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February 17, 1923

The Process of Diagnosis Including the Method of History-Taking, and Physical Examination of Surgical Cases.

JAMA. 1923;80(7):502. doi:10.1001/jama.1923.02640340058042

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This little book would be especially suitable reading for the intern entering on his hospital service. Such reading could not fail to improve the quality of the examinations of patients and of the histories written. The difficulty of eliciting facts by interrogation of the patient is well brought out by the author. He quotes Mlle. Borst, who found that "the degree of fidelity of the hesitating witness may be put down as 56 per cent.; of a confident witness, 86 per cent.; of a sworn witness, 92 per cent.," but considers these results too favorable, as those examined knew they were going to be tested, and endeavored to fix the facts in their memory. A similar test applied to fifty-four students, who had no warning, showed an average fidelity of 27 per cent. "The practice by many physicians of giving the history 100 per cent, value and making a diagnosis

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