IMreasoning - Clinical reasoning for Doctors and Students
75 episodes - English - Latest episode: about 3 years ago - ★★★★★ - 83 ratingsWelcome to IM Reasoning with your hosts Dr. Art Nahill and Dr. Nic Szecket, two general internists with a passion for teaching clinical reasoning. Join us for case discussions, conversations and interviews that explore issues important to clinicians and students, with a special focus on clinical reasoning, the once-mysterious process behind the remarkable abilities of the master clinician.
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Episodes
24: Myths part 2
January 11, 2017 08:52 - 40 minutes - 37.5 MBDoctors should always strive to present themselves as unbreakable to their patients... All doctors are smart... All patients have a definitive diagnosis... Believe it or not, versions of these ideas, and many others, are pervasive in our medical education institutions, and to varying degrees are believed and practiced by doctors everywhere. In this episode, we debunk and discuss our favourite myths. Enjoy! Don't forget to write us with feedback on our Facebook page at https://www.fac...
23: Myths of the Physical Exam part 1
December 10, 2016 05:34 - 51 minutes - 47.6 MBTransillumination of the sinuses? shifting dullness? the puddle sign? In this episode we poke fun and debunk our favourite "useless" physical exam manoeuvres that we continue to teach our medical students. We couldn't cover all of them in one go, so stay tuned for more... Try the app DxLogic on the iPhone to have a quick reference to the utility of many studied history features and physical exam manoeuvres. Also, check out JAMA's series of articles entitled "The Rational Clinical Exam".
22: Diagnostic Error in Medicine 2016 - Los Angeles
November 16, 2016 22:02 - 18 minutes - 17.1 MBEnjoy a short episode where we bring you our highlights of the DEM2016 conference in Hollywood, Los Angeles. This is a very well-organised, relevant, and creative conference, and it just gets better every year. Consider attending the next DEM conference. Either in Boston in one year, or come to visit our neck of woods for the first Australasian DEM in Melbourne in May! You can get more information on the SIDM website: http://www.improvediagnosis.org
21: STC - 5 with Anthony Jordan
October 26, 2016 02:03 - 44 minutes - 40.9 MBEnjoy another instalment of Stump the Chumps. Friend and colleague Anthony Jordan presents a case of angio-edema...and other symptoms. Be the next one to present a STC case! If you're willing to record your voice, write to [email protected] with a snippet of your case, and we will be in touch. Remember to comment on this episode either on our Facebook page www.facebook.com/IMreasoning or on our webpage www.imreasoning.com Also, if you have a chance you could rate us on iTunes to ...
20: Medicine in Denial - Part 2
September 23, 2016 23:55 - 48 minutes - 44 MBAs promised, today's episode brings you an interview with Dr. Larry Weed. We hear from the man himself about his vision for a healthcare revolution. We would love to hear from you about this episode. Do you think we are doing things right? Or do you think the way we go about diagnosis is fundamentally wrong?
19: Medicine in Denial? - an introduction to Dr. Larry Weed
September 05, 2016 09:30 - 26 minutes - 24 MBThis is part 1 of 2 where we explore the work of Dr. Lawrence Weed. If you haven't already, before you listen to this episode, have a look at his 1971 Grand Rounds lecture to an audience at Emory University. https://www.youtube.com/watch?v=qMsPXSMTpFI
18: STC 4 with Becky Lane
July 13, 2016 06:41 - 52 minutes - 48.1 MBEnjoy another instalment of Stump the Chumps. Our good friend and colleague Becky Lane challenged us with a very interesting presentation of a young man. Don't forget to leave feedback on our Facebook page www.facebook.com/imreasoning
17: Teaching Clinical Reasoning - Bob Trowbridge
June 27, 2016 08:15 - 33 minutes - 31.1 MBIn this episode we get tips on how to teach clinical reasoning from Bob Trowbridge, an expert clinical educator at Maine Medical Centre. Go to our website www.imreasoning.com for links to Bob's new book, and other resources we discuss with Bob. Visit us at https://www.facebook.com/IMreasoning to comment on the episode and to give us your thoughts on this topic.
16: Feedback 2 - just an end-of-run evaluation
May 17, 2016 18:26 - 17 minutes - 16.2 MBWe decided to call this episode an "in-between-isode", borrowing the term from the Tim Ferris show. Its a short follow up continuing with our theme of feedback. How do we provide an evaluation for a strong performer? Does it help them to hear how great they are? Will it be a useful session? Will it help them improve even further? Leave us your thoughts on our new Facebook page. https://www.facebook.com/IMreasoning
15: Feedback
May 08, 2016 18:55 - 58 minutes - 53.9 MBIn this episode we begin our foray into the topic of feedback. You will hear us "worry out loud", together with our guest Dr. Chris Watling from the University of Western Ontario, about the difficulties in giving effective feedback to our trainees. Several themes arise from our conversation. Feedback needs to be specific, credible, and not soul-destroying (although ironically, we each shared some of our most traumatic feedback experiences as the most memorable, and influential, course-c...
14: Cognitive Autopsy of a groin lump
March 21, 2016 02:38 - 52 minutes - 48.4 MBWe're trying something new this week. We go through a case of a diagnostic error with a fine tooth comb to try to find the cognitive pitfalls. We would love to hear your feedback about this episode. Should we do this again?
