Small Steps in Impacting Clinical Auscultation of Medical Students.
The objective of this study was to determine if a training module improves the auscultation skills of medical students at the University of Maryland School of Medicine. Second-year medical students completed pretests on 12 heart sounds followed by a 45-minute training module on clinical auscultation, with retesting immediately after the intervention and during their third-year pediatrics clerkship. The control group consisted of third-year medical students who did not have the intervention. There was a 23% improvement in the identification of heart sounds postintervention (P < .001). Diastolic and valvular murmurs were poorly identified pre- and post intervention. There was a 6% decline in accuracy of the intervention group in the following academic year. The intervention group was superior to the control group at identifying the tested heart sounds (49% vs 43%, P = .04). The accuracy of second-year medical students in identifying heart sounds improved after a brief training module.
University of Maryland School of Medicine, Baltimore, MD, USA.
Edem K
EK
Binka
University of Maryland School of Medicine, Baltimore, MD, USA.
Linda O
LO
Lewin
University of Maryland School of Medicine, Baltimore, MD, USA.
Peter R
PR
Gaskin
cardiac auscultation; diastolic murmurs; heart murmurs; intervention; medical students
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