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Conversations to inspire critical thinking in clinical medicine and education

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 medical students, trainees and practitioners of clinical medicine, with a special focus on clinical reasoning, the once-mysterious process behind the remarkable abilities of the master clinician.

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David O.
David O.
5 years ago

I’m an IM resident in Washington state, and have been loving your podcast. I just listened to your interview with Dr. Dhaliwal on becoming an expert diagnostician, and the discussion of consolidating learning from cases reminded me of the book “Make it Stick,” by Peter Brown. It’s a great synopsis of the current evidence regarding learning, teaching, and developing expertise. If you haven’t read it, I can’t recommend it highly enough. If you have, I’d love to hear your take on applying those concepts to clinical reasoning and medical education.

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5 years ago

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Dr Gordon Caldwell
Dr Gordon Caldwell
5 years ago

Listening to the early episode on Differential Diagnosis I realise how fortunate we are in Rural Medicine. We see our patients all the way through admissions, see them in outpatients and hear back from local GPs. The only patients difficult to catch up on are the ones who go to tertiary centres.

Stacey Weedon
Stacey Weedon
5 years ago

Hi Art and Nik, Thanks for the great podcast, it really gets me thinking! I am a (recently minted) General Physician and (almost minted) Addiction Medicine Physician in Australia. I spend a lot of my day (in consultation liaison) reading through notes without the distraction of managing the acute problem (often). This gives me a bit of time to ponder and dismay at the diagnostic process (with a lot of hindsight bias). Your podcasts, particularly the cognitive autopsies, have helped me to think through these cases in a more systematic way. Addiction Medicine in the acute patient is the source… Read more »

Raymun Ghumman
Raymun Ghumman
5 years ago

Hello Art and Nic, Long time listener, first time writer – and a little disappointed that I can’t find an email address since I’m not usually the public posting sort. I must confess I took a break from medical podcasts after my exams last year but reading this month’s Clinical Communique from the Victorian Institute of Forensic Medicine reminded me a lot about the content you’ve discussed on the factors that lead to diagnostic errors and ultimately poor outcomes for our patients. I hope you enjoy the read and I look forward to re-engaging with your podcast in 2019. http://vifmcommuniques.org/wp-content/uploads/2019/04/CC-Mar-2019.pdf… Read more »

David S.
5 years ago

Art and Nick! I am a big fan. Philosophy and reasoning meet medicine? Sign me up! After a recent visit to our hospital by Dr. Dhaliwal and his recommendation of the podcast the residents and our Program Director are now are hooked on your show. I think the “Racist Patient” most recently was a look at something we often thoughtlessly discard when dealing with patients. Thank you. Are you going to be in the US for the DEM conference this upcoming fall? I am currently the chief resident and would love to have you all as Grand Rounds speakers if… Read more »

Peter McIntyre
Peter McIntyre
5 years ago

Hello Art & Nic I am a paediatrician specialising in ID & vaccines who recently moved to Dunedin from Sydney. Introduced to your great podcast by my son, who is a medical student in Sydney. Congratulations on series – a general & a specific question: General: have you had any paediatricians involved in podcast/paediatric cases? I ask this because in Australian urban centres general internal medicine struggles but general paediatrics still thrives as it does in NZ so plenty of scope Specific: Thought your Bawa Garba podcast generally excellent but you started off early on with a comment about clinical… Read more »

Michala Rose
Michala Rose
5 years ago

Hi Art and Nic,
I am an avid listener of your podcasts on my way to work at Copenhagen University Hospital, Denmark.
I am a ID specialist with a huge interest in medical education, so your podcasts have been my daily inspiration for the past few weeks. I love stump the chumps, but also all the tips that you throw in, here and there, for teaching clinical reasoning.
Please keep up the good work.
Best wishes
Michala Rose

Deidre Alessio
Deidre Alessio
5 years ago

Greetings Dr Art Nahil from one of your former colleagues at Somerville Family Health!

Love IM Reasoning! Thanks for putting this out there.

I formerly worked with you as an OB/GYN NP, now am doing Primary Care/HIV and Homeless Team. Still at Cambridge Health Alliance.

M
M
5 years ago

Hello Art and Nick! Wondering if you could help with something. Do you have any tips as how to teach the process of clinical reasoning/critical thinking to clinicians without using a clinical case? It’s for staff development and we want them to go through the process of reasoning with something they don’t know in order to understand what it is like for students. Any suggestions would be appreciated!

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