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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Prochazka et al¹ address the lack of evidence for the annual examination. In the accompanying editorial, the authors ask if physicians and patients might be telling us something by their preference for it.²

As one of the first 16 physicians recognized for both cardiovascular prevention and diabetes care by the National Committee for Quality Assurance, as a member of a clinic whose patient satisfaction was ranked top 10 in the nation, and as a physician committed to patient-centered quality, what I would tell is this: I structure my entire practice around the annual examination. It is when I address prevention, coach patients on healthy lifestyles, and do the annual review of each chronic medical condition. Invariably, patients bring new symptoms for evaluation as well. It is a complex visit, focused on integrated, longitudinal care.

One can dissect the endeavor and point to the lack of evidence for listening to the . . . [Full Text of this Article]

AUTHOR INFORMATION
Christine A. Sinsky, MD

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