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Previous Volume 328:1285 April 29, 1993 Number 17 Next

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By Henry J.L. Marriott. 291 pp., illustrated. Philadelphia, J.B. Lippincott, 1992. $49.95. ISBN 0-397-51085-3.

There is concern among some clinicians that dependence on modern imaging techniques has led to a decline in the skills used to detect heart disorders by physical examination. A recent study at a highly respected medical center revealed that third-year medical residents had difficulty in establishing a correct diagnosis when presented with common valvular disorders, simulated with appropriate murmurs, arterial pulsations, and precordial pulsations by a mechanized dummy (St. Clair EW, Oddone EZ, Waugh RA, et al. Assessing Housestaff Diagnostic Skills Using a Cardiology Patient Simulator. Annals of Internal Medicine 1992;117:751-6). Some directors of training programs are worried about backsliding . . . [Full Text of this Article]

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