- Michael Newnham, respiratory registrar1,
- Naveed Mustfa, consultant in respiratory medicine1
- 1University Hospital of North Staffordshire, Stoke on Trent ST4 6QG, UK
- michaelnewnham{at}hotmail.com
We echo Spence’s sentiments that the clinical examination could be improved.1 In our experience, doctors teach and assess in a traditional rather than evidence based manner. Reliability is the agreement between doctors that a clinical sign can be independently elicited in the same patient when it is present.
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