(USA , CANADA)
Cardiac auscultation is a reliable and cost-efficient clinical skill but is being replaced by sophisticated, costly techniques. Moreover, recent experiences have shown that proficiency in this skill has declined among physicians in training. The objective of this report was to evaluate auscultation skills in undergraduate and postgraduate students and determine whether a training program involving a heart sound simulator can improve these skills.
Background: Despite continued curriculum reform, the clinical skills competencies of medical graduates at all levels are steadily declining within a training system, where bedside opportunities become a luxury and the laboratory tests prevail over the clinical skills. While high-fidelity expensive simulators are being embraced by high-procedure volume specialties, low-fidelity and relatively inexpensive simulators, such as the heart sounds simulators remain under-utilized in m