The Lost Art of Clinical Skills

The Teaching of Clinical Skills and the Applicability of a Simplified Guide to Physical Examination in Undergraduate Medical Training

“…The failure among physicians to perform clinical assessments or adequate physical examinations has become a generalized phenomenon, observed worldwide over recent decades 13,14 . This problem is so common and well reported in medical education services around the world, that one author who researches this area, Chad Cook, a specialist in musculoskeletal disorders, refers to clinical examination as "the lost art" 15 .…”

Narrative Review: Should Teaching of the Respiratory Physical Examination Be Restricted Only to Signs with Proven Reliability and Validity?

“…Some suggest that imaging may provide a more direct view into the body and prevent errors 3 . Others argue that the value of ancillary testing is overrated 4 ; that it cannot replace a physician's ability to recognize familiar patterns of disease 5,6 ; and that the failure to perceive the importance of the PE is due to poor teaching and learning of basic clinical skills [5][6][7][8] . This later criticism has led to major changes in the way the skills of patient interviewing 9,10 and diagnostic reasoning 11,12 are taught.…”

Impact of Explicit, Implicit, and Extra Curricula on Students’ Learning of the History and Physical Examination

“…Medical educators have expressed concern for deficiencies in the knowledge and skills of history taking and physical examination (H&P) among medical students, noting inadequacies in H&P technique, interpretation of findings, and application of clinical reasoning (Feddock, 2007; Mangione, Nieman, Gracely, & Kaye, 1993; Peitzman & Cuddy, 2015; Mavis et al, 2001). They also express concern for deterioration in attitudes germane to patient-centeredness as students progress through medical school (Feudtner, Medical educators recognize that learning occurs both within and beyond the explicit (formal) curriculum.…”