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May 2020
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72 Reads
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11 Citations
JAMA The Journal of the American Medical Association
According to that old story, a local giving directions to a lost traveler says, “If I wanted to get there, I wouldn’t start from here.” Medicine finds itself far from the bedside,¹,2 seeking a way back, unsure where to begin.
May 2018
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22 Reads
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14 Citations
Medical Clinics of North America
Technology has the potential to both distract and reconnect providers with their patients. The widespread adoption of electronic medical records in recent years pulls physicians away from time at the bedside. However, when used in conjunction with patients, technology has the potential to bring patients and physicians together. The increasing use of point-of-care ultrasound by physicians is changing the bedside encounter by allowing for real-time diagnosis with the treating physician. It is a powerful example of the way technology can be a force for refocusing on the bedside encounter.
August 2013
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459 Reads
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42 Citations
JAMA The Journal of the American Medical Association
According to that old story, a local giving directions to a lost traveler says, “If I wanted to get there, I wouldn’t start from here.” Medicine finds itself far from the bedside,1,2 seeking a way back, unsure where to begin.That we have wandered far afield is plain to see. Core bedside skills of history taking and physical examination—still vital to comprehensive assessment, diagnostic accuracy,3 and truly patient-focused care—are taught and assessed in the first two years of medical school but largely ignored once the student reaches the clinical years.4 During residency, development of these skills is assumed when in fact they wither further.5 The physical examination of newly admitted patients is often cursory and, what is worse, perverted by drop-down boxes into an exaggerated and invented form that reads better than the truth.
... By developing these tactile and sensory skills, students in medical and health professions can build their clinical intuition and learn to interpret various physical indicators through vision, palpation, percussion, and auscultation (Garibaldi et al., 2019). Moreover, the teaching of physical examination promotes effective communication and fosters trust between healthcare providers and their patients (Elder et al., 2020;Garibaldi et al., 2019;Zaman et al., 2016). ...
May 2020
JAMA The Journal of the American Medical Association
... 1,4,5 Clinicians can also address this gap through the expanded use of point-of-care ultrasound (POCUS) to make expedient decisions on patient triage, risk stratification, or the need for more extensive diagnostic testing. [6][7][8] Deep learning (DL) algorithms have demonstrated remarkable capability at both aiding in image acquisition and interpretation of ultrasound images. 1,5,9,10 These algorithms can be deployed on ultra-portable devices connected to smartphones or tablets, enabling diagnostic assessments in settings with traditional access barriers. ...
May 2018
Medical Clinics of North America
... Elder A et al. [28] The road back to the bedside Clinical examination should be elaborated in the medical curriculum of training pupils from the primitive level 2013 ...
August 2013
JAMA The Journal of the American Medical Association