13: Stump the Chumps - take 3
February 16, 2016 02:59 - 56 minutes - 51.8 MBFinally, our much awaited third try with Stump the Chumps. This time one of our registrars Dr. Brian Grainger challenges us with a case of a young patient. This is a longer episode, which I guess reflects the fact that sometimes, when the diagnosis is not obvious, you just have to take your time. Enjoy!
12: Compassion in Healthcare
January 06, 2016 01:47 - 1 hour - 60.2 MBWhat is compassion fatigue? Can you learn how to be more compassionate with your patients? We talk to Dr. Tony Fernando, psychiatrist, sleep specialist, educator and researcher, about compassion in healthcare, happiness, mindfulness, enlightenment, buddhist monks, and a bunch of other stuff. Enjoy!
11: Stump the Chumps - take 2
November 26, 2015 03:30 - 25 minutes - 23 MBWe bring you our second attempt at "stump the chumps". Our friend and colleague Oliver Menzies brought an interesting case. We think this case was not quite as enigmatic as our first one (episode 5) but we hope it illustrates sound clinical reasoning as we work our way through the clinical information. Enjoy.
10: The Second Victim
November 03, 2015 00:47 - 39 minutes - 36.3 MBWhen we talk about medical errors, we need to remember that there are two victims; the patient who suffers harm as a result of the error, and the clinician who makes the error. As long as the practice of medicine remains a human endeavour, medical errors are inevitable. As a medical community we need to accept that errors will occur. We need to talk about them openly and honestly, share our own stories, and support our colleagues when they share their stories with us. As members of societ...
9: The Human Diagnosis Project
October 15, 2015 21:35 - 46 minutes - 43 MBThe future is coming. In this episode we talk to Shantanu Nundy of the Human Diagnosis Project (HumanDx). As Shantanu describes it, HumanDx is a worldwide effort to map any health problem to its possible diagnoses. We have come across various projects that aim to create that elusive, high-fidelity, real-life, artificial intelligence of diagnosis. HumanDx is building that AI by connecting the knowledge, experience, and real-life cases from all of us. This is OUR project. We think that H...
8: DEM conference - Day 3
September 30, 2015 04:36 - 35 minutes - 32.2 MBThe Diagnostic Error in Medicine Conference 2015 has finally come! We have been looking forward to attending this conference for a while now. This comes on the heels of the freshly published Institute of Medicine Report on diagnostic error, an initiative which was prompted by SIDM, with Mark Graber at the helm. These three episodes, 6, 7, and 8 are our end-of-day reflections on the presentations we have heard. Don't forget to post your comments on our website imreasoning.com, in particul...
7: DEM conference - Day 2
September 30, 2015 04:31 - 32 minutes - 29.9 MBThe Diagnostic Error in Medicine Conference 2015 has finally come! We have been looking forward to attending this conference for a while now. This comes on the heels of the freshly published Institute of Medicine Report on diagnostic error, an initiative which was prompted by SIDM, with Mark Graber at the helm. These three episodes, 6, 7, and 8 are our end-of-day reflections on the presentations we have heard. Don't forget to post your comments on our website imreasoning.com, in particul...
6: Diagnostic Error in Medicine conference 2015 - Day 1
September 30, 2015 04:23 - 29 minutes - 27.3 MBThe Diagnostic Error in Medicine Conference 2015 has finally come! We have been looking forward to attending this conference for a while now. This comes on the heels of the freshly published Institute of Medicine Report on diagnostic error, an initiative which was prompted by SIDM, with Mark Graber at the helm. These three episodes, 6, 7, and 8 are our end-of-day reflections on the presentations we have heard. Don't forget to post your comments on our website imreasoning.com, in particul...
5: Stump the Chumps
September 07, 2015 02:18 - 42 minutes - 39.2 MBAs promised, we bring you our first attempt at "stump the chumps". This is where we are presented with a challenging diagnostic case and we think out loud as we reason our way through it. You can play along as you hear the case unfold.
4: Wise Words from Gurpreet Dhaliwal
August 08, 2015 20:16 - 41 minutes - 38 MBDr. Gurpreet Dhaliwal is professor of clinical medicine at UCSF and has written many articles in the realm of clinical reasoning. Although you have already heard snippets of our conversation on prior episodes, we thought we would share the entire interview with all of you. Gurpreet has an enlightening way of explaining how we think, and how we move from good clinicians to expert clinicians, through extended problem-solving and feedback.
3: Differential Diagnosis and Problem Representation
August 01, 2015 02:56 - 30 minutes - 27.8 MBThe differential diagnosis is at the heart of analytic thinking for the diagnostician. Dr. Mark Graber agrees. As the founder of the Society to Improve Diagnosis in Medicine, he should know. It can overcome many of the biases we are prone to when we limit ourselves only to diagnosis by pattern recognition. We discuss some simple approaches to generating a differential diagnosis and developing a problem representation.
2: Biases
August 01, 2015 02:38 - 37 minutes - 34.2 MBWe continue laying the foundations of type 1 and type 2 thinking with a discussion about biases. Once again we hear from Prof. Gurpreet Dhaliwal and some of his thoughts on the utility of studying metacognition.
1: Setting the Stage - How Doctors Think
July 27, 2015 04:30 - 25 minutes - 23.8 MBOur first episode lays down the foundations around type 1 and type 2 thinking.
0: Art and Nic
July 24, 2015 18:46 - 6 minutes - 5.49 MBIMreasoning is a podcast about clinical reasoning, diagnosis, diagnostic error, and other relevant topics for the working doctor, for students and trainess, and anyone else with an interest in meta-cognition and education.