Due to the rapid advancement in quality, portability, and decreased cost of ultrasound
technology, the role and value of cardiac auscultation with a stethoscope has been
called into question by trainees. Many institutions now have portable ultrasound machines
that are readily accessible by physicians. Students are now debating the value of
being knowledgeable in the intricacies of cardiac auscultation when they can easily
obtain and use a portable ultrasound at the bedside to evaluate for the suspected
pathology. In this article, the trainees’ perspectives on auscultation will be reviewed
and the relevance of auscultation in the era of the handheld ultrasound will be debated.
Trainees will also be provided with a collection of resources to allow them to learn
and implement point-of-care ultrasound in common clinical scenarios.
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References
- Cardiac auscultatory skills of physicians-in-training: a comparison of three english-speaking countries.Am J Med. 2001; 110: 210-216
- Cardiac auscultation: a glorious past - and it does have a future!.Circulation. 2006; 113: 1255-1259
- Digital devices for teaching cardiac auscultation - a randomized pilot study.Med Educ Online. 2018; 23: 1524688
- A systematic needs assessment for point of care ultrasound in internal medicine residency training programs.Can J Gen Intern Med. 2018; 12: 23-30
- Comparison of effectiveness of hand-carried ultrasound to bedside cardiovascular physical examination.Am J Cardiol. 2005; 96: 1002-1006
