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[47] Why Good Ideas Get Stuck: Sludge, Nudges, and Choice Architecture

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In this episode, Dr. Lea Harper joins Adam to discuss how behavioral economics can shape clinician behavior in medical education and clinical practice. They explore the difference between nudging and sludge, the role of default options, and how system design influences everyday decisions. 

Using examples from health care and beyond, the conversation examines how unnecessary friction slows progress and how thoughtful system design can help good ideas get over the finish line and effect meaningful change. 

Episode Length:  34:06 

 Resources to check-out  

Nudge: Improving Decisions about Health, Wealth, and Happiness.  Thaler, R. H., & Sunstein, C. R. (2021). Nudge: The final edition. Penguin. 

Contact us: keylime@royalcollege.ca      

Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

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