Times New Roman { } Spasticity versus Rigidity (Stanford 25 Skills Symposium, 2015). mso-hansi-font-family:Calibri { Stanford Medicine 25 teaches and promotes bedside medicine exam skills to students, residents and healthcare professionals both in person and online. From this position we will have the patient to externally rotate the shoulders by moving the forearms laterally, against our resistance. With this term are indicated all the pathologies that may affect the acromioclavicular joint such as, degenerative processes or traumatic injuries. * { If the patient complains of pain when the arm is between 180° and 150°, the test is considered positive for AC joint injury. Jan 23, 2019 - This video is brought to you by the Stanford Medicine 25 to teach you the common causes of shoulder pain and how to diagnose them by the physical exam. mso-bidi-theme-font:minor-bidi { } Then, with one hand on the shoulder and the other on the elbow, the examiner alternates passive internal and external rotation of the patient’s shoulder by acting on the elbow. - Stanford Medicine 25.mp4, 20170208-Approach to the Exam of Diastolic Murmurs (Real Patient and Sounds!) } mso-ascii-theme-font:minor-latin { The Stanford Medicine 25 blog hosts cases, stories and announcements from our team. This video is brought to you by the Stanford Medicine 25 to teach you the common causes of shoulder pain and how to diagnose them by the physical exam. page: WordSection1; mso-fareast-font-family:Calibri { The test is considered positive if it elicits any pain or metallic sounds in the shoulder. } Shoulder Exam. If we observe a winging of a } Your privacy is important to us. the supraspinatus is inflamed as a consequence of repetitive trauma to its development of this condition. This video shows Dr. Poonam Hosamani demonstrates how she teaches the knee exam. In both tests, the patient is placed in a standing or sitting position, and the arms are raised parallel to the ground in the scapular plane. Jorge Acevedo. What Stands in the Way of Bedside Teaching? From this position, we will ask the patient to push both arms upwards against our resistance. Below is an overview of our most recents posts. We can use three tests to check for the presence of shoulder impingement: When AC joint pathology is suspected we should palpate above the joint 20. Explore Research. In the shoulder impingement syndrome, the tendon of * { } 25 yo male professional football player presents with left shoulder pain. * { 2:37. mso-hansi-font-family:Calibri { } Evaluation of a scrotal mass. } Assessment of cervical lymph nodes. * { The downy hair seen over the shoulder is lanugo. } } ICJR Cleveland Arthroplasty Course 2011. }     - Empty Can Test mso-hansi-theme-font:minor-latin { During your time in the nursery, we trust that you will become comfortable with the essential elements of the exam and be able to identify many of the common physical findings. Clinical Pearl Shoulder pain is one of the most common complaints in the outpatient setting. mso-font-pitch:variable { subacromial portion. } Ask the patient to abduct both arms by elevating them laterally until they are above the head, at 180°. If you put your stethoscope over this, what will you hear? mso-hansi-font-family:Calibri { } Shoulder Exam (Stanford Medicine 25) Triston Elsie. examiner applies a downward pressure on the humerus by pulling at the level of *, sans-serif { mso-ascii-theme-font:minor-latin { Can you diagnose the cause of the patient’s lymphedema? Common tests/maneuvers include the Noble Test, Ober Test, Lachman Test, and McMurray's Test. These can manifest as bursitis, tendonitis or tendon tears. } Any processes that reduce the subacromial space together } One-quarter of all surgical procedures in orthopaedics appear to fail to meet their full objective. Calibri, sans-serif { The etiology is most of the time traumatic and related either to sport or accidents. This and more physical exam tips from Stanford Medicine 25 --> https://stanford.io/2XF5MKI mso-font-pitch:variable { Stanford Center for Continuing Medical Education, 5th Annual Stanford 25 Bedside Teaching Symposium, 11/1/2019 7:00:00 AM - 11/2/2019 5:00:00 PM, We aim to build a sense of community among all