2025, Number 1
<< Back Next >>
Simulación Clínica 2025; 7 (1)
Flashcards: tool to improve identification of cardiopulmonary sounds in low-fidelity simulators
Escalante-Buendía,Erick André; Moguel-Quintal, Jorge Guillermo; Barrera-Rabelo, Javier William; Narváez-Calderon, Maria Fernanda; Castro-Morales, Ana Sofia; de los Santos-Rodríguez, Moisés Natanael
Language: Spanish
References: 17
Page: 11-15
PDF size: 369.56 Kb.
ABSTRACT
Introduction: flashcards promote spaced repetition and
active recall, enhancing retention and learning. However,
identifying cardiopulmonary sounds remains a challenge.
Objective: to evaluate the impact of using audiovisual
Anki flashcards on improving the identification of
cardiopulmonary sounds in low-fidelity simulators.
Material and methods: seventy-nine 10th-semester
medical students participated. They initially performed
a cardiac auscultation exercise using the Life/Form®
LF01142U simulator. Subsequently, access to an Anki
account with audiovisual material was provided. Students
who utilized the material formed the experimental group (n
= 50), while the others constituted the control group (n =
29). One week later, cardiopulmonary sound identification
was evaluated. Data was analyzed using SPSS with Mann-
Whitney test, χ2, and Spearman’s correlation.
Results: the
experimental group achieved significantly higher scores
(mean difference: 0.6 points, p = 0.019), and a greater
percentage reached the maximum score (25.8% more, p =
0.021). Average material usage was 1.84 days, with 83.54
repetitions. A moderate positive correlation was observed
between flashcard use and auditory skill improvement
(coefficient: 0.265, p = 0.009).
Conclusion: audiovisual
flashcards with spaced repetition significantly improve the
identification of cardiopulmonary sounds in simulators,
demonstrating their usefulness as an effective tool for
developing clinical auditory skills.
REFERENCES
Levy J, Ely K, Lagasca G, Kausar H, Patel D, AndersenS, et al. Exploring Anki usage among first-year medicalstudents during an anatomy & physiology course:a pilot study. J Med Educ Curric Dev. 2023; 10: 23821205231205389. Available from: https://journals.sagepub.com/doi/10.1177/23821205231205389
Schmidmaier R, Ebersbach R, Schiller M, Hege I,Holzer M, Fischer MR. Using electronic flashcards topromote learning in medical students: retesting versus restudying. Med Educ. 2011; 45 (11): 1101-1110. doi:10.1111/j.1365-2923.2011.04043.x.
Santos-Ferreira D, Guimaraes B, Ladeiras-Lopes R,Goncalves-Teixeira P, Diaz SO, Ferreira P, et al. Digitalflashcards and medical physiology performance: adose-dependent effect. Adv Physiol Educ. 2024; 48(1): 80-87. doi: 10.1152/advan.00138.2023.
Roediger HL, Karpicke JD. Test-enhancedlearning. Psychol Sci. 2006; 17 (3): 249-255. doi:10.1111/j.1467-9280.2006.01693.x.
Barrett MJ, Lacey CS, Sekara AE, Linden EA, GracelyEJ. Mastering cardiac murmurs. Chest. 2004; 126 (2):470-475. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0012369215311594
Mangione S, Nieman LZ, Gracely E, Kaye D. Theteaching and practice of cardiac auscultation duringinternal medicine and cardiology training: a nationwidesurvey. Ann Intern Med. 1993; 119 (1): 47-54. doi:10.7326/0003-4819-119-1-199307010-00009.
Wothe JK, Wanberg LJ, Hohle RD, Sakher AA,Bosacker LE, Khan F, et al. Academic and wellnessoutcomes associated with use of Anki SpacedRepetition Software in Medical School. J Med EducCurric Dev. 2023; 10: 238212052311732. doi:10.1177/23821205231173289.
Lu M, Farhat JH, Beck-Dallaghan GL. Enhancedlearning and retention of medical knowledge usingthe mobile flashcard application Anki. Med Sci Educ.2021; 31 (6): 1975-1981. doi: 10.1007/s40670-021-01386-9.
Mehta A, Brooke N, Puskar A, Woodson MCC, Masi B,Wallon RC, et al. Implementation of spaced repetitionby first-year medical students: a retrospectivecomparison based on summative exam performance.Med Sci Educ. 2023; 33 (5): 1089-1094. doi: 10.1007/s40670-023-01839-3.
Gilbert MM, Frommeyer TC, Brittain GV, Stewart NA,Turner TM, Stolfi A, et al. A cohort study assessing theimpact of Anki as a spaced repetition tool on academicperformance in Medical School. Med Sci Educ. 2023;33 (4): 955-962. doi: 10.1007/s40670-023-01826-8.
Durrani SF, Yousuf N, Ali R, Musharraf FF, Hameed A,Raza HA. Effectiveness of spaced repetition for clinicalproblem solving amongst undergraduate medicalstudents studying paediatrics in Pakistan. BMC MedEduc. 2024; 24 (1): 676. doi: 10.1186/s12909-024-05479-y.
Sadati L, Nafar M, Karami S, Yazdani MR, KhaneghahZN. Comparison of the effect of two teaching methodson surgical technologist students’ learning andsatisfaction (flashcards vs. mobile-based learning). JEduc Health Promot. 2021; 10 (1): 467. doi: 10.4103/jehp.jehp_940_20.
Magro J, Oh S, Koscica N, Poles M. Anki flashcards:spaced repetition learning in the undergraduatemedical pharmacology curriculum. Clin Teach. 2024;21(6):e13798. doi: 10.1111/tct.13798.
Sun M, Tsai S, Engle DL, Holmer S. Spaced repetitionflashcards for teaching medical students psychiatry.Med Sci Educ. 2021; 31 (3): 1125-1131. doi: 10.1007/s40670-021-01286-y.
Tsai S, Sun M, Asbury ML, Weber JM, Truong T, DeansE. Novel spaced repetition flashcard system for the intrainingexamination for Obstetrics and Gynecology.Med Sci Educ. 2021; 31 (4): 1393-1399. doi: 10.1007/s40670-021-01320-z.
Garvick S, Gillette C, Gao H, Bates N, Waynick J,Crandall S. Can cardiac auscultation accuracy beimproved with an additional app?based learning tool?Clin Teach. 2022; 19 (2): 112-120. doi: 10.1111/tct.13462.
Yuan H Bin, Williams BA, Fang JB, Ye QH. Asystematic review of selected evidence on improvingknowledge and skills through high-fidelity simulation.Nurse Educ Today. 2012; 32 (3): 294-298. Availablefrom: https://linkinghub.elsevier.com/retrieve/pii/S0260691711001833