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Volumn 3, Issue 2, 2008, Pages 124-133

Innovative web-based multimedia curriculum improves cardiac examination competency of residents

Author keywords

Benchmarking; Cardiology education; Clinical competence; Competency based education standards; Computer assisted instruction; Curriculum; Educational measurement methods; Educational technology; Heart murmurs diagnosis physiopathology; Heart sounds; Heart anatomy and histology physiology; Internet internship and residency standards; Multimedia; Physical examination standards; Reproducibility of results; Time factors; User computer interface; Virtual patients

Indexed keywords

ARTICLE; CARDIAC PATIENT; CARDIOVASCULAR SYSTEM EXAMINATION; CLINICAL COMPETENCE; CLINICAL EDUCATION; CONTROLLED STUDY; CURRICULUM; EXPOSURE; FAMILY MEDICINE; HEALTH CARE QUALITY; HEART DISEASE; HUMAN; INTERNAL MEDICINE; LEARNING; MEDICAL SOCIETY; MEDICAL STAFF; MULTIMEDIA; PATIENT SAFETY; PRIORITY JOURNAL; RESIDENCY EDUCATION; RESIDENT; SKILL; TEACHING;

EID: 44249093003     PISSN: 15535592     EISSN: 15535606     Source Type: Journal    
DOI: 10.1002/jhm.287     Document Type: Article
Times cited : (25)

