“…In recent years, evidence has shown that the examination skills of medical students and clinicians have deteriorated (Mangione and Peitzman, ; Wenrich et al, ; Oliver et al, ). This is, in part, attributed to a greater reliance on improving imaging technologies and other investigation modalities to diagnose patients, (Dunnington et al, ; Macdessi and Oates, ; Bordage, ; Mangione and Peitzman, ; Tavel, ; Anderson et al, ; Fagan et al, ).…”