Clinical skills textbooks fail evidence-based examination

King, David B.; Dickinson, James A.; Boulton, Maria-Renee; Toumpas, Chris
January 2006
ACP Journal Club;Jan/Feb2006, Vol. 144 Issue 1, pA10
Academic Journal
This article reports that despite advances in technological medicine, the history and physical examination still provide the definitive diagnosis in most cases and remain the cornerstone of clinical medicine. Medical students spend a great deal of time learning these techniques. Students continue to be taught the long-case complete history and physical, despite its inefficiency and errors. Students can learn to solve problems more expertly by using schema that assist storage and retrieval of clinical knowledge than by rote memorization of lists and dispersed knowledge. Clinical textbooks seldom provide the frequency of clinical manifestations of particular diseases, even where good evidence exists.


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