The changing doctor-patient relationshipBMJ 2000; 320 doi: https://doi.org/10.1136/bmj.320.7238.873/a (Published 25 March 2000) Cite this as: BMJ 2000;320:873
Diagnoses are made from careful history and examination
- Vincent McAulay (firstname.lastname@example.org), research fellow.
- Royal Infirmary of Edinburgh, Edinburgh EH3 9YW
- PKC Corporation, Chace Mill, Box A-8, One Mill Street, Burlington, VT 05401, USA
- Groom Law Group, Chartered, 1701 Pennsylvania Avenue NW, Washington, DC 20006, USA
EDITOR—I welcome the improved use of resources already available to us, but I must point out some facts to Weed and Weed.1 When we are medical students we are taught that more than 80% of diagnoses can be made on the basis of a careful history and physical examination. We are therefore taught to focus on individual symptoms and signs from which a differential diagnosis is formed and appropriate investigations are requested. I was certainly not taught to “focus on general knowledge about large populations.” Doctors in the United Kingdom undertake a period of general professional training and have to complete a difficult and highly competitive examination, before specialisation. The Weeds' case was from the United States, and many specialists were involved in the patient's care, which …