MinervaBMJ 2009; 338 doi: https://doi.org/10.1136/bmj.b2579 (Published 30 June 2009) Cite this as: BMJ 2009;338:b2579
Driving in France became safer, with fewer fatalities, after 2002 when traffic law enforcements were substantially enhanced and there was a greater crackdown on road safety violations. Between 2001 and 2004 speeding and mobile phone use while driving decreased at the same time as road traffic collision rates. Rates of driving while sleepy remained unchanged, and surprisingly, driving while under the influence of alcohol increased. Having a history of traffic penalty cancellations and a generally negative attitude towards traffic safety may have reduced the overall deterrent effect of the new policies (American Journal of Public Health 2009;99:1247-53, doi:10.2105/ajph.2007.126474).
Minerva still considers the neurological examination the hardest to do well and quickly, and according to Neurology, so do graduating medical students (2009;72:2020-3, doi:10.1212/wnl.0b013e3181a92be6). Is it because they are unsure about which elements of the neuro exam are important? In this Canadian study, neurologists rated 22 items of the exam as essential with a high degree of agreement. The students rated the importance of the neuro exam items similarly to neurologists, with some notable discrepancies. One of these is the fundal examination, which was …
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