Table 2 Themes: Developer Goals vs Listener Experiences

(1) To teach diagnostic reasoning in a case-based format by:

(1a) teaching schemas

(1b) modeling expert diagnostic reasoning

(1c) teaching clinical knowledge

(1d) teaching diagnostic reasoning terminology.

(1a) YES. Listeners cited schemas as the most useful feature of the podcast.

(1b) YES. Listeners used the expert’s thinking to guide their own reasoning.

(1c) NO. Listeners had enough ways to learn clinical knowledge, and instead struggle more with how to organize their existing knowledge.

(1d) NO. 7 of the 8 listeners interviewed could not define DR terminology used in the podcast.

(2) To change the culture of medicine by:

(2a) promoting diversity

(2b) modeling humility and promoting psychological safety

(2c) creating a fun, casual way to learn.

(2a) YES. Listeners felt the diversity of participants in the podcast led to a greater sense of belonging.

(2b) YES. Listeners found normalization of the learning process to be psychologically freeing, resulting in better learning.

(2c) YES. Listeners perceived the podcast as an entertaining way to learn, with time constraints leading to a more casual use of the podcast.

(3) To democratize the teaching of diagnostic reasoning by leveraging technology.

(3) YES. Listeners perceived the podcast as a novel way to learn DR, helping to fill gaps in their education.