Determine systolic and diastolic blood pressures from sphygmomanometer readings and auscultation

Consists of two versions:

1. ECG Morphology and Rates trains interpretation of 12 conditions that change 12-lead ECG morphology along with 3 rate classifications: bradycardia, tachycardia, and normal sinus rhythm
2. ECG Morphology trains interpretation of 13 conditions that change 12-lead ECG morphology; 5 answer choices with one option always being “normal”

This PALM is multiple choice (5 answer choices with one of them always being "Normal") and consists of the following diagnoses:

• Atrial Fibrillation (AFib)
• Atrial Flutter (AFlut)
• First-degree Atrioventricular Block (AVB1)
• Second-degree Atrioventricular Block (AVB2) including 2:1 Block and types I (Wenckenbach) and II.
• Third-degree Atrioventricular Block (AVB3)
• Sinus Bradycardia
• Sinus Tachycardia
• Normal

Use videoclips to Identify six different bedside cardiac ultrasound views: Apical, Parasternal long, Parasternal short – aortic, Parasternal short – mitral, Parasternal short – papillary, Subxyphoid

Identify anatomical features in normal bedside cardiac ultrasound images

Transesophageal cardiac ultrasound for identifying normal and abnormal findings in three different ultrasound views

Identify 12 different primary skin lesion morphologies in a mixture of skin types

Identify 11 different secondary configurations of skin lesions in a mixture of skin types

Identify 12 different anatomic distributions of skin lesions in a mixture of skin types

Identify 12 primary skin lesion morphologies in dark-skinned subjects

Identify 11 secondary configurations of skin lesions in dark-skinned subjects

Identify 12 anatomic distributions of skin lesions in dark-skinned subjects

Diagnose 15 common skin lesions in dark-skinned subjects

Distinguish normal from abnormal processes in side-by-side high- and low-power skin histology images.

Distinguish cell & tissue injury/repair, acute inflammation, chronic inflammation, neoplasia, and normal processes in high- and low-power skin histology images

Classify fetal heart rate tracings into categories I, II, or III; includes training independent recognition of category II tracings with “moderate” variability vs with absent or minimal variability.

Classify fundoscopic images of optic nerves as myopic, glaucomatous, pale, swollen, or normal.

Identify normal PA or lateral thoracic anatomy in plain film x-ray images

1. A multiple-choice version allows the trainee to select from 5 answer choices
2. An image-mapped (-im) version asks the trainee to click on specific anatomic structures

• Identify normal thoracic anatomic structures at 8 levels of axial CT images with contrast
  1. A multiple-choice version allows the trainee to select from 4 answer choices
  2. An image-mapped (-im) version asks the trainee to click on specific anatomic structures
• Identify normal thoracic anatomic structures at 6 levels of axial CT images without contrast
  1. A multiple-choice version allows the trainee to select from 4 answer choices
  2. An image-mapped (-im) version asks the trainee to click on specific anatomic structures

Use videoclips to identify six different bedside cardiac ultrasound views: Apical, Parasternal long, Parasternal short – aortic, Parasternal short – mitral, Parasternal short – papillary, Subxyphoid

Identify anatomical features in normal bedside cardiac ultrasound images

Identify normal and abnormal findings based on transesophageal cardiac ultrasound videoclips using three different ultrasound views: Mid-esophageal long axis, Transgastric mid-papillary short axis, Mid-esophageal 4-chamber