IMreasoning - Clinical reasoning for Doctors and Students

The podcast dives into the critical role of differential diagnosis in clinical reasoning, emphasizing a balance between intuitive and analytical thinking. It addresses the complexities faced by medical education and the challenges of relying solely on intuition. The hosts outline systematic approaches to generating diagnoses for common symptoms, stressing the importance of personalizing methods for improved clinical recall. The episode also explores the necessity of precise medical terminology in crafting accurate problem representations, while highlighting the need to counteract biases.

The discussion delves into the fascinating world of biases in clinical reasoning, inspired by Daniel Kahneman's theories of fast and slow thinking. A gripping case study illustrates the dangers of misdiagnosis, showcasing how an alcoholic gastritis diagnosis temporarily obscured a life-threatening aortic dissection. The hosts explore cognitive biases like confirmation bias and anchoring bias, stressing the need for thorough evaluations. They also reflect on navigating clinical reasoning complexities, underscoring the importance of recognizing and addressing subconscious biases for better patient outcomes.

Our first episode lays down the foundations around type 1 and type 2 thinking.

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.