| Stamping out neurophobia: A new hypothesis? | |
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MedLine Citation:
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PMID: 21900635 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Teaching the fundamentals of clinical neurology to medical students is fraught with difficulty.(1,2) While most teachers agree on the primacy of a student eliciting a comprehensive and coherent history as part of formulating a diagnosis, opinion is divided on the role of the neurologic examination in the diagnostic process. Some clinicians prefer to engage in a comprehensive screening neurologic examination of the patient before arriving at a diagnostic impression, while others favor a more focused, restricted examination, testing a hypothesis based on data from the patient's history. Medical students bear witness to these differing examination styles when observing senior clinicians at work. Indeed, many seasoned neurologists reflect on their own days in training and recall (not always with fondness) the eminent Professor painstakingly advancing down the neuroaxis through cranial nerves, myotomes, dermatomes, and obscure reflexes until arriving at the dénouement that is inevitably the Babinski response. Others among us may recall ourselves, with a touch of dismay, going to endless trouble to master the myriad of eponymous signs that make up the complete neurologic examination, only to observe our Professor take a precise history and follow it up with a cursory flick of the car key across the sole of one foot. So, in the matter of teaching the neurologic examination to our students: which approach is superior? |
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Authors:
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Timothy J Counihan; David C Anderson |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-9-7 |
Journal Detail:
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Title: Neurology Volume: - ISSN: 1526-632X ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-9-8 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401060 Medline TA: Neurology Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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From the Department of Medicine (T.J.C.), National University of Ireland, Galway, Ireland; and Department of Neurology (D.C.A.), University of Minnesota, MN. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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