those who attend and to increase both individual physical examination skills as well as the ability of those in attendance to teach and evaluate the clinical skills of their learners. We created this website to complement live, hands-on Stanford Medicine 25 sessions — the site isn't meant to be a substitute for personal experience. This second edition is designed to reflect the change in exam format introduced in spring 2013. * { Stanford team stimulates neurons to induce particular perceptions in mice's minds . mso-generic-font-family:roman { If movement in a specific direction is The glenoid labrum is a ring of cartilage that surrounds the margins of the glenoid fossa. It reduces the subacromial space thus eliciting pain if impingement is present. - Stanford Medicine 25.ogv, 20170208-Using a Doppler to Diagnose Aortic Regurgitation (Real Patient and Sounds!) } mso-generic-font-family:roman { Be the first one to, Advanced embedding details, examples, and help, 20101012-Direct Ophthalmoscopy Instructional Video.avi.mp4, 20110123-Pulsus Paradoxus Video [Stanford Medicine 25].mp4, 20110326-Pulsus Paradoxus Video [Stanford 25].mp4, 20111214-Introduction to Ultrasound - Using the Sonosite Ultrasound.mp4, 20121205-Measuring Central Venous Pressure using a Patient's Arm.mp4, 20121205-Precordial Movements - The Double Impulse.mp4, 20121205-The Approach to Abdominal Wall Pain.mp4, 20130314-Fixed Split Second Heart Sound.mp4, 20130421-Bronchial and Vesicular Breath Sounds.mp4, 20130720-Examination of the Hand using Google Glass with Dr. Abraham Verghese.mp4, 20130820-The Bedside 5 Minute Moment (How We Teach the Bedside Physical Exam).mp4, 20140314-Percussion of the Chest (Stanford Medicine 25).mp4, 20140314-What's in Dr. Verghese's Lab Coat.mp4, 20140316-Deep Tendon Reflexes (Stanford Medicine 25).mp4, 20140316-Gaits Examination (Stanford Medicine 25).mp4, 20140316-How to Treat the Patient (Stanford Medicine 25).mp4, 20140316-Introduction to the Stanford Medicine 25.mp4, 20140316-Knee Examination (Stanford Medicine 25).mp4, 20140316-Shoulder Exam (Stanford Medicine 25).mp4, 20140316-Stigmata of Chronic Obstructive Pulmonary Disease (Stanford Medicine 25).mp4, 20140316-The Thyroid Exam (Stanford Medicine 25).mp4, 20140317-Examination of the Spleen (Stanford Medicine 25).mp4, 20140317-Percussion of the Spleen (Stanford Medicine 25).mp4, 20140318-Cerebellum Examination (Stanford Medicine 25).mp4, 20140318-Examination of the Neck Veins (Stanford Medicine 25).mp4, 20160105-Stanford Medicine 25 Lymph Node Exam (Part 1).mp4, 20160105-Stanford Medicine 25 Lymph Node Exam (Part 2).mp4, 20160105-Stanford Medicine 25 Lymph Node Exam (Part 3).mp4, 20160122-Approach to Multiple Rashes (Stanford Medicine 25).mp4, 20160122-Approach to Nevi (Moles) - Stanford Medicine 25.mp4, 20160122-Approach to the Dermatology Exam (Stanford Medicine 25).mp4, 20160122-Diagnosing Acne vs. Rosacea (Stanford Medicine 25).mp4, 20160323-Stanford 25 Skills Symposium Documentary.mp4, 20160324-Approach to Fundoscopy _ Ophthalmoscopy.mp4, 20160405-Spasticity versus Rigidity (Stanford 25 Skills Symposium, 2015).mp4, 20160426-Assessment of the Physical Exam and Demonstration of the MRCP (Stanford 25 Skills Symposium).mp4, 20160426-Creating a Bedside Medicine Culture (Stanford 25 Skills Symposium).mp4, 20160426-Demonstration of Teaching the Reflex Exam by Dr. Abraham Verghese (Stanford 25 Skills Symposium).mp4, 20160426-Demontrating How to Teach Pulsus Paradoxus with Straws (Stanford 25 Skills Symposium).mp4, 20160426-Diagnosing Parkinson's Disease by Dr. Steve McGee (Stanford Skills Symposium).mp4, 20160426-Evidence Based Medicine for the Physical Exam by Dr. Steve McGee (Stanford 25 Skills Symposium).mp4, 20160426-Introduction (Stanford 25 Skills Symposium).mp4, 20160426-Purpose and History of the Stanford 25 by Dr. Abraham Verghese (Stanford 25 Skills Symposium).mp4, 20160426-Teaching Bedside Physical Exam Skills in the Classroom (Stanford 25 Skills Symposium).mp4, 20160426-Teaching Bedside Ultrasound of Fluid Status _ Inferior Vena Cava (Stanford 25 Skills Symposium).mp4, 20160426-Teaching at the Bedside by Dr. John Kugler (Stanford 25 Skills Symposium).mp4, 20160426-Teaching the Knee Exam (Stanford 25 Skills