Practical Neurology

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Practical Neurology 2006;6:52-54; doi:10.1136/jnnp.2006.088302
Copyright © 2006 by the BMJ Publishing Group Ltd.

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A teacher that changed my practice

Lessons from a master clinician

Vladimir Hachinski

Professor of Neurology, University of Western Ontario, University Hospital London, Ontario, Canada; Vladimir.Hachinski@lhsc.on.ca

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J Clifford Richardson was a master clinician. He was Professor of Neurology at the University of Toronto, Canada from 1960 to 1975, and best known for his description of progressive supranuclear palsy.1 He was shy, thoughtful, and low key – until you saw him in action. A skillful interrogator and a meticulous examiner, he pursued diagnoses with relentless logic. I had my first rotation in neurology with him. My previous experience of neurology during my internal medicine training at McGill University, in Montreal, Canada, had not prepared me for the lessons I was about to learn.

 
Instead of the then prevalent approach of chief complaint, history of present illness, functional inquiry, and so on, Dr Richardson preferred that after the chief complaint we then obtained an extensive family history followed by a social and occupational history before documenting the history of the present illness. It was not unusual for my . . . [Full text of this article]




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D. R. Williams, A. J. Lees, J. R. Wherrett, and J. C. Steele
J. Clifford Richardson and 50 years of progressive supranuclear palsy
Neurology, February 12, 2008; 70(7): 566 - 573.
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