Reviews Soundings

Clinical myths

BMJ 2006; 332 doi: http://dx.doi.org/10.1136/bmj.332.7553.1341-a (Published 01 June 2006) Cite this as: BMJ 2006;332:1341
  1. Kevin Barraclough, general practitioner
  1. Painswick, Gloucestershire

    I realise now that much of the teaching I received (and much I have given) has actually been rather dishonest. The true variation of disease presentations and the low predictive value of any one of the clinical features were never explained. We were taught “classical” presentations. The pictures in the books—like rashes in a dermatology textbook—were gross examples (in every sense of the word). The descriptions of disease were often from a world long gone. Nobody could miss …

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