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Views & Reviews From the Frontline

All applicants to medical school should be interviewed

BMJ 2012; 344 doi: (Published 23 April 2012) Cite this as: BMJ 2012;344:e2889
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

I manipulate online self testing questionnaires for attention deficit hyperactivity disorder, bipolar 2, oppositional defiant disorder, and the rest. I guess the answers to get my diagnosis. I have never failed yet. Likewise, I pore over the Diagnostic and Statistical Manual (DSM) definitions of personality disorders—narcissistic, antisocial, histrionic, and paranoid—recognising all these traits in myself. Obviously these are to be expected in a columnist. These psychological and psychiatric descriptions are interesting and to some extent useful, but are in reality just inadequate cardboard cut-out caricatures, failing to encapsulate even a …

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