IMreasoning - Clinical reasoning for Doctors and Students

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!

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 EDT

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

or on our webpage at

and send us your STC cases to


Direct download: episode_25_revisiting_dual_process_thinking_-_210217_8.22_AM.mp3
Category:general -- posted at: 2:44pm EDT

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

or on our webpage at

and write to us with your STC cases to


Direct download: episode_24_myths_2_-_110117_9.37_PM.mp3
Category:general -- posted at: 3:52am EDT

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 EDT

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:


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

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 with a snippet of your case, and we will be in touch.

Remember to comment on this episode either on our Facebook page or on our webpage

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 EDT

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 EDT

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 Emory University.

Direct download: episode_19_-_larry_weed_intro_-_5_09_16_8.51_PM.mp3
Category:general -- posted at: 5:30am EDT

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 on our Facebook page


Direct download: episode_18_-_STC_4_-_130716_6.16_PM.mp3
Category:general -- posted at: 2:41am EDT

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 for links to Bob's new book, and other resources we discuss with Bob.

Visit us at to comment on the episode and to give us your thoughts on this topic.

Direct download: episode_17_-_Bob_trowbridge.mp3
Category:general -- posted at: 4:15am EDT