Simulation-based Mastery Learning Improves Cardiac Auscultation Skills in Medical Students
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Cardiac auscultation is a core clinical skill. However, prior studies show that trainee skills are often deficient and that clinical experience is not a proxy for competence.
To describe a mastery model of cardiac auscultation education and evaluate its effectiveness in improving bedside cardiac auscultation skills.
Untreated control group design with pretest and posttest.
Third-year students who received a cardiac auscultation curriculum and fourth year students who did not.
A cardiac auscultation curriculum consisting of a computer tutorial and a cardiac patient simulator. All third-year students were required to meet or exceed a minimum passing score (MPS) set by an expert panel at posttest.
Diagnostic accuracy with simulated heart sounds and actual patients.
Trained third-year students (n = 77) demonstrated significantly higher cardiac auscultation accuracy compared to untrained fourth year students (n = 31) in assessment of simulated heart sounds (93.8% vs. 73.9%, p < 0.001) and with real patients (81.8% vs. 75.1%, p = 0.003). USMLE scores correlated modestly with a computer-based multiple choice assessment using simulated heart sounds but not with bedside skills on real patients.
A cardiac auscultation curriculum consisting of deliberate practice with a computer-based tutorial and a cardiac patient simulator resulted in improved assessment of simulated heart sounds and more accurate examination of actual patients.
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- Simulation-based Mastery Learning Improves Cardiac Auscultation Skills in Medical Students
Journal of General Internal Medicine
Volume 25, Issue 8 , pp 780-785
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Cardiac Auscultation
- medical students
- Industry Sectors
- Author Affiliations
- 1. Augusta Webster, MD Office of Medical Education and Faculty Development, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- 2. Department of Medicine, Northwestern University Feinberg School of Medicine, 675 N. St. Clair Street, Suite 18-200, Chicago, IL, 60611, USA