نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشیار گروه علوم تشریحی، دانشکده پزشکی دانشگاه علوم پزشکی سبزوار، سبزوار، ایران

2 استاد گروه افتا لمولوژی دانشکده پزشکی دانشگاه علوم پزشکی سبزوار، سبزوار، ایران

چکیده

مقدمه وهدف: در روش های جدید آموزش مکا ن یابی کانون های سمع قلب مهم وضروری است. هدف از این مطالعه تاثیر آموزش آناتومی سطحی درمکان یابی کانون های سمع صدای قلب مبتی بر شواهد می باشد
مواد وروش‌ها: دراین مطالعه توصیفی تحلیلی دانشجویان پزشکی برای مکان یابی دقیق کانون های سمع صدای های قلب، بر اساس جنسیت به دوگروه (مذکر ومونث)و 17 گرو ه کوچک دونفری تقسیم شدند. قبل وبعد از آموزش آناتومی سطحی مکان یابی صحیح کانون های سمع هر یک ازدریچه های قلبی میترال ، سه لتی ، آئورت وریوی بر روی بر روی قفسه انجام شد.داده ها با تست تی زوجی وتست تی مستقل آنالیز شدند.
یا فته ها: از تعداد 34 دانشجوی پزشکی 10 نفر مذکرو 24 نفر مونث بودند بودند ، میانگین سن آنها به ترتیب 63/1±54/21 و60/1±56/20 بود . میانگین زمانی‌که توسط دانشجویان برای پیدا کردن کانون های سمع دریچه های میترال ، سه لتی ، آئورت وریوی قبل وبعد از آموزش آناتومی سطحی مبتنی بر شواهد بر روی قفسه سینه داده شد تفاوت داشت وا ین تغییرات از نظر آماری معنی دار بود(001/0P

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Evaluation of teaching heart auscultation skills by using surface anatomy instead of gross anatomy for medical students

نویسندگان [English]

  • Rahim Golmohammadi 1
  • Ebrahim Shirzadeh 2

1 Associate Professor, Department of Anatomy, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran

2 Professor,Department of Ophthalmology, Sabzevar University of Medical Sciences, Sabzevar, Iran

چکیده [English]

Background:. The new methods of the teaching of cardiovascular system ‌ have been surface anatomy educate is necessary for physical examinations in clinic. . The purpose of the present study was to identify of the effectiveness surface in the anatomy education of heart auscultation.
Material and Methods: A descriptive analytical study was conducted on 34 of the medical students were into divided two group according to sex then separately instructed to the small groups 17 (n=2) the students for teaching of the surface heart auscultation. Before and after education of heart auscultation the surface anatomy, they exactly find proper exact location for heart.. The collected data were analyzed by using pair and t tests.
Results: Out of 34 students 10 were male and 24 female , the average age of the students was 21.54± 1.63 in the males whereas it was 20.56± 1.6 in the females. Mean of time to the find correct foci for mitral , tricuspid, aorta and pulmonary of heart auscultation after surface anatomy education was significantly lesser compared with the current or before applying new education method (P < 0.001). Results showed heart auscultation for mitral, pulmonary and aorta was significantly compared better when compared with the result before surface anatomy education.
Conclusion: The results showed that teaching of the surface anatomy heart auscultation for medical students result in better finding of exact heart auscultation and decreased the time taking for finding such location.

کلیدواژه‌ها [English]

  • : education
  • Auscultation
  • heart sounds
  • Surface Anatomy
1- Craig, S. J., Tait, N., Boers, D. & McAndrew, D. J.. Review of anatomy education in Australian and New Zealand medical schools. ANZ Journal of Surgery, 2010: 80 (4), 212-216.

2-Sugand K, Abrahams P, Khurana A.The anatomy of anatomy: a review for its modernization. Anat Sci Educ. 2010;3(2): 83-93.

