Exploring Factors Influencing ECG Interpretation Proficiency of Medical Professionals

Anthony H. Kashou; Peter A. Noseworthy; Thomas J. Beckman; Nandan S. Anavekar; Kurt B. Angstman; Michael W. Cullen; Benjamin J. Sandefur; Paul A. Friedman; Brian P. Shapiro; Brandon W. Wiley; Andrew M. Kates; Andrew Braisted; David Huneycutt; Adrian Baranchuk; John W. Beard; Scott Kerwin; Brian Young; Ian Rowlandson; Stephen J. Knohl; Kevin O'Brien; Adam M. May

doi:10.1016/j.cpcardiol.2023.101865

Exploring Factors Influencing ECG Interpretation Proficiency of Medical Professionals

Anthony H. Kashou, Peter A. Noseworthy, Thomas J. Beckman, Nandan S. Anavekar, Kurt B. Angstman, Michael W. Cullen, Benjamin J. Sandefur, Paul A. Friedman, Brian P. Shapiro, Brandon W. Wiley, Andrew M. Kates, Andrew Braisted, David Huneycutt, Adrian Baranchuk, John W. Beard, Scott Kerwin, Brian Young, Ian Rowlandson, Stephen J. Knohl, Kevin O'BrienAdam M. May

Research output: Contribution to journal › Review article › peer-review

10 Scopus citations

Abstract

The electrocardiogram (ECG) is a crucial diagnostic tool in medicine with concerns about its interpretation proficiency across various medical disciplines. Our study aimed to explore potential causes of these issues and identify areas requiring improvement. A survey was conducted among medical professionals to understand their experiences with ECG interpretation and education. A total of 2515 participants from diverse medical backgrounds were surveyed. A total of 1989 (79%) participants reported ECG interpretation as part of their practice. However, 45% expressed discomfort with independent interpretation. A significant 73% received less than 5 hours of ECG-specific education, with 45% reporting no education at all. Also, 87% reported limited or no expert supervision. Nearly all medical professionals (2461, 98%) expressed a desire for more ECG education. These findings were consistent across all groups and did not vary between primary care physicians, cardiology FIT, resident physicians, medical students, APPs, nurses, physicians, and nonphysicians. This study reveals substantial deficiencies in ECG interpretation training, supervision, and confidence among medical professionals, despite a strong interest in increased ECG education.

Original language	English
Article number	101865
Journal	Current problems in cardiology
Volume	48
Issue number	10
DOIs	https://doi.org/10.1016/j.cpcardiol.2023.101865
State	Published - Oct 2023

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Kashou, A. H., Noseworthy, P. A., Beckman, T. J., Anavekar, N. S., Angstman, K. B., Cullen, M. W., Sandefur, B. J., Friedman, P. A., Shapiro, B. P., Wiley, B. W., Kates, A. M., Braisted, A., Huneycutt, D., Baranchuk, A., Beard, J. W., Kerwin, S., Young, B., Rowlandson, I., Knohl, S. J., ... May, A. M. (2023). Exploring Factors Influencing ECG Interpretation Proficiency of Medical Professionals. Current problems in cardiology, 48(10), Article 101865. https://doi.org/10.1016/j.cpcardiol.2023.101865

@article{e832b6b92be84f878c914b66ac73e632,

title = "Exploring Factors Influencing ECG Interpretation Proficiency of Medical Professionals",

abstract = "The electrocardiogram (ECG) is a crucial diagnostic tool in medicine with concerns about its interpretation proficiency across various medical disciplines. Our study aimed to explore potential causes of these issues and identify areas requiring improvement. A survey was conducted among medical professionals to understand their experiences with ECG interpretation and education. A total of 2515 participants from diverse medical backgrounds were surveyed. A total of 1989 (79%) participants reported ECG interpretation as part of their practice. However, 45% expressed discomfort with independent interpretation. A significant 73% received less than 5 hours of ECG-specific education, with 45% reporting no education at all. Also, 87% reported limited or no expert supervision. Nearly all medical professionals (2461, 98%) expressed a desire for more ECG education. These findings were consistent across all groups and did not vary between primary care physicians, cardiology FIT, resident physicians, medical students, APPs, nurses, physicians, and nonphysicians. This study reveals substantial deficiencies in ECG interpretation training, supervision, and confidence among medical professionals, despite a strong interest in increased ECG education.",

