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Table 3 Self-Assessment survey comparing PGY-1s who were about to start intern year, and PGY-2s who had just completed intern year

From: A novel bedside cardiopulmonary physical diagnosis curriculum for internal medicine postgraduate training

Statement

Group

Mean (SD)

Median (IQR)

p-value

The cardiopulmonary examination is an important part of patient assessment.

Intern

4.832 (0.511)

5.0 (5.0,5.0)

0.671

PGY-2

4.828 (0.384)

5.0 (5.0,5.0)

I have received adequate training in the cardiopulmonary examination.

Intern

3.743 (0.820)

4.0 (3.0,4.0)

0.884

PGY-2

3.724 (0.751)

4.0 (4.0,4.0)

The cardiac exam is less important now that echocardiography is widely available.

Intern

2.426 (1.228)

2.0 (1.0,4.0)

0.833

PGY-2

2.517 (1.379)

2.0 (1.0,4.0)

The pulmonary exam is less important now that CT imaging is widely available.

Intern

2.099 (1.162)

2.0 (1.0,3.0)

0.151

PGY-2

2.414 (1.181)

2.0 (1.75,3.0)

I am confident in my ability to perform a thorough pulmonary examination.

Intern

3.356 (1.006)

4.0 (2.75,4.0)

0.983

PGY-2

3.414 (0.867)

4.0 (3.0,4.0)

I am confident in my ability to perform a thorough cardiac examination.

Intern

3.317 (1.019)

4.0 (2.0,4.0)

0.190

PGY-2

3.621 (0.775)

4.0 (3.0,4.0)

I can reliably distinguish a systolic from a diastolic murmur.

Intern

3.337 (1.098)

4.0 (2.0,4.0)

0.023*

PGY-2

3.862 (0.743)

4.0 (4.0,4.0)

I can reliably distinguish a holosystolic from a crescendo-decrescendo systolic murmur

Intern

2.842 (1.198)

3.0 (2.0,4.0)

0.010*

PGY-2

3.483 (1.022)

4.0 (3.0,4.0)

I am able to distinguish a pleural effusion from a dense consolidation

Intern

2.554 (1.109)

2.0 (2.0,4.0)

0.077

PGY-2

2.966 (1.085)

3.0 (2.0,4.0)

I feel comfortable palpating the point of maximal impulse.

Intern

3.485 (1.205)

4.0 (2.75,4.0)

0.871

PGY-2

3.448 (1.183)

4.0 (2.0,4.0)

I feel comfortable assessing the jugular venous pressure.

Intern

2.950 (1.143)

3.0 (2.0,4.0)

<0.001*

PGY-2

3.828 (0.848)

4.0 (3.0,4.0)

I am able to distinguish “a” from “v” waves on a jugular venous pressure examination.

Intern

1.663 (0.828)

1.0 (1.0,2.0)

<0.001*

PGY-2

2.655 (1.078)

3.0 (2.0,3.25)

The make and model of a stethoscope is an important part of the cardiopulmonary exam.

Intern

3.158 (1.111)

3.0 (2.0,4.0)

0.709

PGY-2

3.241 (0.830)

3.0 (2.75, 4.0)

Improving my physical exam skills is an important goal for the next year of my training.

Intern

4.822 (0.456)

5.0 (5.0,5.0)

0.164

PGY-2

4.724 (0.455)

5.0 (4.0,5.0)

  1. n = 101 for interns; n = 29 for PGY-2s. Data analyzed using Mann-Whitney U-test (PGY post-graduate year, SD standard deviation, IQR interquartile range)
  2. *indicates significant difference between intern and PGY-2 using a Mann-Whitney rank sum test