IMreasoning - Clinical reasoning for Doctors and Students

Enjoy an episode of STC.  This time WE weren't in the hot seat!  Humbling to see an excellent trainee in action.

We finally got the chance to collaborate with Genevieve on her case for STC.  And we were keen to get this out just before GPTEC. Enjoy!

We were privileged to speak to one of our patients, recently treated by our service, about her experience while her doctors struggled with diagnostic uncertainty.  The usual suspects were at play; uncommon diagnoses, uncommon presentations, cognitive biases, systems issues, etc. Check out the new look to our website! www.imreasoning.com 

This time, we did not have a pause button! and we could not edit out all the times we sounded a little thick.  So enjoy the raw experience.  We did!

Coined by the New York Times as the "leading debunker of preconceived notions in the medical world", Don Redelmeier is an award winning researcher, teacher, and clinician.  Enjoy our conversation with Dr. Redelmeier where we discuss pitfalls in clinical reasoning...as well as New Zealand idioms... Tell us what you think on: www.imreasoning.com www.facebook.com/imreasoning Twitter, @IMreasoning or email us at imreasoning@gmail.com  

Finally, our first STC International.  An interesting case from Broome, Western Australia.  Thanks Casey Parker.

While waiting for another of our home-grown cases we decided to do a STC using a published case from the Clinical Problem-Solving series of the New England Journal of Medicine. Let us know what you think of this format! www.imreasoning.com www.facebook.com/imreasoning or now you can make noise at us on Twitter.  Our handle is @IMreasoning  

Do all diagnostic errors occur because we're rushing, and prematurely jumping to conclusions? Can we course-correct by simply slowing down and by being mindful of our own inherent biases? Geoff Norman and his colleagues review the literature to try to answer these and other questions about where errors in clinical reasoning come from. The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking And get your own Cognitive Bias Codex poster here: Cognitive Bias Codex Please write us with comments and feedback on Facebook at https://www.facebook.com/IMreasoning or on our webpage at www.IMreasoning.com and send us your STC cases to imreasoning@gmail.com  

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  

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".