Back from the 1960's to the 1970's, perhaps even the 1980's, it was standard practice for the nurse or doctor to take a male patient into the exam room and at some point ask him to take off everything except his (shorts, underwear, ___). The standard for the physical exam was 'head to toe,' and the patient was prepared for that encounter. That changed as time went on. Gowns appeared and I could connect a doctor with which hospital/university system had trained him in Manhattan. Saint Vincents supplied gowns. NYU had patients strip down to underwear. Moving from Manhattan to Massachusetts and now Maine, gowns go over underwear during a pre-employment/occupational physical (which involves certain range-of-motion tests) but a patient who is there for his annual physical is examined fully dressed, at best being asked to take off a shirt or shirt and shoes. I wonder what others have found to be true. Is this an Eastern U.S. thing? If you have been going to the same doctor for a long time, have you seen such adjustments? Is it true, as I suspect, the younger/newer the doctor is, reflecting changes in training? Is it simply a reflection that what happens during a standard physical exam has been curtailed? Indications of location, age, etc. would help to see if there are patterns.