IMreasoning - Clinical reasoning for Doctors and Students

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.

Our final episode 03/31/2021

Our final episode We cannot put this off any longer. IMreasoning has reached the end of its road. We had a great 5 years. We both learned so much, about medicine, about cognition, about the art of teaching, about each other, and about ourselves. Thank you once again to all of you, our listeners, for sticking with us. Thank you especially to those who got in touch, and gave us encouragement to continue this project over the past 5 years. Thank you as well to all of you who appeared and participated in the podcast, to present stump the chumps cases, or to share your expertise in conversation with us. A special thank you to Steve and Madi who navigated the tech and the socials for us in the final leg of this adventure. We couldn't have done this without you. /episode/index/show/imreasoning/id/18548873

69: STC with Alec Rezigh 02/03/2021

69: STC with Alec Rezigh Join us for another instalment of Stump the Chumps. This time our case comes from Baylor University presented by Alec Rezigh, a friend of the podcast. Enjoy! /episode/index/show/imreasoning/id/17798168

Epilette January 2021 01/11/2021

Epilette January 2021 Just a quick inbetweenisode to let you all know we will be back with another instalment of STC in early February. Enjoy a Southern Hemisphere summer, wherever you are. /episode/index/show/imreasoning/id/17496914

68: STC with Ramey Bajwa 11/29/2020

68: STC with Ramey Bajwa Join us for another installation of STC (technically international) with Ramey Bajwa. Play along and see if you can guess the diagnosis any earlier than we did (or did not). /episode/index/show/imreasoning/id/16984460

67: MAID with Stefanie Green 10/28/2020

67: MAID with Stefanie Green Join us for our conversation with Stefanie Green, the director of CAMAP (Canadian Association of MAID Assessors and Providers) where we hear about the lessons learned from the Canadian experience over the past four years since it has been legal for doctors to provide medical assistance in dying. /episode/index/show/imreasoning/id/16586315

66: STC with Human Dx and reverse STC 10/12/2020

66: STC with Human Dx and reverse STC Join us for another instalment of STC (Stump the Chumps) where we tackle another case from HumanDx Global Morning Report. But first, try your hand at solving a case that Art brought along from his recent ward round. Good luck! /episode/index/show/imreasoning/id/16364543

65: STC at the Royal Adelaide with Josh and Toby 09/13/2020

65: STC at the Royal Adelaide with Josh and Toby Join us for another instalment of STC, presented at grand rounds at the Royal Adelaide Hospital. Unfortunately we had to stay at home in Auckland and do it over Zoom... (because COVID). Josh Inglis and Toby Gilbert gave us a real challenge. /episode/index/show/imreasoning/id/15988823

64: Memory - Daniel Kilov 08/05/2020

64: Memory - Daniel Kilov Join us for a fascinating conversation with Daniel Kilov, philosopher and memory athlete, about memory. Find out about techniques that we can each learn to help us to memorise...anything. Click on to here more And if you're interested here is the link to , author of "Moonwalking with Einstein": /episode/index/show/imreasoning/id/15486395

63: STC with Human Dx 07/08/2020

63: STC with Human Dx 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. /episode/index/show/imreasoning/id/15133907

62: The Chang, and musings on Artificial Intelligence 06/25/2020

62: The Chang, and musings on Artificial Intelligence Chang is back people. Hope you enjoy our conversation over a pint at Galbraith's in Auckland. Chang helps us understand what machine learning actually means. It's all about matrices apparently. Easy... /episode/index/show/imreasoning/id/14961752

61: Cognitive Autopsy 05/31/2020

61: Cognitive Autopsy Once again we dissect a diagnosis-gone-wrong from the records of the Health and Disability Commissioner. Can we learn something to take away and avoid making the same mistake ourselves? /episode/index/show/imreasoning/id/14633417

60: STC with Josh Inglis 04/19/2020

60: STC with Josh Inglis Welcome to another STC where friend of the podcast, Josh Inglis, challenges us with a case from Australia. Play along with us and try to get the diagnosis as early as possible. As an aside, our update regarding COVID19 in NZ is already a bit out date. Time move quickly during a pandemic! NZ has not only managed to "flatten the curve"; we have completely squashed it. For each of the last 4 days we have had less than 15 new confirmed and probable cases. Now we have to figure out how to stay COVID-free until the vaccine... Remember you can view our medical student teaching events on our Facebook page. You can support our efforts to continue producing this podcast at Thanks! /episode/index/show/imreasoning/id/14046593

59: Coronavirus 03/20/2020

59: Coronavirus 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: /episode/index/show/imreasoning/id/13618490

58: STC - Human Dx Global Morning Report 03/05/2020

58: STC - Human Dx Global Morning Report Another instalment of STC, this time using a Global Morning Report case from HumanDx. We hope to do more of these as we initiate a collaboration with the Human Dx team. Big news! We have launched our Patreon page. Listen to this episode to hear more about how you can support the podcast. You can use the link below to visit our Patreon page: We appreciate your support. /episode/index/show/imreasoning/id/13421093

57: Bayesian Reasoning 02/09/2020

57: Bayesian Reasoning In this episode we review Bayesian Reasoning in general, and Nic get's the opportunity to geek out on talking stats. We cover likelihood ratios, positive and negative predictive values, sensitivity and specificity, and pre- and post-test probabilities. Hopefully, we used examples that will help you understand and remember these concepts. /episode/index/show/imreasoning/id/13074023

