Bad medicine: digital rectal examination

Rectal examination was a “must do” examination during my medical education, but in the real world of clinical practice I have always wondered why. For many years I taught medical students rectal examination using plastic dummies. I explained that largely it was a useless examination, but this met with hostility: “They wouldn’t teach us this if it was pointless, Dr Spence!” It was futile to challenge the orthodoxy, so I approached the clinical exams like a drama teacher might approach an end of term school musical. The clinical examiners always said it was “great,” but we all …