Cardiac auscultatory skills of internal medicine and family practice trainees a comparison of diagnostic proficiency.
Context. - Medical educators have had a growing sense that proficiency in physical diagnostic skills is waning, but few data have examined the question critically.
Objective, Design, and Setting
- To compare the cardiac auscultatory proficiency of medical students and physicians in training.
A multicenter cross-sectional assessment of students and house staff.
A total of 8 internal medicine and 23 family practice programs of the mid-Atlantic area.
- A total of 453 physicians in training and 88 medical students.
- All participants listened to 12 cardiac events directly recorded from patients, which they identified by completing a multiple-choice questionnaire.
Main Outcome Measures
- Scores were expressed as the percentage of participants, for year and type of training, who correctly identified each event.
Cumulative scores were expressed as the total number of events correctly recognized.
An adjusted score was calculated whenever participants selected not only the correct finding but also findings that are acoustically similar and yet absent.
- Trainees'cumulative scores ranged between 0 and 7 for both internal medicine and family practice residents (median, 2.5 and 2.0, respectively).
Internal medicine residents had the highest cumulative adjusted scores for the 6 extra sounds and for all 12 cardiac events tested (P=01 and. 02, respectively). (...)
Mots-clés Pascal : Auscultation, Coeur, Médecine générale, Enseignement, Spécialité médicale, Etudiant, Précision, Homme, Etude comparative
Mots-clés Pascal anglais : Auscultation, Heart, Internal medicine, Teaching, Medical specialty, Student, Accuracy, Human, Comparative study
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0466465
Code Inist : 002B30A09. Création : 03/02/1998.