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Standardized patients (SPs), individuals who realistically portray patients, are widely used in medical education to teach and assess communication skills, eliciting a history, performing a physical exam, and other important clinical skills. One limitation is that each SP can only portray a limited set of physical symptoms. Finding SPs with the abnormalities students need to encounter is typically not feasible. This project augments the SP by permitting the learner to hear abnormal heart and lung sounds in a normal SP.