Electrocardiogram interpretation skills in pediatric residents

<b>Objective :</b> The primary objective of this study was to evaluate pediatric residents&#x2032; ability to correctly identify electrocardiogram (ECG) findings and pair them to a corresponding cardiac diagnosis. <b> Methods:</b> Forty-six pediatric residents from the...

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Main Authors: Crocetti Michael, Thompson Reid
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-01-01
Series:Annals of Pediatric Cardiology
Subjects:
Online Access:http://www.annalspc.com/article.asp?issn=0974-2069;year=2010;volume=3;issue=1;spage=3;epage=7;aulast=Crocetti
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author Crocetti Michael
Thompson Reid
author_facet Crocetti Michael
Thompson Reid
author_sort Crocetti Michael
collection DOAJ
description <b>Objective :</b> The primary objective of this study was to evaluate pediatric residents&#x2032; ability to correctly identify electrocardiogram (ECG) findings and pair them to a corresponding cardiac diagnosis. <b> Methods:</b> Forty-six pediatric residents from the Johns Hopkins Children&#x2032;s Center were surveyed to evaluate their ability to interpret ECGs and factors affecting that ability. Included in the survey was a packet of 10 patient vignettes each accompanied by a 12-lead ECG. The primary outcome variable was the resident&#x2032;s score of correctly paired ECG findings with the appropriate cardiac diagnosis. One point was given for each pair correctly identified for a maximum of 10 points. Simple and multiple linear regression was used to estimate the magnitude and significance of any association between score of correct responses and resident year, completion of a pediatric cardiology rotation, self-rated ability to read ECGs, and training received in reading ECGs. <b> Results :</b> The mean number of correct ECG findings and cardiac diagnosis pairings out of 10 for the PGY 1 group was 4.1 &#177; 3, PGY 2 group 4.9 &#177; 2.9, PGY 3 group 6.6 &#177; 2, and the PGY 4 group 6.8 &#177; 1.7. In the unadjusted linear regression model, the PGY 3 group correctly identified 2.4 more pairings compared to the PGY 1 group (<i>P</i> =0.02). Those who completed a pediatric cardiology rotation correctly identified 2.5 more pairings compared to those who did not complete a rotation (<i>P</i>=0.001). <b>Conclusions:</b> ECG interpretation significantly improved from PGY 1 to PGY 3. Educational programs involving ECG interpretation should target those diagnoses with high clinical severity and average to poor resident knowledge.
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spelling doaj.art-204c9f26cc1d435ca10b3fab89a8482b2022-12-22T00:49:10ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20690974-51492010-01-013137Electrocardiogram interpretation skills in pediatric residentsCrocetti MichaelThompson Reid<b>Objective :</b> The primary objective of this study was to evaluate pediatric residents&#x2032; ability to correctly identify electrocardiogram (ECG) findings and pair them to a corresponding cardiac diagnosis. <b> Methods:</b> Forty-six pediatric residents from the Johns Hopkins Children&#x2032;s Center were surveyed to evaluate their ability to interpret ECGs and factors affecting that ability. Included in the survey was a packet of 10 patient vignettes each accompanied by a 12-lead ECG. The primary outcome variable was the resident&#x2032;s score of correctly paired ECG findings with the appropriate cardiac diagnosis. One point was given for each pair correctly identified for a maximum of 10 points. Simple and multiple linear regression was used to estimate the magnitude and significance of any association between score of correct responses and resident year, completion of a pediatric cardiology rotation, self-rated ability to read ECGs, and training received in reading ECGs. <b> Results :</b> The mean number of correct ECG findings and cardiac diagnosis pairings out of 10 for the PGY 1 group was 4.1 &#177; 3, PGY 2 group 4.9 &#177; 2.9, PGY 3 group 6.6 &#177; 2, and the PGY 4 group 6.8 &#177; 1.7. In the unadjusted linear regression model, the PGY 3 group correctly identified 2.4 more pairings compared to the PGY 1 group (<i>P</i> =0.02). Those who completed a pediatric cardiology rotation correctly identified 2.5 more pairings compared to those who did not complete a rotation (<i>P</i>=0.001). <b>Conclusions:</b> ECG interpretation significantly improved from PGY 1 to PGY 3. Educational programs involving ECG interpretation should target those diagnoses with high clinical severity and average to poor resident knowledge.http://www.annalspc.com/article.asp?issn=0974-2069;year=2010;volume=3;issue=1;spage=3;epage=7;aulast=CrocettiEducationelectrocardiograminterpretationpediatric residents
spellingShingle Crocetti Michael
Thompson Reid
Electrocardiogram interpretation skills in pediatric residents
Annals of Pediatric Cardiology
Education
electrocardiogram
interpretation
pediatric residents
title Electrocardiogram interpretation skills in pediatric residents
title_full Electrocardiogram interpretation skills in pediatric residents
title_fullStr Electrocardiogram interpretation skills in pediatric residents
title_full_unstemmed Electrocardiogram interpretation skills in pediatric residents
title_short Electrocardiogram interpretation skills in pediatric residents
title_sort electrocardiogram interpretation skills in pediatric residents
topic Education
electrocardiogram
interpretation
pediatric residents
url http://www.annalspc.com/article.asp?issn=0974-2069;year=2010;volume=3;issue=1;spage=3;epage=7;aulast=Crocetti
work_keys_str_mv AT crocettimichael electrocardiograminterpretationskillsinpediatricresidents
AT thompsonreid electrocardiograminterpretationskillsinpediatricresidents