Bad medicine: chest examination

The reliable clinical examination

BMJ 2012; 345 doi: http://dx.doi.org/10.1136/bmj.e4990 (Published 23 July 2012)
Cite this as: BMJ 2012;345:e4990

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  1. Michael Newnham, respiratory registrar1,
  2. Naveed Mustfa, consultant in respiratory medicine1
  1. 1University Hospital of North Staffordshire, Stoke on Trent ST4 6QG, UK
  1. 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.

When learning …

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