Conclusion
This study showed an improvement in both ECG knowledge and confidence
with ECG interpretation following 2 hours of teaching. The assessment of
simple concepts such as heart rate improved more significantly than
complex concepts such as conduction abnormalities. This was likely
impacted by the limited duration of teaching. Our findings suggest a
benefit from dedicated ECG revision programmes for medical students and
doctors in training to enhance their ECG knowledge and confidence with
ECG interpretation. Emphasis on basic concepts of ECG interpretation
would be more beneficial during short teaching sessions.
References:
- Trzeciak S, Erickson T, Bunney EB, Sloan EP. Variation in patient
management based on ECG interpretation by emergency medicine and
internal medicine residents. Am J Emerg Med. 2002;20(3):188–95.
- Jayes Jr RL, Larsen GC, Beshansky JR, D’Agostino RB, Selker HP.
Physician electrocardiogram reading in the emergency
department–accuracy and effect on triage decisions: findings from a
multicenter study. J Gen Intern Med. 1992;7(4):387–92.
- Berger JS, Eisen L, Nozad V, D’Angelo J, Calderon Y, Brown DL, et al.
Competency in electrocardiogram interpretation among internal medicine
and emergency medicine residents. Am J Med. 2005;118(8):873–80.
- Salerno SM, Alguire PC, Waxman HS. Competency in interpretation of
12-lead electrocardiograms: a summary and appraisal of published
evidence. Ann Intern Med. 2003;138(9):751–60.
- Zeng R, Yue RZ, Tan CY, Wang Q, Kuang P, Tian PW, et al. New ideas for
teaching electrocardiogram interpretation and improving classroom
teaching content. Adv Med Educ Pract. 2015 Feb 10;6:99-104. Doi:
10.2147/AMEP.S75316. eCollection 2015.
- Fent G, Gosai J, Purva M.
Teaching the interpretation of electrocardiograms: which method is
best? J Electrocardiol. Mar-Apr 2015;48(2):190-3.doi:
10.1016/j.jelectrocard.2014.12.014. Epub 2014 Dec 23.
- Rolskov Bojsen S, Räder SBEW, Holst AG, Kayser L, Ringsted C, Svendsen
JH, et al. The acquisition and retention of ECG interpretation skills
after a standardized web-based ECG tutorial–a randomised
study. BMC Med Educ 15, 36 (2015).
https://doi.org/10.1186/s12909-015-0319-0