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Arch Intern Med. 2006;166:603-604.

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

I do not believe a time ever existed when clinicians believed that their physical examination skills were ideal and did not need improvement. Nor do I think there has ever been a time when clinicians did not lament the skills of their trainees. What is different now is that the advent of high-quality clinical examination research, driven by the evidence-based medicine movement, converts the transparency of our deficits to the "full monty." It is possible that our skills are no worse than ever, but our awareness has improved.

Our obsessive dependence on diagnostic technology that generates data with alluring precision may ultimately create real erosion of our physical diagnosis skills. We can prevent this degradation only if we remember that improved performance requires the time to practice skills repetitively under the guidance of great mentors who reinforce and ensure correct techniques. The Joint Commission on the Accreditation of Healthcare Organizations . . . [Full Text of this Article]

AUTHOR INFORMATION
David L. Simel, MD, MHS

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