Well, I just can't see buying a sprague (which is as good as those isolation stethoscopes, IMO) when you are learning to listen to different sounds. Just because you are a student doesn't mean you are not going to assess your patients heart, lung, bowel sounds. I remember doing clinicals on a pulm special care unit as well as ICU and a tele floor. I remember other students in my class borrowing mine b/c they couldn't hear or decifer what they were hearing from their cheapie one. I bought the Master Cardio as a gift to myself at the beginning of starting the program and like I said, still have it 11 years later. Why not practice with what you learn on? IDK, just my opinion.