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The Head Start: Embracing the Journey
1 Sweat and Resilience: Balancing Chronic Migraine with Fitness Goals 35:02
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LikedThe healing power of fitness goes far beyond physical benefits—for today’s guest, it’s a form of self-expression and a celebration of what the body can do. In this episode, host Nora McInerny sits down with fitness personality Ivylis Rivera, who shares her deeply personal journey of navigating life with Chronic Migraine while holding onto her passion for movement. Ivylis opens up about the struggle of staying active while facing the fear of triggering a headache or migraine attack and the resilience it takes to keep pushing forward—a resilience that carried her through the challenging journey of finding a Chronic Migraine treatment plan that worked for her. Join Nora and Ivylis as they explore the concept of “soft living,” a philosophy Ivylis embraces—staying active, listening to your body, and building trust in oneself. Click here for Product Information, including Boxed Warning and Medication Guide, or visit https://abbv.ie/prescribing_info See omnystudio.com/listener for privacy information.…
[16] From inoculation to exposure: A new approach to teaching stress management in simulation
Manage episode 477192816 series 2956609
Content provided by Royal College of Physicians and Surgeons of Canada and Adam Szulewski. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Royal College of Physicians and Surgeons of Canada and Adam Szulewski or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
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: 38:04Paper 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
Contact us: keylime@royalcollege.ca
Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski
22 episodes
ShareManage episode 477192816 series 2956609
Content provided by Royal College of Physicians and Surgeons of Canada and Adam Szulewski. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Royal College of Physicians and Surgeons of Canada and Adam Szulewski or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
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: 38:04Paper 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
Contact us: keylime@royalcollege.ca
Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski
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KeyLIME+
1 [18] No pain, no gain: The importance of desirable difficulty in medical education 37:01
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Play Later Play Later Lists Like LikedDescription: 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…
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1 [17] Retour à l’essentiel – La théorie de la charge cognitive en formation médicale 56:05
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Play Later Play Later Lists Like LikedDans 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…
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1 [16] From inoculation to exposure: A new approach to teaching stress management in simulation 38:05
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Play Later Play Later Lists Like LikedDescription 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…
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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…
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1 [14] Exploring cognitive load in the workplace: A new tool for medical educators 41:14
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Play Later Play Later Lists Like LikedIn 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…
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1 [13] The art of advocacy in medical education: making trouble the ‘right way’ 47:03
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Play Later Play Later Lists Like LikedIn 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…
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1 [12] Avoid the trap of false growth mindset 45:10
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Play Later Play Later Lists Like LikedIn 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 : 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/ PISA 2018 Results (Volume I): https://www.oecd.org/en/publications/pisa-2018-results-volume-i_5f07c754-en/full-report.html A national experiment reveals where a growth mindset improves achievement: https://pubmed.ncbi.nlm.nih.gov/31391586/ 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…
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1 [11] Challenging the status quo of CBME in Canada 45:31
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Play Later Play Later Lists Like LikedIn 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…
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1 [10] How learning happens at one of the busiest air ambulance services in the world 35:11
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Play Later Play Later Lists Like LikedIn 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…
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1 [9] Debunking myths in education with Dr. Paul Kirschner 52:42
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Play Later Play Later Lists Like LikedIn 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: How Learning Happens: Seminal Works in Educational Psychology and What They Mean in Practice How Teaching Happens: Seminal Works in Teaching and Teacher Effectiveness and What They Mean in Practice Ten Steps to Complex Learning Contact us: keylime@royalcollege.ca Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski…
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1 [8] Is applying to med school like playing the lottery? 28:34
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Play Later Play Later Lists Like LikedIn 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…
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1 [7] Medical Education 2.0: Teaching tomorrow’s doctors in an AI-world 44:02
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Play Later Play Later Lists Like LikedAdam’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…
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KeyLIME+
1 [6] Part 2 “The good, the bad, and the future of CBME” 38:32
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Play Later Play Later Lists Like LikedThis 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…
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1 [5] Part 1 “The good, the bad, and the future of CBME” 47:40
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Play Later Play Later Lists Like LikedIn 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…
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1 [4] A former federal Canadian Minister of Health’s prescription for a healthier Canada 36:50
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Play Later Play Later Lists Like LikedAdam 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…
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Self Improvement Coach Sam Crowley
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One of the top motivational podcasts for 18 years and running. Motivational messages to keep you inspired throughout the week. Success comes in all shapes and sizes. Sam Crowley’s authentic message will provide the inspiration you need to conquer the challenges and claim your power.
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Everyone has a dream. But sometimes there’s a gap between where we are and where we want to be. True, there are some people who can bridge that gap easily, on their own, but all of us need a little help at some point. A little boost. An accountability partner. A Snooze Squad. In each episode, the Snooze Squad will strategize an action plan for people to face their fears. Guests will transform their own perception of their potential and walk away a few inches closer to who they want to become ...
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The BMJ brings you interviews with the people who are shaping medicine and science around the world.
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Are you looking for more happiness, success and vitality in your life? Get inspired each week with wellness and performance expert, Integrative Medicine Fellow, author & keynote speaker, Kristel Bauer. Live Greatly shares empowering conversations and insights about happiness, wellness & success to support your personal and professional development. Kristel talks with top experts, leaders and inspiring individuals to help you embrace a growth mindset and excel in your work/life. Kristel then ...
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The Art of Charm is where self-motivated people, just like you, come to learn from the company’s coaches about to how to master human dynamics, relationships, and becoming your best self with the help of Johnny and AJ, the company’s founders. Johnny and AJ bring their 11 years of coaching experience from their famous Bootcamps, where they host clients in Los Angeles from all over the world and they share their stories, best practices and themselves on this weekly podcast. Not only does The A ...
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Welcome to Almost 30 - a supportive space to fuel your conscious evolution. Join us, LA-based best friends Krista Williams and Lindsey Simcik, for heart-centered, hilarious conversations and real, raw, impactful interviews with brilliant guests. We dive deep into topics like modern spirituality to health and wellness, aliens to entrepreneurship, social justice, and self development. With every episode, our mission is to empower you, expand what you think is possible and, make you laugh - a l ...
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