Comparison of Two Educational Interventions on Pediatric Resident Auscultation Skills

Abstract

Pediatric resident auscultation skills were poor and did not improve after an outpatient cardiology rotation. Auscultation skills did improve after the use of a self-directed cardiac auscultation teaching program. These data have relevance given the American College of Graduate Medical Education's emphasis on measuring educational outcomes and documenting clinical competencies during residency training.

Ketajaman Klinis dalam Mendiagnosis Bising Inosen

“…Haney, dkk 13 melaporkan sensitivitas dan spesifisitas pemeriksaan fisis oleh dokter spesialis anak 82% dan 24%, yang dengan pelatihan pengenalan bising jantung anak meningkat masing-masing menjadi 87% dan 98%. Mahnke, dkk 14 melaporkan bahwa kemampuan pengenalan bising jantung anak oleh residen sangat buruk dan perlu pelatihan khusus untuk meningkatkan kemampuan pengenalan bising jantung.…”

“…Sedangkan sensitivitas pemeriksaan oleh dokter anak umum adalah suboptimal. Mahnke, dkk 14 melaporkan bahwa residen yang telah mengikuti pelatihan untuk mendiagnosis bising inosen ternyata masih rendah dengan kemampuan 53%+13%. Hal ini sama dengan yang ditemukan oleh Gaskin dkk.…”

Cardiac Auscultation Can Be Taught Better: New Auditory Training Program Teaches Students to Distinguish Innocent and Pathological Murmurs with 90% Accuracy

“…6 Even pediatric residents have difficulty in recognizing innocent murmurs with current teaching methods as shown in several studies. 3,7,8 It appears that auscultation is both challenging to learn and challenging to teach.…”

“…With the reduction of available inpatients with abnormal heart sounds in the current era, recorded heart sounds either on CD ROM or online have become popular as a teaching tool. [6][7][8][9][10] The literature documenting the impact of these is very sparse. [7][8][9][10][11] The value of teaching on a cardiology rotation has been questioned by some 7 and promoted by others.…”

“…[6][7][8][9][10] The literature documenting the impact of these is very sparse. [7][8][9][10][11] The value of teaching on a cardiology rotation has been questioned by some 7 and promoted by others. 8 The effectiveness of group teaching by an expert using live patients has been suggested 12 but little attention has been given to a comparison between self learning and expert-led classroom teaching.…”