Lavranos G, Koliaki C, Briasoulis A, Nikolaou A, Stefanadis C
1 Department of Cardiology, Medical School, Athens University, Greece.
Hippokratia. 2013 Jan;17(1):34-7.
The aim of the study is to assess reported changes in medical students' capacity to attain five basic cardiological clinical skills, following a one-month intensive cardiology course provisioned in the core curriculum.
An anonymous questionnaire comprising self reported performance in the five skills, namely 1) arterial blood pressure measurement, 2) cardiac auscultation, 3) electrocardiogram (ECG) carry out, 4) ECG interpretation and 5) defibrillation, was distributed to 177 fifth year students of the Athens Medical School upon initiating the cardiology course (pre-training group) and to 59 students matched for sex, age, year of study and training centre, following completion of the course (post training group). Comparison of pre- and post- training performance was evaluated using the χ(2) test.
No change was noted with regards to blood pressure measurement, cardiac auscultation or defibrillation. By contrast, a statistically significant improvement was reported for ECG execution (54.3 versus 81.4%; p<0.001) and interpretation (from 33.1 to 89.8%; p<0.001).
Improvement in the execution and interpretation of ECGs seems to be among the strengths of the cardiology training program. Further studies including larger samples from multiple medical schools and objective assessment of skill execution might facilitate accurate training evaluation and define opportunities for improvement.
本研究的目的是评估在核心课程中提供为期一个月的强化心脏病学课程后，医学生在五项基本心脏病学临床技能方面所报告的变化。
在心脏病学课程开始时，向雅典医学院的177名五年级学生（预培训组）发放了一份匿名问卷，问卷包括对五项技能（即1）动脉血压测量、2）心脏听诊、3）心电图（ECG）操作、4）心电图解读和5）除颤）的自我报告表现；课程结束后，向59名在性别、年龄、学习年份和培训中心方面匹配的学生（培训后组）发放了相同问卷。使用χ(2)检验评估培训前后表现的差异。
在血压测量、心脏听诊或除颤方面未发现变化。相比之下，心电图操作（54.3%对81.4%；p<0.001）和解读（从33.1%到89.8%；p<0.001）方面有统计学显著改善。
心电图操作和解读能力的提高似乎是心脏病学培训项目的优势之一。包括来自多所医学院的更大样本以及对技能操作进行客观评估的进一步研究，可能有助于准确评估培训效果并确定改进机会。
