Student Guide

Medicine I Team-Based Learning Series: Lung Auscultation

Schedule:
Section A: February 18, 2021 (Thursday) 2-5 pm
Section B: February 19, 2021 (Friday 2-5 pm
Section C: February 19, 2021 Friday) 7-10 am
Section D: February 17, 2021 (Wednesday) 7-10 am

Reading Assignments:
1. Marcial, MR (2015) Pulmonary Examination. In A. Tan-Alora (Ed.), Comprehensive Guide
to Physical Examination pp. 288-311. Manila, University of Santo Tomas Publishing
House.
2. Bohadana A, Izcbiki G, and Kraman, SS. Fundamentals of Lung Auscultation. N Engl J
Med 2014; 370: 744-751
3. Bohadana A, Izcbiki G, and Kraman, SS. Fundamentals of Lung Auscultation. N Engl J
Med 2014; 370: 744-751. Interactive Graphic Fundamentals of Auscultation
4. Wilkins, R.L., Hodgkin, J.E., & Lopez, BL. (1996). Lung Sounds: a Practical Guide. Mosby-
Year Book Inc.

Purpose: To introduce to students the art of chest auscultation.

Objectives:
1. To describe the characteristics of lung sounds.
2. To identify lung sounds with the use of multimedia.
3. To construct lung auscultograms.
4. To correlate lung sounds in the diagnosis of diseases.

Instruction Format:

Phase 1: Preparation:
You will complete specified readings for the module. Refer to the Advanced
Preparation cited above.

Phase 2: Readiness Assurance Test (RAT)

Ten “single-best answer” multiple-choice questions, taken first as an individual
Readiness Assurance test (iRAT) and then as a Team Readiness Assurance Test
(tRAT). The RAT test (10 multiple choice test questions) measures your
comprehension of the assigned readings. During the Group Readiness Assurance
test, special type of test forms are utilized to provide groups with immediate
 feedback on their work and reasoning skills. RATs are closed book and based on
the assigned readings.

 Individual RAT (iRAT) – You individually complete a 10 question multiple-choice

test based on the readings.

 Team RAT (tRAT) - Following the iRAT, the same multiple-choice test is re-taken
with your team. You negotiate with your teammates, and then decide the team’s
answer. Your team is awarded 4 points if you choose the correct answer on the
first attempt, 2 points for the second attempt, and 1 point for the third attempt.

 Appeals Process - Once your team has completed the team test, your team is
allowed to make an appeal. The purpose of the appeals process is to allow your
team to identify questions which you disagree with the question key or question
wording or ambiguous information in the readings. Only teams are allowed to
appeal questions (no individual appeals).

 Feedback and Mini-lecture - Following the RATs and Appeal Process, the
instructor provides a short clarifying lecture on any difficult or troublesome
concepts.

Phase 3: In-class Activities:

You and your team use the foundational knowledge, acquired in the first two phases
to make decisions that will be reported to the whole class and subject to cross-team
discussion/critique.

References:
1. Bishop S, Kushinka J, Call S. Internal Medicine Team-Based Learing Series: Abdominal
Pain Module. MedEdPORTAL; 2012. Available from: www.
Mededportal.org/publication/9163
2. Sibley (2011, August). TBL orientation. Retrieved from https://teambasedlearning.org