In this discussion, Saleem Razack, a pediatric intensivist and award-winning leader in medical education, teams up with Stuart Lubarsky, an associate professor and director of an urgent neurology clinic. They delve into the intricate concept of medical expertise, emphasizing adaptive knowledge over sheer information volume. The conversation touches on illness scripts, cognitive load, and the evolution of clinical reasoning. Additionally, they advocate for a broader perspective on medical training within the CanMEDS framework, highlighting the integration of ethical and social considerations.