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Cardiac Auscultation Skills of Physicians in Training

Cardiac Auscultation Skills of Physicians in Training To the Editor. —I concur with Drs Mangione and Nieman1 that cardiac auscultation is a valuable clinical skill that merits added structured teaching for medical students and residents. While their method represents an improvement over the multiplechoice testing that is common to medical school and licensing examinations, identification of digitized cardiac sounds and murmurs is not a sufficient measure of clinical competency for physicians in training. Furthermore, the authors' statements regarding generalist physicians and health care utilization are not supported by the data presented. In an earlier publication,2 the authors cited a 1959 study by Butterworth and Reppert3 and concluded that physicians in training today are less skilled in cardiac auscultation than their predecessors. However, comparison of the data is hampered because the assessment of Butterworth and Reppert was a matching exercise and included a different type and number of cardiac events. Pressing their point regarding the present erosion of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Cardiac Auscultation Skills of Physicians in Training

JAMA , Volume 278 (21) – Dec 3, 1997

Cardiac Auscultation Skills of Physicians in Training

Abstract



To the Editor.
—I concur with Drs Mangione and Nieman1 that cardiac auscultation is a valuable clinical skill that merits added structured teaching for medical students and residents. While their method represents an improvement over the multiplechoice testing that is common to medical school and licensing examinations, identification of digitized cardiac sounds and murmurs is not a sufficient measure of clinical competency for physicians in training. Furthermore, the...
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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1997.03550210037022
Publisher site
See Article on Publisher Site

Abstract

To the Editor. —I concur with Drs Mangione and Nieman1 that cardiac auscultation is a valuable clinical skill that merits added structured teaching for medical students and residents. While their method represents an improvement over the multiplechoice testing that is common to medical school and licensing examinations, identification of digitized cardiac sounds and murmurs is not a sufficient measure of clinical competency for physicians in training. Furthermore, the authors' statements regarding generalist physicians and health care utilization are not supported by the data presented. In an earlier publication,2 the authors cited a 1959 study by Butterworth and Reppert3 and concluded that physicians in training today are less skilled in cardiac auscultation than their predecessors. However, comparison of the data is hampered because the assessment of Butterworth and Reppert was a matching exercise and included a different type and number of cardiac events. Pressing their point regarding the present erosion of

Journal

JAMAAmerican Medical Association

Published: Dec 3, 1997

There are no references for this article.