Requiem for the sounds of silence

April 2008
CMAJ: Canadian Medical Association Journal;4/8/2008, Vol. 178 Issue 8, p1104
Academic Journal
The author examines the relevance of silence in clinical examination. He discusses that history taking and clinical examination in medicine have nearly vanished in primary academic medical centers, where the dominance of technology has attenuated meaningful rapport between physicians and patients that comprises the traditional bedrock of clinical medicine. Moreover, he argues that health personnel who carry cellular telephones and beepers on the bedside of their patients can cause irrelevant interruptions.


Related Articles

  • Medical Economics.  // Medical Economics;5/6/2005, Vol. 82 Issue 9, p15 

    Presents the results of a survey on how physicians in the U.S. deal with patients who use cell phones in the exam room. Percentage of those who immediately ask them to end the call; Percentage of those who say nothing and wait for them to finish; Percentage of those who move to the next patient;...

  • Why I Give My Cell Phone Number to My Patients. Dillaway, Winthrop C. // Family Practice Management;Jul/Aug2009, Vol. 16 Issue 4, p24 

    In this article, the author, a family physician, discusses how giving his cell phone number to his patients proved beneficial for his practice. He says that he began giving his number to anxious patients who were worried about their symptoms. He claims that this helped him to gain more rapport...

  • Why do doctors use treatments that do not work? Doust, Jenny; Del Mar, Chris // BMJ: British Medical Journal (International Edition);2/28/2004, Vol. 328 Issue 7438, p474 

    Discusses reasons why doctors use ineffective or harmful treatments. Expectations for the benefits of treatment; Belief that understanding the pathophysiology of disease is essential to effective treatment; Observation that some treatments have harms that outweigh their benefits and are not...

  • Rev-up on managing test results urged. Paterson, Ron // New Zealand Doctor;11/5/2008, p16 

    The article focuses on the responsibility of general practitioners and medical centres in managing patient test results. As illustrated in Health & Disability Commissioner cases, it is reportedly important to inform patients of the purpose of tests, the significance of the results and when and...

  • Perceptions and knowledge toward mobile-health among the college going students in Coastal South India. Parthaje, Prasanna Mithra; Unnikrishnan, Bhaskaran; Thapar, Rekha; Kumar, Nithin; Panikulam, Elizabeth Josy; Geroge, Elina; Pai, Prajwal; Kulkarni, Vaman; Holla, Ramesh; Darshan, Bhagwan Bhagyamma; Kumar, Avinash; Mehta, Rohil; Jay, Ratna // Journal of Natural Science, Biology & Medicine;Jan2016, Vol. 7 Issue 1, p75 

    Background: Among the manifold uses of mobile phones, mobile-health (mHealth) has been an important one, which is the practice of public health initiatives by awareness raising and communication campaigns. Optimum utilization of mHealth is possible only through adequate awareness. Hence, we...

  • Objective assessment of diagnostic tests validity: a short review for clinicians and other mortals. Part I. Nermin N. Salkić // Acta Medica Academica;2008, Vol. 37 Issue 2, p113 

    The whole point of a diagnostic test is to use it to make a diagnosis, thus the obvious need is to know how accurately a particular diagnostic test detects patients with or without a disease. In order to know it, a clinician or a researcher should have a basic understanding of the principles of...

  • Healing Thought From The Strangest Places. Duncan, James // Subconsciously Speaking;May/Jun2005, Vol. 20 Issue 3, p4 

    The article discusses the healing process and therapeutics related thereto applied by the medical personnel in order to cure a disease. Focusing on the experiences of various physicians it is reported in the article that inspiration to a patient works like a canon shot. If a doctor treats a...

  • Samara Hammond, AMREF UK Q&A: Mobilising Africa's CHWs. Hedges, Laura // Capacity Magazine;3/16/2015, p1 

    AMREF is in the pilot phase of its mobile health training programme in Kenya, Africa. Samara Hammond, CEO of AMREF's UK branch talks to Capacity about the huge impact of mobile health services in the region.

  • Cellular Phone Use in Hospitals. Stiles, David // Biomedical Instrumentation & Technology;Sep/Oct2005, Vol. 39 Issue 5, p363 

    Offers views on how the issue of cell phone and wireless technology use in hospitals has influenced Long Beach Memorial medical center in New York and what the medical center is doing to promote patient safety. History and development of the medical center's hospital wireless policy;...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics