Heart Sounds Ears On CDROM | 105 MB
Ears On! is an interactive CD ROM that develops auscultation technique. Working from an archive of 300 patient files, this quiz-based tutorial allows the user to test him or herself. Using an on-line tutorial, detailed reviews, video, and sound, the user can truly learn “how to listen” and “what to listen for.
Most medical students at the time of graduation have inadequate skill in auscultating the heart. This probably holds for nurses as well. The degree of inadequacy extends to the point that normal findings can frequently not be differentiated from the abnormal. Accordingly, many patients are sent for consultation or for cardiac ultrasound for common normal findings. We do not know how many more subtle abnormal findings are missed. This inadequacy has heretofore been through a deficiency of the system of teaching in undergraduate education, not due to the student.
Whether the skill of cardiac auscultation is acquired by family practitioners through experience after they graduate is not known. Of those institutions in the United States of America maintaining training programs in internal medicine, family practice and cardiology, only one in four have structured training programs in cardiac auscultation (1). Recent evaluations of this skill in residents in these disciplines have demonstrated depressingly low (20-30 % of desired) skill in cardiac auscultation (1,2). The problem is compounded by the fact that residents in cardiology are trained primarily for either adults or children. This holds as well for residents in internal medicine who are trained primarily in adults, yet in many instances in practice they must see children as well.
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mihd links please
Comment by dd — October 10, 2007 @ 2:06 am
The link is
http://www.filefactory.com/file/933e99/
Comment by admin — October 10, 2007 @ 7:44 pm