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An exception might occur when the interview reveals symptoms that make physical examination unneccessary, and I've also seen doctors autonomously perform other examinations although physical examination was first in the list (probably based on their diagnostic skills).
Otherwise, I don't know what could be happening, other than the mod not correctly loading (seen in the left bottom corner of the home screen), and/or I made a mistake in case you're playing in Dutch, German or French. It is a very simple mod, I only changed one figure in one file.