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

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 (US)
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

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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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

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

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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.}",

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AU - May, Adam M.

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Exploring Factors Influencing ECG Interpretation Proficiency of Medical Professionals

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