{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:14:50Z","timestamp":1787022890192,"version":"build-2736575974"},"reference-count":6,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2000,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective.<\/jats:title>\n                    <jats:p>The aim of this study is to determine the level of clinical auscultation skills in pediatric residents at Duke University Medical Center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Forty-seven residents from pediatrics and joint medicine\/pediatrics training programs at Duke University Medical Center were enrolled in this study. They were asked to examine the cardiovascular patient simulator, Harvey, and report their findings. Five common conditions seen in the pediatric population were presented: ventricular septal defect, atrial septal defect, pulmonary valve stenosis, combined aortic valve stenosis and insufficiency, and innocent systolic ejection murmur. The responses were scored by the number of features and diagnoses accurately reported. Five pediatric cardiologists and cardiologists in training were also asked to participate in a manner similar to the trainees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>The mean score of features identified for the resident group was 11.4 \u00b1 2.6 of a possible 19. The diagnostic accuracy was 33%. There was no significant difference between residents by year of training or by type of residency program, although there was a trend toward improved performance with more training. The difference in performance between the pediatric cardiology group and the residents group was striking. The condition that was most frequently misdiagnosed was the innocent systolic ejection murmur.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions.<\/jats:title>\n                    <jats:p>The clinical auscultation skills of pediatric residents in this study were suboptimal. There was a trend toward improvement as training progressed, although not statistically significant. These skills are likely to improve further with increased exposure to patients with cardiovascular disease especially in the ambulatory care setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.105.6.1184","type":"journal-article","created":{"date-parts":[[2004,8,13]],"date-time":"2004-08-13T19:50:41Z","timestamp":1092426641000},"page":"1184-1187","source":"Crossref","is-referenced-by-count":94,"title":["Clinical Auscultation Skills in Pediatric Residents"],"prefix":"10.1542","volume":"105","author":[{"given":"Peter R. A.","family":"Gaskin","sequence":"first","affiliation":[{"name":"From the Divisions of Pediatric Cardiology and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan E.","family":"Owens","sequence":"additional","affiliation":[{"name":"General Pediatrics, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norman S.","family":"Talner","sequence":"additional","affiliation":[{"name":"From the Divisions of Pediatric Cardiology and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen P.","family":"Sanders","sequence":"additional","affiliation":[{"name":"From the Divisions of Pediatric Cardiology and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer S.","family":"Li","sequence":"additional","affiliation":[{"name":"From the Divisions of Pediatric Cardiology and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2000,6,1]]},"reference":[{"key":"2021121010173102000_B1","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1056\/NEJM198301133080201","article-title":"Noninvasive tests in the initial evaluation of heart murmurs in children.","volume":"308","author":"Newburger","year":"1983","journal-title":"N Engl J Med"},{"key":"2021121010173102000_B2","doi-asserted-by":"crossref","first-page":"751","DOI":"10.7326\/0003-4819-117-9-751","article-title":"Assessing housestaff diagnostic skills using a cardiology patient simulator.","volume":"177","author":"St Clair","year":"1992","journal-title":"Ann Intern Med"},{"key":"2021121010173102000_B3","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1001\/jama.1997.03550090041030","article-title":"Cardiac auscultation skills of internal medicine and family practice trainees: a comparison of diagnostic proficiency.","volume":"278","author":"Mangione","year":"1997","journal-title":"JAMA"},{"key":"2021121010173102000_B4","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1016\/0002-9149(80)90123-X","article-title":"Harvey, the cardiology patient simulator: pilot studies on teaching effectiveness.","volume":"45","author":"Gordon","year":"1980","journal-title":"Am J Cardiol"},{"key":"2021121010173102000_B5","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1542\/peds.86.4.497","article-title":"Initial evaluation of heart murmurs: are laboratory tests necessary?","volume":"86","author":"Smythe","year":"1990","journal-title":"Pediatrics"},{"key":"2021121010173102000_B6","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1542\/peds.91.2.365","article-title":"Cost assessment for the evaluation of heart murmurs in children.","volume":"91","author":"Danford","year":"1993","journal-title":"Pediatrics"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/105\/6\/1184\/979804\/pe060001184p.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/105\/6\/1184\/979804\/pe060001184p.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,29]],"date-time":"2023-04-29T01:32:43Z","timestamp":1682731963000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/105\/6\/1184\/65446\/Clinical-Auscultation-Skills-in-Pediatric"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,6,1]]},"references-count":6,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2000,6,1]]},"published-print":{"date-parts":[[2000,6,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.105.6.1184","relation":{},"ISSN":["1098-4275","0031-4005"],"issn-type":[{"value":"1098-4275","type":"electronic"},{"value":"0031-4005","type":"print"}],"subject":[],"published":{"date-parts":[[2000,6,1]]}}}