I just recently completed the painful process of taking my second recertification examination in emergency medicine. The process of reviewing the entire core curriculum of our specialty every 10 years is always an eye-opening process, as I have a chance to review so many aspects of the specialty that have fallen from my “regularly used memory.” In the process of this review, I became keenly aware once again of just how much of our specialty resides above the shoulders, yet outside the brain. Unbelievably, the ears, nose, mouth, and throat (the “head holes”) account for the fourth most important organ system in terms of numbers of questions on the board exam, following cardiovascular, abdominal/gastrointestinal, and thoracic/respiratory.
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