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The enduring value of the physical exam to achieve diagnostic excellence
Brian T Garibaldi1, Stephen W Russell2
1Center for Bedside Medicine, Charles Horace Mayo Professor of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Abstract:
Physical examination remains a cornerstone of diagnostic excellence, even in an era dominated by advanced technology. Evidence shows that a well-performed physical exam not only improves diagnostic accuracy but also reduces medical errors, lowers healthcare costs, and strengthens the patient-physician relationship. This article highlights how the physical exam often provides pivotal findings that technology cannot replace. Strengthening bedside skills through intentional practice, evidence-based techniques, and integration of supportive technologies is essential to enhance diagnostic reasoning, mitigate uncertainty, and restore professional fulfillment. This article offers practical, modern strategies to reinvigorate the physical exam, integrating evidence, education, and technology, critical for achieving safer, more effective, and patient-centered care.
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