Table 5 Mid-year Self-Assessment Survey Comparing ACE Interns to Non-ACE Interns
Statement | Group | Mean (SD) | Median (IQR) | p-value |
|---|---|---|---|---|
The cardiopulmonary examination is an important part of patient assessment. | Pre-year | 4.832 (0.511) | 5.0 (5.0,5.0) | 0.538 |
Non-ACE | 4.762 (0.436) | 5.0 (4.75,5.0) | ||
ACE | 4.838 (0.374) | 5.0 (5.0,5.0) | ||
I have received adequate training in the cardiopulmonary examination. | Pre-year | 3.743 (0.820) | 4.0 (3.0,4.0) | 0.001 †,¶ |
Non-ACE | 3.000 (1.140) | 3.0 (2.0,4.0) | ||
ACE | 3.936 (0.970) | 4.0 (4.0,4.25) | ||
The cardiac exam is less important now that echocardiography is widely available. | Pre-year | 2.426 (1.228) | 2.0 (1.0,4.0) | 0.295 |
Non-ACE | 2.857 (1.493) | 3.0 (1.75,4.00) | ||
ACE | 2.649 (0.978) | 3.0 (2.0,3.25) | ||
The pulmonary exam is less important now that CT imaging is widely available. | Pre-year | 2.099 (1.162) | 2.0 (1.0,3.0) | 0.152 |
Non-ACE | 2.238 (1.338) | 2.0 (1.0,2.5) | ||
ACE | 2.486 (1.193) | 2.0 (2.0,3.0) | ||
I am confident in my ability to perform a thorough pulmonary examination. | Pre-year | 3.356 (1.006) | 4.0 (2.75,4.0) | 0.060 |
Non-ACE | 3.190 (1.078) | 3.0 (2.75,4.0) | ||
ACE | 3.757 (0.723) | 4.0 (3.75,4.0) | ||
I am confident in my ability to perform a thorough cardiac examination. | Pre-year | 3.317 (1.019) | 4.0 (2.0,4.0) | 0.039 |
Non-ACE | 2.857 (1.108) | 3.0 (2.0,4.0) | ||
ACE | 3.568 (0.867) | 4.0 (3.0,4.0) | ||
I can reliably distinguish a systolic from a diastolic murmur. | Pre-year | 3.337 (1.098) | 4.0 (2.0,4.0) | 0.854 |
Non-ACE | 3.381 (1.203) | 4.0 (2.0,4.0) | ||
ACE | 3.459 (1.043) | 4.0 (2.75,4.0) | ||
I can reliably distinguish a holosystolic from a crescendo-decrescendo systolic murmur | Pre-year | 2.842 (1.198) | 3.0 (2.0,4.0) | 0.022 † |
Non-ACE | 2.524 (1.470) | 2.0 (1.0,4.0) | ||
ACE | 3.378 (1.037) | 4.0 (2.75,4.0) | ||
I am able to distinguish a pleural effusion from a dense consolidation | Pre-year | 2.554 (1.109) | 2.0 (2.0,4.0) | 0.048 |
Non-ACE | 2.667 (1.426) | 3.0 (1.0,4.0) | ||
ACE | 3.108 (1.149) | 3.0 (2.0,4.0) | ||
I feel comfortable palpating the point of maximal impulse. | Pre-year | 3.485 (1.205) | 4.0 (2.75,4.0) | 0.458 |
Non-ACE | 3.714 (1.146) | 4.0 (3.0,4.25) | ||
ACE | 3.757 (1.038) | 4.0 (3.0,4.25) | ||
I feel comfortable assessing the jugular venous pressure. | Pre-year | 2.950 (1.143) | 3.0 (2.0,4.0) | <0.001 ‡ |
Non-ACE | 3.333 (1.354) | 4.0 (2.0,4.0) | ||
ACE | 3.757 (0.863) | 4.0 (4.0,4.0) | ||
I am able to distinguish “a” from “v” waves on a jugular venous pressure examination. | Pre-year | 1.663 (0.828) | 1.0 (1.0,2.0) | <0.001 ‡ |
Non-ACE | 1.952 (1.117) | 2.0 (1.0,2.25) | ||
ACE | 2.568 (1.068) | 3.0 (2.0,3.25) | ||
The make and model of a stethoscope is an important part of the cardiopulmonary examination. | Pre-year | 3.158 (1.111) | 3.0 (2.0,4.0) | 0.635 |
Non-ACE | 3.000 (1.049) | 3.0 (2.75,3.25) | ||
ACE | 3.270 (1.217) | 3.0 (2.0,4.0) | ||
Improving my physical examination skills is an important goal for the next year of my training. | Pre-year | 4.822 (0.456) | 5.0 (5.0,5.0) | 0.068 |
Non-ACE | 4.619 (0.498) | 5.0 (4.0,5.0) | ||
ACE | 4.757 (0.435) | 5.0 (4.75,5.0) |