Proposed in-training electrocardiogram interpretation competencies for undergraduate and postgraduate trainees

International Society of Electrocardiology and the International Society of Holter Noninvasive Electrocardiology

    Research output: Contribution to journalReview article

    3 Citations (Scopus)

    Abstract

    Despite its importance in everyday clinical practice, the ability of physicians to interpret electrocardiograms (ECGs) is highly variable. ECG patterns are often misdiagnosed, and electrocardiographic emergencies are frequently missed, leading to adverse patient outcomes. Currently, many medical education programs lack an organized curriculum and competency assessment to ensure trainees master this essential skill. ECG patterns that were previously mentioned in literature were organized into groups from A to D based on their clinical importance and distributed among levels of training. Incremental versions of this organization were circulated among members of the International Society of Electrocardiology and the International Society of Holter and Noninvasive Electrocardiology until complete consensus was reached. We present reasonably attainable ECG interpretation competencies for undergraduate and postgraduate trainees. Previous literature suggests that methods of teaching ECG interpretation are less important and can be selected based on the available resources of each education program and student preference. The evidence clearly favors summative trainee evaluation methods, which would facilitate learning and ensure that appropriate competencies are acquired. Resources should be allocated to ensure that every trainee reaches their training milestones and should ensure that no electrocardiographic emergency (class A condition) is ever missed. We hope that these guidelines will inform medical education programs and encourage them to allocate sufficient resources and develop organized curricula. Assessments must be in place to ensure trainees acquire the level-appropriate ECG interpretation skills that are required for safe clinical practice.

    Original languageEnglish (US)
    Pages (from-to)185-193
    Number of pages9
    JournalJournal of Hospital Medicine
    Volume13
    Issue number3
    DOIs
    StatePublished - Mar 1 2018

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    Electrocardiography
    Medical Education
    Curriculum
    Emergencies
    Aptitude
    Diagnostic Errors
    Consensus
    Teaching
    Learning
    Guidelines
    Students
    Physicians
    Education

    ASJC Scopus subject areas

    • Leadership and Management
    • Fundamentals and skills
    • Health Policy
    • Care Planning
    • Assessment and Diagnosis

    Cite this

    International Society of Electrocardiology and the International Society of Holter Noninvasive Electrocardiology (2018). Proposed in-training electrocardiogram interpretation competencies for undergraduate and postgraduate trainees. Journal of Hospital Medicine, 13(3), 185-193. https://doi.org/10.12788/jhm.2876

    Proposed in-training electrocardiogram interpretation competencies for undergraduate and postgraduate trainees. / International Society of Electrocardiology and the International Society of Holter Noninvasive Electrocardiology.

    In: Journal of Hospital Medicine, Vol. 13, No. 3, 01.03.2018, p. 185-193.

    Research output: Contribution to journalReview article

    International Society of Electrocardiology and the International Society of Holter Noninvasive Electrocardiology 2018, 'Proposed in-training electrocardiogram interpretation competencies for undergraduate and postgraduate trainees', Journal of Hospital Medicine, vol. 13, no. 3, pp. 185-193. https://doi.org/10.12788/jhm.2876
    International Society of Electrocardiology and the International Society of Holter Noninvasive Electrocardiology. Proposed in-training electrocardiogram interpretation competencies for undergraduate and postgraduate trainees. Journal of Hospital Medicine. 2018 Mar 1;13(3):185-193. https://doi.org/10.12788/jhm.2876
    International Society of Electrocardiology and the International Society of Holter Noninvasive Electrocardiology. / Proposed in-training electrocardiogram interpretation competencies for undergraduate and postgraduate trainees. In: Journal of Hospital Medicine. 2018 ; Vol. 13, No. 3. pp. 185-193.
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    abstract = "Despite its importance in everyday clinical practice, the ability of physicians to interpret electrocardiograms (ECGs) is highly variable. ECG patterns are often misdiagnosed, and electrocardiographic emergencies are frequently missed, leading to adverse patient outcomes. Currently, many medical education programs lack an organized curriculum and competency assessment to ensure trainees master this essential skill. ECG patterns that were previously mentioned in literature were organized into groups from A to D based on their clinical importance and distributed among levels of training. Incremental versions of this organization were circulated among members of the International Society of Electrocardiology and the International Society of Holter and Noninvasive Electrocardiology until complete consensus was reached. We present reasonably attainable ECG interpretation competencies for undergraduate and postgraduate trainees. Previous literature suggests that methods of teaching ECG interpretation are less important and can be selected based on the available resources of each education program and student preference. The evidence clearly favors summative trainee evaluation methods, which would facilitate learning and ensure that appropriate competencies are acquired. Resources should be allocated to ensure that every trainee reaches their training milestones and should ensure that no electrocardiographic emergency (class A condition) is ever missed. We hope that these guidelines will inform medical education programs and encourage them to allocate sufficient resources and develop organized curricula. Assessments must be in place to ensure trainees acquire the level-appropriate ECG interpretation skills that are required for safe clinical practice.",
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