What Bedside Skills Could the Modern Rheumatologist Possess? Part I. The Basics.

Area of Science:

• Rheumatology
• Clinical Medicine
• Patient-Physician Relationship

Background:

• The hands-on aspect of rheumatology is vital for patient assessment and therapy.
• Recent factors like electronic medical records and COVID-19 have eroded the physician-patient bond.
• Restoring this connection is essential for rheumatology practice satisfaction.

Purpose of the Study:

• To review physical examination techniques in rheumatology.
• To explore methods for enhancing physician and patient satisfaction.
• To emphasize the importance of the hands-on approach in rheumatologic care.

Main Methods:

• Review of traditional and evolving physical examination skills in rheumatology.
• Analysis of factors impacting the physician-patient relationship.
• Discussion of simple bedside skills predating advanced technical procedures.

Main Results:

• Physical interaction is fundamental to assessing conditions, obtaining diagnostic samples, and delivering therapy.
• The electronic medical record and COVID-19 pandemic have negatively impacted the physician-patient bond.
• Simple, foundational physical examination skills are key to rebuilding this relationship.

Conclusions:

• Re-emphasizing physical examination skills can restore satisfaction in rheumatology practice.
• Strengthening the patient-physician bond through touch is paramount.
• This review highlights foundational skills to enhance the rheumatologic care experience.