To the Editor.
—I read with great interest the article by Dr Paauw and colleagues1 regarding primary care physicians' abilities to recognize physical findings associated with the human immunodeficiency virus (HIV). I was one of the physicians who was involved in this study as an examiner and believe it was completed in 1991 or earlier.With an emerging disease such as HIV, it is important to note that the diagnostic skills of examiners may be changing rapidly, and it is very likely that data obtained in 1991 would not correlate very accurately with 1995 examination skills. The American Academy of Family Physicians2 has responded promptly to this article by announcing that it would actively promote the availability of continuing medical education courses that would assist primary care physicians in becoming proficient in identifying findings associated with HIV infection.
Buhl WR. HIV and Physical Examination Skills. JAMA. 1996;275(5):361. doi:10.1001/jama.1996.03530290031027