Feasibility and effectiveness of cardiac auscultation training with a cardiology patient simulator for first-year medical students
Feasibility and effectiveness of cardiac auscultation training with a cardiology patient simulator for first-year medical students
复制标题
使用心脏病模拟病人对一年级医学生进行心脏听诊训练的可行性和有效性
DOI：
10.1016/j.jjcc.2022.06.007
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发表时间：
2022
影响因子：
2.5
通讯作者：
Seiichi Ishii
中科院分区：
文献类型：
--
作者：
Yutaka Kagaya;Masao Tabata;Yutaro Arata;Junichi Kameoka;Seiichi Ishii
背景医学生使用心脏病患者模拟器进行心脏听诊训练的有效性尚不清楚。尽早开始这样的培训可以帮助学生提高他们的熟练程度。我们调查了使用模拟器对一年级学生进行心脏听诊训练是否可行和有效。（2015-2019年每年5-12人）参加了三个1.5小时的课外课程，包括迷你讲座，促进培训，两种不同的听诊测试（第二次测试比第一次更接近临床环境）和问卷调查。结果在2016- 2019年的3小时心脏听诊课中，一年级学生的所有心音和杂音的准确率均高于四年级学生，两组的准确率差异无统计学意义（P > 0. 05）。（85.8 vs. 79.4%，p= 0.001）和第二次（71.3 vs. 61.2%，p= 0.02）检验。在第一次（86.0 vs. 79.7%，p= 0.01）和第二次（70.9 vs. 53.9%，p = 0.002）测试中，一年级学生的第二/第三/第四声也高于四年级学生。在第一次测试中，一年级学生的杂音准确率高于四年级学生（85.5 vs. 78.9%，p= 0.04），但在第二次测试中没有（72.1 vs. 75.7%，p= 0.58）。所有一年级学生和65%的学生分别同意他们获得了足够的知识和建立了足够的技能。所有的一年级学生和93%的人都同意，他们对该计划感到满意，该计划是适合一年级的学生，分别conclusionsAlthough培训时间是不同的两组之间，这是可能的，只有积极的一年级学生参加了该计划，这些结果表明，我们的心脏听诊培训是可行的，有效的一年级医学生。
BackgroundThe effectiveness of cardiac auscultation training with a cardiology patient simulator for medical students is still unclear. Starting such training earlier may help students improve their proficiency. We investigated whether cardiac auscultation training using a simulator for first-year students is feasible and effective.MethodsA total of 43 first-year medical students (5–12 in each year, 2015–2019) participated in three 1.5-hour extra-curricular classes comprising mini-lectures, facilitated training, two different auscultation tests (the second test closer to clinical setting than the first), and a questionnaire. The test results were compared with those of 556 fourth-year medical students who participated in a compulsory 3-hour cardiac auscultation class in 2016–2019.ResultsThe accuracy rate of all heart sounds and murmurs was higher in the first-year students than in the fourth-year students in both the first (85.8 vs. 79.4 %,p= 0.001) and second (71.3 vs. 61.2 %,p= 0.02) tests. That of second/third/fourth sounds was also higher in the first-year students than in the fourth-year students in both the first (86.0 vs. 79.7 %,p= 0.01) and second (70.9 vs. 53.9 %,p= 0.002) tests. The accuracy rate of murmurs was higher in the first-year students than in the fourth-year students in the first test (85.5 vs. 78.9 %,p= 0.04), but not in the second test (72.1 vs. 75.7 %,p= 0.58). All the first-year students and 65 % of them agreed that they had received sufficient knowledge and built sufficient skills, respectively. All the first-year students and 93 % of them agreed that they were satisfied with the program, and that the program was suitable for first-year students, respectively.ConclusionsAlthough training time was different between the two groups and it is possible that only motivated first-year students participated in the program, these results suggest that our cardiac auscultation training is feasible and effective for first-year medical students.