I have noticed a decently sharp decline in the more straightforward obligatory nudity of physical exams, as well as the lowering likelihood of an exam even being performed (once I had to have the doc inform insurance for me that I had NOT gotten a physical, during the visit marked 'physical' and thus I am still covered for a proper one). During Covid in particular, it seemed like they just wanted to get people in and out, and I understood that. I got maybe 3 physicals during that time, usually quite rushed. I've only had one doctor in my life INSIST on a gown, a woman with a very nasty disposition, that was way back in '12 when my health first went to shit.
But my most recent new primary care doctor was a sprightly and chipper young thing who agreed with me that, since I hadn't had an exam in 4 years, it was a good idea to be thorough. Never know if I might have skin cancer or something, since nobody ever sees me. Now, she did give me lots of opportunities not to undress, or to only do it partway or whatever, but I was like naw, I'm good. I haven't even owned underwear since college.
Declined the chaperone, declined her leaving the room (so silly that they offer to do that. Taking clothes off is the LEAST embarrassing part of being naked, for those with shame, since you still have some on during it). Didn't even get offered a gown, which I appreciate. Those are just nuts. She went over every part of me and checked thoroughly. Skin looks fine, maybe some scarring in one area. I was hoping I'd get checked more manually too, but she seemed content with the mostly visual check (and pressing in a few areas just to see if they hurt (they didn't)). Said the science has shifted again, and DREs are no longer really advised (but colonoscopies still are, when I get a little older). I was like "oh, like self breast exams? How they really only catch benign stuff" and she agreed.
Very intelligent young woman, I look forward to one or two more annual physicals with her before she departs for greater things, according to the plans she told me. My previous PCPs at that same clinic did the same, so I guess nobody wants to stay and be a 'family doctor' long. I get it. If you had a job fixing cars vs a job examining cars that are probably okay, and giving them the same notes about maintenance and oil changes, you'd probably get bored too and want to get something with more wrench action.