56: We're back! 01/13/2020

56: We're back! Well folks, we are finally ready to re-launch with "season 2". During our break we have been making plans to continue bringing you new material. But most importantly we've decided to launch a new podcast called "Diagnostica" which aims to bridge the gap between the culture of medicine and the "public". We'll keep you updated on this new project. For now, enjoy a short cognitive autopsy. Next episode, more Bayesian math! /episode/index/show/imreasoning/id/12715079

We'll be back soon! 08/14/2019

We'll be back soon! After a season 1 that has dragged on for 4 years, we've decided to have a publishing break so we can work on more episodes. Thanks to all our listeners for your feedback and encouragement. We will be back soon! /episode/index/show/imreasoning/id/10879725

55: STC live at AusDEM 2019 - Melbourne 07/10/2019

55: STC live at AusDEM 2019 - Melbourne Apologies for the delay in getting this next episode out to you. Play along with us on this very challenging case. Schadenfreude (; German: (); 'harm-joy') is the experience of pleasure, joy, or self-satisfaction that comes from learning of or witnessing the troubles, failures, or humiliation of another. /episode/index/show/imreasoning/id/10476932

54: STC with Gurpreet Dhaliwal 05/28/2019

54: STC with Gurpreet Dhaliwal A special edition of STC! This time our good friend of the podcast Gurpreet Dhaliwal, master diagnostician, works through a case with Nic. The case was originally presented to Art at morning report by one of our registrars Luke Sutherland. /episode/index/show/imreasoning/id/9684197

53: The Medical Futurist - Bertalan Mesko 05/07/2019

53: The Medical Futurist - Bertalan Mesko Enjoy part 2 of our conversation with Bertalan Mesko, the Medical Futurist. Apparently in 20 years when we're ready to retire, work will be so satisfying we won't want to leave! I hope Bertalan's optimism turns out to be prophetic... /episode/index/show/imreasoning/id/9684158

52: The Medical Futurist - Bertalan Mesko 04/22/2019

52: The Medical Futurist - Bertalan Mesko Join us for part 1 of our conversation with Bertalan Mesko, also known as The Medical Futurist. Bertalan is helping the medical world integrate and adopt technologies that are helping humans deliver better healthcare. Enjoy! /episode/index/show/imreasoning/id/9479321

51: STC International FLIPPED - The Answer... 03/26/2019

51: STC International FLIPPED - The Answer... Hopefully you had a chance to mull over the case we published in the last episode about Peggy from Australia who was experiencing fatigue and weight loss. In this episode we review some of your responses and give you the final diagnosis. /episode/index/show/imreasoning/id/9140063

50: STC internation - FLIPPED 03/14/2019

50: STC internation - FLIPPED 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! /episode/index/show/imreasoning/id/9001253

49: The Racist Patient - Part 2 02/12/2019

49: The Racist Patient - Part 2 Enjoy part 2 of our conversations about the racist patient. In this episode we have a conversation with professor of medical ethics, Dr. Phillipa Malpas from the University of Auckland. /episode/index/show/imreasoning/id/8613056

48: The Racist Patient 01/15/2019

48: The Racist Patient Join Art and Nic for a discussion about our experiences with patients who hold bigoted, intolerant, racist, and judgmental opinions about their providers and people in general. /episode/index/show/imreasoning/id/8273006

47: Compassion - Tony Fernando - Rebroadcast 12/14/2018

47: Compassion - Tony Fernando - Rebroadcast This is one of favourite episodes of all time. "All time" being since August 2015... Have we really produced enough episodes to justify a "rebroadcast"? possibly not, but we're doing it anyway. We're working on a couple of episodes that we'll have out in the new year, but we didn't want to let so much time pass without seeing you all again. Enjoy! /episode/index/show/imreasoning/id/7917272

46: STC International - Wisconsin 11/24/2018

46: STC International - Wisconsin Join us for another installation of STC international, this time with a case from Adam Clements from Wisconsin. /episode/index/show/imreasoning/id/7671485

45: A Cognitive Autopsy of a case of back pain 10/11/2018

45: A Cognitive Autopsy of a case of back pain This is by listener request! Art and Nic analyse what went wrong in the case of man who presented with sudden onset back pain. /episode/index/show/imreasoning/id/7154164

44: Swiss Ruminations 09/14/2018

44: Swiss Ruminations An "In-between-isode". Art and Nic discuss lessons from the conferences in Switzerland, Association of Medical Educators of Europe (AMEE) and the European Diagnostic Error in Medicine Conference (EuroDEM). We also discuss Argentinian Parrilla's... /episode/index/show/imreasoning/id/7047811

43: STC live in Perth 08/01/2018

43: STC live in Perth Back with another instalment of STC live, this time from Perth, Australia. The Australian Medical Student Association put on a fantastic conference with truly inspiring speakers. We had so much fun sharing the stage with Michelle Johnston, ED doctor and author, who brought the humour and the grace to our session. Play along as the case evolves and see if you can do better than us! /episode/index/show/imreasoning/id/6873360

IMreasoning - Clinical reasoning for Doctors and Students

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