Evidence map›Paper›PMID 29196348›Full record

ArticleClinical medicine (London, England)2017

The value of the physical examination in clinical practice: an international survey.

Andrew T Elder, I Chris McManus, Alan Patrick, Kichu Nair, Louella Vaughan, Jane Dacre

Abstract read
In one paragraph

Article in Clinical medicine (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Physical Examination of the Thyroid: Accuracy in Detecting Thyroid Nodules and Frequency of Additional Findings.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2024
    Observational
  13. Article
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  17. The hazards of neglecting the skin.Clinical medicine (London, England) · 2018
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Andrew T ElderMRCP(UK), London, UK atelder@gmail.com.
I Chris McManusUniversity College London, London, UK.
Alan PatrickRoyal Infirmary of Edinburgh, Edinburgh, UK.
Kichu NairSchool of Medicine and Public Health, Newcastle, Australia.
Louella VaughanNorth-west London CLAHRC, London, UK.
Jane DacreRoyal College of Physicians, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A structured online survey was used to establish the views of 2,684 practising clinicians of all ages in multiple countries about the value of the physical examination in the contemporary practice of internal medicine. 70% felt that physical examination was 'almost always valuable' in acute general medical referrals. 66% of trainees felt that they were never observed by a consultant when undertaking physical examination and 31% that consultants never demonstrated their use of the physical examination to them. Auscultation for pulmonary wheezes and crackles were the two signs most likely to be rated as frequently used and useful, with the character of the jugular venous waveform most likely to be rated as -infrequently used and not useful. Physicians in contemporary hospital general medical practice continue to value the contribution of the physical examination to assessment of outpatients and inpatients, but, in the opinion of trainees, teaching and demonstration could be improved.

Indexed as

Attitude of Health PersonnelEducation, Medical, GraduateMedical Staff, HospitalPhysical ExaminationPhysiciansAuscultationAustraliaEuropean UnionFemaleHumansIndiaIrelandJugular VeinsMalePakistanRespiratory SoundsBedside medicinemedical educationphysical examinationphysical signs

Identifiers

PMID29196348
PMCPMC6297700

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.