Teaching the respiratory physical examination: what is history and what is needed?
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2022.194460Keywords:
Semiology, Physical exam, Medical education , Respiratory systemAbstract
Medical semiology has been one of the most common techniques used in medical practice for centuries. Health science students around the globe learn these techniques through a systematized model as a fundamental skill for patient evaluation. However, though being widespread, little is known about semiology’s true accuracy as a diagnostic maneuver. Knowing that, through a literature review, this paper evaluated the precision of the preconized procedures that are used as part of the exam of the respiratory system and the comparative description of its teaching in different medical schools around the world. As a result, disagreement between several papers was found, which can be justified by the poor quality of the studies and the different variables that were studied in each one. However, one thing is still clear: respiratory physical examination continues to be essential in medical practice, independently of the recent advances and availability of imaging exams. Teaching each step should consider available scientific evidence. The knowledge of the applicability and practical individualization of the respiratory examination can be a possible way for the current times without missing relevant information for developing clinical reasoning.
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Copyright (c) 2022 Yasmin Redi Castagna, Ana Paula Sambugaro Pernomian, Isadora Rocha Zaneti, Fabio Celeste de Oliveira, Lilian Carvalho Silva, Rafael Reis Rocha, Ricardo Frenchel, João Pedro Rabelo de Araújo, Elcio Oliveira Vianna, Andrea Antunes Cetlin
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Universidade de São Paulo
Grant numbers 8
