Audiobook History and Physical Examination: A Common Sense Approach …When was the last time we as clinicians have performed a thorough physical examination on a patient who has walked into our clinic? The answer would surprise the best of clinicians amongst us. The problem is, we are not alone, as physical examination is indeed a dying art in today's medical practice. We remember elicitation of clinical signs would be the essence of learning clinical medicine when we were in Medical school. How often we would especially go to acute medical wards to listen to the early diastolic murmurs in the aortic area and a pan systolic murmur in the mitral area! Missing out a split second heart sound was a real embarrassment. Correlation of a stony dull percussion note of the chest and bronchial breath sounds on chest auscultation with a chest radiograph had a different sense of accomplishment.
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The medical profession today faces many problems. We march to bureaucratic drummers, we have lost our autonomy, our prestige has spiraled downward, and our professionalism is sagging. Lurking in the shadow of these ills is yet another medical malady, one for which we are solely responsible, and one that endangers the public we serve. It begins in medical school, where it almost never receives the attention it deserves. During residency training, it remains easy to spot, but efforts to spot it are not routine. And even when it becomes conspicuous, measures to correct it are often ignored, inadequate, or temporary at best.