Praxis
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A 85-year-old man presented to the emergency department with acute onset of right-sided chest pain after vigorous coughing. Physical examination revealed a progressive hematoma and a palpable bulge that enlarged with expiration. ⋯ The Patient underwent a surgical reconstruction of the chest wall defect and an additional Mersilene Mesh repair of a consecutive diaphragmal rupture. The patient had an uneventful recovery and was discharged on postoperative day 11.
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The importance of primary care in medical education is recognized internationally. This medical speciality offers a lot of different and attractive aspects. Beyond the milestones of primary care in medical education is the teaching of medical assessment, skills and practical approach. ⋯ For medical students, GP surgery should become a «place for apprenticeship». Innovative teaching methods like courses with simulated patients and blended learning, may increase the attractivity. Preceptors must be aware of their function as role models.