Mullowney Deirdre, Fuentes Virginia Luis, Barfield Dominic
Department of Clinical Science and Services, Royal Veterinary College, Herts, UK.
Vet Rec. 2021 Sep;189(6):e305. doi: 10.1002/vetr.305. Epub 2021 Apr 19.
Cardiac auscultation is an important part of the physical examination. This study evaluated cardiac auscultation skills in veterinary students and compared their abilities to recent veterinary graduates, referral hospital veterinary surgeons and veterinary cardiologists or cardiology residents. In addition it compared their self-predicted quiz scores to their actual scores, evaluating if they could accurately predict their own performance level.
A digital recording device was used to record auscultation sounds from 12 different patients with a diagnosis confirmed by a board-certified veterinary cardiologist. The sound files and associated phonocardiograms were uploaded to a video sharing website. A cloud-based online multiple-choice quiz was generated and shared with final year veterinary students, recent veterinary graduates, referral hospital veterinary surgeons and veterinary cardiologists or cardiology residents.
There were 128 participants: 51 final year veterinary students, 62 recent veterinary graduates, and 10 referral hospital veterinary surgeons and five veterinary cardiologists or cardiology residents. No difference was found between the cardiac auscultation skills of recent veterinary graduates and final year veterinary students. Veterinary students' self-predicted scores were lower than actual scores.
Recent veterinary graduates did not perform better than final year veterinary students in this study, suggesting that auscultation skills do not continue to improve in the first few years after graduation. Efforts should be made to maximise students' learning in cardiac auscultation skills. Veterinary students show a lack of confidence in cardiac auscultation skills.
心脏听诊是体格检查的重要组成部分。本研究评估了兽医专业学生的心脏听诊技能,并将他们的能力与近期兽医毕业生、转诊医院兽医外科医生以及兽医心脏病专家或心脏病学住院医师进行比较。此外,还将他们自我预测的测验分数与实际分数进行比较,以评估他们是否能够准确预测自己的表现水平。
使用数字录音设备记录12名不同患者的听诊声音,这些患者的诊断由一名获得委员会认证的兽医心脏病专家确认。声音文件和相关的心音图被上传到一个视频分享网站。生成了一个基于云的在线多项选择题测验,并与兽医专业最后一年的学生、近期兽医毕业生、转诊医院兽医外科医生以及兽医心脏病专家或心脏病学住院医师分享。
共有128名参与者:51名兽医专业最后一年的学生、62名近期兽医毕业生、10名转诊医院兽医外科医生以及5名兽医心脏病专家或心脏病学住院医师。近期兽医毕业生和兽医专业最后一年学生的心脏听诊技能没有差异。兽医专业学生自我预测的分数低于实际分数。
在本研究中,近期兽医毕业生的表现并不优于兽医专业最后一年的学生,这表明听诊技能在毕业后的头几年并没有持续提高。应努力最大限度地提高学生在心脏听诊技能方面的学习。兽医专业学生对心脏听诊技能缺乏信心。