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Abstract
Objective: To evaluate knowledge, attitudes and practices (KAP) of 5th year medical students regarding the clinical auscultation and the usability of an electronic stethoscope for its use in Cameroon.
Methods: A descriptive cross-sectional study was carried out with 5th year medical students. It was conducted in two parts: (i) the evaluation of KAP of 5th year medical students in terms of auscultation and (ii) a study of the usability of an electronic stethoscope. Data were collected through self-administered questionnaires.
Results: 80 students completed the questionnaire on CAP for auscultation. The structure of the traditional stethoscope in general was known by only 42.5% of participants. 66.8% of participants were aware of the function of the bell and only 13.8% were aware of the usefulness of cardiac auscultation in Erb's focus. 96.3% of students felt that additional training in auscultation would be beneficial. The inability to filter and record sounds perceived with a traditional stethoscope was considered a limiting factor for the majority of them. In addition, 57.5% of participants had never heard about the electronic stethoscope. With respect to the usability of the electronic stethoscope, the majority of participants felt that it was easy to use and would make the practice of auscultation more relevant.
Conclusion: This study highlights the need to strengthen and to modernize the training of Cameroonian health professionals in clinical auscultation by implementing new pedagogical approaches that can be based on digital technology.
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References
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- Abdulla RI. The history of the stethoscope. Pediatr Cardiol 2001;22(5):371–2.
- Collongues N, Leddet P, Mennecier B, Andrès E. Utilisation d’une banque de données auscultatoires : vers une école de l’auscultation. 2014;20(2):87–92.
- Favrat B, Pécoud A, Jaussi A. Teaching cardiac auscultation to trainees in internal medicine and family practice: Does it work? BMC Med Educ 2004;4(1):1–7.
- Birdane A, Yazici HU, Aydar Y, Mert KU, Masifov M, Ulus T, et al. Effectiveness of cardiac simulator on the acquirement of cardiac auscultatory skills of medical students. Adv Clin Exp Med 2012;21(6):791–8.
- Tavel ME. Cardiac Auscultation: A Glorious Past--And It Does Have a Future! Circulation 2006;113(9):1255–9.
- Telegram Messenger. 2016. http://www.Telegram.org
- Medicine I of. Promoting Cardiovascular Health in the Developing World. Washington, D.C.: National Academies Press; 2010.
- WHO. Cardiovascular diseases. 2017. http://www.who.int/mediacentre/factsheets/fs317
- Reddy KS. Cardiovascular diseases in the developing countries: dimensions, determinants, dynamics and directions for public health action. Public Health Nutr 2002;5(1a):231–7.
- Cardiol CP. Cardiac auscultation. A cost-effective diagnostic skill. Curr Probl Cardiol 1995;20(7):447–530.
- Tavel ME. Cardiac Auscultation A Glorious Past—But Does It Have a Future? Circulation 1996;93(6):1250 LP-1253.
- Horiszny JA. Teaching cardiac auscultation using simulated heart sounds and small-group discussion. Fam Med 2001 ;33(1):39–44.
- March SK, Bedynek JL, Chizner MA. Teaching cardiac auscultation: Effectiveness of a patient-centered teaching conference on improving cardiac auscultatory skills. Mayo Clin Proc 2005;80(11):1443–8.
- Chizner MA. Cardiac Auscultation: Rediscovering the Lost Art. Curr Probl Cardiol 2008;33(7):326–408.
- Mesquita CT, Reis JC dos, Simões LS, Moura EC de, Rodrigues GA, Athayde CC de, et al. Digital Stethoscope as an Innovative Tool on the Teaching of Auscultatory Skills. Arq Bras Cardiol 2013;100(2):187–9.
- Ward JJ, Wattier BA. Technology for Enhancing Chest Auscultation in Clinical Simulation. Respir Care 2011;56(6):834–45.
- Andrès E, Reichert S, Gass R, Brandt C. A French national research project to the creation of an auscultation’s school: The ASAP project. Eur J Intern Med 2009;20(3):323–7.
References
Lakhe A, Sodhi I, Warrier J, Sinha V. Development of digital stethoscope for telemedicine. J Med Eng Technol ;40(1):20–4.
Abdulla RI. The history of the stethoscope. Pediatr Cardiol 2001;22(5):371–2.
Collongues N, Leddet P, Mennecier B, Andrès E. Utilisation d’une banque de données auscultatoires : vers une école de l’auscultation. 2014;20(2):87–92.
Favrat B, Pécoud A, Jaussi A. Teaching cardiac auscultation to trainees in internal medicine and family practice: Does it work? BMC Med Educ 2004;4(1):1–7.
Birdane A, Yazici HU, Aydar Y, Mert KU, Masifov M, Ulus T, et al. Effectiveness of cardiac simulator on the acquirement of cardiac auscultatory skills of medical students. Adv Clin Exp Med 2012;21(6):791–8.
Tavel ME. Cardiac Auscultation: A Glorious Past--And It Does Have a Future! Circulation 2006;113(9):1255–9.
Telegram Messenger. 2016. http://www.Telegram.org
Medicine I of. Promoting Cardiovascular Health in the Developing World. Washington, D.C.: National Academies Press; 2010.
WHO. Cardiovascular diseases. 2017. http://www.who.int/mediacentre/factsheets/fs317
Reddy KS. Cardiovascular diseases in the developing countries: dimensions, determinants, dynamics and directions for public health action. Public Health Nutr 2002;5(1a):231–7.
Cardiol CP. Cardiac auscultation. A cost-effective diagnostic skill. Curr Probl Cardiol 1995;20(7):447–530.
Tavel ME. Cardiac Auscultation A Glorious Past—But Does It Have a Future? Circulation 1996;93(6):1250 LP-1253.
Horiszny JA. Teaching cardiac auscultation using simulated heart sounds and small-group discussion. Fam Med 2001 ;33(1):39–44.
March SK, Bedynek JL, Chizner MA. Teaching cardiac auscultation: Effectiveness of a patient-centered teaching conference on improving cardiac auscultatory skills. Mayo Clin Proc 2005;80(11):1443–8.
Chizner MA. Cardiac Auscultation: Rediscovering the Lost Art. Curr Probl Cardiol 2008;33(7):326–408.
Mesquita CT, Reis JC dos, Simões LS, Moura EC de, Rodrigues GA, Athayde CC de, et al. Digital Stethoscope as an Innovative Tool on the Teaching of Auscultatory Skills. Arq Bras Cardiol 2013;100(2):187–9.
Ward JJ, Wattier BA. Technology for Enhancing Chest Auscultation in Clinical Simulation. Respir Care 2011;56(6):834–45.
Andrès E, Reichert S, Gass R, Brandt C. A French national research project to the creation of an auscultation’s school: The ASAP project. Eur J Intern Med 2009;20(3):323–7.