Enhancing ECG Competency for Physician Assistants: An Assessment of Structure and Modality

Electrocardiogram (ECG) interpretation is a critical skill for physician assistants (PAs), yet numerous studies have identified persistent gaps in ECG competency across all levels of medical training. This mixed-methods study evaluated the impact of implementing a structured and focus ECG training session within the PA curriculum prior to the clinical phase. The study included two cohorts (n=54) who received varied formats and timing of ECG instructions. Cohort I (n=27) participated in virtual synchronous lectures during the final didactic semester, while Cohort II attended in-person lectures earlier in the curriculum. Quantitative outcomes were measured through pre- and post-lecture quizzes, while qualitative data were collected via student surveys and preceptor feedback. Results indicated that Cohort II demonstrated some improvements in test scores and received higher preceptor ratings for clinical ECG performance, suggesting that earlier, in-person, and structured instruction may enhance skill acquisition. Students favored systematic teaching methods and expressed a preference for additional educational resources beyond textbooks. Incorporating focused and structured in-person ECG training in the PA curriculum may contribute to better preparedness and improved patient care outcomes.