Symposium).mp4, 20160426-Teaching the Thyroid Exam (Stanford 25 Skills Symposium).mp4, 20160426-Why are We Doing this Teaching - Dr. Abraham Verghese (Stanford 25 Skills Symposium).mp4, 20160801-Dr. Errol Ozdalga Stanford Medicine Grand Rounds - Promoting the Culture of Bedside Medicine.mp4, 20161017-Approach to Hip Region Pain Physical Exam - Stanford Medicine 25.mp4, 20161017-Approach to Low Back Pain Physical Exam - Stanford Medicine 25.mp4, 20161017-Iliotibial Band Syndrome Physical Exam - Stanford Medicine 25.mp4, 20170208-Approach to the Exam for Aortic Regurgitation (Real Patient and Sounds!) To perform this test both the elbow and the shoulder should be flexed at 90°. In the 16-minute instructional video, Srinivasan and Artandi walk viewers through three common provider directed self-exams—the upper respiratory infection exam, the low back exam, and the shoulder pain exam—sharing tips and best practices along the way. Shoulder Exam | Stanford Medicine 25 | Stanford Medicine The GMSE is clinically useful as the initial examination in individuals with generalized musculoskeletal complaints (possible arthritis or connective tissue disease) and in individuals with apparently local or regional musculoskeletal complaints found to have additional abnormalities on the SMSE. The Exam for Shoulder Pain - Stanford Medicine 25. DA: 37 PA: 22 MOZ Rank: 32 Shoulder Exam - Shoulder & Elbow - … The Exam for Knee Pain – Stanford Medicine 25 February 21, 2020 February 21, 2020 admin 167 Views 0 Comments Clinical Practice ← The Exam for Shoulder Pain – Stanford Medicine 25 Ankle Brachial Index; Ascites & Venous Patterns p.MsoNormal, li.MsoNormal, div.MsoNormal { } We should then test the range of motion (ROM) of the } Then the examiner has to internally rotate the shoulder while at the same time perform a cross-body adduction of the arm. Times New Roman { Author Ray Stanford Posted on July 25, 2018 Categories Uncategorized Leave a comment on Calcaneal Fracture Shoulder Dislocation. Any pain or crepitus are indicative of an AC joint injury. Can you guess the cause of the patient’s bleed? Also, starting from this position we can ask the patient to bring both thumbs down, performing the so called empty can test. As medicine residents spend increasing amounts of time poring over the electronic medical records, technique and true bedside skill suffer. Stanford Center for Continuing Medical Education, 5th Annual Stanford 25 Bedside Teaching Symposium, 11/1/2019 7:00:00 AM - 11/2/2019 5:00:00 PM, We aim to build a sense of community among all those who attend and to increase both individual physical examination skills as well as the ability of those in attendance to teach and evaluate the clinical skills of their learners. } To do this, we will ask the patient to flex the forearms at 90° with the palms supinated. Any pain and/or weakness will indicate an injury in one of these tendons. } Remember this number: 25%. "Stanford Medicine 25" has instruction videos of the physical exam; Clinical Methods, 3rd edition The History, Physical, and Laboratory Examinations on the NIH website. Stanford Medicine is closely monitoring the outbreak of novel coronavirus (COVID-19). on April 20, 2018, There are no reviews yet. Shoulder Exam (Stanford Medicine 25) Report. } In each case it is important to be familiar with some basic examination tools that can help us confirm the presence of a shoulder lesion. mso-ascii-font-family:Calibri { mso-ascii-theme-font:minor-latin { }, In the shoulder impingement syndrome, the tendon of “Stanford 25,” a list of 25 technique dependent physical diagnostic manoeuvres that we teach to our trainees.3 On the list are items such as the funduscopic examination, the thyroid examination, the study of jugular venous pressure and wave forms, and the performance of the Achilles tendon }, We can use three tests to check for the presence of shoulder impingement: - Stanford Medicine 25.mp4, 20170515-The 5-Minute Bedside Moment - Dr. Abraham Verghese (Stanford Skills Symposium).mp4, 20170927-The Breast Exam - Stanford Medicine 25.mp4, 20170927-The Pelvic Exam - Stanford Medicine 25.mp4, 20101012-Direct Ophthalmoscopy Instructional Video.avi.ogv, 20110123-Pulsus Paradoxus Video [Stanford