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- W4246553111 abstract "The stethoscope may be a symbol of the medical profession as Peter Kandela states (Sep 19, p 997),1Kandela P Skethches from The Lancet. The stethoscope.Lancet. 1998; 352: 997Summary Full Text Full Text PDF PubMed Scopus (3) Google Scholar but, alas, it is fast becoming a medical relic. No longer do physicians use this once venerable instrument to discern cardiac and pulmonary sounds. Studies show that most of today's physicians are unable to detect even the more classic heart murmurs.2Mangione S Nieman LZ Gracely E Kaye D The teaching and practice of cardiac auscultation during internal medicine and cardiology training: a nationwide survey.Ann Intern Med. 1993; 119: 47-54Crossref PubMed Scopus (195) Google Scholar Inexpensive clinical auscultation has been replaced by costly echocardiography. And the public wonders why modern healthcare is so costly. Today the stethoscope, draped around the neck of anyone even remotely associated with the medical profession, has evolved into a badge of rank not unlike the chain medallion worn by a sommelier. In the USA, with the advent of managed care, health maintenance organisations now flood the media with their advertisements which, inevitably, depict medical personnel with the obligatory “circumcervical” stethoscope. What would René Theophile Hyacinthe Laennec think of this?" @default.
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- W4246553111 date "1998-10-01" @default.
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- W4246553111 title "The stethoscope" @default.
- W4246553111 doi "https://doi.org/10.1016/s0140-6736(05)60799-4" @default.
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