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Jahan F – Clinical teaching and learning should be focused on directly involving patients and their problems. Clinical examination fulfils several other important roles. Examination is an integral part of the doctor–patient relationship. The simple 'human effect' of listening to and touching a patient can be intrinsically reassuring and comforting. Within this relationship, trust is essential, not only to be able to perform parts of the examination itself but also in subsequent decision making and management. It is very hard to convince a patient that they must undergo various, occasionally invasive and possibly painful, investigations if they have little trust in the clinician.

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