[27] Assessment under the influence
KeyLIME+28 Okt 2025

[27] Assessment under the influence

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  

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[37] Café des spécialités : Infuser des idées de carrière, une conversation à la fois

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[36] Specialty Café: Brewing Careers, One Conversation at a Time

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[35]  From What You Say to How You Say It: Unlocking the Human Element of Simulation-Based Education

[35] From What You Say to How You Say It: Unlocking the Human Element of Simulation-Based Education

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[34] KeyLIME+ live at ICRE Part 2: Building Trust, Fostering Growth, and Strengthening Connection with AI in Medical Education

[34] KeyLIME+ live at ICRE Part 2: Building Trust, Fostering Growth, and Strengthening Connection with AI in Medical Education

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[33] KeyLIME+ live at ICRE Part 1: Building Trust, Fostering Growth, and Strengthening Connection with AI in Medical Education

[33] KeyLIME+ live at ICRE Part 1: Building Trust, Fostering Growth, and Strengthening Connection with AI in Medical Education

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

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

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[31] AI Literacy for Medical Educators: Building Smarter Learning

[31] AI Literacy for Medical Educators: Building Smarter Learning

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23 Dec 202536min

[30] Less Tech, More Training: Simplifying Simulation for Busy Healthcare Teams

[30] Less Tech, More Training: Simplifying Simulation for Busy Healthcare Teams

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