Viewpoint: Convention or convenience?
- By: Azghar Ali
Have you ever found yourself wondering, while hunched over a patient trying to elicit the murmur of mitral regurgitation, why your back feels it's being torn apart? Wouldn't it be easier if you just examined the patient from the left side of the bed?
What about palpating an abdomen? Have you often found (or missed, for that matter) a liver or spleen when only using one hand? Wouldn't it be better to use both hands rather than being made to use a one-handed technique that you're not comfortable with? And does it really matter if, for example, you auscultate before percussing in a respiratory examination, or vice versa?
These are just some of the apparently meaningless and dated issues in the name of convention that need to be surgically removed from the medical education system.
Yes, you need to have structure. Yes, you need to be thorough. Yes, you need