Perspectives

The Other Sylvian Fissure: Exploring the Divide Between Traditional and Modern Bedside Rounds

Authors: Stephen W. Russell, MD, Brian T. Garibaldi, MD

Abstract

If he could see the harvest of seeds sown some 400 years ago, Franciscus Sylvius would have reason to smile. Born in Europe in 1614, during the sunset of Shakespeare’s career, Sylvius rose to medical prominence for his work in neuroanatomy, and even the greenest of medical students today remember the cerebral fissure bearing his name. Perhaps less remembered by modern medicine is the Sylvian reputation for bedside clinical excellence. Indeed, his willingness to “lead my students by the hand to the practice of medicine, taking them every day to see patients in the public hospital, that they may hear the patients’symptoms and see their physical findings,” left an enduring legacy in medical education.1

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