Educational Technology Improves ECG Interpretation of Acute Myocardial Infarction among Medical Students and Emergency Medicine Residents

@article{Pourmand2015EducationalTI,
  title={Educational Technology Improves ECG Interpretation of Acute Myocardial Infarction among Medical Students and Emergency Medicine Residents},
  author={A. Pourmand and M. Tanski and S. Davis and H. Shokoohi and R. Lucas and F. Zaver},
  journal={Western Journal of Emergency Medicine},
  year={2015},
  volume={16},
  pages={133 - 137}
}
Introduction Asynchronous online training has become an increasingly popular educational format in the new era of technology-based professional development. We sought to evaluate the impact of an online asynchronous training module on the ability of medical students and emergency medicine (EM) residents to detect electrocardiogram (ECG) abnormalities of an acute myocardial infarction (AMI). Methods We developed an online ECG training and testing module on AMI, with emphasis on recognizing ST… Expand
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[1] Zink TM, Fargo JD, Baker RB, Buschur C, Fisher BS, Sommers MS. Comparison of methods for identifying ano-genital injury after consensual intercourse. J Emerg Med 2010;39(1):113–8. [2] SlaughterExpand
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References

SHOWING 1-10 OF 33 REFERENCES
Information on Myocardial Ischemia and Arrhythmias Added by Prehospital Electrocardiograms
  • L. Boothroyd, E. Segal, +5 authors F. D. Champlain
  • Medicine
  • Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
  • 2013
TLDR
Beyond identifying ST-segment elevation earlier, prehospital ECGs detect important transient abnormalities, information not otherwise available from the first emergency department ECG, which can expedite diagnosis and clinical management decisions among patients suspected of having an acute cardiac event. Expand
Electrocardiogram interpretation skills in pediatric residents
TLDR
ECG interpretation significantly improved from PGY 1 to PGY 3, and educational programs involving ECG interpretation should target those diagnoses with high clinical severity and average to poor resident knowledge. Expand
Interpretation of electrocardiograms by first-year residents: the need for change.
TLDR
There is a need for improved and more effective training in ECG interpretation for physicians starting residency, as nearly all residents felt that their training was insufficient. Expand
Competency in Interpretation of 12-Lead Electrocardiograms: A Summary and Appraisal of Published Evidence
TLDR
The focus of the study was the users of the test rather than the usefulness of electrocardiography for diagnosing specific diseases, and the studies were not graded by quality. Expand
The ECG as decision support in STEMI.
  • M. Ripa
  • Medicine
  • Danish medical journal
  • 2012
TLDR
By recognizing the acuteness of the infarction process the initial ECG can identify a group of patients with no potential for myocardial salvage despite short symptom duration, and the degree of ST-segment resolution in the post-reperfusion ECG is important for risk stratification after fibrinolysis, but not after pPCI. Expand
Asynchronous web-based learning, a practical method to enhance teaching in emergency medicine.
TLDR
In an EM residency program, asynchronous Web-based learning may result in medical knowledge acquisition similar to or better than attending traditional core content lectures. Expand
Ultrafest: A Novel Approach to Ultrasound in Medical Education Leads to Improvement in Written and Clinical Examinations
TLDR
It is suggested that a symposium on US can improve clinical knowledge, but is limited in achieving image acquisition for pulmonary and FAST US assessments. Expand
[Evidence-based management of ST-segment elevation myocardial infarction (STEMI). Latest guidelines of the European Society of Cardiology (ESC) 2010].
TLDR
This overview presents the current optimal evidence-based management of STEMI patients as a practice-oriented extract according to the latest ESC guidelines, fully published some weeks ago. Expand
Novel educational approach for medical students: improved retention rates using interactive medical software compared with traditional lecture-based format.
TLDR
The SS learning modality demonstrated a significant improvement in student learning retention compared to traditional didactic lecture format and is an effective web-based medical education tool. Expand
Internet-Based Learning and Applications for Critical Care Medicine
TLDR
Many features of Web-based learning, including interactivity, make it advantageous for the adult medical learner, especially in the field of critical care medicine, and further work is necessary to develop a robust learning platform incorporating a variety of learning modalities for critical care providers. Expand
...
1
2
3
4
...