References (35)
  • 1
    • 0030894212 scopus 로고    scopus 로고
    • Cross-sectional study of contribution of clinical assessment and simple cardiac investigations to diagnosis of left ventricular systolic dysfunction in patients admitted with acute dyspnea
    • Gillespie ND, McNeill G, Pringle T, Ogston S, Struthers AD, Pringle SD. Cross-sectional study of contribution of clinical assessment and simple cardiac investigations to diagnosis of left ventricular systolic dysfunction in patients admitted with acute dyspnea. BMJ. 1997;314:936-940.
    • (1997) BMJ , vol.314 , pp. 936-940
    • Gillespie, N.D.1    McNeill, G.2    Pringle, T.3    Ogston, S.4    Struthers, A.D.5    Pringle, S.D.6
  • 3
    • 0030585709 scopus 로고    scopus 로고
    • Value of the cardiovascular physical examination for detecting valvular heart disease in asymptomatic subjects
    • Roldan CA, Shively BK, Crawford MH. Value of the cardiovascular physical examination for detecting valvular heart disease in asymptomatic subjects. Am J Cardiol. 1996;77:1327-1331.
    • (1996) Am J Cardiol , vol.77 , pp. 1327-1331
    • Roldan, C.A.1    Shively, B.K.2    Crawford, M.H.3
  • 5
    • 0027446572 scopus 로고
    • Cost assessment for evaluation of heart murmurs in children
    • Danford DA, Nasir A. Gumbiner C. Cost assessment for evaluation of heart murmurs in children. Pediatrics. 1993; 91:365:368.
    • (1993) Pediatrics , vol.91 , Issue.365 , pp. 368
    • Danford, D.A.1    Nasir, A.2    Gumbiner, C.3
  • 6
    • 0035093271 scopus 로고    scopus 로고
    • Estimation of pressure gradients by auscultation: An innovative and accurate physical examination technique
    • Phoon CKL. Estimation of pressure gradients by auscultation: an innovative and accurate physical examination technique. Am Heart J. 2001;141:500-506.
    • (2001) Am Heart J , vol.141 , pp. 500-506
    • Phoon, C.K.L.1
  • 7
    • 33645473204 scopus 로고    scopus 로고
    • Competency in cardiac examination skills in medical students, trainees, physicians and faculty: A multicenter study
    • Vukanovic-Criley JM, Criley SR, Warde C, et al. Competency in cardiac examination skills in medical students, trainees, physicians and faculty: a multicenter study. Arch Intern Med. 2006;166:610-616.
    • (2006) Arch Intern Med , vol.166 , pp. 610-616
    • Vukanovic-Criley, J.M.1    Criley, S.R.2    Warde, C.3
  • 8
    • 0027157934 scopus 로고
    • The teaching and practice of cardiac auscultation during internal medicine and cardiology training
    • Mangione S, Nieman LZ, Gracely E, Kaye D. The teaching and practice of cardiac auscultation during internal medicine and cardiology training. Ann Intern Med. 1993;119:47-54.
    • (1993) Ann Intern Med , vol.119 , pp. 47-54
    • Mangione, S.1    Nieman, L.Z.2    Gracely, E.3    Kaye, D.4
  • 9
    • 0030928107 scopus 로고    scopus 로고
    • Cardiac auscultatory skills of internal medicine and family practice trainees: A comparison of diagnostic proficiency
    • Mangione S, Nieman LZ. Cardiac auscultatory skills of internal medicine and family practice trainees: a comparison of diagnostic proficiency. JAMA. 1997;278:717-722.
    • (1997) JAMA , vol.278 , pp. 717-722
    • Mangione, S.1    Nieman, L.Z.2
  • 10
    • 0020691090 scopus 로고
    • Detection and i correction of house staff error in physical diagnosis
    • Wray NP, Friedland JA. Detection and i correction of house staff error in physical diagnosis. JAMA. 1983;249:1035-1037.
    • (1983) JAMA , vol.249 , pp. 1035-1037
    • Wray, N.P.1    Friedland, J.A.2
  • 11
    • 44249088922 scopus 로고    scopus 로고
    • Is listening through a stethoscope a dying art?
    • May
    • Blanchard GP. Is listening through a stethoscope a dying art? Boston Globe May 25, 2004.
    • (2004) Boston Globe , pp. 25
    • Blanchard, G.P.1
  • 12
    • 0033101938 scopus 로고    scopus 로고
    • Salvaging the history, physical examination and doctor-patient relationship in a technological cardiology environment
    • Clement DL, Cohn JN. Salvaging the history, physical examination and doctor-patient relationship in a technological cardiology environment. J Am Coll Cardiol. 1999;33: 892-893.
    • (1999) J Am Coll Cardiol , vol.33 , pp. 892-893
    • Clement, D.L.1    Cohn, J.N.2
  • 13
    • 33750956872 scopus 로고    scopus 로고
    • Wither the Cardiac Physical Examination?
    • DeMaria AN. Wither the Cardiac Physical Examination? J Am Coll Cardiol. 2006;48:2156-2157.
    • (2006) J Am Coll Cardiol , vol.48 , pp. 2156-2157
    • DeMaria, A.N.1
  • 14
    • 0025261079 scopus 로고
    • New techniques should enhance, not replace, bedside diagnostic skills in cardiology, Part 1
    • Criley JM, Siegel RJ. New techniques should enhance, not replace, bedside diagnostic skills in cardiology, Part 1. Mod Concepts Cardiovasc Dis. 1990;59:19-24.
    • (1990) Mod Concepts Cardiovasc Dis , vol.59 , pp. 19-24
    • Criley, J.M.1    Siegel, R.J.2
  • 15
    • 0025033956 scopus 로고
    • New techniques should enhance, not replace, bedside diagnostic skills in cardiology, Part 2
    • Criley JM, Siegel RJ. New techniques should enhance, not replace, bedside diagnostic skills in cardiology, Part 2. Mod Concepts Cardiovasc Dis. 1990;59:25-30.
    • (1990) Mod Concepts Cardiovasc Dis , vol.59 , pp. 25-30
    • Criley, J.M.1    Siegel, R.J.2
  • 16
    • 33645468619 scopus 로고    scopus 로고
    • Time, now, to recover the fun in the physical examination rather than abandon it
    • Simel DL. Time, now, to recover the fun in the physical examination rather than abandon it. Arch Intern Med. 2006; 166:603-604.
    • (2006) Arch Intern Med , vol.166 , pp. 603-604
    • Simel, D.L.1
  • 17
    • 0031053734 scopus 로고    scopus 로고
    • On bedside teaching
    • LaCombe MA. On bedside teaching. Ann Intern Med. 1997;126:217-220.
    • (1997) Ann Intern Med , vol.126 , pp. 217-220
    • LaCombe, M.A.1
  • 18
    • 0017968263 scopus 로고
    • The role of the attending physician in clinical training
