Pre and Post Workshop Knowledge Assessment Regarding ECG and Arrhythmia Management in Medical Undergraduates

Authors

  • Samia Perwaiz Khan
  • Sahar Tariq
  • Rabeea Rizwan
  • Muslim Abbas
  • Zohra Jivani,
  • Amna Adeel
  • Yahya Peracha
  • Mohammad Sultan

DOI:

https://doi.org/10.51985/JBUMDC2020064

Keywords:

Cardiac arrhythmias, Electrocardiography, Integrated workshop, Pre- workshop, Post-workshop, Quiz

Abstract

Objective: To determine the effectiveness of ECG interpretation workshops as a useful tool in medical education for
teaching the integrated cardiovascular module for undergraduate medical students.
Study design and setting: Cross sectional (pre and post workshop quiz) at Jinnah Medical and Dental College over four
months from August-November 2019.
Methodology: Total 80 undergraduate medical students participated in the training session. Pre-workshop Quiz was
conducted MCQs (single best answer) to determine the prior knowledge of participants on ECG interpretation and action
of antiarrhythmic drugs. Interactive lectures were delivered by the cardiology consultant and faculty of pharmacology.
Comprehensive hands-on skill session for 12-limb lead and ECG interpretation was organized by the physiology department.
Post-Quiz included MCQs (single best answer). Feedback forms were filled at the end of the training and lecture sessions.
Paired students T test was used on SPSS 21.
Results: Total Eighty 4th year MBBSÊparticipated in pre-workshop quiz (MCQs) and post MCQs Sixty (75%) students
had an unsatisfactory score and only twenty (25%) had satisfactory scores in pre- training Quiz. Post-training and lecture
sessions, Quiz (MCQs) scores had significant improvement. Seventy (87%) students had a satisfactory score of which five
students were outstanding and only five (6%) scored unsatisfactory. Feedback form filled and the comments were recorded.
Conclusions: It was found by post workshop quiz scores and feedback regarding interdepartmental integrated activity
results in a better teaching and learning outcomes. Post workshop Quiz scores indicated the improvement in ECG interpretation
and skills

References

Antiperovitch P, Zareba W, Steinberg JS, Bacharova L, Tereshchenko LG, Farre J, et al. Proposed In-training electrocardiogram interpretation competencies for undergraduate and Postgraduate Trainees. J. Hosp. Med. 2018;13(3):185-193.

Brooks-Harris, JE, Stock-Ward, SR (1999) Workshops: Designing and Facilitating Experiential Learning. SAGE Publications. Google Scholar.

Lavranos G, Koliaki C, Briasoulis A, Nikolaou A, and Stefanadis C. Effectiveness of current teaching methods in Cardiology: the SKILLS (medical Students Knowledge Integration of Lower Level clinical Skills) study. Hippokratia. 2013;17(1):34–37.

Becker DE. Fundamentals of electrocardiography interpretation. Anesth Prog, 2006;53:53–64.

Belay HT, Ruairc OB, Guérandel A. Workshops: an important element in medical education. BJPsych Advances, Volume 25, Issue 1, January 2019 , pp. 7-13.

Boon M, Baalen SV, Groenier M. Interdisciplinary expertise in medical practice: Challenges of using and producing knowledge in complex problem -solving. Medical Teacher, 2019, Vol, 6, 668-677. https:// 10.1080/0142159X.2018.1544417.

Brauer DG, Ferguson KJ, 2015. The integrated curriculum in medical education. AMEE Guide No.96. Med. Teach. 37: 312-322.

Barnes BJ, Hollands JM. Drug- induced arrhythmias. Crit Care Med. 2010 Jun;38(6 Suppl): S188-97. doi: 10.1097/CCM.0b013e3181de112a.

El-Hou S, Ford JW, Milnes JT. Novel K+ Channel Targets in Atrial Fibrillation Drug Development--Where Are We? J. Cardiovasc Pharmacol. 2015 Nov; 66(5):412-31. doi: 10.1097/FJC.0000000000000277.

