A Resident-Authored, Case-Based Electrocardiogram Email Curriculum for Internal Medicine Residents

Introduction The interpretation of electrocardiograms (ECGs) is a critical competency for internal medicine trainees, yet time and resources to foster proficiency are limited. Methods This resident-authored ECG email curriculum for first-year residents involved 129 first-year internal medicine resid...

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Autores principales:	Andrew J. Klein, Mark Berlacher, Jesse A. Doran, Jennifer Corbelli, Scott D. Rothenberger, Kathryn Berlacher
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Electrocardiograms Self-Directed Internal Medicine Residents Cardiovascular Medicine Case-Based Learning Clinical/Procedural Skills Training Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/01a630707862457596fe3b97a752f056
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spelling	oai:doaj.org-article:01a630707862457596fe3b97a752f0562021-11-19T14:09:11ZA Resident-Authored, Case-Based Electrocardiogram Email Curriculum for Internal Medicine Residents10.15766/mep_2374-8265.109272374-8265https://doaj.org/article/01a630707862457596fe3b97a752f0562020-08-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10927https://doaj.org/toc/2374-8265Introduction The interpretation of electrocardiograms (ECGs) is a critical competency for internal medicine trainees, yet time and resources to foster proficiency are limited. Methods This resident-authored ECG email curriculum for first-year residents involved 129 first-year internal medicine residents at three major academic university hospitals. Residents either received the resident-authored ECG email curriculum (intervention group) or continued standard training (control group). The curriculum involved 10 multiple-choice ECG cases emailed biweekly over the 6-month study period. All participants were asked to complete a pre- and postintervention test to assess ECG interpretation competency and attitudes. The primary outcome was improvement in ECG test performance. Results Among the 129 first-year residents participating, 21 of the 65 (32%) randomized to the intervention group and 13 of the 64 (20%) randomized to the control group completed both the pre- and posttests for analysis. While all participants’ ECG test scores improved over the study period (p < .001), improvement did not differ between groups (p = .860). We found that the effect of the intervention on ECG test performance varied significantly by the number of cardiology rotations an intern experienced (p = .031), benefiting naïve learners the most. All intervention group participants who completed the posttest reported they would recommend it to a colleague. Discussion While it did not improve resident performance on an ECG posttest, this resident-authored ECG email curriculum offers a scalable way to provide trainees additional practice with ECG interpretation, with particular benefit to trainees who have not yet rotated on cardiology.Andrew J. KleinMark BerlacherJesse A. DoranJennifer CorbelliScott D. RothenbergerKathryn BerlacherAssociation of American Medical CollegesarticleElectrocardiogramsSelf-DirectedInternal Medicine ResidentsCardiovascular MedicineCase-Based LearningClinical/Procedural Skills TrainingMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Electrocardiograms Self-Directed Internal Medicine Residents Cardiovascular Medicine Case-Based Learning Clinical/Procedural Skills Training Medicine (General) R5-920 Education L
spellingShingle	Electrocardiograms Self-Directed Internal Medicine Residents Cardiovascular Medicine Case-Based Learning Clinical/Procedural Skills Training Medicine (General) R5-920 Education L Andrew J. Klein Mark Berlacher Jesse A. Doran Jennifer Corbelli Scott D. Rothenberger Kathryn Berlacher A Resident-Authored, Case-Based Electrocardiogram Email Curriculum for Internal Medicine Residents
description	Introduction The interpretation of electrocardiograms (ECGs) is a critical competency for internal medicine trainees, yet time and resources to foster proficiency are limited. Methods This resident-authored ECG email curriculum for first-year residents involved 129 first-year internal medicine residents at three major academic university hospitals. Residents either received the resident-authored ECG email curriculum (intervention group) or continued standard training (control group). The curriculum involved 10 multiple-choice ECG cases emailed biweekly over the 6-month study period. All participants were asked to complete a pre- and postintervention test to assess ECG interpretation competency and attitudes. The primary outcome was improvement in ECG test performance. Results Among the 129 first-year residents participating, 21 of the 65 (32%) randomized to the intervention group and 13 of the 64 (20%) randomized to the control group completed both the pre- and posttests for analysis. While all participants’ ECG test scores improved over the study period (p < .001), improvement did not differ between groups (p = .860). We found that the effect of the intervention on ECG test performance varied significantly by the number of cardiology rotations an intern experienced (p = .031), benefiting naïve learners the most. All intervention group participants who completed the posttest reported they would recommend it to a colleague. Discussion While it did not improve resident performance on an ECG posttest, this resident-authored ECG email curriculum offers a scalable way to provide trainees additional practice with ECG interpretation, with particular benefit to trainees who have not yet rotated on cardiology.
format	article
author	Andrew J. Klein Mark Berlacher Jesse A. Doran Jennifer Corbelli Scott D. Rothenberger Kathryn Berlacher
author_facet	Andrew J. Klein Mark Berlacher Jesse A. Doran Jennifer Corbelli Scott D. Rothenberger Kathryn Berlacher
author_sort	Andrew J. Klein
title	A Resident-Authored, Case-Based Electrocardiogram Email Curriculum for Internal Medicine Residents
title_short	A Resident-Authored, Case-Based Electrocardiogram Email Curriculum for Internal Medicine Residents
title_full	A Resident-Authored, Case-Based Electrocardiogram Email Curriculum for Internal Medicine Residents
title_fullStr	A Resident-Authored, Case-Based Electrocardiogram Email Curriculum for Internal Medicine Residents
title_full_unstemmed	A Resident-Authored, Case-Based Electrocardiogram Email Curriculum for Internal Medicine Residents
title_sort	resident-authored, case-based electrocardiogram email curriculum for internal medicine residents
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/01a630707862457596fe3b97a752f056
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A Resident-Authored, Case-Based Electrocardiogram Email Curriculum for Internal Medicine Residents

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