Stanford standards aim to ensure that new doctors get proper training

Some components of a physical exam are familiar, such as listening to the lungs and heart, and assessing blood pressure and pulse. But parts of the Stanford Medicine 25 — a list of skills that the school considers important for doctors to know how to perform — may be less familiar. Below are some of those bedside tests:

●Feel lymph nodes and differentiate benign enlargement from possible malignancy.

●Evaluate patient’s walk for signs of neurological or musculoskeletal impairment.

●Inspect the tongue for the presence of infection or underlying illness.

●Feel the thyroid gland and palpate the spleen to check for enlargement.

●Assess the liver, checking for tenderness and enlargement, and recognize signs of liver disease elsewhere in the body.

●Evaluate tremors and involuntary movements.

●Examine fingernails for signs of kidney, heart or lung disease or nicotine use.

●Check shoulders for range of motion.

●Evaluate knees for pain and movement.

The complete list is available at stanfordmedicine25.stanford.edu/the25.

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