IMreasoning - Clinical reasoning for Doctors and Students (general)

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.


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

Direct download: episode_32_STC_with_Chang_-_110917_2.35_PM.mp3
Category:general -- posted at: 4:03pm NZDT

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!

Direct download: episode_31_STC_international_with_Genevieve_Yates_-_90817_final.mp3
Category:general -- posted at: 11:25am NZDT

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 


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!

Direct download: episode_29_STC_at_AusDEM_-_220617_5.48_PM.mp3
Category:general -- posted at: 6:24pm NZDT

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.facebook.com/imreasoning

Twitter, @IMreasoning

or email us at imreasoning@gmail.com

 

Direct download: episode_28_-_Don_Redelmeier.mp3
Category:general -- posted at: 9:26pm NZDT

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

Direct download: episode_27_-_STC_international_Casey_Parker_from_Broome_-_160417_4.26_PM.mp3
Category:general -- posted at: 10:28pm NZDT

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

 

Direct download: episode_26_STC_from_NEJM_-_160317_11.45_AM.mp3
Category:general -- posted at: 11:56am NZDT

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 Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking

And get your own Cognitive Bias Codex poster here: Cognitive Bias Codex

Please write us with comments and feedback on Facebook at https://www.facebook.com/IMreasoning

or on our webpage at www.IMreasoning.com

and send us your STC cases to imreasoning@gmail.com

 

Direct download: episode_25_revisiting_dual_process_thinking_-_210217_8.22_AM.mp3
Category:general -- posted at: 8:44am NZDT

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 episode, we debunk and discuss our favourite myths. Enjoy!

Don't forget to write us with feedback on our Facebook page at https://www.facebook.com/IMreasoning

or on our webpage at www.imreasoning.com

and write to us with your STC cases to imreasoning@gmail.com

 

Direct download: episode_24_myths_2_-_110117_9.37_PM.mp3
Category:general -- posted at: 9:52pm NZDT