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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/ 

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

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: [email protected]  

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

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: [email protected]  

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

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: [email protected]  

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

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: [email protected]  

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

Meet your host Dr. Adam Szulewski

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  

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

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

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

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

 Contact us: [email protected]  

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

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

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.

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]