TY - JOUR
T1 - ECG Interpretation Proficiency of Healthcare Professionals
AU - Kashou, Anthony H.
AU - Noseworthy, Peter A.
AU - Beckman, Thomas J.
AU - Anavekar, Nandan S.
AU - Cullen, Michael W.
AU - Angstman, Kurt B.
AU - Sandefur, Benjamin J.
AU - Shapiro, Brian P.
AU - Wiley, Brandon W.
AU - Kates, Andrew M.
AU - Huneycutt, David
AU - Braisted, Andrew
AU - Smith, Stephen W.
AU - Baranchuk, Adrian
AU - Grauer, Ken
AU - O'Brien, Kevin
AU - Kaul, Viren
AU - Gambhir, Harvir S.
AU - Knohl, Stephen J.
AU - Albert, David
AU - Kligfield, Paul D.
AU - Macfarlane, Peter W.
AU - Drew, Barbara J.
AU - May, Adam M.
N1 - Publisher Copyright:
© 2023 Elsevier Inc.
PY - 2023/10
Y1 - 2023/10
N2 - ECG interpretation is essential in modern medicine, yet achieving and maintaining competency can be challenging for healthcare professionals. Quantifying proficiency gaps can inform educational interventions for addressing these challenges. Medical professionals from diverse disciplines and training levels interpreted 30 12-lead ECGs with common urgent and nonurgent findings. Average accuracy (percentage of correctly identified findings), interpretation time per ECG, and self-reported confidence (rated on a scale of 0 [not confident], 1 [somewhat confident], or 2 [confident]) were evaluated. Among the 1206 participants, there were 72 (6%) primary care physicians (PCPs), 146 (12%) cardiology fellows-in-training (FITs), 353 (29%) resident physicians, 182 (15%) medical students, 84 (7%) advanced practice providers (APPs), 120 (10%) nurses, and 249 (21%) allied health professionals (AHPs). Overall, participants achieved an average overall accuracy of 56.4% ± 17.2%, interpretation time of 142 ± 67 seconds, and confidence of 0.83 ± 0.53. Cardiology FITs demonstrated superior performance across all metrics. PCPs had a higher accuracy compared to nurses and APPs (58.1% vs 46.8% and 50.6%; P < 0.01), but a lower accuracy than resident physicians (58.1% vs 59.7%; P < 0.01). AHPs outperformed nurses and APPs in every metric and showed comparable performance to resident physicians and PCPs. Our findings highlight significant gaps in the ECG interpretation proficiency among healthcare professionals.
AB - ECG interpretation is essential in modern medicine, yet achieving and maintaining competency can be challenging for healthcare professionals. Quantifying proficiency gaps can inform educational interventions for addressing these challenges. Medical professionals from diverse disciplines and training levels interpreted 30 12-lead ECGs with common urgent and nonurgent findings. Average accuracy (percentage of correctly identified findings), interpretation time per ECG, and self-reported confidence (rated on a scale of 0 [not confident], 1 [somewhat confident], or 2 [confident]) were evaluated. Among the 1206 participants, there were 72 (6%) primary care physicians (PCPs), 146 (12%) cardiology fellows-in-training (FITs), 353 (29%) resident physicians, 182 (15%) medical students, 84 (7%) advanced practice providers (APPs), 120 (10%) nurses, and 249 (21%) allied health professionals (AHPs). Overall, participants achieved an average overall accuracy of 56.4% ± 17.2%, interpretation time of 142 ± 67 seconds, and confidence of 0.83 ± 0.53. Cardiology FITs demonstrated superior performance across all metrics. PCPs had a higher accuracy compared to nurses and APPs (58.1% vs 46.8% and 50.6%; P < 0.01), but a lower accuracy than resident physicians (58.1% vs 59.7%; P < 0.01). AHPs outperformed nurses and APPs in every metric and showed comparable performance to resident physicians and PCPs. Our findings highlight significant gaps in the ECG interpretation proficiency among healthcare professionals.
UR - http://www.scopus.com/inward/record.url?scp=85165401046&partnerID=8YFLogxK
U2 - 10.1016/j.cpcardiol.2023.101924
DO - 10.1016/j.cpcardiol.2023.101924
M3 - Review article
C2 - 37394202
AN - SCOPUS:85165401046
SN - 0146-2806
VL - 48
JO - Current problems in cardiology
JF - Current problems in cardiology
IS - 10
M1 - 101924
ER -