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  Vol. 290 No. 9, September 3, 2003 TABLE OF CONTENTS
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  A Piece of My Mind
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A Difference of Degrees

Martin J. Stillman, MD, JD
Minneapolis, Minn

JAMA. 2003;290:1135-1136.

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

As one of the faculty who oversee the medical-legal curriculum for first- and second-year medical students at the University of Minnesota Medical School, I was impressed by the reaction of a group of first-year students to a medical malpractice case we were discussing.1 The case involved a physician who noticed a breast lump in the course of his examination of a patient. He told her it was a "fibrous mass" and not to worry about it, never ordering any imaging or other diagnostic testing. Several years later, the physician again noticed the lump, but still disregarded further evaluation. He then retired, and the patient saw a different physician 15 months later. This time, her new physician noticed the suspicious lump and immediately ordered a mammogram. A subsequent biopsy determined that the mass was cancerous and that the cancer had metastasized to four lymph nodes. The . . . [Full Text of this Article]



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