Podcasts by IMreasoning - Clinical reasoning for Doctors and Students

62: The Chang, and musings on Artificial Intelligence from 2020-06-25T08:22:08

Chang is back people.  Hope you enjoy our conversation over a pint at Galbraith's in Auckland.  Chang helps us understand what machine learning actually means.  It's all about matrices apparentl...

61: Cognitive Autopsy from 2020-05-31T04:15:03

Once again we dissect a diagnosis-gone-wrong from the records of the Health and Disability Commissioner.  Can we learn something to take away and avoid making the same mistake ourselves?

60: STC with Josh Inglis from 2020-04-19T04:17:31

Welcome to another STC where friend of the podcast, Josh Inglis, challenges us with a case from Australia.  Play along with us and try to get the diagnosis as early as possible.

As an asi...

59: Coronavirus from 2020-03-20T05:50

First, welcome to Madison and Steven who have joined the IMreasoning team!

Like everyone else, we're talking about the Coronavirus.  Its hard not to when it has taken over essentially eve...

58: STC - Human Dx Global Morning Report from 2020-03-05T04:19:32

Another instalment of STC, this time using a Global Morning Report case from HumanDx.  We hope to do more of these as we initiate a collaboration with the Human Dx team.

Big news! We have...

57: Bayesian Reasoning from 2020-02-09T05:34:46

In this episode we review Bayesian Reasoning in general, and Nic get's the opportunity to geek out on talking stats.  We cover likelihood ratios, positive and negative predictive values, sensiti...

56: We're back! from 2020-01-13T09:13:17

Well folks, we are finally ready to re-launch with "season 2".  During our break we have been making plans to continue bringing you new material.  But most importantly we've decided to launch a ...

We'll be back soon! from 2019-08-14T04:04:40

After a season 1 that has dragged on for 4 years, we've decided to have a publishing break so we can work on more episodes.  Thanks to all our listeners for your feedback and encouragement.  We ...

55: STC live at AusDEM 2019 - Melbourne from 2019-07-10T22:35:26

Apologies for the delay in getting this next episode out to you.  Play along with us on this very challenging case.

Schadenfreude ( Listen

54: STC with Gurpreet Dhaliwal from 2019-05-28T16:00

A special edition of STC!  This time our good friend of the podcast Gurpreet Dhaliwal, master diagnostician, works through a case with Nic.  The case was originally presented to Art at morning r...

53: The Medical Futurist - Bertalan Mesko from 2019-05-07T09:51:41

Enjoy part 2 of our conversation with Bertalan Mesko, the Medical Futurist.  Apparently in 20 years when we're ready to retire, work will be so satisfying we won't want to leave!  I hope Bertala...

52: The Medical Futurist - Bertalan Mesko from 2019-04-22T03:54:50

Join us for part 1 of our conversation with Bertalan Mesko, also known as The Medical Futurist.  Bertalan is helping the medical world integrate and adopt technologies that are helping humans de...

51: STC International FLIPPED - The Answer... from 2019-03-26T00:07:47

Hopefully you had a chance to mull over the case we published in the last episode about Peggy from Australia who was experiencing fatigue and weight loss.  In this episode we review some of your...

50: STC internation - FLIPPED from 2019-03-14T09:01:04

Please join the IMreasoning community and try to solve this case!  Art and Nic had a cognitive/technical failure and messed up the sound files when they tried to solve this case.  So this time, ...

49: The Racist Patient - Part 2 from 2019-02-12T07:31:02

Enjoy part 2 of our conversations about the racist patient.  In this episode we have a conversation with professor of medical ethics, Dr. Phillipa Malpas from the University of Auckland.

48: The Racist Patient from 2019-01-15T23:47:50

Join Art and Nic for a discussion about our experiences with patients who hold bigoted, intolerant, racist, and judgmental opinions about their providers and people in general.

47: Compassion - Tony Fernando - Rebroadcast from 2018-12-14T07:44:01

This is one of favourite episodes of all time.  "All time" being since August 2015...  Have we really produced enough episodes to justify a "rebroadcast"? possibly not, but we're doing it anyway...

46: STC International - Wisconsin from 2018-11-24T19:40:31

Join us for another installation of STC international, this time with a case from Adam Clements from Wisconsin.

45: A Cognitive Autopsy of a case of back pain from 2018-10-11T01:16:04

This is by listener request! Art and Nic analyse what went wrong in the case of man who presented with sudden onset back pain. 

44: Swiss Ruminations from 2018-09-14T20:05:48

An "In-between-isode".  Art and Nic discuss lessons from the conferences in Switzerland, Association of Medical Educators of Europe (AMEE) and the European Diagnostic Error in Medicine Conferenc...

43: STC live in Perth from 2018-08-01T01:23:13

Back with another instalment of STC live, this time from Perth, Australia.  The Australian Medical Student Association put on a fantastic conference with truly inspiring speakers.  We had so muc...

42: Becoming an Expert Diagnostician from 2018-07-03T00:24:39

We chat once again with Gurpreet Dhaliwal, this time about what it takes to become a master diagnostician.  We discuss the main strategies; seeing many cases, deliberate training, getting feedba...

41: Words from 2018-05-23T08:45:24

We discuss the importance of the words that we choose to use in our medical documentation.  Words matter! They can generate stigma, and they can bias the decisions we subsequently make as practi...

40: Stump the Chumps International - Rahul Gandhi from 2018-04-06T21:55:07

It was a pleasure to finally get back to case-solving! Enjoy another interesting case of STC with our friend and colleague Rahul Gandhi, who is galavanting around the world getting super smart, ...

39: The Case of Dr. Hadiza Bawa-Garba from 2018-03-14T03:59:21

Some of you may have heard of the double tragedy involving Jack Adcock, a six year old who died from sepsis and Dr. Bawa-Garba, a pediatric trainee in the UK convicted of manslaughter in relatio...

