Key result
The introduction of ECG workshop sessions significantly improved psychiatry trainees' correct ECG interpretations to 78.8% compared to 47% at baseline (p=0.0091), whereas an e-book alone did not.
Why the study?
Does the introduction of ECG workshop sessions improve ECG interpretation skills in psychiatry trainees compared to baseline or an e-book alone?
Observational (n=48)
No
Does the introduction of ECG workshop sessions improve ECG interpretation skills in psychiatry trainees compared to baseline or an e-book alone?
Absolute Event Rate: 78.8% vs 47%
p-value: p=0.0091
Interactive ECG workshop sessions significantly improve diagnostic accuracy among psychiatry trainees, whereas providing an e-book alone does not.
ECG workshops may enhance interpretation skills in psychiatry trainees; hypothesis-generating and requires randomized confirmation before practice change.
Aims and method To assess the competence of psychiatry trainees in identifying major abnormalities in a 12-lead electrocardiogram (ECG). This was a three-stage prospective study. In stage 1, selected ECG traces were presented to the trainees. They were then asked to comment on any abnormalities of note on the ECG traces. In stage 2, an ECG e-book was made available to the trainees and the survey repeated. In stage 3, ECG workshop sessions were introduced in the mandatory teaching programme and the survey was repeated. Results The number of correct responses after the introduction of the workshops were significantly more when compared with correct responses in stage 2 ( P = 0.0002), and stage 1 ( P = 0.0091). When compared with stage 1, the correct responses in stage 2 actually showed deterioration ( P = 0.0284). Clinical implications Our study not only shows that providing access to an e-book is not enough to improve these skills, it also shows that ECG refresher sessions improved the diagnostic accuracy markedly.
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Yadav et al. (2013) conducted an observational in ECG interpretation skills in psychiatry trainees (n=48). ECG workshop sessions vs. Baseline (no intervention) and ECG e-book was evaluated on Correct responses in identifying major abnormalities on 6 ECG traces (p=0.0091). The introduction of ECG workshop sessions significantly improved psychiatry trainees' correct ECG interpretations to 78.8% compared to 47% at baseline (p=0.0091), whereas an e-book alone did not.
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