{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T16:58:16Z","timestamp":1784566696653,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,11,16]],"date-time":"2012-11-16T00:00:00Z","timestamp":1353024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the performance of primary healthcare physicians in paediatric cardiac auscultation and the impact of a multimedia\u2010based teaching intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 106 primary healthcare physicians (77 paediatricians, 14 general practitioners and 15 medical graduates) attended four paediatric cardiac auscultation teaching courses based on virtual patients' presentation (digital phonocardiography). Their auscultatory performance was documented at the beginning of each course and at the end of two of the courses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants initially detected 73% of abnormal murmurs and 17% of additional sounds, while 22% of innocent murmurs were interpreted as abnormal. Overall cardiac auscultation performance, assessed by a combined auscultation score, was low and independent of training level (graduates: 39.5\/trainees: 42.8\/board certified: 42.6, p\u00a0=\u00a00.89) or specialty (paediatricians: 42.7\/general practitioners: 43.1, p\u00a0=\u00a00.89). Multimedia\u2010based teaching was associated with a significant improvement in abnormal murmur (92.5%) and additional sound (40%) detection (p\u00a0&lt;\u00a00.001), while 25% of innocent murmurs were still interpreted as abnormal (p\u00a0=\u00a00.127).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Clinical skills of primary healthcare physicians in paediatric cardiac auscultation, independent of training level or specialty, still leave potential for improvement. Multimedia\u2010based teaching interventions represent an effective means of improving paediatric cardiac auscultatory skills.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.12062","type":"journal-article","created":{"date-parts":[[2012,10,22]],"date-time":"2012-10-22T07:26:08Z","timestamp":1350890768000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Skills of primary healthcare physicians in paediatric cardiac auscultation"],"prefix":"10.1111","volume":"102","author":[{"given":"Ioannis","family":"Germanakis","sequence":"first","affiliation":[{"name":"Department of Paediatrics Faculty of Medicine University of Crete University Hospital Heraklion Crete Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleni Th","family":"Petridou","sequence":"additional","affiliation":[{"name":"Department of Hygiene Epidemiology and Medical Statistics Athens University Medical School Athens 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