The demise of the physical exam (NEJM essay from 2006)

Bruno, Michael mbruno at PENNSTATEHEALTH.PSU.EDU
Thu Jun 28 00:24:29 UTC 2018


I recently came across this excellent essay from 2006, and thought it might be timely and of interest to this group.  It describes a diagnostic error of a particular type: physician self-doubt.



https://www.nejm.org/doi/full/10.1056/NEJMp068013



?Synopsis: A medical student, hearing nothing on checking a patient's blood pressure, assumes he's doing something wrong and remains silent.  When the patient dies froman aortic dissection, the student feels responsible.  Looking back, he asks: is the demise of physican diagnosis a crisis or a natural evolution?

Perspective<https://www.nejm.org/medical-articles/perspective>

BECOMING A PHYSICIAN<https://www.nejm.org/doi/full/10.1056/NEJMp068013#>
The Demise of the Physical Exam

  *   Sandeep Jauhar, M.D., Ph.D.

February 9, 2006<https://www.nejm.org/toc/nejm/354/6?query=article_issue_link>
N Engl J Med 2006; 354:548-551
DOI: 10.1056/NEJMp068013






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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