Sunday, December 08, 2019

Loosing physical examination skills the coming problem in India; more expensive a high-tech, low-touch system

  Loosing  physical examination skills; Which has already happened in USA( Some of my patient's look at me as if I am crazy to do a physical exam for a routine visit to refill some medications.
This is because  many visits to other doctor's have  happened, where the doctor did not put a finger on the patient.
When I was doing  my clinical rotations in Osmania medical College  in the 1970s,We would have  bedside teaching sessions  lasting  60 to 90 minutes everyday  where  each student had to demonstrate  and  learn  various physical findings.
out  Principal  Dr.S.R.Rao was famous for making fantastic clinical diagnosis (It is another matter that he also had a narcissistic personality)
I am noticing  more and more medical colleges are opening up all over the country and the scandal of MCI  and  teacher's names shown in  2 and some times 3 colleges at the same time.
it is obvious  there  is hardly any teaching  going on in theses Medical schools and most of the  final year Medical students are  reading the study guides to either write  USMLE or to write the PG entrance exam.
if this trend continues.

We will end up with a health care system that is slower, less effective, and more expensive
a high-tech, low-touch system that fails patients along with the doctors who care for them.

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