IMreasoning - Clinical reasoning for Doctors and Students
by Drs. Art Nahill & Nic Szecket
Welcome 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.
Episodes
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Our final episode
We cannot put this off any longer. IMreasoning has reached the end of its road. We had a great 5 years. We both learned so much, about medicine, about cognition, about the art of teaching, about each other, and about ourselves. Thank you once again to all of you, our listeners, for sticking with...
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69: STC with Alec Rezigh
Join us for another instalment of Stump the Chumps. This time our case comes from Baylor University presented by Alec Rezigh, a friend of the podcast. Enjoy!
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Epilette January 2021
Just a quick inbetweenisode to let you all know we will be back with another instalment of STC in early February. Enjoy a Southern Hemisphere summer, wherever you are.
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68: STC with Ramey Bajwa
Join us for another installation of STC (technically international) with Ramey Bajwa. Play along and see if you can guess the diagnosis any earlier than we did (or did not).
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67: MAID with Stefanie Green
Join us for our conversation with Stefanie Green, the director of CAMAP (Canadian Association of MAID Assessors and Providers) where we hear about the lessons learned from the Canadian experience over the past four years since it has been legal for doctors to provide medical assistance in dying.
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66: STC with Human Dx and reverse STC
Join us for another instalment of STC (Stump the Chumps) where we tackle another case from HumanDx Global Morning Report. But first, try your hand at solving a case that Art brought along from his recent ward round. Good luck!
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65: STC at the Royal Adelaide with Josh and Toby
Join us for another instalment of STC, presented at grand rounds at the Royal Adelaide Hospital. Unfortunately we had to stay at home in Auckland and do it over Zoom... (because COVID). Josh Inglis and Toby Gilbert gave us a real challenge.
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64: Memory - Daniel Kilov
Join us for a fascinating conversation with Daniel Kilov, philosopher and memory athlete, about memory. Find out about techniques that we can each learn to help us to memorise...anything. Click on Daniel Kilov TedX talk to here more And if you're interested here is the link to Joshua Foer Ted…
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63: STC with Human Dx
We are thrilled to launch our 1st collaboration with HumanDx. "a worldwide effort, created with and led by the global medical community, to build an open intelligence system that maps the steps to help any patient" There is a key image associated with the case which you should inspect before...
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62: The Chang, and musings on Artificial Intelligence
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 apparently. Easy...
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61: Cognitive Autopsy
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?
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60: STC with Josh Inglis
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 aside, our update regarding COVID19 in NZ is already a bit out date. Time move quickly during a pandemic! NZ has…
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59: Coronavirus
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 every aspect of our daily lives, both at work and at home. We talk about what makes the situation difficult for...
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58: STC - Human Dx Global Morning Report
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 launched our Patreon page. Listen to this episode to hear more about how you can support the podcast. You can...
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57: Bayesian Reasoning
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, sensitivity and specificity, and pre- and post-test probabilities. Hopefully, we used examples that will help…
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56: We're back!
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 new podcast called "Diagnostica" which aims to bridge the gap between the culture of medicine and the...
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We'll be back soon!
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 will be back soon!
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55: STC live at AusDEM 2019 - Melbourne
Apologies for the delay in getting this next episode out to you. Play along with us on this very challenging case. Schadenfreude (/ˈʃɑːdənfrɔɪdə/; German: [ˈʃaːdn̩ˌfʁɔʏ̯də] (listen); lit. 'harm-joy') is the experience of pleasure, joy, or self-satisfaction that comes from learning of or…
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54: STC with Gurpreet Dhaliwal
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 report by one of our registrars Luke Sutherland.
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53: The Medical Futurist - Bertalan Mesko
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 Bertalan's optimism turns out to be prophetic...
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52: The Medical Futurist - Bertalan Mesko
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 deliver better healthcare. Enjoy!
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51: STC International FLIPPED - The Answer...
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 responses and give you the final diagnosis.
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50: STC internation - FLIPPED
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, you get to be the chump. Good luck!
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49: The Racist Patient - Part 2
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.
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48: The Racist Patient
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.
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47: Compassion - Tony Fernando - Rebroadcast
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. We're working on a couple of episodes that we'll have out in the new year, but we didn't want to let so...
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46: STC International - Wisconsin
Join us for another installation of STC international, this time with a case from Adam Clements from Wisconsin.
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45: A Cognitive Autopsy of a case of back pain
This is by listener request! Art and Nic analyse what went wrong in the case of man who presented with sudden onset back pain.
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44: Swiss Ruminations
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 Conference (EuroDEM). We also discuss Argentinian Parrilla's...
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43: STC live in Perth
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 much fun sharing the stage with Michelle Johnston, ED doctor and author, who brought the humour and the…
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42: Becoming an Expert Diagnostician
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 feedback, closing the loop, and others.
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41: Words
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 practitioners.
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40: Stump the Chumps International - Rahul Gandhi
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, so he can fix everything.
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40: Stump the Chumps International - Rahul Gandhi
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, so he can fix everything.
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39: The Case of Dr. Hadiza Bawa-Garba
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 relation to his death and prevented from ever working again. Justice or a clear case of scapegoating? Listen…
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38: Uncertainty in Medicine
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 and writing about uncertainty and our need to embrace it, or at the very least, tolerate it graciously.
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37: STC International Live on Facebook
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 invited Chang as a guest host, back by popular demand. Or, you can still watch the Facebook video at the…
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36: Live STC at MMC
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.
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35: Turning the Wheel 2
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 arts-based learning and visual thinking skills to train students and seasoned professionals alike to better...
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34: Tackling the drivers that lead to diagnostic error
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, run by Doug Salvador and Harry Hoar from Baystate Medical Centre. They addressed how to get one's own...
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33: Turning the Wheel
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 endeavour enriches the other.
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32: STC with Chang
Enjoy an episode of STC. This time WE weren't in the hot seat! Humbling to see an excellent trainee in action.
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31: STC International with Genevieve Yates
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!
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30: Diagnostic Uncertainty
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 play; uncommon diagnoses, uncommon presentations, cognitive biases, systems issues, etc. Check out the new...
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29: STC live! at the Australian DEM
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!
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28: Donald Redelmeier
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 conversation with Dr. Redelmeier where we discuss pitfalls in clinical reasoning...as well as New Zealand idioms......
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27: STC International with Casey Parker
Finally, our first STC International. An interesting case from Broome, Western Australia. Thanks Casey Parker.
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26: STC from the Clinical Problem-Solving series in NEJM
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 know what you think of this format! www.imreasoning.com www.facebook.com/imreasoning or now you can make noise at...
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25: Revisiting Dual Process Thinking
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? Geoff Norman and his colleagues review the literature to try to answer these and other questions about where...
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24: Myths part 2
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 of these ideas, and many others, are pervasive in our medical education institutions, and to varying degrees are...
About this show
Welcome 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.
Hosted by
Drs. Art Nahill & Nic Szecket