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October 8, 1982

Examination of the Larynx-Reply

JAMA. 1982;248(14):1709. doi:10.1001/jama.1982.03330140023015

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In Reply.—  I am grateful for the stimulating letters from Drs Deeb, Toohill, and Flaum. In answer to Dr Deeb, I do believe that expecting to resolve the issue via a return to rotating internships in our medical training is wistful thinking. In our reported survey, we found that the physicians trained in the old rotational system were as ill-equipped and as unwilling to undertake laryngoscopy as their younger counterparts. The problem is not how much exposure the student gets, but, rather, to what he is exposed. The mirror cannot work for us. The telescope at least is within our capability.Dr Toohill's comment is well taken because it certainly has to take time and many examinations of the larynx to become familiar with its vagaries and variances. Just as putting a stethoscope in the ears of a novice does not qualify him as a cardiologist, so the telescope does