IMreasoning - Clinical reasoning for Doctors and Students Podcast

IMreasoning - Clinical reasoning for Doctors and Students

A Health, Fitness and Medicine podcast
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32: STC with Chang
Enjoy an episode of STC.  This time WE weren't in the hot seat!  Humbling to see an excellent trainee in action.
19: Medicine in Denial? - an introduction to Dr. Larry Weed
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. https://www.youtube.com/watch?v=qMsPXSMTpFI
15: Feedback
In this episode we begin our foray into the topic of feedback.  You will hear us "worry out loud",  together with our guest Dr. Chris Watling from the University of Western Ontario, about the difficulties in giving effective feedback to our trainees. Several themes arise from our conversation.  Feedback needs to be specific, credible, and not soul-destroying (although ironically, we each shared some of our most traumatic feedback experiences as the most memorable, and influential, course-correcting moments).  How we give and receive feedback is not only dependent on the individuals involved, but also importantly on the culture of the discipline; medical training culture is different from musical training, different from athletic training. Also, keep an "ear" out for our new segment, the BOM (Bias of the Month). Enjoy!
12: Compassion in Healthcare
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!
10: The Second Victim
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.
0: Art and Nic
IMreasoning is a podcast about clinical reasoning, diagnosis, diagnostic error, and other relevant topics for the working doctor, for students and trainess, and anyone else with an interest in meta-cognition and education.
52: The Medical Futurist - Bertalan Mesko
Join us for part 1 of our conversation with Bertalan Mesko, also known as The Medical Futurist.  Bertalan is helping the medical world integrate and adopt technologies that are helping humans deliver better healthcare.  Enjoy!
50: STC internation - FLIPPED
Please join the IMreasoning community and try to solve this case!  Art and Nic had a cognitive/technical failure and messed up the sound files when they tried to solve this case.  So this time, you get to be the chump. Good luck!
54: STC with Gurpreet Dhaliwal
A special edition of STC!  This time our good friend of the podcast Gurpreet Dhaliwal, master diagnostician, works through a case with Nic.  The case was originally presented to Art at morning report by one of our registrars Luke Sutherland.
55: STC live at AusDEM 2019 - Melbourne
Apologies for the delay in getting this next episode out to you.  Play along with us on this very challenging case. Schadenfreude (/ˈʃɑːdənfrɔɪdə/; German: [ˈʃaːdn̩ˌfʁɔʏ̯də] (listen); lit. 'harm-joy') is the experience of pleasure, joy, or self-satisfaction that comes from learning of or witnessing the troubles, failures, or humiliation of another.  
48: The Racist Patient
Join Art and Nic for a discussion about our experiences with patients who hold bigoted, intolerant, racist, and judgmental opinions about their providers and people in general.
38: Uncertainty in Medicine
We're back after a long summer break.  Enjoy this episode on uncertainty in medicine.  We talk to Arabella Simpkin, an English paediatrician, working in Boston, who spends a lot of time thinking and writing about uncertainty and our need to embrace it, or at the very least, tolerate it graciously.
35: Turning the Wheel 2
Part two of our exploration of the connections between art, artistic thinking, creativity, with clinical reasoning and diagnosis. We speak to Alexa Miller, a medical educator who uses arts-based learning and visual thinking skills to train students and seasoned professionals alike to better observe, describe, communicate, and to tolerate uncertainty. We also speak with Jay Baruch, a writer, medical educator, and emergency doctor who is also the director the clinical arts and humanities at Brown Medical School.
21: STC - 5 with Anthony Jordan
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...
7: DEM conference - Day 2
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.
27: STC International with Casey Parker
Finally, our first STC International.  An interesting case from Broome, Western Australia.  Thanks Casey Parker.
23: Myths of the Physical Exam part 1
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".
24: Myths part 2
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  
13: Stump the Chumps - take 3
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!
9: The Human Diagnosis Project
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
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.
41: Words
We discuss the importance of the words that we choose to use in our medical documentation.  Words matter! They can generate stigma, and they can bias the decisions we subsequently make as practitioners.
42: Becoming an Expert Diagnostician
We chat once again with Gurpreet Dhaliwal, this time about what it takes to become a master diagnostician.  We discuss the main strategies; seeing many cases, deliberate training, getting feedback, closing the loop, and others.
43: STC live in Perth
Back with another instalment of STC live, this time from Perth, Australia.  The Australian Medical Student Association put on a fantastic conference with truly inspiring speakers.  We had so much fun sharing the stage with Michelle Johnston, ED doctor and author, who brought the humour and the grace to our session. Play along as the case evolves and see if you can do better than us!
33: Turning the Wheel
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.
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Podcast Details
Started
Jul 24th, 2015
Latest Episode
Aug 14th, 2019
Release Period
Weekly
No. of Episodes
59
Avg. Episode Length
42 minutes
Explicit
No

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