Evolution of Ekg Reading Skills From Medical School to Residency

Sebro, Nadew S.; Ganapathineedi, Bindu; Mehta, Alaap

doi:10.1016/s0735-1097(19)33660-5

Cited by 1 publication

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“…The most commonly utilized methods for ECG instruction include didactic lectures and clinical teaching rounds [ 5 , 6 ]. However, despite these methods, there is a lack of ECG interpretation proficiency among medical trainees [ 4 , 7 – 10 ]. While in-person teaching remains the educational gold-standard, there is a dearth of cardiovascular subspecialists and educators in low-resource settings such as Haiti.…”

Section: Introductionmentioning

confidence: 99%

Online team-based electrocardiogram training in Haiti: evidence from the field

Dawson¹,

Haynes

Robert³

et al. 2022

BMC Med Educ

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Background The electrocardiogram (ECG) is the most relied upon tool for cardiovascular diagnosis, especially in low-resource settings because of its low cost and straightforward usability. It is imperative that internal medicine (IM) and emergency medicine (EM) specialists are competent in ECG interpretation. Our study was designed to improve proficiency in ECG interpretation through a competition among IM and EM residents at a teaching hospital in rural central Haiti in which over 40% of all admissions are due to CVD. Methodology The 33 participants included 17 EM residents and 16 IM residents from each residency year at the Hôpital Universitaire de Mirebalais (HUM). Residents were divided into 11 groups of 3 participants with a representative from each residency year and were given team-based online ECG quizzes to complete weekly. The format included 56 ECG cases distributed over 11 weeks, and each case had a pre-specified number of points based on abnormal findings and complexity. All ECG cases represented cardiovascular pathology in Haiti adapted from the Association of Program Directors in Internal Medicine evaluation list. The main intervention was sharing group performance and ECG solutions to all participants each week to promote competition and self-study without specific feedback or discussion by experts. To assess impact, pre- and post-intervention assessments measuring content knowledge and comfort for each participant were performed. Results Overall group participation was heterogeneous with groups participating a median of 54.5% of the weeks (range 0–100%). 22 residents completed the pre- and post-test assessments. The mean pre- and post-intervention assessment knowledge scores improved from 27.3% to 41.7% (p = 0.004). 70% of participants improved their test scores. The proportion of participants who reported comfort with ECG interpretation increased from 57.6% to 66.7% (p = 0.015). Conclusion This study demonstrates improvement in ECG interpretation through a team-based, asynchronous ECG competition approach. This method is easily scalable and could help to fill gaps in ECG learning. This approach can be delivered to other hospitals both in and outside Haiti. Further adaptations are needed to improve weekly group participation.

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Section: Introductionmentioning

confidence: 99%