This perspective charts the slow drift away from Osler-era bedside medicine toward an EHR-centric culture where technology crowds out touch and connection. The downstream effects include incomplete histories, unnecessary testing, higher costs, and weaker patient/physician relationships. The authors outline six practical strategies to rebuild a bedside culture: show up and observe, teach hypothesis-driven exam skills, create intentional practice opportunities, use technology to enhance and not replace human assessment, deliver real-time thoughts, and recognize the bedside encounter as a powerful tool for communication both ways. | Garibaldi, N Engl Med 2025