author = "Kashou, {Anthony H.} and Noseworthy, {Peter A.} and Beckman, {Thomas J.} and Anavekar, {Nandan S.} and Angstman, {Kurt B.} and Cullen, {Michael W.} and Sandefur, {Benjamin J.} and Friedman, {Paul A.} and Shapiro, {Brian P.} and Wiley, {Brandon W.} and Kates, {Andrew M.} and Andrew Braisted and David Huneycutt and Adrian Baranchuk and Beard, {John W.} and Scott Kerwin and Brian Young and Ian Rowlandson and Knohl, {Stephen J.} and Kevin O'Brien and May, {Adam M.}",

note = "Publisher Copyright: {\textcopyright} 2023 Elsevier Inc.",

year = "2023",

month = oct,

doi = "10.1016/j.cpcardiol.2023.101865",

language = "English",

volume = "48",

journal = "Current problems in cardiology",

issn = "0146-2806",

number = "10",

}

Kashou, AH, Noseworthy, PA, Beckman, TJ, Anavekar, NS, Angstman, KB, Cullen, MW, Sandefur, BJ, Friedman, PA, Shapiro, BP, Wiley, BW, Kates, AM, Braisted, A, Huneycutt, D, Baranchuk, A, Beard, JW, Kerwin, S, Young, B, Rowlandson, I, Knohl, SJ, O'Brien, K & May, AM 2023, 'Exploring Factors Influencing ECG Interpretation Proficiency of Medical Professionals', Current problems in cardiology, vol. 48, no. 10, 101865. https://doi.org/10.1016/j.cpcardiol.2023.101865

TY - JOUR

T1 - Exploring Factors Influencing ECG Interpretation Proficiency of Medical Professionals

AU - Kashou, Anthony H.

AU - Noseworthy, Peter A.

AU - Beckman, Thomas J.

AU - Anavekar, Nandan S.

AU - Angstman, Kurt B.

AU - Cullen, Michael W.

AU - Sandefur, Benjamin J.

AU - Friedman, Paul A.

AU - Shapiro, Brian P.

AU - Wiley, Brandon W.

AU - Kates, Andrew M.

AU - Braisted, Andrew

AU - Huneycutt, David

AU - Baranchuk, Adrian

AU - Beard, John W.

AU - Kerwin, Scott

AU - Young, Brian

AU - Rowlandson, Ian

AU - Knohl, Stephen J.

AU - O'Brien, Kevin

AU - May, Adam M.

PY - 2023/10

Y1 - 2023/10

N2 - The electrocardiogram (ECG) is a crucial diagnostic tool in medicine with concerns about its interpretation proficiency across various medical disciplines. Our study aimed to explore potential causes of these issues and identify areas requiring improvement. A survey was conducted among medical professionals to understand their experiences with ECG interpretation and education. A total of 2515 participants from diverse medical backgrounds were surveyed. A total of 1989 (79%) participants reported ECG interpretation as part of their practice. However, 45% expressed discomfort with independent interpretation. A significant 73% received less than 5 hours of ECG-specific education, with 45% reporting no education at all. Also, 87% reported limited or no expert supervision. Nearly all medical professionals (2461, 98%) expressed a desire for more ECG education. These findings were consistent across all groups and did not vary between primary care physicians, cardiology FIT, resident physicians, medical students, APPs, nurses, physicians, and nonphysicians. This study reveals substantial deficiencies in ECG interpretation training, supervision, and confidence among medical professionals, despite a strong interest in increased ECG education.

AB - The electrocardiogram (ECG) is a crucial diagnostic tool in medicine with concerns about its interpretation proficiency across various medical disciplines. Our study aimed to explore potential causes of these issues and identify areas requiring improvement. A survey was conducted among medical professionals to understand their experiences with ECG interpretation and education. A total of 2515 participants from diverse medical backgrounds were surveyed. A total of 1989 (79%) participants reported ECG interpretation as part of their practice. However, 45% expressed discomfort with independent interpretation. A significant 73% received less than 5 hours of ECG-specific education, with 45% reporting no education at all. Also, 87% reported limited or no expert supervision. Nearly all medical professionals (2461, 98%) expressed a desire for more ECG education. These findings were consistent across all groups and did not vary between primary care physicians, cardiology FIT, resident physicians, medical students, APPs, nurses, physicians, and nonphysicians. This study reveals substantial deficiencies in ECG interpretation training, supervision, and confidence among medical professionals, despite a strong interest in increased ECG education.

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U2 - 10.1016/j.cpcardiol.2023.101865

DO - 10.1016/j.cpcardiol.2023.101865

M3 - Review article

C2 - 37321283

AN - SCOPUS:85163877594

SN - 0146-2806

VL - 48

JO - Current problems in cardiology

JF - Current problems in cardiology

IS - 10

M1 - 101865

ER -

Exploring Factors Influencing ECG Interpretation Proficiency of Medical Professionals

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