Determination of the Level of Emergency Medicine Resident Physicians to Recognize the Electrocardiography Findings

A. Ahmedali, A. Şener, H. S. Kavakli, Gülhan Kurtoğlu Çelik, F. Icme, Yavuz Otal, A. Kahraman, Y. Sezgin
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Abstract

Objective: The aim of this study is to determine the accuracy and reliability of the interpretation of electrocardiography (ECG) findings by emergency medicine resident physicians (EMPs) and to provide training recommendations in line with emerging deficiencies. Material and Methods: This research depended on the data from a questionnaire that we conducted among EMPs in Ankara. The survey included multiple-choice questions, selected through conceived cases presented in major textbooks or congresses. EMP ECG assessment levels were compared according to the duration of residency education and the presence of ECG education. The data were evaluated by using the Statistical Package for Social Sciences 17.0 (SPSS Inc., Chicago, IL, USA). Results: A total of 112 volunteers participated. Mean age was 29.6±4.4; also, 47 were female and 65 were male. When all of the questions were taken into account, the mean number of total correct answers was higher for those who had received ECG training than who had not received it, those who underwent more training than those who underwent less training, and those whose duration of assistantship was longer than those whose duration was shorter. Conclusion: The results of our study revealed that the evaluation of ECG is improved by increasing clinical knowledge and training. Depending on these results, we suggest that effective and practical ECG courses and training programs should be organized for EMPs. (JAEM 2014; 13: 108-11)
急诊内科住院医师认识心电图结果水平的测定
目的:本研究的目的是确定急诊医学住院医师(EMPs)解释心电图(ECG)结果的准确性和可靠性,并根据新出现的缺陷提供培训建议。材料和方法:本研究依赖于我们在安卡拉的emp中进行的问卷调查的数据。调查包括多项选择题,从主要教科书或大会上提出的构思案例中选出。根据住院医师教育时间和有无心电图教育比较EMP心电图评估水平。使用SPSS Inc., Chicago, IL, USA的Statistical Package for Social Sciences 17.0对数据进行评估。结果:共有112名志愿者参与。平均年龄29.6±4.4岁;女性47人,男性65人。当考虑到所有的问题时,接受过心电图训练的人比没有接受过心电图训练的人、接受过更多训练的人比接受过更少训练的人、以及持续时间较长的人比持续时间较短的人的平均总正确答案数要高。结论:通过增加临床知识和培训,心电图的评价得到了提高。根据这些结果,我们建议应该为emp组织有效和实用的ECG课程和培训计划。(JAEM 2014;13: 108 - 11)
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