Helping family physicians improve their cardiac auscultation skills with an interactive CD-ROM.
Helping family physicians improve their cardiac auscultation skills with an interactive CD-ROM.
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DOI：
10.1002/chp.1340220304
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发表时间：
2002-01-01
期刊：
影响因子：
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通讯作者：
Fleming, Michael
中科院分区：
文献类型：
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作者：
Roy, Douglas;Sargeant, Joan;Fleming, Michael
引言：很少有关于住院医师和家庭医生心脏听诊技能的研究。本研究评估了一组家庭医生的心脏听诊技能和使用计算机化的自我指导程序，以提高这些skills.METHODS：42名志愿者家庭医生参加了初步评估的心脏听诊技能，使用测试记录的12个常见的心音。他们提供了一个光盘教学计划，并要求投入15个小时的自学程序，并返回9个月reassessment.RESULTS：42个家庭医生在初步评估确定39%的心音。21例患者返回接受重新评估，并显示出显著改善。他们的初始平均评分为4.3/12（35%），最终平均评分为8.0/12（67%）。他们发现CD-ROM程序是一种宝贵的资源。最受欢迎的功能是无限的机会来回顾声音，案例和教程。最常见的问题与计算机访问或技能有关。11名受访者报告说，使用该程序来解决病人的问题，在他们的临床practice.Discussion：一组志愿者家庭医生的心脏听诊技能表现出较低的初始分数，提高了显着自学后，与光盘教学程序。该计划是一个有价值的自我指导的援助，和医生使用它作为一种资源，在临床实践中。然而，只有50%的第一组完成了自学，并返回进行最后的评估。在初始阶段提供更多的支持和帮助，特别是在计算机使用方面，可能有助于完成类似的计算机自学课程。
INTRODUCTION: There have been few studies of the cardiac auscultation skills of residents and family physicians. This study assessed a group of family physicians' cardiac auscultation skills and use of a computerized self-instructional program to improve these skills.METHODS: Forty-two volunteer family physicians participated in an initial assessment of cardiac auscultation skills using test recordings of 12 common heart sounds. They were provided with a CD-ROM instructional program and were asked to devote 15 hours of self-study to the program and to return in 9 months for reassessment.RESULTS: The 42 family physicians in the initial assessment identified 39% of the heart sounds. Twenty-one returned for reassessment and showed significant improvement. Their initial mean score was 4.3 of 12 (35%), and their final mean score was 8.0 of 12 (67%). They found the CD-ROM program to be a valuable resource. The feature most liked was the unlimited opportunity to review sounds, cases, and tutorials. Most frequent problems related to computer access or skills. Eleven respondents reported using the program to resolve patient problems in their clinical practices.DISCUSSION: The cardiac auscultation skills of a group of volunteer family physicians showed low initial scores that improved significantly after self-study with a CD-ROM instructional program. The program was a valuable self-instructional aid, and physicians used it as a resource in clinical practice. However, only 50% of the initial group completed the self-study and returned for final assessment. Providing more support and assistance in the initial phase, especially with computer use, may enable completion of similar computerized self-study programs.