The Physical Exam and the Doctor-Patient Relationship

Rene Laennec- inventor of the stethoscope

and master of the physical examination

Here is a brilliant article on the physical exam and its transformative role in the doctor-patient relationship, published recently in the Annals of Internal Medicine.


For many physicians, the physical exam is falling by the wayside, in favor of technology and diagnostic imaging.  The authors argue that patients expect some form of bedside evaluation when visiting a physician. When physicians complete the physical exam in an expert manner, it may have an important, beneficial effect. If done poorly or not at all, it can undermine the physician-patient relationship. 


Perhaps the goal should be to recognizing the importance of the bedside evaluation as both a healing ritual and a powerful diagnostic tool, especially when paired with selective use of technology. 


That would be good medicine.