The physical exam is dead - as evidenced by the growth of telemedicine services
"Robert Berenson, a senior fellow with the Urban Institute and a medical doctor, says much of medicine can be done simply by getting a verbal description of the patient's condition and health history. While it's best to know the patient beforehand, doctors quite often provide treatment for patients they've never met.

'If you're covering your partner's patient, you've never met them and you don't have access to their chart because we don't have electronic medical records,' Berenson says. 'There's nothing radical about people diagnosing over the phone. What makes this interesting is people taking a chance on a doctor they don't know.'"

A huge liability risk that these docs are taking.