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Commentary: Learning out of your depth

BMJ 2009; 339 doi: (Published 10 December 2009) Cite this as: BMJ 2009;339:b5180
  1. Ed Peile, professor emeritus of medical education
  1. 1Medical Teaching Centre, Warwick Medical School, University of Warwick, Coventry CV4 7AL
  1. ed.peile{at}

    As a medical educationalist and part time general practitioner, I was comfortable reading the first three paragraphs of this case presentation,1 couched in familiar descriptors of a patient’s signs and symptoms. My attention was caught by the issues of the termination choices that Andrea G faced. Initially, the unusual features of her case engaged the amateur clinical detective within me. It soon became apparent, however, that most of this case presentation was a description of clinical events and diagnostic and management dilemmas that are outside my competence, my experience, …

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