IMreasoning - Clinical reasoning for Doctors and Students

Latest Episodes:

13: Stump the Chumps - take 3 Feb 16, 2016

Show notes

Finally, our much awaited third try with Stump the Chumps. This time one of our registrars Dr. Brian Grainger challenges us with a case of a young patient. This is a longer episode, which I guess reflects the fact that sometimes, when the diagnosis is not obvious, you just have to take your time. Enjoy!

12: Compassion in Healthcare Jan 06, 2016

Show notes

What is compassion fatigue? Can you learn how to be more compassionate with your patients? We talk to Dr. Tony Fernando, psychiatrist, sleep specialist, educator and researcher, about compassion in healthcare, happiness, mindfulness, enlightenment, buddhist monks, and a bunch of other stuff. Enjoy!

11: Stump the Chumps - take 2 Nov 26, 2015

Show notes

We bring you our second attempt at "stump the chumps". Our friend and colleague Oliver Menzies brought an interesting case. We think this case was not quite as enigmatic as our first one (episode 5) but we hope it illustrates sound clinical reasoning as we work our way through the clinical information. Enjoy.

10: The Second Victim Nov 03, 2015

Show notes

When we talk about medical errors, we need to remember that there are two victims; the patient who suffers harm as a result of the error, and the clinician who makes the error. As long as the practice of medicine remains a human endeavour, medical errors are inevitable. As a medical community we need to accept that errors will occur. We need to talk about them openly and honestly, share our own stories, and support our colleagues when they share their stories with us. As members of society, we should better understand the fallibility of medical practitioners, and we need to understand the limits of their craft.

We had the opportunity to interview Brian Goldman, an ED doctor from Toronto, Canada, who is also a journalist, host of the CBC radio show "White Coat, Black Art", author of two books unveiling the secrets of medical culture, and a "TED-talker" with his presentation entitled "Doctors make mistakes - can we talk about that".

We also interviewed our friend and colleague, Dr. David Spriggs, a Brit who has lived in NZ for many years, an excellent general internist and geriatrician, who regularly teaches our trainees on the reality of making mistakes.

9: The Human Diagnosis Project Oct 15, 2015

Show notes

The future is coming. In this episode we talk to Shantanu Nundy of the Human Diagnosis Project (HumanDx). As Shantanu describes it, HumanDx is a worldwide effort to map any health problem to its possible diagnoses. We have come across various projects that aim to create that elusive, high-fidelity, real-life, artificial intelligence of diagnosis. HumanDx is building that AI by connecting the knowledge, experience, and real-life cases from all of us. This is OUR project. We think that HumanDx is the real thing. Enjoy!

8: DEM conference - Day 3 Sep 30, 2015

Show notes

The Diagnostic Error in Medicine Conference 2015 has finally come! We have been looking forward to attending this conference for a while now. This comes on the heels of the freshly published Institute of Medicine Report on diagnostic error, an initiative which was prompted by SIDM, with Mark Graber at the helm. These three episodes, 6, 7, and 8 are our end-of-day reflections on the presentations we have heard.

Don't forget to post your comments on our website imreasoning.com, in particular about your thoughts on the IOM's definition of a diagnostic error.

7: DEM conference - Day 2 Sep 30, 2015

Show notes

Don't forget to post your comments on our website imreasoning.com, in particular about your thoughts on the IOM's definition of a diagnostic error.

6: Diagnostic Error in Medicine conference 2015 - Day 1 Sep 30, 2015

Show notes

Don't forget to post your comments on our website imreasoning.com, in particular about your thoughts on the IOM's definition of a diagnostic error.

5: Stump the Chumps Sep 07, 2015

Show notes

As promised, we bring you our first attempt at "stump the chumps". This is where we are presented with a challenging diagnostic case and we think out loud as we reason our way through it. You can play along as you hear the case unfold.

4: Wise Words from Gurpreet Dhaliwal Aug 08, 2015

Show notes

Dr. Gurpreet Dhaliwal is professor of clinical medicine at UCSF and has written many articles in the realm of clinical reasoning. Although you have already heard snippets of our conversation on prior episodes, we thought we would share the entire interview with all of you. Gurpreet has an enlightening way of explaining how we think, and how we move from good clinicians to expert clinicians, through extended problem-solving and feedback.

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