Cases

the number of mannequins was small and each student’s training time was limited to a short time, which caused problems in establishing skills. To compensate for this, we have introduced iPax and Kikuzo. This year, we used the “auscultation site recording function” added to the iPax to visually understand the students’ auscultation sites, which we used for post-practice debriefing and skill tests. This is a great feature that allows me to give detailed instructions to each student. I feel that the students’ auscultation skills have improved. I have also heard that these functions will be expanded to include linking with test results, making it even more convenient. We hope that it will be widely used in pharmaceutical education.

to move the stethoscope icon to find where the abnormality was, and listen to the difference between normal and abnormal heart and lung sounds. I was familiar with words such as “fine crackles” and “coarse crackles” as characteristics of the disease, but this was the first time I had heard the actual sound, so I really learned a lot. There were some auscultation sounds that were difficult to distinguish, but it was easy to understand because the characteristics of the sounds were listed, and it was also good that I was able to check the quizzes many times on the quiz page.

1) I thought that the students’ understanding would be deepened if there was an explanation (basis) of the correct and incorrect answers for the quiz. Information such as the age, sex, and history of current illness of the case patient will make it easier for students to find the sound. I think this point should also be considered.
2) I think good that it can be used anywhere as long as there is a PC and internet environment.
3) I thought the sound quality of the lung sounds was good, but on the other hand, some people said that it was slightly different from the actual auscultation of the human body.

Comment from Telemedica:
There are two types of iPax lung sounds. One is for basic auscultation education and the other is for clinical education.

The former is a content that has been edited so that only one type of adventitious sounds can be heard for use in the education of medical and nursing students. In actual cases, there are many cases where multiple adventitious sounds are heard at the same time. But in teaching students, it is easier to understand if the sounds are simple.
On the other hand, from the point of view of clinical education, it would be more effective to hear like an actual patient. Therefore, iPax also has adventitious sounds (patterns in which multiple adventitious sounds are heard at the same time) collected from real cases. In that case, X-rays and CT images are also set.
We are currently increasing the number of such cases, so please look forward to future real-life case quizzes.

A: With iPax, you can hear the sound of the part where you move the stethoscope on the screen, so it was very realistic and popular. It was difficult to hear the breath sounds in the part where I wanted to hear the sound (middle precordial lobe), and it was sometimes difficult whether it was our clumsiness or a problem with the system.

Comment from Telemedica:

In iPax, vesicular sounds are set near the middle precordial lobe. This sound is difficult to hear because it has a lower pitch and volume than tracheal breath sounds and bronchial breath sounds. When outputting the iPax auscultation sound played on a computer to the venue, the sound will be louder if it is output to speakers that support deep bass through an amplifier. Or use Kikuzo to share auscultatory sounds without the need for a large sound system.

(The following is a reference photo when I used Kikuzo in another seminar). I would appreciate it if you could refer to it.

(Photo 1) Distribute the sound using 5 Kikuzo units (using a commercially available distributor)

(Photo 2) Outputting iPax images to a large monitor and listening to the sound on the distributed Kikuzo

(Photo 3) One PC monitor and one Kikuzo set each

If you ask the participants to solve the quiz, use this setting to give feedback.

A: The participants expressed their surprise at this as a new product. It seems that it was interesting to use it from an educational point of view.

Comment from Telemedica : Thank you. At other academic societies, when we exhibited iPax as a company, we received similar opinions. Please see below.

Survey from other academic society（n＝141）

• Comments received in the questionnaire

●Looks good for education
●Because I am interested in other questions
●It was interesting
●For education, etc. Education is important.
●I want to use it for trainee guidance
●This is an unprecedented method as training for observations that are rarely involved.
●Using a stethoscope gives the tension of a real situation
●A new way of learning. Can be used in group discussions and conferences
●Never-before-seen content
●Can be shared by multiple
●For self-study, conferences and group discussions
●Repeated practice leads to improvement of diagnostic skills
●We don’t usually have this kind of opportunity.