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you've probably dealt with introverts who act extroverted and the reverse, and didn't notice the difference. It's not as black and white as you make it out to be and people can learn and act differently in diff environments.
You can pretty well figure out who's introverted and who isn't. Especially if you work with them. A LOT of it is about body posture, eye contact ect. Docs who are introverted as far as I've noticed make less eye contact, have more conservative body posture, they won't project their voice. Others will have more positive body language, more vocal, louder ect.