The American Journal of Medicine
Volume 118, Issue 8 , Pages 873-880 , August 2005

Competency in electrocardiogram interpretation among internal medicine and emergency medicine residents

  • Jeffrey S. Berger, MD

      Affiliations

    • Department of Internal Medicine, Beth Israel Medical Center, New York, New York
    • Corresponding Author InformationRequests for reprints should be addressed to Jeffrey S. Berger, MD, Division of Internal Medicine, Beth Israel Medical Center, Baird Hall 20th Floor, First Avenue at 16th Street, New York, NY 10003.
  • ,
  • Lewis Eisen, MD

      Affiliations

    • Department of Internal Medicine, Beth Israel Medical Center, New York, New York
  • ,
  • Valerie Nozad, DO

      Affiliations

    • Department of Internal Medicine, Beth Israel Medical Center, New York, New York
  • ,
  • John D’Angelo, DO

      Affiliations

    • Department of Emergency Medicine, Beth Israel Medical Center, New York, New York
  • ,
  • Yvette Calderon, MD

      Affiliations

    • Department of Emergency Medicine, Albert Einstein College of Medicine, New York, New York.
  • ,
  • David L. Brown, MD

      Affiliations

    • Department of Internal Medicine, Beth Israel Medical Center, New York, New York
    • Department of Epidemiology, Albert Einstein College of Medicine, New York, New York.
  • ,
  • Paul Schweitzer, MD

      Affiliations

    • Department of Internal Medicine, Beth Israel Medical Center, New York, New York

Received 17 June 2004 ,Accepted 1 November 2004.

References 

  1. Fisch C . Evolution of the clinical electrocardiogram . J Am Coll Cardiol . 1989;14:1127–1138
  2. Todd KH , Hoffman JR , Morgan MT . Effect of cardiologist ECG review on emergency department practice . Ann Emerg Med . 1996;27:16–21
  3. Lee TH , Rovan GW , Weisberg MC . Clinical characteristics and natural history of patients with acute myocardial infarction sent home from the emergency room . Am J Cardiol . 1987;60:219–224
  4. American Board of Internal Medicine . Policies and Procedures for Certification . Philadelphia, Pennsylvania: American Board of Internal Medicine; 2002;
  5. Ginde AA , Char DM . Emergency medicine residency training in electrocardiogram interpretation . Acad Emerg Med . 2003;10:738–742
  6. Kadish AH , Buxton AE , Kennedy HL , et al.   ACC/AHA Clinical competence statement on electrocardiography and ambulatory electrocardiography. A report of the ACC/AHA/ACP-ASIM Task Force on Clinical Competence (ACC/AHA Committee to Develop a Clinical Competence Statement on Electrocardiography and Ambulatory Electrocardiography) . J Am Coll Cardiol . 2001;38:2091–2100
  7. Fisch C . Clinical competence in electrocardiography. A statement for physicians from the ACP/ACC/AHA task force on clinical privileges in cardiology . Circulation . 1995;91:2683–2686
  8. Salerno S , Alguire P , Waxman H . Training and competency evaluation for interpretation of 12-lead electrocardiograms (recommendations from the American College of Physicians) . Ann Intern Med . 2003;138:747–750
  9. White T , Woodmansey P , Ferguson DG , Channer KS . Improving the interpretation of electrocardiographs in an accident an emergency department . Postgrad Med J . 1995;71:132–135
  10. Snoey ER , Housset B , Guyon P , et al.   Analysis of emergency department interpretation of electrocardiograms . J Accid Emerg Med . 1994;11:149–153
  11. Morrison WG , Swann IJ . Electrocardiograph interpretation by junior doctors . Arch Emerg Med . 1990;7:108–110
  12. Goodacre S , Webster A , Morris F . Do computer generated ECG reports improve interpretation by accident and emergency senior house officers? . Postgrad Med J . 2001;77:455–457
  13. Wooley D , Hanck M , Luck J . Comparison of electrocardiogram interpretation by family physicians, a computer, and the cardiology service . J Fam Pract . 1992;34:428–432
  14. Hatala R , Norman GR , Brooks LR . Impact of a clinical scenario on accuracy of electrocardiogram interpretation . J Gen Intern Med . 1999;14:126–129
  15. Pinkerton RE , Francis CK , Ljungquist KA , Howe GW . Electrocardiographic training in primary care residency programs . JAMA . 1981;246:148–150
  16. Montgomery H , Hunter S , Morris S , Naunton-Morgan R , Marshall RM . Interpretation of electrocardiograms by doctors . BMJ . 1994;309:1551–1552
  17. Salerno S , Alguire P , Waxman H . Competency in interpretation of 12-lead electrocardiograms (a summary and appraisal of published evidence) . Ann Intern Med . 2003;138:751–760
  18. Schor S , Behar S , Modan B , et al.   Disposition of presumed coronary patients from an emergency room (a follow-up study) . JAMA . 1976;236:941–943
  19. Pope JH , Aufderheide TP , Ruthazer R , et al.   Missed diagnoses of acute cardiac ischemia in the emergency department . N Engl J Med . 2000;342:1163–1170
  20. Gillespie ND , Brett CT , Morrison WG , Pringle SD . Interpretation of the emergency electrocardogram by junior hospital doctors . J Accid Emerg Med . 1996;13:395–397
  21. Wigton RS , Blank LL , Nicolas JA , Tape TG . Procedural skills training in internal medicine residencies . Ann Intern Med . 1989;11:932–938
  22. Brailer DJ , Kroch E , Pauly MV . The impact of computer-assisted test interpretation on physician decision making (the case of electrocardiograms) . Med Decis Making . 1997;17:80–86
  23. Hatala RA , Norman GR , Brooks LR . The effect of clinical history on physicians’ ECG interpretation skills . Acad Med . 1996;71:S68–S70
  24. Jeffrey DR , Goddard PR , Callaway MP , Greenwood R . Chest radiograph interpretation by medical students . Clin Radiol . 2003;58:478–481
  25. Loy CT , Irwig L . Accuracy of diagnostic tests read with and without clinical information (a systematic review) . JAMA . 2004;292:1602–1609

PII: S0002-9343(04)00754-5

doi: 10.1016/j.amjmed.2004.12.004

The American Journal of Medicine
Volume 118, Issue 8 , Pages 873-880 , August 2005