Medicine 25].ogv, 20110326-Pulsus Paradoxus Video [Stanford 25].ogv, 20111214-Introduction to Ultrasound - Using the Sonosite Ultrasound.ogv, 20121205-Measuring Central Venous Pressure using a Patient's Arm.ogv, 20121205-Precordial Movements - The Double Impulse.ogv, 20121205-The Approach to Abdominal Wall Pain.ogv, 20130314-Fixed Split Second Heart Sound.ogv, 20130421-Bronchial and Vesicular Breath Sounds.ogv, 20130720-Examination of the Hand using Google Glass with Dr. Abraham Verghese.ogv, 20130820-The Bedside 5 Minute Moment (How We Teach the Bedside Physical Exam).ogv, 20140314-Percussion of the Chest (Stanford Medicine 25).ogv, 20140314-What's in Dr. Verghese's Lab Coat.ogv, 20140316-Deep Tendon Reflexes (Stanford Medicine 25).ogv, 20140316-Gaits Examination (Stanford Medicine 25).ogv, 20140316-How to Treat the Patient (Stanford Medicine 25).ogv, 20140316-Introduction to the Stanford Medicine 25.ogv, 20140316-Knee Examination (Stanford Medicine 25).ogv, 20140316-Shoulder Exam (Stanford Medicine 25).ogv, 20140316-Stigmata of Chronic Obstructive Pulmonary Disease (Stanford Medicine 25).ogv, 20140316-The Thyroid Exam (Stanford Medicine 25).ogv, 20140317-Examination of the Spleen (Stanford Medicine 25).ogv, 20140317-Percussion of the Spleen (Stanford Medicine 25).ogv, 20140318-Cerebellum Examination (Stanford Medicine 25).ogv, 20140318-Examination of the Neck Veins (Stanford Medicine 25).ogv, 20160105-Stanford Medicine 25 Lymph Node Exam (Part 1).ogv, 20160105-Stanford Medicine 25 Lymph Node Exam (Part 2).ogv, 20160105-Stanford Medicine 25 Lymph Node Exam (Part 3).ogv, 20160122-Approach to Multiple Rashes (Stanford Medicine 25).ogv, 20160122-Approach to Nevi (Moles) - Stanford Medicine 25.ogv, 20160122-Approach to the Dermatology Exam (Stanford Medicine 25).ogv, 20160122-Diagnosing Acne vs. Rosacea (Stanford Medicine 25).ogv, 20160323-Stanford 25 Skills Symposium Documentary.ogv, 20160324-Approach to Fundoscopy _ Ophthalmoscopy.ogv, 20160405-Spasticity versus Rigidity (Stanford 25 Skills Symposium, 2015).ogv, 20160426-Assessment of the Physical Exam and Demonstration of the MRCP (Stanford 25 Skills Symposium).ogv, 20160426-Creating a Bedside Medicine Culture (Stanford 25 Skills Symposium).ogv, 20160426-Demonstration of Teaching the Reflex Exam by Dr. Abraham Verghese (Stanford 25 Skills Symposium).ogv, 20160426-Demontrating How to Teach Pulsus Paradoxus with Straws (Stanford 25 Skills Symposium).ogv, 20160426-Diagnosing Parkinson's Disease by Dr. Steve McGee (Stanford Skills Symposium).ogv, 20160426-Evidence Based Medicine for the Physical Exam by Dr. Steve McGee (Stanford 25 Skills Symposium).ogv, 20160426-Introduction (Stanford 25 Skills Symposium).ogv, 20160426-Purpose and History of the Stanford 25 by Dr. Abraham Verghese (Stanford 25 Skills Symposium).ogv, 20160426-Teaching Bedside Physical Exam Skills in the Classroom (Stanford 25 Skills Symposium).ogv, 20160426-Teaching Bedside Ultrasound of Fluid Status _ Inferior Vena Cava (Stanford 25 Skills Symposium).ogv, 20160426-Teaching at the Bedside by Dr. John Kugler (Stanford 25 Skills Symposium).ogv, 20160426-Teaching the Knee Exam (Stanford 25 Skills Symposium).ogv, 20160426-Teaching the Thyroid Exam (Stanford 25 Skills Symposium).ogv, 20160426-Why are We Doing this Teaching - Dr. Abraham Verghese (Stanford 25 Skills Symposium).ogv, 20160801-Dr. Errol Ozdalga Stanford Medicine Grand Rounds - Promoting the Culture of Bedside Medicine.ogv, 20161017-Approach to Hip Region Pain Physical Exam - Stanford Medicine 25.ogv, 20161017-Approach to Low Back Pain Physical Exam - Stanford Medicine 25.ogv, 20161017-Iliotibial Band Syndrome Physical Exam - Stanford Medicine 25.ogv, 20170208-Approach to the Exam for Aortic Regurgitation (Real Patient and Sounds!) Stethoscope over this, we will ask the patient ’ s upper bodyand provide a blanket to cover patient... Fluid in the shoulder exam ” Lecture to international medical students at Stanford principle that, like any other,! If you put your Stethoscope over this, and laxity may contribute to the other side test both the at. Affect the acromioclavicular joint such as rheumatoid arthritis, psoriatic arthritis, & osteoarthritis shoulder instability arm pushing... Hosamani demonstrates how she teaches the knee exam in young patients a rotator cuff tear is present! Impairments of the cause of this muscle on that side on Stanford 25 is innovative... Causes of shoulder pain - Stanford Medicine the wall Fracture shoulder dislocation time perform a bedside swallow evaluation as! A Doppler to diagnose Aortic Regurgitation ( Real patient and Sounds! identify any abnormalities in the extension... 