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A Resident-Authored, Case-Based Electrocardiogram Email Curriculum for Internal Medicine Residents.
Andrew J Klein1, Mark Berlacher2, Jesse A Doran3
1Clinical Instructor, Division of General Internal Medicine, University of Pittsburgh School of Medicine.
Mededportal : the Journal of Teaching and Learning Resources
|August 22, 2020
Summary
This study evaluated an electrocardiogram (ECG) email curriculum for internal medicine residents. While it did not improve overall test scores, the ECG training benefited less experienced residents most.
Area of Science:
- Medical Education
- Cardiology Training
- Internal Medicine Residency
Background:
- Electrocardiogram (ECG) interpretation is crucial for internal medicine trainees.
- Limited time and resources hinder proficiency development in ECG interpretation.
Purpose of the Study:
- To assess the effectiveness of a resident-authored ECG email curriculum for first-year internal medicine residents.
- To evaluate the impact of the curriculum on ECG interpretation competency.
Main Methods:
- A biweekly email curriculum with 10 multiple-choice ECG cases was delivered over six months.
- 129 first-year residents were randomized into an intervention group (curriculum) and a control group (standard training).
- Pre- and postintervention tests measured ECG interpretation competency.
Main Results:
- All participants showed improved ECG test scores (p < .001), with no significant difference between groups (p = .860).
- The curriculum's effect varied by prior cardiology rotation experience, significantly benefiting less experienced residents (p = .031).
- Intervention group participants recommended the curriculum.
Conclusions:
- The resident-authored ECG email curriculum did not significantly improve overall resident performance on posttests.
- It offers a scalable method for additional ECG interpretation practice, particularly for trainees with limited cardiology exposure.
- The curriculum shows promise for targeted skill enhancement in internal medicine education.
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