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Arch Surg. 1998;133:1023.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

SEVERAL MONTHS ago, a 5-year-old boy was sent to my clinic by his pediatrician for evaluation of an inguinal hernia. A third-year medical student assigned to my service presented the case to me after obtaining the history and performing a physical examination. The history and description of the physical findings were unmistakable for those of a reducible right inguinal hernia. The medical history was remarkable only for patent ductus arteriosus as an infant. I asked the student what he had heard on auscultation of the heart. He promptly replied, "This is surgery clinic, not cardiology clinic. I didn't listen to the heart." I was then, and I remain now, disappointed with such an approach to clinical medicine and surgery.

While considering the implications of the statement of this student, my thoughts returned to The New York Hospital/Cornell University Medical Center, where I trained in general surgery. Two remarkable individuals, G. . . . [Full Text of this Article]