KeyLIME+

[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/
 
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[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 

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[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 

 

 
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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 

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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. 

 

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