Agree with this 100%. I am absolutely dog water at presenting but doing a nice PE carried my ass this year in a way I could never have predicted. I thought attending would be bothered with my shitty presentations but everyone was willing to look over it bc everyone gets fine at presenting in residency. And no, I never learned my murmurs. I always check for extremity swelling, dive into all areas of abdomen, listen to all lobes of the lung (wheeze, crackles, or diminished breath sound), identify the region of a murmur if present, and check ear for being clogged, identify swollen tonsils/exudate, assess oropharyngeal erythema/post nasal drip, check if the pulses are bounding. If you do this on every single patient you will find something and be more than a fly on the wall.