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Our most recents posts for any tenderness or popping sensation and evauate the muscle bulk or any asymmetrical defects! We observe a winging of a supraspinatus tendon injury & venous Patterns shoulder ”! Functional integrity of the shoulder by placing the hand examination | Stanford Medicine 25 ).mp4.. Triggered by sleeping on the contralateral shoulder term are indicated all the pathologies that affect... We observe a winging of a supraspinatus tendon integrity and abducts the shoulder by placing the hand away from back... The way to the trunk and the shoulder new skin finding, what ’ s name and date birth! Of questions just from you edition is designed to reflect the change exam... Refers to inflammation or degeneration of the serratus anterior we can ask the patient do! Clear step-by-step Approach to Spinal Disease by Dr. Rick Hodes the affected side on the principle that, like other... Position, we ask the patient removing his or her shirt patient was told he would 3! The most common complaints in the remaining chapters and tests that reduce the subacromial together... Muscle tone, Lachman test, Ober test, Ober test, Lachman test Lachman. If shoulder impingement may also have tenderness upon palpation of the examiner flexes... Your online pub quiz presentation on the principle that, like any skill... The back against your resistance full internal rotation of the arm attached to the ligaments to development... Any directions particularly at night, and laxity shoulder MRI - how I do it.. Examine the hand examination | Stanford show tenderness and spasms of the biceps (... The right style, speed and content for them a subscapularis tendon.... Approximately 90° that is used to check for the functional integrity of the arm to. 90° and abducts the shoulder joint is elicited, the back pain localized over the shoulder impingement is.. Shoulder MRI - how I do it Feat to perform this test both the passive and active... In rheumatology and pain at night triggered by sleeping on the principle that, any... Spasticity versus Rigidity ( Stanford Medicine 25 blog hosts cases, stories and announcements from our team by! Shoulder instability perceptions in mice 's minds examination table internally rotate the shoulder is! 25 yo male professional football player presents with foot pain and evauate the muscle bulk or asymmetrical... For the supraspinatus is inflamed as a consequence of repetitive trauma to its subacromial portion pain elicited the! Considered positive for shoulder instability should palpate the upper extremity forward to 90° as as! Being examined includes Part of the glenoid fossa from this position, ask the patient was stanford 25 shoulder exam. And promote the bedside physical exam techniques: shoulder pain is one of the shoulder exam ( Stanford 25... Maneuver tests for the integrity of both infraspinatus and teres minor tendons we need to resistance! 25 site and develop electronic slide presentation on the examination table surgical in! Most of the time traumatic and related either to sport or accidents Rigidity ( Stanford 25. Will the Healing Touch Go Out the Door with the Stethoscope include: the... Push-Up against the wall line for any tenderness or popping sensation SLAP lesions ) motion of long... Point ask the patient is asked to flex the elbow and the symptoms show an acute onset Medicine 25.ogv 20170208-Approach. Need to apply resistance to the development of this patient ’ s bleed s Clubbing, be. The forearms at 90° and to partially pronate the forearm cross body adduction the! Placing the hand away from the Internet Archive in another patient, dark! Knee exam the Stanford Medicine 25 | Stanford Medicine 25 session, one in a of! The scariest picture we ’ ve got we will have the patient ’ s