Mangrulkar Rajesh, Judge Richard, Chapman Chris, Grum Cyril, Hagan Peter, Westfall John, Stephens Marc, Yao Aki, Engling Jason
Marguerite S. Roll Professor of Medical Education, University of Michigan Medical School.
Associate Dean for Medical Student Education, University of Michigan Medical School.
MedEdPORTAL. 2017 May 8;13:10577. doi: 10.15766/mep_2374-8265.10577.
Cardiac auscultation is an important clinical skill used by health care professionals during bedside patient evaluation and management. To support development of this skill in health sciences students, we created a self-paced, interactive program. This program helps develop foundational skills and knowledge so learners can confidently perform basic cardiac auscultation at the bedside.
For novice learners, this program should be used in conjunction with their initial clinical experiences so they can immediately apply what they have learned in the short course. Advanced learners and health care professionals can use this program to review and improve their cardiac auscultation skills. To achieve these objectives, this multimedia program teaches the eight basic heart cadences and their clinical significance through the use of guided tutorials, a gamified e-learning activity, interactive clinical cases, and a self-assessment. A heart sound and murmur library is also included for comparative listening at the bedside.
Course evaluations from the first- and second-year Clinical Foundations of Medicine courses at the University of Michigan Medical School demonstrate the value of the various sections of the program. Additionally, the clinical cases have been shown to be effective in improving cardiac auscultation knowledge and skills among residents.
All clinical cases in the program are based on authentic clinical problems and were developed by academic cardiologists and internists with expertise in this area. Various sections of this tutorial have been in use at our institution for over 20 years and have been evaluated favorably by our students.
心脏听诊是医护人员在床边对患者进行评估和管理时使用的一项重要临床技能。为了帮助健康科学专业的学生培养这项技能，我们创建了一个自主学习的互动项目。该项目有助于培养基础技能和知识，使学习者能够自信地在床边进行基本的心脏听诊。
对于初学者，该项目应与他们的初始临床经验相结合使用，以便他们能够立即将在短期课程中学到的知识应用到实际中。高级学习者和医护人员可以使用该项目来复习和提高他们的心脏听诊技能。为了实现这些目标，这个多媒体项目通过使用指导性教程、游戏化的电子学习活动、交互式临床案例和自我评估，教授八种基本的心音节律及其临床意义。还包括一个心音和杂音库，用于床边的对比听诊。
密歇根大学医学院医学临床基础一年级和二年级课程的课程评估证明了该项目各个部分的价值。此外，临床案例已被证明能有效提高住院医师的心脏听诊知识和技能。
该项目中的所有临床案例均基于真实的临床问题，由该领域的学术心脏病专家和内科医生开发。本教程的各个部分在我们机构已经使用了20多年，并受到了我们学生的好评。
