Why do we get an annual physical? (See information humorously presented in the Choosing Wisely video and visit the Choosing Wisely Canada website for lots of useful information)
The idea behind an annual physical is that your doctor may examine you and find an undiagnosed condition and thereby catch it early enough to exert some sort of positive benefit. The truth is that there is very little that we 'find' on physical exam that would go unnoticed by the average patient. Many studies have demonstrated that routinely checking a group of people who have NO symptoms or complaints will very rarely reveal any disease or condition of concern. The vast majority of illness and disease will have symptoms and these symptoms will prompt the appropriate exam, tests and ultimately the diagnosis.
As an example - a person could easily see their family doctor for a complete medical check up and following a normal exam still have a heart attack. In short the ability for a annual health exam to turn up a problem is very limited. In our current climate of physician shortages it is therefore very important that we put our time and energy towards measures that DO in fact make a difference. So if there is no annual physical what is there? If you have a symptom that is persistent please bring it to our attention. A directed history and exam will help sort things out and is preferable to mass screening a group of people who feel perfectly healthy.
There are still things you should do on a regular basis through your family doctor to ensure you are as healthy as you can be. This includes the following:
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When you need a check up,
and when you don't.
FAQs about "Annual Physical" examinations
Watch for moles or other spots on your skin that change or look different from other moles/freckles you may have. Your family doctor can check any suspicious moles for you
Examination by physician and sometimes a PSA blood test
(See information Below) or visit the Canadian Task Force site
Pap smears every 3 years starting at 21 until 69
Know whether you should be screened with a mammography for breast cancer.
Get blood work to look for diabetes but this is only if needed - if you are at high risk (you have a strong family history of diabetes in your family, you had diabetes during pregnancy, you are significantly overweight). This should be done every 3-5 years.
Get blood work to check your cholesterol levels after age 40. Depending on levels this can be done every 3 to 10 years.
If you are male, over 65, with a smoking history, your family doctor can consider an ultrasound of your stomach for aortic aneurysms.
Blood pressure checks can be done any time you are at your doctor's office or if visiting a pharmacy that has an automatic machine.
Fecal occult blood testing or Colonoscopy starting at age 50 unless there is a family history of colon cancer when it should start sooner. Get more information
Mammography for women 50-74 years of age every 2-3 years