MRCP(UK), London, UK
University College London, London, UK.
Clin Med (Lond). 2017 Dec;17(6):490-498. doi: 10.7861/clinmedicine.17-6-490.
A structured online survey was used to establish the views of 2,684 practising clinicians of all ages in multiple countries about the value of the physical examination in the contemporary practice of internal medicine. 70% felt that physical examination was 'almost always valuable' in acute general medical referrals. 66% of trainees felt that they were never observed by a consultant when undertaking physical examination and 31% that consultants never demonstrated their use of the physical examination to them. Auscultation for pulmonary wheezes and crackles were the two signs most likely to be rated as frequently used and useful, with the character of the jugular venous waveform most likely to be rated as -infrequently used and not useful. Physicians in contemporary hospital general medical practice continue to value the contribution of the physical examination to assessment of outpatients and inpatients, but, in the opinion of trainees, teaching and demonstration could be improved.
一项结构化的在线调查，旨在了解来自多个国家的 2684 名临床医生对体格检查在当代内科实践中的价值的看法。70%的人认为体格检查在急性一般医疗转诊中“几乎总是有价值的”。66%的受训者认为他们在进行体格检查时从未被顾问观察到，31%的人认为顾问从未向他们展示过体格检查的使用方法。听诊肺部哮鸣音和爆裂音是最有可能被评为经常使用和有用的两个体征，而颈静脉波形的特征则最有可能被评为不经常使用和无用。当代医院普通内科医生继续重视体格检查对门诊和住院患者评估的贡献，但根据受训者的观点，教学和演示可以得到改进。
