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Virtual Physical Exam Techniques

You'll be able to conduct a structured, diagnostic-quality physical assessment over video using patient-assisted and observational techniques, and know when findings require an in-person follow-up.

What this track covers

This track covers adapting the physical exam to a video visit: guiding patients through self-palpation and positioning, reading visual and functional cues in place of direct touch, and applying system-specific virtual maneuvers. It also addresses documenting the limits of a remote exam and deciding when to escalate to an in-person encounter.

What you will practice

  • Direct a patient to self-palpate the abdomen and describe findings accurately
  • Assess gait, range of motion, and neurologic function through guided on-camera movements
  • Use lighting, camera angle, and zoom to evaluate skin, wounds, or rashes
  • Recognize when a video exam is insufficient and escalate to in-person care
  • Document the scope and limitations of a virtual exam in the clinical note

Simulator scenario

A video visit for a patient reporting new-onset abdominal pain, where the clinician must guide the patient through a self-directed exam and decide whether to escalate to in-person evaluation.

Board question topics

  • Limitations of visual-only skin and wound assessment
  • Guided self-palpation technique and interpretation
  • Red flags requiring conversion to in-person exam
  • Documentation standards for remote physical exam findings

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