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Old-fashioned doctors spend whatever time it takes to obtain a good medical history and physical examination. The history and physicalexam is not something to be fetishized but something to be recognized as a time saver. An exam finding does, on occasion, make you feel more comfortable with your diagnosis.
We wait for the test results. We wait to be discharged. ” If you’re waiting to be discharged from the hospital, what time you’ll be able to leave is anyone’s guess since one hand often doesn’t know what the other hand is doing. We wait to see the provider. We wait for our IV to be started.
There will always be new procedures, new medications, and new lab tests to learn about. Through patient case scenarios, the examtests your ability to formulate a diagnosis based on a patient’s history, their physicalexam, and the associated lab findings. It also tests your ability to manage a patient.
Doctors of a certain age tend to fetishize the physicalexam. I think this is because learning the physicalexam is an important part of the socialization of the doctor. Though with every passing day I feel more and more like part of the old guard, I can only give the exam a tepid defense.
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