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Published on: August 1, 2019
Longitudinal email-based electrocardiogram interpretation curriculum for paediatric residents
Margaret Van Der Bosch1, Megan Soohoo2
1Department of Pediatrics, University of Colorado Anschutz Medical Campus, Children's Hospital Colorado, Aurora, CO, USA.
Paediatric residents showed improved confidence in interpreting electrocardiograms after a 6-month email-based training program. This improvement in electrocardiogram (ECG) interpretation skills was sustained at 12 months.
Area of Science:
- Medical Education
- Cardiology
- Paediatrics
Background:
- Electrocardiograms (ECGs) are common in pediatric care.
- Paediatric ECG interpretation requires specialized training due to unique physiological changes.
- Distributed practice may enhance paediatric ECG education.
Purpose of the Study:
- To assess the effectiveness of an email-based distributed practice curriculum for paediatric ECG interpretation.
- To measure changes in resident confidence in ECG interpretation skills.
Main Methods:
- Paediatric and internal medicine/paediatrics residents completed pre- and post-surveys on ECG interpretation confidence.
- Residents received bi-monthly email vignettes with ECGs and multiple-choice questions.
- A webpage with explanations followed each question.
Main Results:
- The curriculum increased exposure to ECG training.
- Confidence in ECG interpretation significantly increased after 6 months.
- Improvements were durable at 12 months and most strongly linked to stepwise interpretation skills.
Conclusions:
- An email-based distributed practice curriculum effectively improved paediatric residents' confidence in ECG interpretation.
- This method offers a durable solution for enhancing complex medical skill acquisition.
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