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The Disappearance of the Primary Care Physical Examination—Losing Touch | Humanities | JAMA Internal Medicine | JAMA Network

  • 1.  The Disappearance of the Primary Care Physical Examination—Losing Touch | Humanities | JAMA Internal Medicine | JAMA Network

    Posted 09-01-2020 17:30
    Some pertinent observations about a staple in the life of a physician:


    https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2769550?guestAccessKey=76c7263f-4291-4e98-b4e6-45dab7e6ffb6&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_term=mostread&utm_content=olf-widget_09012020

    David
    David L Meyers, MD, MBE, FACEP

    Sinai Hospital of Baltimore - Former Chief, Emergency Medicine; 
    Society to Improve Diagnosis in Medicine - Board member; Chair, Governance Committee; Board Liaison-Patient Engagement Committee
    Johns Hopkins University - Adjunct faculty 



  • 2.  RE: The Disappearance of the Primary Care Physical Examination—Losing Touch | Humanities | JAMA Internal Medicine | JAMA Network

    Posted 09-01-2020 17:36
    Does the physical exam OFTEN result in findings that change the diagnosis? No, but it sometimes does and is risk-free and relatively inexpensive. It also strengthens the patient-physician bond, which may lead to better communication.
    Ed
    Edward P Hoffer MD, FACP, FACC

    Sent from my iPhone





  • 3.  RE: The Disappearance of the Primary Care Physical Examination—Losing Touch | Humanities | JAMA Internal Medicine | JAMA Network

    Posted 09-02-2020 01:12
    Thanks Ed,

    Good points.

    I think the physical exam is far, far more valuable than we collectively think.

    In addition to bonding, physical findings, and better communication that you mention there are other psychological benefits such as the effects of the laying on of hands," enhancing trust, with also "the extra time taken with the physical to allow patients to think of other vital history and symptoms, and maybe eventually reducing litigation if a well conducted physical has been undertaken? Would seem to be a win, win, win situation.

    When we do do a physical what is the average time taken these days?

    Has that time been donated to the computer?

    Rob Bell, M.D.