In this episode of CLIMEcast, CLIME Associate Director Kate Mulligan moderates a live Conversation Café with CLIME leaders Addie McClintock and Justin Bullock, exploring their Academic Medicine paper “Our House Won’t Rebuild Itself: Peace, Love, and Hope as Tools to Transform Graduate Medical Education.”

Drawing on scholarship, lived experience, and audience dialogue, the conversation examines how graduate medical education systems can unintentionally perpetuate harm through pain, silence, and despair—particularly for trainees experiencing identity-based harms. Drs. McClintock and Bullock discuss the house metaphor at the heart of the paper, unpacking how bias, assessment practices, professionalism norms, and power structures shape learning environments.

The episode also focuses on pathways forward. Together, the speakers explore how peace, love, and hope can serve as practical tools for rebuilding learning environments while we are still living in them—emphasizing psychological safety, identity safety, belonging, and growth-oriented assessment. Audience questions deepen the discussion, addressing faculty wellbeing, institutional accountability, and realistic strategies for everyday clinical teaching. The result is a thoughtful, candid exploration of what transformative change in medical education can look like, at both the individual and structural levels.