Clinical Medicine Article by Dr. Andy Elder
October 28, 2014
A member of our Stanford 25 team, Dr. Andy Elder, recently published his thoughts about his visiting professorship to Stanford last year. Dr. Elder is now the Medical Director of the MRCP(UK) examination, one part of which is the PACES bedside skills examination – which, with 5,000 candidates sitting per year in fifteen countries around the world, is the largest international postgraduate clinical skills assessment in the world. In this article he shares his views on the importance of the bedside exam. He also discusses how a physical skills assessment, unlike what we have in the US, is paramount towards ensuring our future doctors are adequately trained.
“The continuing existence of a high-stakes clinical examination such as PACES sends a powerful message to the public – that the profession of medicine still values the ability to assess a patient by talk and touch. And by abandoning such examinations and institutionalising the erroneous belief that assessments of knowledge will ensure that doctors possess all the attributes that patients deserve, bedside clinical skills are systematically and explicitly devalued, neither taught nor learned, and destined to be lost.” Dr. Andy Elder
Humility is an underappreciated skill in a time of global budgets, evidenced based approaches, and cost-containment. The bright, well-read, talented medical students who may lack humility are not uncommon.
Patient-centered care is an important aspect of the National Strategy for Quality Improvement on Health Care. As such, healthcare institutions are strongly focusing on the patient-physician relationship and the patient experience.
The editor-in-chief of Medscape, Dr. Eric Topol, visited Stanford to sit down and do an interview with our Dr. Vergese for the Medscape One-on-One online video series.