IMreasoning - Clinical reasoning for Doctors and Students

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: 2:24am EST

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: 5:26am EST

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


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: 6:56pm EST

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: 2:44pm EST

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: 3:52am EST

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 many studied history features and physical exam manoeuvres.

Also, check out JAMA's series of articles entitled "The Rational Clinical Exam".

Direct download: episode_23_myths_-_101216_6.12_PM.mp3
Category:general -- posted at: 12:34am EST

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 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

 

Direct download: episode_22_DEM_update_-_161116_2.07_PM_amplified.mp3
Category:general -- posted at: 5:02pm EST

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 willing to record your voice, write to imreasoning@gmail.com 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 help spread the good word...

Direct download: episode_21_STC_5_anthony_jordan_-_251016_4.51_PM.mp3
Category:general -- posted at: 10:03pm EST

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 this episode.  Do you think we are doing things right? Or do you think the way we go about diagnosis is fundamentally wrong?

Direct download: episode_20_-_larry_weed_part_2_interview_-_240916_11.43_AM.mp3
Category:general -- posted at: 7:55pm EST