Heart murmurs auscultation as professional learning problems.
OBJECTIVE: To compare the effectiveness of traditional and innovative methods of training for heart auscultation in medical students, physicians, and medical teachers, to find out the major reasons of the deficient auscultative skills, and to determine a place and significance of alternative methods...
| Publicado en: | Anatolian Journal of Cardiology / Anadolu Kardiyoloji Dergisi Vol. 9; no. 3; pp. 167 - 176 |
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| Formato: | research Journal Article |
| Publicado: |
KARE Publishing
Jun2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105375113&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105375113 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21492263 1XEB jtl: Anatolian Journal of Cardiology / Anadolu Kardiyoloji Dergisi issn: 21492263 maglogo: N pubinfo: dt: Jun2009 vid: 9 iid: 3 pid: 62027 pub: KARE Publishing artinfo: ui: 105375113 105375113 2010334375 NLM19520649 105375113 ppf: 167 ppct: 9 formats: tig: atl: Heart murmurs auscultation as professional learning problems. aug: au: Naumov LB affil: Center for Medical Decision Making, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel. leonaumov@zahav.net.il sug: subj: Cardiology Education Clinical Competence Heart Auscultation Heart Murmurs Diagnosis Students, Medical Psychosocial Factors Teaching Attitude to Health Cardiology Standards Diagnosis, Differential Diagnostic Errors Education, Medical Standards Physical Examination Human ab: OBJECTIVE: To compare the effectiveness of traditional and innovative methods of training for heart auscultation in medical students, physicians, and medical teachers, to find out the major reasons of the deficient auscultative skills, and to determine a place and significance of alternative methods of auscultation training. METHODS: By principle of other equal conditions, the comparison of traditional and algorithmic diagnostics by the same auscultative signs in textual tasks, magnetic sound records and heart auscultation of patients. The independent diagnostics has been reflected the results of usual medical education. The same data have been used by the same examinees for diagnostics by original innovative diagnostic algorithm of heart auscultation, and programmed training. RESULTS: Murmurs diagnostics on magnetic recording was erroneous frequently. For reliable diagnostics of acoustic phenomena is needed the constant feedback, and much more time, than is scheduled in standard curriculum. CONCLUSION: Conventional training for heart auscultation is ineffective. Auscultation skills acquired by medical students do not grow up during their program of study. Even graduated cardiologists and instructors clinicians themselves make frequent errors in diagnostics of heart murmurs. The proposed diagnostic algorithm decreases the number of errors many times. The programmed teaching with constant feedback is the optimal method for flawless recognition of acoustic signs. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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