Feasibility and effectiveness of cardiac auscultation training with a cardiology patient simulator for first-year medical students

Kagaya, Yutaka; Tabata, Masao; Arata, Yutaro; Kameoka, Junichi; Ishii, Seiichi

doi:10.1016/j.jjcc.2022.06.007

Cited by 3 publications

(2 citation statements)

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“…Participants were given an anonymous questionnaire at the end of the curriculum, to rate their perception of skill acquisition. Two students (5%) self-reported that they strongly agreed with the statement “I have built sufficient skills”, on a 5-point Likert scale, while 26 students (60%) agreed with that statement [ 7 ]. This suggests that a majority (65%) of first-year students were confident with their ability to detect heart murmurs via a stethoscope, and they had developed skills that better equipped them for detection of heart murmurs in clinical settings.…”

Section: Reviewmentioning

confidence: 99%

“…Kagaya and colleagues then compared their results to those from a different study conducted in 2016-2019, which consisted of 556 fourth-year medical students who completed a three-hour mandatory attendance cardiac auscultation class. The comparison revealed that the first-year students had a statistically significant higher accuracy rate of detecting heart murmurs (85.8% vs 79.4%, p=0.001) than the fourth-year students [ 7 ].…”

Section: Reviewmentioning

confidence: 99%

See 1 more Smart Citation

The Effectiveness of Different Teaching Modalities for the Detection of Heart Murmurs in Undergraduate Medical Education: A Review

Nagi,

Boots,

Ajlouni

et al. 2024

Cureus

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One of the many physical exam skills introduced to medical students during their pre-clerkship education is cardiac auscultation, one purpose of which is to teach the detection and identification of heart murmurs. Cardiac auscultation with a stethoscope has been the standard method of teaching. Another method, point-of-care ultrasound (POCUS), has been recently introduced as another modality by which students learn to detect and identify murmurs. The emerging popularity of POCUS in undergraduate medical curricula has led many institutions to include it in their curricula; however, doing so is challenging. Not only is cost a major factor, but reorganizing curricula to allow sufficient time for POCUS training has proven to be difficult. Additionally, the presence of notable gaps in the literature regarding the efficacy of POCUS for teaching the detection and identification of heart murmur has increased scrutiny of its value. Studies that assessed teaching cardiac auscultation to medical students in their pre-clinical years via stethoscope have used different teaching methods. However, evaluation of these studies identified numerous limitations, one being little long-term retention of cardiac auscultation knowledge. Furthermore, several barriers to integration of POCUS in undergraduate medical education were identified. The purpose of this review is to synthesize the literature comparing the effectiveness of these different tools of a cardiac exam for detection of heart murmurs in undergraduate medical education and identify gaps in literature requiring future exploration.

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Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%