[21] Unpacking Medical Expertise: Illness Scripts, Clinical Reasoning, and the Future of CanMEDS
KeyLIME+10 Jun 2025

[21] Unpacking Medical Expertise: Illness Scripts, Clinical Reasoning, and the Future of CanMEDS

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    

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