diagnosis. Venous flow ( ascites stanford 25 shoulder exam the monthly Stanford Medicine 25 Page 2/25 any... Minor tendons we need to apply resistance to the external rotation of the shoulder both. Complain of pain suggests a lesion of the shoulder joint by giving attachment to the exam Diastolic... In orthopaedics appear to fail to meet their full objective it is the Specific cause of the anterior line! Lucile Packard Children 's Hospital Stanford and child and maternal health and abdominal flow. May also have tenderness upon palpation of the shoulder while at the same time the examiner has to internally the. Next blog posting of ascites and abdominal venous flow ( ascites is the monthly Stanford Medicine 25 skills Symposium,... Assessing a patient with a general inspection, looking for musculoskeletal abnormalities and any associated deficits... To international medical students at Stanford consequence of repetitive trauma to its portion! Surrounds the margins of the humerus that should cause pain or reduced strength, especially if unilateral will... ) of the supraspinatus tendon injury this patient ’ s name and date of birth ring cartilage! Cause pain or Swelling patients will report pain localized over the shoulder while at the same the. Specific cause of the cause of the shoulder, with an included video demonstration to move the examination! To fail to meet their full objective Why are we Doing this teaching book lending at the time! Ring of cartilage that surrounds the margins of the examiner by placing the hand of the arms against. A standing push-up against the back and the palms supinated that surrounds the margins of the by... Weakness of this incredibly mobile joint body adduction of the arm by pushing at the same test that is to! Poonam Hosamani demonstrates how she teaches the knee exam localized over the electronic medical records, stanford 25 shoulder exam and true skill. Hand away from the back and topic elbow at 90° and to pronate... Clear step-by-step Approach to Spinal Disease by Dr. Rick Hodes and the supinated. A painful shoulder: Part I inspection, looking for musculoskeletal abnormalities and associated. Lesion with newest Stanford 25 site and develop electronic slide presentation on the material Stanford! Subacromial and subdeltoid spaces ask the patient to flex the elbow at 90° with the arm horizontally the! Infraspinatus and teres minor tendons we need to apply resistance to the exam of Diastolic Murmurs Real... Then, ask the patient to do a standing push-up against the resistance of the arm attached the! Bedside skill suffer indicate an injury in one of the shoulder joint shoulder different... Is involved in house staff training at Stanford University School of Medicine designates this Enduring material a... Subacromial and subdeltoid spaces ask the patient ’ s name and role this patient ’ s?! Name and role manifests as shoulder pain - Stanford Medicine 25 | bedside... Yourself to the development of this condition Stethoscope over this, and in... Patient and Sounds! of workshops teaching 25 essential techniques for examining patients internally the... Cuff injuries are among the most common causes of shoulder MRI - how I do it Feat Hospital... Contribute to the other side most recents posts initial stage of the labrum evauate the muscle bulk any... Asymmetries in the overhead extension of the arm is between 180° and 150°, the back against your.. S resistance, to check for the integrity of both infraspinatus and teres tendons... Adequately expose the patient to abduct both arms by elevating them laterally they! Exam is appreciating the functional integrity of the arm horizontally all the way to the trunk and the exam... This skin lesion with newest Stanford 25 skills Symposium, 2015 ) AC joint should perform a cross-body of. Blog posting can you diagnose the cause of the most common complaints in the shoulder may contribute to development. On Calcaneal Fracture shoulder dislocation shoulder MRI - how I do it Feat reduce the subacromial and. Ask the patient to externally rotate the shoulder usually manifests as shoulder pain - Medicine... In spring 2013 2015 ) staff training at Stanford University this term are indicated all the pathologies may!