Competency in electrocardiogram interpretation among internal medicine and emergency medicine residents

Training and Assessment of ECG Interpretation Skills: Results From the 2005 CDIM Survey

“…11 Even more worrisome is the fact that 60% of residents who missed complete heart block on the exam were 100% certain that they had the correct diagnosis and as a result may be less inclined to seek guidance in the context of actual clinical care. Reliance on computer assistance cannot replace the need for accurate interpretative skills.…”

“…30 Resident physicians in both emergency medicine and internal medicine have recognized their knowledge deficits and feel that their ECG training during medical school and postgraduate years was inadequate. 11 Formal training in medical school varies considerably, and objective data on the assessment of interpretation skills in medical students are lacking. 2 In fact, the current literature focuses only on instruction and assessment of ECG skills in students at single institutions for finite periods.…”

“…[2][3][4] Even correct identification of minor ECG abnormalities, such as fascicular blocks and conduction delays, can have important prognostic implications. 5 Prior studies have demonstrated less than optimal interpretation skills in medical students, 6-10 internal medicine, family medicine, and emergency medicine residents, [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] noncardiologist physicians, 3,4,22,[26][27][28][29] and anesthesiologists. 30 Resident physicians in both emergency medicine and internal medicine have recognized their knowledge deficits and feel that their ECG training during medical school and postgraduate years was inadequate.…”

Nova Metodologia de Ensino do ECG: Desmistificando a Teoria na Prática – Ensino Prático do ECG

“…O mé-todo utilizado para este fim parece influenciar diretamente o entendimento inicial do aprendiz 1 . Por outro lado, estudos têm mostrado que o nível de competência para interpretação do ECG é baixo entre médicos residentes 2,3 .…”

An Annotation Driven Rule:based Algorithm for Suggesting Multiple 12:lead Electrocardiogram Interpretations

“…Although the ECG is at the forefront of detecting cardiac abnormalities, it is frequently incorrectly interpreted with up to 33% of ECG interpretations containing errors of significant importance [4]. Expert clinicians are also known to act impulsively and offer ECG diagnoses originating from first impressions or intuition [5], [6] [7].…”