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RVTS recently hosted the 3rd annual RVTS Grand Round Webinar. We were delighted to be joined by Art Nahill and Nic Szecket from IMReasoning, amongst others, who discussed a case in the form of a “cognitive autopsy” - with all the benefits of hindsight. The discussion highlights that diagnostic errors occur surprisingly commonly!
We are thrilled to launch our 1st collaboration with HumanDx. "a worldwide effort, created with and led by the global medical community, to build an open intelligence system that maps the steps to help any patient" There is a key image associated with the case which you should inspect before starting. Go to our website IMreasoning.com. You can try to solve thousands of interesting cases at HumanDx in an interactive, engaging platform, and can add your own cases too.
First, welcome to Madison and Steven who have joined the IMreasoning team! Like everyone else, we're talking about the Coronavirus. Its hard not to when it has taken over essentially every aspect of our daily lives, both at work and at home. We talk about what makes the situation difficult for human minds to grasp the reality of this pandemic; the concept of exponential growth, denial in hard times, and the counterfactual. And we have the rare treat of chatting with our good friend Jorge Valbuena-Balbas who is living and working in Bilbao, Spain, and is currently sitting (metophorically-speaking) at the bottom of what appears to be an exponential trajectory in Spain. For those keen to support our efforts please visit: https://www.patreon.com/imreasoning
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!
We were fortunate enough to have Art Nahill and Nik Szecket from IMReasoning join us for our inaugural RVTS Grand Round Webinar for a STC case discussion. One of our medical educators, Dr Lorri Hopkins, provided the case, and Art and Nic demonstrated their clinical reasoning every step of the way.
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!
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.
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
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
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...
In this episode we get tips on how to teach clinical reasoning from Bob Trowbridge, an expert clinical educator at Maine Medical Centre. Go to our website www.imreasoning.com for links to Bob's new book, and other resources we discuss with Bob. Visit us at https://www.facebook.com/IMreasoning to comment on the episode and to give us your thoughts on this topic.
We decided to call this episode an "in-between-isode", borrowing the term from the Tim Ferris show. Its a short follow up continuing with our theme of feedback. How do we provide an evaluation for a strong performer? Does it help them to hear how great they are? Will it be a useful session? Will it help them improve even further? Leave us your thoughts on our new Facebook page. https://www.facebook.com/IMreasoning
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.