Teaching the interpretation of electrocardiograms: Which method is best?

- ECG interpretation is often poor at undergraduate and postgraduate levels.
- Self-directed learning is associated with poorer competence in ECG interpretation.
- Summative assessment drives performance in ECG interpretation.
- Internet sharing site ECG interpretation videos can contain misleading information.

BackgroundElectrocardiogram (ECG) interpretation is poorly performed at undergraduate and post-graduate level. Incorrect ECG interpretation can lead to serious clinical error. Despite the incorporation of computerized ECG interpretation software into modern ECG machines, the sensitivity and specificity of current technology remain poor, emphasizing the on-going need for doctors to perform ECG interpretation accurately.PurposeThis is the first review in this important area and aims to critically evaluate the current literature in relation to the optimal format and method of teaching ECG interpretation at undergraduate and postgraduate level.ConclusionsNo single method or format of teaching is most effective in delivering ECG interpretation skills; however, self-directed learning appears to be associated with poorer interpretation competence. Summative in preference to formative assessment is associated with improved interpretation competence. Web-based learning offers a promising modern approach to learning ECG interpretation, though caution must be exercised in accessing user-uploaded content to supplement learning.