The present invention relates to hybrid acoustic and electronic stethoscope. In one embodiment, the hybrid acoustic and electronic stethoscope includes a chest piece having a diaphragm, an acoustic selector, a microphone and a speaker. The microphone converts acoustic pressure signals from the diaphragm into corresponding electronic signals which can be outputted as processed acoustic signals via the speaker. The acoustic selector can select either the diaphragm or the speaker. A pair of binaurals is acoustically coupled to the acoustic selector via an acoustic conduit. In turn, the binaurals provides the acoustic pressure signals or the processed acoustic signals to a user.