38: Uncertainty in Medicine from 2018-02-21T03:09:12

We're back after a long summer break.  Enjoy this episode on uncertainty in medicine.  We talk to Arabella Simpkin, an English paediatrician, working in Boston, who spends a lot of time thinking...

37: STC International Live on Facebook from 2017-12-14T20:23:25

If you missed us live on Facebook last week, here's you chance to catch up.  Enjoy our STC session.  The case is from Australia, sent to us by Elise Perger (Allan) and Alison Miller... and we in...

36: Live STC at MMC from 2017-11-14T18:22:53

Enjoy our live Stump the Chumps at Main Medical Centre.  We were honoured to be invited by Bob Trowbridge and it was a pleasure to visit Portland, Maine.

35: Turning the Wheel 2 from 2017-10-29T00:37:02

Part two of our exploration of the connections between art, artistic thinking, creativity, with clinical reasoning and diagnosis.

We speak to Alexa Miller, a medical educator who uses art...

34: Tackling the drivers that lead to diagnostic error from 2017-10-17T18:03:02

Another enjoyable Diagnostic Error in Medicine conference, this time in Art's home town of Boston (actually, Newton...).  In this episode we discuss our thoughts inspired by one of the sessions,...

33: Turning the Wheel from 2017-10-06T20:08:26

This is part one of a two-part series exploring the deep connections between creative thinking and clinical reasoning.  We discuss Art's and Glenn's work as poets and physicians, and how each en...

32: STC with Chang from 2017-09-11T04:03:17

Enjoy an episode of STC.  This time WE weren't in the hot seat!  Humbling to see an excellent trainee in action.

31: STC International with Genevieve Yates from 2017-08-08T23:25:52

We finally got the chance to collaborate with Genevieve on her case for STC.  And we were keen to get this out just before GPTEC. Enjoy!

30: Diagnostic Uncertainty from 2017-07-27T11:08:12

We were privileged to speak to one of our patients, recently treated by our service, about her experience while her doctors struggled with diagnostic uncertainty.  The usual suspects were at pla...

29: STC live! at the Australian DEM from 2017-06-22T06:24:42

This time, we did not have a pause button! and we could not edit out all the times we sounded a little thick.  So enjoy the raw experience.  We did!

28: Donald Redelmeier from 2017-05-17T09:26:10

Coined by the New York Times as the "leading debunker of preconceived notions in the medical world", Don Redelmeier is an award winning researcher, teacher, and clinician.  Enjoy our conversatio...

27: STC International with Casey Parker from 2017-04-17T10:28:16

Finally, our first STC International.  An interesting case from Broome, Western Australia.  Thanks Casey Parker.

26: STC from the Clinical Problem-Solving series in NEJM from 2017-03-15T22:56:13

While waiting for another of our home-grown cases we decided to do a STC using a published case from the Clinical Problem-Solving series of the New England Journal of Medicine.

Let us kno...

25: Revisiting Dual Process Thinking from 2017-02-20T19:44:08

Do all diagnostic errors occur because we're rushing, and prematurely jumping to conclusions? Can we course-correct by simply slowing down and by being mindful of our own inherent biases?

24: Myths part 2 from 2017-01-11T08:52:04

Doctors 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 o...

23: Myths of the Physical Exam part 1 from 2016-12-10T05:34:59

Transillumination 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...

22: Diagnostic Error in Medicine 2016 - Los Angeles from 2016-11-16T22:02:15

Enjoy 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 ...

21: STC - 5 with Anthony Jordan from 2016-10-26T02:03:10

Enjoy 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 w...

20: Medicine in Denial - Part 2 from 2016-09-23T23:55:16

As 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 ...

19: Medicine in Denial? - an introduction to Dr. Larry Weed from 2016-09-05T09:30:28

This 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 Emo...

18: STC 4 with Becky Lane from 2016-07-13T06:41:37

Enjoy 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 o...

17: Teaching Clinical Reasoning - Bob Trowbridge from 2016-06-27T08:15:30

In 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 Listen

16: Feedback 2 - just an end-of-run evaluation from 2016-05-17T18:26:41

We 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...

15: Feedback from 2016-05-08T18:55:45

In 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 di...

14: Cognitive Autopsy of a groin lump from 2016-03-21T02:38:14

We'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 epi...

13: Stump the Chumps - take 3 from 2016-02-16T02:59:10

Finally, 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 gu...

12: Compassion in Healthcare from 2016-01-06T01:47:24

What 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...

11: Stump the Chumps - take 2 from 2015-11-26T03:30:42

We 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 (epis...

10: The Second Victim from 2015-11-03T00:47:06

When 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 p...

9: The Human Diagnosis Project from 2015-10-15T21:35:45

The 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 i...

8: DEM conference - Day 3 from 2015-09-30T04:36:06

The 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 I...

7: DEM conference - Day 2 from 2015-09-30T04:31:14

The 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 I...

6: Diagnostic Error in Medicine conference 2015 - Day 1 from 2015-09-30T04:23:06

The 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 I...

5: Stump the Chumps from 2015-09-07T02:18:44

As 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 ...

4: Wise Words from Gurpreet Dhaliwal from 2015-08-08T20:16:20

Dr. 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...

3: Differential Diagnosis and Problem Representation from 2015-08-01T02:56:01

The 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.  ...

2: Biases from 2015-08-01T02:38:47

We 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 study...

1: Setting the Stage - How Doctors Think from 2015-07-27T04:30:21

Our first episode lays down the foundations around type 1 and type 2 thinking.

0: Art and Nic from 2015-07-24T18:46:20

IMreasoning 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 m...