Clinical paradigms revisited

Stuart Kostalas
Med J Aust 2007; 186 (7): . || doi: 10.5694/j.1326-5377.2007.tb00953.x
Published online: 2 April 2007

To the Editor: Schattner1,2 and Wong3 raise issues that examine what has been the core of medical practice since antiquity. Grasping antiquity for its own sake is problematic, at best, and possibly heralds the extinction of long held practices, at worst. As technology improves, we are witnesses to improved imaging modalities that provide higher diagnostic yields, with improved sensitivity and specificity, at increasingly reduced costs. Refusal to even acknowledge the possibility that the history and examination may be terminal is not prudent. Instead, we need to examine carefully our mantra(s) with respect for the temporal nature of medicine.

  • Gosford Hospital, Gosford, NSW.


  • 1. Schattner A. Clinical paradigms revisited. Med J Aust 2006; 185: 273-275. <MJA full text>
  • 2. Schattner A. Clinical paradigms revisited [letter]. Med J Aust 2006; 185: 672. <MJA full text>
  • 3. Wong K. Clinical paradigms revisited [letter]. Med J Aust 2006; 185: 671-672. <MJA full text>
  • 4. Schattner A. Simple is beautiful: the neglected power of simple tests. Arch Intern Med 2004; 164: 2198-2200.


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