Medical students who skip writing their own reflections are not lazy, they are surviving an irrational system. Kathleen Muldoon, a coach and professor, returns to discuss what student AI use in medical education actually reveals about the curriculum, the hidden incentives behind it, and why she calls students in instead of catching them. This episode is based on her article "Driving medical education reform through intellectual honesty," published on KevinMD. You will hear why pass-fail courses inside graded curricula push students to put their energy elsewhere, why the hidden curriculum speaks louder than the syllabus, and what students disclosed when she asked them what was going on. You will learn what her workshops are designed to do that AI cannot, why she believes AI cannot teach empathy, and what a more humane medical education would actually require. Press play to find out why she thinks the next generation of clinicians is not the problem, and what the systems training them must change to produce humane physicians.

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