As Telemedicine Replaces The Physical Exam, What Are Doctors Missing?

Despite a foothold in medicine that predates Hippocrates himself, the traditional physical exam might be on the verge of extinction. The coronavirus crisis has driven more routine medical appointments online, accelerating a trend toward telemedicine that has already been underway.

This worries Dr. Paul Hyman, author of a recently published essay in JAMA Internal Medicine, who reflects on what’s lost when physicians see their patients almost exclusively through a screen.

A primary care physician in Maine, Hyman acknowledges he’d already begun second-guessing routine physicals on healthy patients as insurance requirements pushed doctors away from them.

But while Hyman is now providing mostly telemedicine, like many doctors during the pandemic, he writes that he has gained a clearer sense of the value of the age-old practice of examining patients in person. He notes the ability to offer reassurance, be present for his patients and find personal fulfillment as a doctor.

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Ofqual exam results algorithm was unlawful, says Labour | Education

Ofqual’s exam results algorithm was unlawful, the shadow attorney general has said, as Gavin Williamson finally gave his backing to the beleaguered regulator.

The education secretary, who has previously pointed the finger at Ofqual over the exams fiasco, issued a statement on Wednesday saying he had full confidence in the regulator. He admitted it had ultimately been Ofqual’s decision to make U-turn on results produced by its algorithm in favour of teacher-assessed grades.

Meanwhile, Charlie Falconer, who was lord chancellor under Tony Blair and is now a Labour frontbencher in the Lords, argued that ministers and Ofqual would have been aware of at least three breaches of the law in the standardisation formula used.

Gavin Williamson, 12 August, to ITV

“[I have] every confidence that the system we have put in place is a robust system, a system that’s fair”

Gavin Williamson, 12 August, to the BBC

“The system, for

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