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Clinical auscultation skills in pediatric residents.

Publication ,  Journal Article
Gaskin, PR; Owens, SE; Talner, NS; Sanders, SP; Li, JS
Published in: Pediatrics
June 2000

OBJECTIVE: The aim of this study is to determine the level of clinical auscultation skills in pediatric residents at Duke University Medical Center. METHODS: Forty-seven residents from pediatrics and joint medicine/pediatrics training programs at Duke University Medical Center were enrolled in this study. They were asked to examine the cardiovascular patient simulator, Harvey, and report their findings. Five common conditions seen in the pediatric population were presented: ventricular septal defect, atrial septal defect, pulmonary valve stenosis, combined aortic valve stenosis and insufficiency, and innocent systolic ejection murmur. The responses were scored by the number of features and diagnoses accurately reported. Five pediatric cardiologists and cardiologists in training were also asked to participate in a manner similar to the trainees. RESULTS: The mean score of features identified for the resident group was 11.4 +/- 2.6 of a possible 19. The diagnostic accuracy was 33%. There was no significant difference between residents by year of training or by type of residency program, although there was a trend toward improved performance with more training. The difference in performance between the pediatric cardiology group and the residents group was striking. The condition that was most frequently misdiagnosed was the innocent systolic ejection murmur. CONCLUSIONS: The clinical auscultation skills of pediatric residents in this study were suboptimal. There was a trend toward improvement as training progressed, although not statistically significant. These skills are likely to improve further with increased exposure to patients with cardiovascular disease especially in the ambulatory care setting.

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Published In

Pediatrics

DOI

EISSN

1098-4275

Publication Date

June 2000

Volume

105

Issue

6

Start / End Page

1184 / 1187

Location

United States

Related Subject Headings

  • Pulmonary Valve Stenosis
  • Pediatrics
  • Pediatrics
  • Internship and Residency
  • Humans
  • Heart Septal Defects, Ventricular
  • Heart Septal Defects, Atrial
  • Heart Murmurs
  • Heart Diseases
  • Heart Auscultation
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Gaskin, P. R., Owens, S. E., Talner, N. S., Sanders, S. P., & Li, J. S. (2000). Clinical auscultation skills in pediatric residents. Pediatrics, 105(6), 1184–1187. https://doi.org/10.1542/peds.105.6.1184
Gaskin, P. R., S. E. Owens, N. S. Talner, S. P. Sanders, and J. S. Li. “Clinical auscultation skills in pediatric residents.Pediatrics 105, no. 6 (June 2000): 1184–87. https://doi.org/10.1542/peds.105.6.1184.
Gaskin PR, Owens SE, Talner NS, Sanders SP, Li JS. Clinical auscultation skills in pediatric residents. Pediatrics. 2000 Jun;105(6):1184–7.
Gaskin, P. R., et al. “Clinical auscultation skills in pediatric residents.Pediatrics, vol. 105, no. 6, June 2000, pp. 1184–87. Pubmed, doi:10.1542/peds.105.6.1184.
Gaskin PR, Owens SE, Talner NS, Sanders SP, Li JS. Clinical auscultation skills in pediatric residents. Pediatrics. 2000 Jun;105(6):1184–1187.

Published In

Pediatrics

DOI

EISSN

1098-4275

Publication Date

June 2000

Volume

105

Issue

6

Start / End Page

1184 / 1187

Location

United States

Related Subject Headings

  • Pulmonary Valve Stenosis
  • Pediatrics
  • Pediatrics
  • Internship and Residency
  • Humans
  • Heart Septal Defects, Ventricular
  • Heart Septal Defects, Atrial
  • Heart Murmurs
  • Heart Diseases
  • Heart Auscultation