Confidence in clinical skills is vital for GPs

BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7005.627b (Published 02 September 1995) Cite this as: BMJ 1995;311:627
  1. Chris Butler
  1. Lecturer in general practice University of Wales College of Medicine, Llanedeyrn Health Centre, Cardiff CF3 7PN

    EDITOR,--I support J Goodwin's defence of clinical skills from the perspective of general practice1: it is in the patient's home in the middle of the night in a darkened room, where minimal bedside tests and no special investigations are available, and in the presence of anxious relatives, that some of the most difficult clinical decisions are made. Unless primary care physicians are able to elicit physical signs confidently and use them effectively to inform diagnoses they will end up simply …

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