| Instruction Using a High-Fidelity Cardiopulmonary Simulator Improves Examination Skills and Resource Allocation in Family Medicine Trainees. | |
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MedLine Citation:
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PMID: 21642903 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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INTRODUCTION:: High-fidelity cardiopulmonary simulators have proven promising in various areas of medical education but have yet to be studied in Family Medicine training. METHODS:: A 2-hour curriculum, combining didactic and simulator exposure, and addressing common valvular pathologies, was offered to post-graduate year 1 and 2 Family Medicine residents. Residents' abilities to describe and diagnose four simulated murmurs were assessed before the teaching sessions and 2 to 4 weeks after. Confidence in physical examination skills, as well as the use of echocardiography, was also measured. RESULTS:: Twenty residents participated. Mean composite murmur description scores improved in 95% of residents (P < 0.001), as did mean diagnostic accuracy (from 43.8% to 85.0%; P < 0.001). For pathologic murmurs, the number of echocardiograms recommended did not change, whereas for the nonpathologic murmur, 16 residents who recommended echocardiography presession no longer did postsession (P < 0.001). Mean confidence significantly increased (P < 0.001). The mean satisfaction score for the session was 4.9/5, and all residents recommended that the session be repeated in future years. CONCLUSION:: A didactic and simulator-based session is very well received by Family Medicine residents. It significantly improves description and diagnosis of murmurs and reduces unnecessary echocardiogram use without affecting appropriate use. |
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Authors:
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David W Frost; Rodrigo B Cavalcanti; Diana Toubassi |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-6-2 |
Journal Detail:
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Title: Simulation in healthcare : journal of the Society for Simulation in Healthcare Volume: - ISSN: 1559-713X ISO Abbreviation: - Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-6-6 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101264408 Medline TA: Simul Healthc Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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From the Herbert Ho Ping Kong Centre of Excellence in Education and Practice (D.W.F., R.B.C.), Toronto Western Hospital, Division of General Internal Medicine (D.W.F.), Toronto General Hospital, University Health Network, Division of General Internal Medicine (R.B.C.), Toronto Western Hospital, University Health Network, and Department of Family and Community Medicine (D.T.), Toronto Western Hospital, University of Toronto, Toronto, ON, Canada. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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