3-Azer SA. The place of surface anatomy in the medical literature and undergraduate anatomy textbooks. Anat Sci Educ. 2013 Nov-;6(6):415-32.

4-Kumar K, Thompson WR. Evaluation of cardiac auscultation skills in pediatric residents. Clin Pediatr (Phila). 2013 Jan;52(1):66-73.

5-Barrett MJ, Ayub B, Martinez MW . Cardiac auscultation in sports medicine: strategies to improve clinical care.Curr Sports Med Rep. 2012;11(2):78-84.

6-Wayne DB, Butter J, Cohen ER, McGaghie WC. Setting defensible standards for cardiac auscultation skills in medical students. Acad Med. 2009;84(10 Suppl):S94-6.

7-Chenot F, Montant P, Goffinet C, Pasquet A, Vancraeynest D, Coche E, Vanoverschelde JL, Gerber BL Evaluation of anatomic valve opening and leaflet morphology in aortic valve bioprosthesis by using multidetector CT: comparison with transthoracic echocardiography. Radiology. 2010;255(2):377-85.

8- Snell Richard S . Clinical Anatomy by Regions 9th edition 2012 free download .  26, 2013 --9th.

9- Robert H. Anderson, Reza andAndrew M. Taylo.Cardiac anatomy revisited. Journal of Anatomy.2004.Volume 205, Issue 3, pages 159–177.

10--McLean M, Van Wyk JM, Peters-Futre EM, Higgins-Opitz SB. The small group in problem-based learning: more than a cognitive 'learning' experience for first-year medical students in a diverse population . Med Teach. 2006;28(4): 94-103.

11- Golmohammadi R, Dashti GR. The study of styles learning students in anatomical
education by problem based learning and lecturing in. Journal of Sabzevar University of Medical Sciences, Volume 19, Number 4, 2013.
12-Camm CF, Sunderland N, Camm AJ  . A quality assessment of cardiac auscultation material on YouTube. Clin Cardiol. 2013;36(2):77-81. 21.
13-Bonow RO, Mann DL, Zipes DP, et al. Braunwald_s Heart Disease:A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, PA:Elsevier Saunders; 2012.
14-Shrestha NR, Kalesan B, Karki P, Sherpa K, Basnet A, Urban P, Pilgrim T. Rheumatic heart disease: pilot study for a population-based evaluation of prevalence and cardiovascular   .BMJ Open. 2012 ;19;2(5)

15-Craig S, Tait N, Boers D, McAndrew D. Review of anatomy education in Australian and New Zealand medical schools.ANZ J Surg. 2010; 80(4):212-6.

16-  Wang J, Zhang W, Qin L, Zhao J, Zhang S, Gu J, Zhou C. Problem-based learning in regional anatomy education at Peking University.  Anat Sci Educ. 2010; 3(3):121-6.

17- Azu, O. O. and Osinubi,A.A.  A survey of problem-based learning and traditional methods of teaching anatomy to 200 level pharmacystudents of the University of Lagos, Nigeria. 2011.. 5(2),. 219-224. 

18- Bergman EM, Sieben JM, Smailbegovic I, de Bruin AB, Scherpbier AJ, van der Vleuten CP. Constructive, collaborative, contextual, and self-directed learning in surface anatomy education. Anat Sci Educ. 2013;6(2):114-24.

19-Kotzé SH, Mole CG, Greyling LM. The translucent cadaver: an evaluation of the use of full body digital X-ray images and drawings in surface anatomy education.-Anat Sci Educ. 2012;5(5):287-94.

20-Smith CF, McManus B .The integrated anatomy practical paper: A robust assessment method for anatomy education today. Anat Sci Educ. 2014 .

21-Pinto CPereira DFerreira-Coimbra JPortugues JGama VCoimbra M.A comparative study of electronic stethoscopes for cardiac auscultation. Conf Proc IEEE Eng Med Biol Soc. 2017 J;2017:2610-2613..