Cardiac auscultation training of medical students: a comparison of electronic sensor-based and acoustic stethoscopes

BMC Med Educ. 2005 May 9;5(1):14. doi: 10.1186/1472-6920-5-14.

Abstract

Background: To determine whether the use of an electronic, sensor based stethoscope affects the cardiac auscultation skills of undergraduate medical students.

Methods: Forty eight third year medical students were randomized to use either an electronic stethoscope, or a conventional acoustic stethoscope during clinical auscultation training. After a training period of four months, cardiac auscultation skills were evaluated using four patients with different cardiac murmurs. Two experienced cardiologists determined correct answers. The students completed a questionnaire for each patient. The thirteen questions were weighted according to their relative importance, and a correct answer was credited from one to six points.

Results: No difference in mean score was found between the two groups (p = 0.65). Grading and characterisation of murmurs and, if present, report of non existing murmurs were also rated. None of these yielded any significant differences between the groups.

Conclusion: Whether an electronic or a conventional stethoscope was used during training and testing did not affect the students' performance on a cardiac auscultation test.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Cardiology / education*
  • Clinical Competence*
  • Education, Medical, Undergraduate*
  • Electronics, Medical / instrumentation*
  • Equipment Design
  • Heart Auscultation / instrumentation*
  • Heart Auscultation / methods*
  • Heart Murmurs / diagnosis
  • Humans
  • Observer Variation
  • Sensitivity and Specificity
  • Stethoscopes*
  • Students, Medical