Morillo CA, Banerjee A, Perel P, Wood D, and Jouven X. Atrial fibrillation: the current epidemic. J Geriatr Cardiol. 2017 Mar; 14(3): 195–203.doi: 10.11909/j.issn.1671-5411.2017.03.011

Lacasse M, Audetat MC, Boileau E, Caire Fon N, Dufour M-H, Laferriere M-H, et al. Interventions for undergraduate and postgraduate medical learners with academic difficulties: A BEME systemic review: EME Guide No.56. Medical Teacher, 2019, Vol.41,No.9,981-1001.

Pugh D, Champlain AD, Touchie C. Plus ça change, plus c'est pareil: making a continued case for the use of MCQs in medical education. . Medical Teacher, 2019, Vol:41, No. 5, 569-577. https://doi.org/10.1080/0142159 X .2018.1505035.

Khin-Htun S and Kushairi A. Twelve tips for developing clinical reasoning skills in the pre-clinical and clinical stages of medical school. Medical teacher, 2019, Vol.41, No.9, 1007-1011.https://doi.org/10.1080/0142159X.2018.1502418.

Eva KV, Macala C, Fleming Bruce. Twelve tips for constructing a multiple mini- interview. Medical teacher . 2019, Vol. 41, No.5. 510-516. http// doi.0rg/ 10.1080/0142159X.2018.1429586.

Pinnock R, Anakin M, Jouart M. Clinical reasoning as a threshold skill. Medical Teacher. 2019, V0l.41, No. 6, 683-689. https:// 10.1080/ 0142159X.2019. 1569754.

Jablonover RS, Lundberg E, Zhang Y, Stagnaro-Green A. Competency in electrocardiogram interpretation among graduating medical students. Teach Learn Med. 2014;26(3):279-284. doi:10.1080/10401334.2014.918882. PubMed

Hartman ND, Wheaton NB, Williamson K, Quattromani EN, Branzetti JB, Aldeen AZ. A Novel Tool for Assessment of Emergency Medicine Resident Skill in Determining Diagnosis and Management for Emergent Electrocardiograms: A Multicenter Study. J Emerg Med. 2016;51(6):697-704. doi:10.1016/j. jemermed.2016.06.054.

Heist EK and Ruskin J. Drug-Induced Arrhythmia. Circulation. 2010; 122:1426-1435.

Zdanowicz MM, Lynch LM. Teaching the pharmacology of antiarrhythmic drugs. Am J Pharm Educ. Sep 10, 2011;75(7):139. doi: 10.5688/ajpe757139].

Baral R, Murphy DC, Mahmood A, Vassiliou VS. The effectiveness of a nationwide interactive ECG teaching workshop for UK medical students. Journal of electrocardiology. 2020 Jan 1;58:74-9.

Peters H, Zdravkovic M, Costa MJ, Celenza A, Ghias K, Klamen D, Mossop L, Rieder M, Nadarajah VD, Wangsaturaka, Wohlin M, Weggemans M. Twelve tips for enhancing students engagement . Medical Teacher , 2019, Vol:41, No.6,632-637.

Newman L.R, Roberts D.H, Franki S.E.2019. Twelve tips for providing feedback to peers about their teaching. Medical Teacher, Vol 41, No. 10, 1118-1123.

Ramani S, Konings KD, Ginsburg S, and Vleuten C P.M. Twelve tips to promote a feedback culture with a growth and mind set: Swinging the feedback pendulum from recipes to relationship. Medical Teacher 2019, No.6, 625-631. https://doi.org/10.1080/0142159X.2018.1432850

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Published

2021-03-18

How to Cite

Khan, S. P. ., Tariq, S. ., Rizwan, R. ., Abbas, M. ., Jivani, , Z., Adeel, A. ., Peracha, Y. ., & Sultan , M. . (2021). Pre and Post Workshop Knowledge Assessment Regarding ECG and Arrhythmia Management in Medical Undergraduates. Journal of Bahria University Medical and Dental College, 10(4), 301–306. https://doi.org/10.51985/JBUMDC2020064

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Section

Medical Education - Original Article

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