.K.; Godleski, L.; Golden, R.M.; Henley, S.S.; Holland, G.J.; Kaminetzky, C.P.; Keitz, S.A.; Kirsh, S.; Muchmore, E.A.; Wicker, A.B..

Publication details: Measuring the intensity of resident supervision in the department of veterans affairs: the resident supervision index. Academic Medicine. 2010. 85(7): 1171-81. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda's selection works to to elucidate factors that influence whether clinical teachers will „entrust‟ specific tasks to particular levels of residents. Length: 22:18 min

Authors: Sterkenberg, A.; Barach, P.; Kalkman, C.; Gielen, M.; ten Cate, O.

Publication details: When do supervising physicians decide to entrust residents with unsupervised tasks? Academic Medicine. 2010 Sep;85(9):1408-17. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: This week's choice, a research paper selected by Jon, describes a formal mentoring program that was designed to promote the academic and personal growth of residents. Length: 12:29 min

Authors: Ogunyemi, D.; Solnik, M.J.; Alexander, C.; Fong, A.; Azziz, R.

Publication details: Promoting Residents' Professional Development and Academic Productivity Using a Structured Faculty Mentoring Program. Teaching and Learning in Medicine 2010 Apr;22(2):93-6. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda is won over by some of the ideas presented in this article: listen to know which ones and why! Length: 13:17 min

Authors: Schaub-de Jong, M.A.; Schönrock-Adema, J.; Dekker, H.; Verkerk, M.; Cohen-Schotanus, J.

Publication details: Development of a student rating scale to evaluate teachers' competencies for facilitating reflective learning. Medical Education. 2011 Feb;45(2):155-65. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon discusses “Competency-based Medical Education: Theory to practice” from Medical Teacher which the hosts either wrote or contributed to and certainly don’t have ulterior motives when they claim it is the best publication of 2010. Length: 8:09 min

Authors: Frank, J.; Snell, L.; ten Cate, O.; Holmboe, E.; Carraccio, C.; Swing, S.; Harris, P.; Glasgow, N.; Campbell, Craig; Dath, D.; Harden, R.M.; Iobst, W.; Long, D.; Mungroo, R.; Richardson, D.; Sherbino, J.; Silver, I.; Taber, S.; Talbot, M.; Harris, K.A.

Publication details: Competency-based Medical Education: Theory to practice. Medical Teacher. 2010;32(8):638-45. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Jon's article examines The Accreditation Council for Graduate Medical Education's (AGME) 'toolbox': asssessment tools developed to address the transition to a curriculum designed around defined objectives that a resident must meet in order to successfully complete a residency training program, Length: 10:05 min

Authors: Green, M.L.; Holmboe, E.;

Publication details: Measuring the intensity of resident supervision in the department of veterans affairs: the resident supervision index. Academic Medicine. 2010 May;85(5):787-90. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda presents a relevant and timely paper given the recent emphasis on patient safety, work hours restrictions and the current stress on effective inter-professional communication.Length: 10:58 min

Authors: Gakhar, B.; Spencer, A.L.;

Publication details: Using direct observation, formal evaluation and an interactive curriculum to improve the sign-out practices of internal medicine interns. Academic Medicine. 2010 Jul;85(7):1182-8. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: Linda lets us know how well they achieve their objectives in “To the point: Medical education reviews – providing feedback” by Bienstock et al. Length: 11:17 min

Authors: Bienstock, J.L.; Cox, S.M.; Hueppchen, N.; Erickson, S.; Puscheck, E.E.; Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee.

Publication details: To the point: Medical education reviews – providing feedback. American Journal of Obstetrics and Gynecology. 2007 Jun;196(6):508-13. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!

View Details

In this episode: WELCOME TO THE KEYLIME PODCAST! The first episode of Key Literature in Medical Education was recorded by Jason Frank, Linda Snell and Jonathan Sherbino while in Riyadh during the Saudi Arabia conference on Residency Education (SACRE) Jonathan kicks off the podcast by looking at “Assessing the quality of clinical teachers” by Fluit et al, from the Journal of General Internal Medicine. Length: 13:49 min

Authors: Fluit, C.R.M.G.; Bolhuis, S.; Grol, R.; Laan, R.F.J.M.; Wensing, M.

Publication details: Assessing the Quality of Clinical Teachers: A Systematic Review of Content and Quality of Questionnaires for Assessing Clinical Teachers. Journal of General Internal Medicine. 2010. 85(7): 1171-81. PubMed Link

View the abstract here

Follow our co-hosts on Twitter!

Jason R. Frank: @drjfrank

Jonathan Sherbino: @sherbino

Linda Snell: @LindaSMedEd

Want to learn more about KeyLIME? Click here!