It has been our experience that instruction in physical examination of the heart in
medical schools has been deteriorating since the advent of such modern diagnostic tools
as two-dimensional echocardiography and nuclear imaging. At best, the teaching has
been sketchy and too superficial for the student to appreciate the pathophysiological
correlates. Both invasive and the noninvasive modern technologies have contributed
substantially to our knowledge and understanding of cardiac physical signs and their
pathophysiological correlates. However, both students and teachers alike appear to be
mesmerized by technological advances to the neglect of the age-old art, as well as the
substantial body of science, of cardiac physical examination. It is also sad to see reputed
journals give low priority to articles related to the clinical examination...
medical schools has been deteriorating since the advent of such modern diagnostic tools
as two-dimensional echocardiography and nuclear imaging. At best, the teaching has
been sketchy and too superficial for the student to appreciate the pathophysiological
correlates. Both invasive and the noninvasive modern technologies have contributed
substantially to our knowledge and understanding of cardiac physical signs and their
pathophysiological correlates. However, both students and teachers alike appear to be
mesmerized by technological advances to the neglect of the age-old art, as well as the
substantial body of science, of cardiac physical examination. It is also sad to see reputed
journals give low priority to articles related to the clinical examination...
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