Excerpt from Physical Diagnosis: With Case Examples of the Inductive Method
In these days of extensive, almost entangling, and yet generally exact laboratory training in the methods and processes of diagnosis, there is a tendency among medical students to slight and become superficial in the responsibility and cultivation of careful and minute clinical observation: students are more apt to scrutinize the chemical and microscopic aspects of a patient"s secretions and excretions than to perceive and analyze his physical signs and objective symptoms. With a clear appreciation of the accuracy and utility of laboratory results in their wonderful details and penetrating ramifications, it behooves us, nevertheless, to enlarge upon and emphasize, in the following pages, the physical methods of observation of the individual"s bodily organs and their functions.
In my teaching experience it has appeared that the average medical student tends to neglect or misapprehend the intrinsic importance of two things, namely: technic and reason. He is inclined to exhibit a superficial and hasty zeal and endeavor to get at the physical signs somehow, but without methodic and patient procedure and practise; and his mental drift is toward jumping at conclusions from insufficient data and inefficient correlation.
It is the double-barreled purpose of this book, its dual raison d"ctre, to counteract, as far as text-book influence may (of course, less potent than the personal power of the teacher), this deficiency and tendency in the student body of our medical colleges.
First, insistence and emphasis is to be placed upon technical practise and precision; upon those principles of action and methods of procedure, concentrated and painstaking attention to which will prevent meager and confused results in the interpretation of the signs thus elicited.
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