Editorial Commentary: Black Mirror: Reviving the Art of the Physical Exam.

Abstract

Increased reliance on advanced imaging and time constraints have contributed to the general underuse of the physical examination to inform diagnostic reasoning. Advanced imaging is not a substitute to a well-performed history and physical examination, and frequently does not alter diagnosis or treatment, especially when ordered in the primary care setting. Appreciating the diagnostic utility of various physical examination maneuvers, however, will help leverage its value for more cost-effective selection of advanced imaging, reduce medical errors, improve patient counseling, and lead to an overall enhanced and personalized patient experience.