OP-349 Effectiveness of Cardiac Simulator on the Acquirement of Cardiac Auscultatory Skills of Medical Students

Yazici, Hüseyin; Mertr, K.U.; Nasifov, Muharrem; Ovalı, Cengiz; Aydar, Yüksel; Birdane, Alparslan

doi:10.1016/j.amjcard.2014.01.222

Cited by 2 publications

(3 citation statements)

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“…There was no significant improvement in the diagnostic accuracy of the MS even after the intervention. The results of our study are consistent with the study of Birdane et al (2012) and Binka et al (2016), where students also better recognized systolic murmurs compared to diastolic murmurs [7], [17]. Physical examination has limited ability to evaluate diastolic murmurs, with a sensitivity of only 14-33% for the diagnosis of aortic regurgitation [18], [19].…”

Section: Discussionsupporting

confidence: 89%

“…The diagnostic accuracy of 45.9% in 2 h training and 35.3% in 4 h training in our study is not satisfactory. Diastolic murmurs, such as aortic regurgitation and mitral stenosis, are usually a problem for most students in the learning process [7], [16]. In our study, the accuracy of the correct diagnosis of mitral stenosis among all malformations was the lowest in the 4 h training, while the percentage of correct detection of MI was relatively better among students.…”

Section: Discussionmentioning

confidence: 46%

“…The use of the Kyoto-Kagaku K Plus simulator in training improved Student's t-test auscultation skills in a Bernardi et al study [6]. In other studies, weak cardiological examination skills were recorded in medical students using cardiac simulators [7], [8], computer training programs [9], and at the patient's bedside [10], [11]. In several well-planned randomized trials, no significant differences were found between heart simulations and other interventions [12], [13], [14], [15].…”

Section: Introductionmentioning

confidence: 91%

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The Effectiveness of Training on Auscultation of Heart with a Simulator of Cardiology in Medical Students

Koshmaganbetova

Bazargaliyev

et al. 2021

Open Access Maced J Med Sci

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The purpose of this study was to determine whether the training module with a simulator of cardiology improves auscultation skills in medical students. Methods. Medical students of the third year after completing the module of the cardiovascular system of the discipline “Propaedeutics of internal diseases, passed a two-hour or four-hour training module in clinical auscultation with retesting immediately after the intervention and in the fourth year. The control group consisted of fourth-year medical students who had no intervention. Results. The diagnostic accuracy in two-hour training was 45.9% vs 35.3% in four-hour training p <.001. The use of a cardio simulator significantly increased the accurate detection of mitral regurgitation immediately after training on a simulator (more than 73%) p <.001. The next academic year, regression was observed in the diagnostic accuracy of mitral insufficiency in the intervention group after six months of observation by 4%. The auscultation skills of students at the bedside of real patients did not increase after training on a simulator: the accuracy of diagnosis of the auscultatory picture of the defect was equally low in the intervention group and the control group (35.0% vs 30.8%, p = 0.651). Conclusions. Two-hour training was more effective than four-hour training. After training on cardiac auscultation using a patient’s cardiological simulator, the accuracy rate was low in a situation close to the clinical conditions and a clinic on a real patient.

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