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Rapid Responses to:
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Sergio Stagnaro, Specialist in Blood, Gastrointestinal and Metabolic Diseases Via Erasmo Piaggio 23/8 16037 Riva Trigoso (Genoa) Italy
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Sirs, I should agree with William Butler Yeats statement that education should be "not the filling of a pail but the lighting of a fire." (BMJ 2002;324:125-126, 19 January), exclusively if I should precisely know “How”, i.e., in what way. In fact, there is low grade short-lasting fuel, and, on the contrary high grade, long-lasting, epoch-making fuel. Unfortunately, I remember too many bad teachers, enchanted by the first, and a few good teachers, fond of the latter, who inspired and motivated me, as Lorenzo Antognetti, my Master, Medical Clinician at Genoa’s University in’50-60 years. You have to know that I am an Italian retired GP, who for five decades has liked the BMJ and now particularly the new section "Learning in Practice". In my 45 years long experience, I needed at first the aid of "physical Semeiotics" at the bed-side, so that over the last 50 years (starting my research during university studies) I founded a new physical semeiotics: Biophysical Semeiotics (See http://digilander.iol.it/semeioticabiofisica and the new site: http://digilander.iol.it/microangiologia). Well. The war (against diseases, of course) can reach surely the best results if doctor can earning in practice, but, particularly, recognize clinically the diverse constitutions, i.e. the "real" risk for well defined diseases (See in my site: Biophysical Constitutions, Introduction). Unfortunately, all over the world, information on such clinical methods as well as topic, is really poor. Thus, I must thank bmj.com for spreading Biophysical Semeiotics, and "its" primary prevention, by means of my really frequent Rapid Responses. As I wrote in bmj.com (10 June 2001, "Bed-side primary prevention is the best step in the war against diabetes mellitus" ) progress in Medicine is going on slowly, but goes on and on. Sincerely yours
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Randall L Longenecker, Clinical Associate Professor of Family Medicine The OSU-Oakhill Rural Family Practice Residency Program, West Liberty, Ohio, USA
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What a refreshing addition to my favorite online medical journal! The seamless integration of learning and practice (described by some as "reflective practice") is a challenging but doable task and can be modelled in residency training. I would like to refer readers to the following website for handouts from a Theme Day (TD3) of the annual Society of Teachers of Family Medicine meeting last year, devoted to developing reflective practitioners. [http://www.stfm.org/ANNUAL01/handouts.html] | |||