EKG Acquisition Curriculum for Pediatric Trainees
OBJECTIVES Pediatric residency trainees interface with electrocardiograms (EKG) as part of routine clinical care. Depending on workflow and availability of support staff, trainees may be required to obtain EKGs on patients, though training on this skill varies. Our intervention seeks to train incomi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-10-01
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| Series: | Journal of Medical Education and Curricular Development |
| Online Access: | https://doi.org/10.1177/23821205231204758 |
| _version_ | 1797663211037655040 |
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| author | Vladislav Obsekov Christopher Teng Dorene F Balmer |
| author_facet | Vladislav Obsekov Christopher Teng Dorene F Balmer |
| author_sort | Vladislav Obsekov |
| collection | DOAJ |
| description | OBJECTIVES Pediatric residency trainees interface with electrocardiograms (EKG) as part of routine clinical care. Depending on workflow and availability of support staff, trainees may be required to obtain EKGs on patients, though training on this skill varies. Our intervention seeks to train incoming pediatric residents on obtaining EKGs from pediatric patients and identifying common problems that may result in acquisition of low-fidelity EKGs. METHODS A team of physicians, EKG technicians, and simulation educators designed a 30-min didactic and experiential learning opportunity for incoming pediatric trainees held prior to their start of clinical responsibilities. During the session, trainees were introduced to the basics of EKG acquisition and common quality issues that arise. Afterwards, they practiced placing EKG leads on a mannequin and a live model. A pre- and post-session survey was utilized to assess the session's utility and participant's learning. RESULTS The intervention was perceived as a valuable experience by participants over the course of 2 years. We found increased participant comfort with performing and troubleshooting EKGs ( P <.001). There was a 33% improvement in quality assessment of EKG rhythm strips after the session ( P <.001). CONCLUSION Given the importance of EKGs to the care of pediatric patients, it is essential that pediatricians receive adequate training in acquiring and assessing EKG quality. This intervention was deemed to be highly useful with a demonstrated improvement in EKG troubleshooting skills among first year pediatric residents. This session improves learner comfort with essential clinical responsibilities and identification of low-quality EKGs that often warrant repeat testing. |
| first_indexed | 2024-03-11T19:11:15Z |
| format | Article |
| id | doaj.art-88727df4a3f54e28a93a92490cb0e9dd |
| institution | Directory Open Access Journal |
| issn | 2382-1205 |
| language | English |
| last_indexed | 2024-03-11T19:11:15Z |
| publishDate | 2023-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Medical Education and Curricular Development |
| spelling | doaj.art-88727df4a3f54e28a93a92490cb0e9dd2023-10-09T16:34:12ZengSAGE PublishingJournal of Medical Education and Curricular Development2382-12052023-10-011010.1177/23821205231204758EKG Acquisition Curriculum for Pediatric TraineesVladislav Obsekov0Christopher Teng1Dorene F Balmer2 Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Children's Hospital of Philadelphia, Philadelphia, PA, USA Department of Cardiology, Boston Children's Hospital, Boston, MA, USA Department of Cardiology, Boston Children's Hospital, Boston, MA, USAOBJECTIVES Pediatric residency trainees interface with electrocardiograms (EKG) as part of routine clinical care. Depending on workflow and availability of support staff, trainees may be required to obtain EKGs on patients, though training on this skill varies. Our intervention seeks to train incoming pediatric residents on obtaining EKGs from pediatric patients and identifying common problems that may result in acquisition of low-fidelity EKGs. METHODS A team of physicians, EKG technicians, and simulation educators designed a 30-min didactic and experiential learning opportunity for incoming pediatric trainees held prior to their start of clinical responsibilities. During the session, trainees were introduced to the basics of EKG acquisition and common quality issues that arise. Afterwards, they practiced placing EKG leads on a mannequin and a live model. A pre- and post-session survey was utilized to assess the session's utility and participant's learning. RESULTS The intervention was perceived as a valuable experience by participants over the course of 2 years. We found increased participant comfort with performing and troubleshooting EKGs ( P <.001). There was a 33% improvement in quality assessment of EKG rhythm strips after the session ( P <.001). CONCLUSION Given the importance of EKGs to the care of pediatric patients, it is essential that pediatricians receive adequate training in acquiring and assessing EKG quality. This intervention was deemed to be highly useful with a demonstrated improvement in EKG troubleshooting skills among first year pediatric residents. This session improves learner comfort with essential clinical responsibilities and identification of low-quality EKGs that often warrant repeat testing.https://doi.org/10.1177/23821205231204758 |
| spellingShingle | Vladislav Obsekov Christopher Teng Dorene F Balmer EKG Acquisition Curriculum for Pediatric Trainees Journal of Medical Education and Curricular Development |
| title | EKG Acquisition Curriculum for Pediatric Trainees |
| title_full | EKG Acquisition Curriculum for Pediatric Trainees |
| title_fullStr | EKG Acquisition Curriculum for Pediatric Trainees |
| title_full_unstemmed | EKG Acquisition Curriculum for Pediatric Trainees |
| title_short | EKG Acquisition Curriculum for Pediatric Trainees |
| title_sort | ekg acquisition curriculum for pediatric trainees |
| url | https://doi.org/10.1177/23821205231204758 |
| work_keys_str_mv | AT vladislavobsekov ekgacquisitioncurriculumforpediatrictrainees AT christopherteng ekgacquisitioncurriculumforpediatrictrainees AT dorenefbalmer ekgacquisitioncurriculumforpediatrictrainees |