IMreasoning - Clinical reasoning for Doctors and Students

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

You can try to solve thousands of interesting cases at HumanDx in an interactive, engaging platform, and can add your own cases too.

Direct download: STC_Human_Dx_hot_water_bottle_-_90720_6.07_AM.mp3
Category:general -- posted at: 6:17am NZST

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...

Direct download: episode_62_Chang_AI_-_250620_8.07_PM.mp3
Category:general -- posted at: 8:22pm NZST

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?

Direct download: episode_61_Cog_Aut_ENT_-_310520_2.33_PM.mp3
Category:general -- posted at: 4:15pm NZST

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 completely squashed it.  For each of the last 4 days we have had less than 15 new confirmed and probable cases.  Now we have to figure out how to stay COVID-free until the vaccine...

Remember you can view our medical student teaching events on our Facebook page.

You can support our efforts to continue producing this podcast at


Direct download: episode_60_STC_Josh_Inglis_-_190420_3.42_PM.mp3
Category:general -- posted at: 4:17pm NZST

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 concept of exponential growth, denial in hard times, and the counterfactual.

And we have the rare treat of chatting with our good friend Jorge Valbuena-Balbas who is living and working in Bilbao, Spain, and is currently sitting (metophorically-speaking) at the bottom of what appears to be an exponential trajectory in Spain.

For those keen to support our efforts please visit:


Direct download: episode_59_Coronavirus_-_200320_6.59_AM.mp3
Category:general -- posted at: 6:50pm NZST

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:

We appreciate your support.

Direct download: episode_58_STC_human_dx_paraesthesias_-_50320_3.59_PM.mp3
Category:general -- posted at: 5:19pm NZST

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.

Direct download: episode_57_bayesian_reasoning_-_100220_6.45_AM.mp3
Category:general -- posted at: 6:34pm NZST

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.

For now, enjoy a short cognitive autopsy.  Next episode, more Bayesian math!

Direct download: episode_56_were_back_-_130120_8.49_PM.mp3
Category:general -- posted at: 10:13pm NZST