Abstract
Auscultation of the heart is one of the basic skills of physical examination. Despite the capabilities of technology in assessing the heart, initial assessment still begins with auscultation to distinguish normal from abnormal and decide whether imaging or other tests are appropriate. This article reviews evidence that current performance and teaching of this skill is of a poor standard. Newer more effective teaching methods are outlined including auditory training, which has been studied at Dalhousie with encouraging results. Students and teachers should take advantage of improved teaching methods and resources to achieve better auscultation performance.
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