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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.
 
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show series
 
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 us. Thank you especially to those who got in touch, a…
 
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.
 
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 Talk, author of "Moonwalking with Einstein":…
 
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 starting. Go to our website IMreasoning.com. You can try …
 
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 not only managed to "flatten the curve"; we have compl…
 
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 human minds to grasp the reality of this pandemic; the …
 
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 use the link below to visit our Patreon page: https:/…
 
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 you understand and remember these concepts.…
 
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 "public". We'll keep you updated on this new project. Fo…
 
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 witnessing the troubles, failures, or humiliation of another.…
 
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 much time pass without seeing you all again. Enjoy!…
 
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 grace to our session. Play along as the case evolves and …
 
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 as we discuss this troubling case and its far-reaching…
 
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.
 
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 link below. https://www.facebook.com/IMreasoning/videos…
 
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 observe, describe, communicate, and to tolerate uncertaint…
 
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 hospital administration to engage in Diagnostic Error.…
 
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 look to our website! www.imreasoning.com…
 
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... Tell us what you think on: www.imreasoning.com www.f…
 
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 us on Twitter. Our handle is @IMreasoning…
 
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 errors in clinical reasoning come from. The Causes of…
 
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 believed and practiced by doctors everywhere. In this…
 
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 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…
 
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