From the stethoscope to POCUS

The modern medical revolution and its impact on patient assessment

Abstract

Throughout medical history, physicians have depended on skills like taking a complete medical history, performing a comprehensive physical exam and the use of common sense to diagnose and treat patients. These skills continue to be essential in medicine today, but they are taught less, due to the influence of technology and the growing workload. Medical technology has advanced, and more sophisticated diagnostic and complementary tests are used now. These advances complement traditional medical skills, but do not replace them entirely. It is important to integrate teaching of traditional skills with the use of technology, to adequately prepare medical students. The physical exam and auscultation continue to be relevant, as they provide information not obtained through technology. Teaching these skills should be balanced with teaching new technologies, like point of care ultrasound (POCUS), which provides real-time images of the organs and internal structures of the body. A balance must be struck in medical teaching, integrating traditional skills and technology, to provide comprehensive and quality medical care, adapted to the circumstances and resources of each setting.