

IMreasoning - Clinical reasoning for Doctors and Students
Drs. Art Nahill & Nic Szecket
Welcome to IM Reasoning with your hosts Dr. Art Nahill and Dr. Nic Szecket, two general internists with a passion for teaching clinical reasoning. Join us for case discussions, conversations and interviews that explore issues important to clinicians and students, with a special focus on clinical reasoning, the once-mysterious process behind the remarkable abilities of the master clinician.
Episodes
Mentioned books

Jul 3, 2018 • 54min
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.

May 23, 2018 • 43min
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.

Apr 6, 2018 • 58min
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.

Mar 14, 2018 • 1h 4min
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.

Feb 21, 2018 • 53min
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.

Dec 14, 2017 • 1h 5min
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. https://www.facebook.com/IMreasoning/videos/1974175999573953/ Let us know if you liked the Facebook live event. We can do it again!

Nov 14, 2017 • 47min
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.

Oct 29, 2017 • 1h 4min
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.

Oct 17, 2017 • 35min
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 IMreasoning.com for the attachment so you can follow along while you listen.

Oct 6, 2017 • 36min
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.