Bordage G
CMAJ. 1995 May 15;152(10):1595-8.
In clinical practice, the history and physical examination are being superseded by laboratory tests and biomedical technology. The author discusses the importance of the clinical examination as the basis for clinical reasoning and of direct observation of students at the patients' bedside in order to assess their diagnostic reasoning. Greater attention to the clinical examination would lead not only to improved clinical skills but also to more cost-effective use of ancillary investigations and, moreover, to a better understanding of the patient by the physician.
在临床实践中，病史和体格检查正被实验室检查和生物医学技术所取代。作者讨论了临床检查作为临床推理基础的重要性，以及直接观察学生在患者床边的表现以评估其诊断推理能力的重要性。更加重视临床检查不仅会提高临床技能，还会更经济高效地使用辅助检查，此外，还能让医生更好地了解患者。
