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To the Editor: From his review,¹ it is clear that Dr Viederman did not enjoy my book, Sigmundoscopy.² This is his prerogative. He also appears not to favor the use of levity as an enhancement to medical education, which is also his prerogative. Residents, for whom this book is written, need a framework or "road map" so that they can master the basics and feel confident in developing a style that suits them. I recognize that a book the size and scope of Sigmundoscopy has its limitations and I am grateful for constructive criticism that will strengthen the text for future editions. Unfortunately, I cannot find anything in Viederman's review to assist me with this task.

He fails to describe key sections from chapters, as well an entire chapter, which give a detailed analysis of the recommendations most likely to be implemented by consultees. Furthermore, Sigmundoscopy was intended to . . . [Full Text of this Article]

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