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IMreasoning - Clinical reasoning for Doctors and Students

A Health, Fitness and Medicine podcast
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We'll be back soon!
After a season 1 that has dragged on for 4 years, we've decided to have a publishing break so we can work on more episodes.  Thanks to all our listeners for your feedback and encouragement.  We will be back soon!
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.  
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.
53: The Medical Futurist - Bertalan Mesko
Enjoy part 2 of our conversation with Bertalan Mesko, the Medical Futurist.  Apparently in 20 years when we're ready to retire, work will be so satisfying we won't want to leave!  I hope Bertalan's optimism turns out to be prophetic...
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!
51: STC International FLIPPED - The Answer...
Hopefully you had a chance to mull over the case we published in the last episode about Peggy from Australia who was experiencing fatigue and weight loss.  In this episode we review some of your responses and give you the final diagnosis.
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!
49: The Racist Patient - Part 2
Enjoy part 2 of our conversations about the racist patient.  In this episode we have a conversation with professor of medical ethics, Dr. Phillipa Malpas from the University of Auckland.
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.
47: Compassion - Tony Fernando - Rebroadcast
This is one of favourite episodes of all time.  "All time" being since August 2015...  Have we really produced enough episodes to justify a "rebroadcast"? possibly not, but we're doing it anyway. We're working on a couple of episodes that we'll have out in the new year, but we didn't want to let so much time pass without seeing you all again. Enjoy!
46: STC International - Wisconsin
Join us for another installation of STC international, this time with a case from Adam Clements from Wisconsin.
45: A Cognitive Autopsy of a case of back pain
This is by listener request! Art and Nic analyse what went wrong in the case of man who presented with sudden onset back pain. 
44: Swiss Ruminations
An "In-between-isode".  Art and Nic discuss lessons from the conferences in Switzerland, Association of Medical Educators of Europe (AMEE) and the European Diagnostic Error in Medicine Conference (EuroDEM).  We also discuss Argentinian Parrilla's...
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!
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.
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.
40: Stump the Chumps International - Rahul Gandhi
It was a pleasure to finally get back to case-solving! Enjoy another interesting case of STC with our friend and colleague Rahul Gandhi, who is galavanting around the world getting super smart, so he can fix everything.
39: The Case of Dr. Hadiza Bawa-Garba
Some of you may have heard of the double tragedy involving Jack Adcock, a six year old who died from sepsis and Dr. Bawa-Garba, a pediatric trainee in the UK convicted of manslaughter in relation to his death and prevented from ever working again. Justice or a clear case of scapegoating? Listen as we discuss this troubling case and its far-reaching implications for transparency, honest reflection, and patient safety.
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.
37: STC International Live on Facebook
If you missed us live on Facebook last week, here's you chance to catch up.  Enjoy our STC session.  The case is from Australia, sent to us by Elise Perger (Allan) and Alison Miller... and we invited Chang as a guest host, back by popular demand. Or, you can still watch the Facebook video at the link below. Let us know if you liked the Facebook live event.  We can do it again!
Join us for STC on Facebook Live!
Important announcement!  On December 6th at 7 pm New Zealand time, we are doing a Stump the Chumps International case live on Facebook. Please join Art, Nic, and special guest, back by popular demand, Chang, and help us solve this case, given to us long ago by Elise Perger and Alison Miller. Dec 5th at 10 pm on the west coast in NA Dec 6th at 1 am on the east coast in NA
36: Live STC at MMC
Enjoy our live Stump the Chumps at Main Medical Centre.  We were honoured to be invited by Bob Trowbridge and it was a pleasure to visit Portland, Maine.
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.
34: Tackling the drivers that lead to diagnostic error
Another enjoyable Diagnostic Error in Medicine conference, this time in Art's home town of Boston (actually, Newton...).  In this episode we discuss our thoughts inspired by one of the sessions, run by Doug Salvador and Harry Hoar from Baystate Medical Centre. They addressed how to get one's own hospital administration to engage in Diagnostic Error.  Remember to check the website for the attachment so you can follow along while you listen.
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
Jul 24th, 2015
Latest Episode
Jul 10th, 2019
Release Period
No. of Episodes
Avg. Episode Length
43 minutes

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