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BECOMING A PHYSICIAN

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Volume 354:327-329 January 26, 2006 Number 4
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The Physical Exam and the Sense of Smell
Andrew Bomback, M.D.

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Throughout medical school, I heard one attending physician after another bemoan the death of the physical examination. "I can read the echo report myself," a cardiologist once chided me when I detailed the specifics of a patient's tricuspid regurgitation-jet velocity, "but right now I'd like to know what you heard with your stethoscope." On another occasion, I spent a grueling half hour by the bedside, struggling to answer endless questions from a rheumatologist about a patient's fingernails. During a month with the endocrinology team, I was assigned to simulate hypocalcemia, faking facial twitches and carpal spasms, as my fellow medical . . . [Full Text of this Article]


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Dr. Bomback is a resident in internal medicine, University of North Carolina Hospitals, Chapel Hill.


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