Resident research in internal medicine training programs

Article Abstract:

Most residency training programs include the key components to meet the research training guidelines required by the Accreditation Council of Graduate Medical Education. Researchers polled 415 program directors of both university-based and non-university-based internal medicine residency programs about the details of their residency research programs and requirements. Ninety-seven percent of the 271 directors that responded have formulated guidelines for residency research and 38% have research directors in place. Most of the programs teach research skills, including critical thinking (93%), library skills (95%), research methods (78%), and computer skills (85%). University-based and non-university based programs did not significantly vary in the types of technical support available to the residents. Most of the programs specifically allocate time for research during the residents' training and have staff available to supervise this research.

Standards, Research, Medical research, Medical education, Internists

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The teaching and practice of cardiac auscultation during internal medicine and cardiology training: a nationwide survey

Article Abstract:

The skill of medical trainees may be affected by decreased emphasis on cardiac auscultation in internal medicine and cardiology training programs. Cardiac auscultation is the act of listening to sounds within the heart. A study surveyed the attitudes of 498 directors of internal medicine and cardiology training programs towards the importance of instruction in cardiac auscultation. Directors of both types of programs thought that the instruction of cardiac auscultation was important. Formal instruction in auscultation was offered by only 27% of the internal medicine programs and 37% of the cardiology programs. Skill in cardiac auscultation was evaluated in 203 physicians-in-training and 49 third-year medical students. Accuracy improved with the level of training for only a few specific types of heart sounds. The accuracy of the medical residents was not significantly higher than that of the medical students.

Study and teaching, Cardiology

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Cardiac auscultatory skills of internal medicine and family practice trainees: a comparison of diagnostic proficiency

Article Abstract:

Many medical students and residents in internal medicine and family practice are apparently unable to identify many common heart sounds. Researchers tested 453 residents and 88 medical students in internal medicine and family practice programs on their ability to identify 12 common pre-recorded heart sounds. The total number of sounds correctly identified ranged from zero to 7, with the median at 2 for family practice trainees and 2.5 for internal medicine trainees. Overall, only 20% of the sounds were correctly identified and residents did no better than students.

Tests, problems and exercises, Testing, Medical students, Auscultation

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