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The Practice of Medicine

Harry A. Lusk, MD
JAMA. 1989;261(20):2951. doi:10.1001/jama.1989.03420200041012.
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To the Editor.—  Dr Dandoy1 protests that she does indeed practice medicine, and she lists the things she does. Congratulations to her. She thinks that committee meetings qualify. However, I bet it has been some time since she stood at the table of a gravida 5, para 4 woman and found that the neat cephalic presentation suddenly had become mentum posterior and that you and the anesthetist and the patient are the only ones around; it is 4 AM, and after the version the head is still hyperextended and you say to yourself, "God, what do I do now," and you remember Paul Titus: "At times like this, I put on a regular pair of forceps, flex the head and deliver it through one of the obliques." The boy crowed for an hour from the tight loops of cord, but he was in the other day when he graduated

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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