    • Collins GF. Cassie JM, Daggett CJ. The role of the attending physician in clinical training. J Med Educ. 1978;53:429-431.
    • (1978) J Med Educ , vol.53 , pp. 429-431
    • Collins, G.F.1    Cassie, J.M.2    Daggett, C.J.3
  • 19
    • 0022521490 scopus 로고
    • Teaching the resident in infernal medicine: Present practices and suggestions for the future
    • Shankel SW. Mazzaferri EL. Teaching the resident in infernal medicine: present practices and suggestions for the future. JAMA. 1986:256:725-729.
    • (1986) JAMA , vol.256 , pp. 725-729
    • Shankel, S.W.1    Mazzaferri, E.L.2
  • 20
    • 0030907909 scopus 로고    scopus 로고
    • Bedside rounds revisited
    • Thibault GE. Bedside rounds revisited. N Engl J Med. 1997; 336:1174-1175.
    • (1997) N Engl J Med , vol.336 , pp. 1174-1175
    • Thibault, G.E.1
  • 21
    • 2542443501 scopus 로고    scopus 로고
    • Effects of training in direct observation of medical residents' clinical competence a randomized trial
    • Holmboe ES, Hawkins RE, Huot JS. Effects of training in direct observation of medical residents' clinical competence a randomized trial. Ann Intern Med. 2004;140:874-881.
    • (2004) Ann Intern Med , vol.140 , pp. 874-881
    • Holmboe, E.S.1    Hawkins, R.E.2    Huot, J.S.3
  • 22
    • 84858581164 scopus 로고    scopus 로고
    • Available at:, Accessed July 9, 2007
    • American Board of Internal Medicine. Clinical Skills/PESEP. Available at: http://www.abim.org/moc/semmed.shtm. Accessed July 9, 2007.
    • Clinical Skills/PESEP
  • 23
    • 44249097164 scopus 로고    scopus 로고
    • Accreditation Council for Graduate Medical Education ACGME, Available at:, Accessed July 9, 2007
    • Accreditation Council for Graduate Medical Education (ACGME). General Competencies and Outcomes Assessment for Designated Institutional Officials. Available at: http://www.acgme.org/outcome/comp/compFull.asp. Accessed July 9, 2007.
    • General Competencies and Outcomes Assessment for Designated Institutional Officials
  • 24
    • 84900674396 scopus 로고    scopus 로고
    • Available at:, Accessed, July 9, 2007
    • Accreditation Council for Graduate Medical Education, Resident Duty Hours. Available at: http://www.acgme.org/acWebsite/dutyHours/ dh_dutyHoursCommonPR.pdf. Accessed, July 9, 2007.
    • Resident Duty Hours
  • 25
    • 85120129321 scopus 로고    scopus 로고
    • Conn RD. Letter to the Editor re: Cardiac auscultatory skills of physicians-in-training: comparison of three English-speaking countries. Am J Med. 2001;111:505-506.
    • Conn RD. Letter to the Editor re: Cardiac auscultatory skills of physicians-in-training: comparison of three English-speaking countries. Am J Med. 2001;111:505-506.
  • 26
    • 0026794745 scopus 로고
    • Assessing house-staff diagnostic skills using a cardiology patient simulator
    • St. Clair EW, Oddone EZ, Waugh RA, et al. Assessing house-staff diagnostic skills using a cardiology patient simulator. Ann Intern Med. 1992;117:751-756.
    • (1992) Ann Intern Med , vol.117 , pp. 751-756
    • St. Clair, E.W.1    Oddone, E.Z.2    Waugh, R.A.3
  • 27
    • 0026006205 scopus 로고
    • A comparison of computer assisted instruction and small group teaching of cardiac auscultation to medical students
    • Mangione S, Nieman LZ, Greenspon LW, Marguiles H. A comparison of computer assisted instruction and small group teaching of cardiac auscultation to medical students. Med Educ. 1991;25:389-395.
    • (1991) Med Educ , vol.25 , pp. 389-395
    • Mangione, S.1    Nieman, L.Z.2    Greenspon, L.W.3    Marguiles, H.4
  • 29
    • 44249095459 scopus 로고    scopus 로고
    • Validation of a computerized test to assess competence in the cardiac physical examination
    • Submitted for publication
    • Warde C, Vukanovic-Criley JM, Criley SR, Boker J, Criley JM. Validation of a computerized test to assess competence in the cardiac physical examination. Submitted for publication, 2007.
    • (2007)
    • Warde, C.1    Vukanovic-Criley, J.M.2    Criley, S.R.3    Boker, J.4    Criley, J.M.5
  • 30
    • 84858583404 scopus 로고    scopus 로고
    • Blaufuss Medical Multimedia Laboratory, Available at:, Accessed July 7, 2007
    • Blaufuss Medical Multimedia Laboratory. Heart sounds tutorial. Available at: http://www.blaufuss.org. Accessed July 7, 2007.
    • Heart sounds tutorial
  • 31
    • 0033113445 scopus 로고    scopus 로고
    • 30th Bethesda Conference: The Future of Academic Cardiology. Task force 3: teaching
    • Gregoratos G, Miller AB. 30th Bethesda Conference: The Future of Academic Cardiology. Task force 3: teaching. J Am Coll Cardiol. 1999;33:1120-1127.
    • (1999) J Am Coll Cardiol , vol.33 , pp. 1120-1127
    • Gregoratos, G.1    Miller, A.B.2
  • 32
    • 0034481365 scopus 로고    scopus 로고
    • Beyond Heart Sounds: An interactive, teaching and skills testing program for cardiac examination
    • Criley SR, Criley DG, Criley JM. Beyond Heart Sounds: An interactive, teaching and skills testing program for cardiac examination. Comput Cardiol. 2000;27:591-594.
    • (2000) Comput Cardiol , vol.27 , pp. 591-594
    • Criley, S.R.1    Criley, D.G.2    Criley, J.M.3
  • 34
    • 33748435343 scopus 로고    scopus 로고
    • Accuracy of physician self-assessment compared with observed measures of competence; a systematic review
    • Davis DA, Mazmanian PE, Fordis M, Van Harrison R, Thorpe KE, Perrier L. Accuracy of physician self-assessment compared with observed measures of competence; a systematic review. JAMA. 2006;296:9;1094-1102.
    • (2006) JAMA , vol.296 , Issue.9 , pp. 1094-1102
    • Davis, D.A.1    Mazmanian, P.E.2    Fordis, M.3    Van Harrison, R.4    Thorpe, K.E.5    Perrier, L.6
  • 35
    • 0036842744 scopus 로고    scopus 로고
    • Assessing the ACGME general competencies: General considerations and assessment methods
    • Swing SR. Assessing the ACGME general competencies: general considerations and assessment methods. Acad Emerg Med. 2002;9:1278-1288.
    • (2002) Acad Emerg Med , vol.9 , pp. 1278-1288
    • Swing, S.R.1


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