Teaching the interpretation of electrocardiograms: which method is best?

Area of Science:

• Medical Education
• Cardiology
• Diagnostic Skills

Background:

• Electrocardiogram (ECG) interpretation is a critical skill frequently performed poorly by medical professionals.
• Inaccurate ECG interpretation can lead to significant clinical errors, highlighting the need for improved training.
• Current computerized ECG interpretation software has limitations in sensitivity and specificity.

Purpose of the Study:

• To critically evaluate the existing literature on optimal teaching formats and methods for electrocardiogram (ECG) interpretation.
• To identify effective strategies for improving ECG interpretation skills at both undergraduate and postgraduate levels.

Main Methods:

• This study is a review of current literature.
• The review critically evaluates various teaching formats and methods for ECG interpretation.

Main Results:

• No single teaching method or format is universally most effective for developing ECG interpretation skills.
• Self-directed learning approaches are associated with lower interpretation competence.
• Summative assessments are more effective than formative assessments in improving ECG interpretation competence.

Conclusions:

• Web-based learning presents a viable modern approach for teaching ECG interpretation.
• Caution is advised when using user-uploaded content for supplemental learning due to potential inaccuracies.
• A blended approach incorporating effective assessment strategies may be optimal for enhancing ECG interpretation skills.