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February 4, 1961

Auscultatory Acumen

Author Affiliations

412 Commonwealth Bldg. Cleveland 6.

JAMA. 1961;175(5):415. doi:10.1001/jama.1961.03040050071029

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To the Editor:—  The article "Auscultatory Acumen in the General Medical Population," in The Journal, Sept. 3, page 32, is entirely unrevealing. During the past 30 years I have had the opportunity to observe and to comment frequently on the fact that at rounds, when they were still held at the bedside, doctors differ considerably in localizing and recognizing heart sounds and murmurs. It is, therefore, evident that most of us would profit by extra training.The better showing by present-day senior students and diplomates is, of course, to be expected. There certainly must have been some progress in teaching at our medical schools during these past 30 years. It would be tragic, indeed, if the diplomate with 5 years of postgraduate work were unable to localize a murmur correctlyThe teaching in my days, and I speak from my own experience only, was absolutely abominable. It was through our

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