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August 2007 · Vol. 19, No. 08

COMMENT & CONTROVERSY

The comprehensive physical exam is a dying art

Fast Track

“Most of these conditions would have been missed by the half-hearted and cursory poke and glance that now passes as the standard of care for a physical exam”

It’s time to retool the annual exam: Here’s how” by Barbara S. Levy, MD (June)

Dr. Levy’s article was excellent, and the public would be well served if her suggestions were incorporated into practice. However, I must comment on her point that a comprehensive exam has little screening value. I agree completely, but for a different reason: Few physicians have the skills to perform the type of exam that makes a difference.

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