Chuzi Sarah, Cantey Eric P, Unger Erin, Rosenthal James E, Didwania Aashish, McGaghie William C, Prenner Stuart
Chief Resident in Internal Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine.
Cardiology Fellow, Division of Cardiology, Northwestern University Feinberg School of Medicine.
MedEdPORTAL. 2018 Jul 13;14:10730. doi: 10.15766/mep_2374-8265.10730.
Inpatient telemetry monitoring is a commonly used technology designed to detect and monitor life-threatening arrhythmias. However, residents are rarely educated in the proper use and interpretation of telemetry monitoring.
We developed a training module containing an educational video, PowerPoint presentation, and hands-on interactive learning session with a telemetry expert. The module highlights proper use of telemetry monitoring, recognition of telemetry artifact, and interrogation of telemetry to identify clinically significant arrhythmias. Learners completed pre- and postcurriculum knowledge-based assessments and a postcurriculum survey on their experience with the module. In total, the educational curriculum had three 60-minute sessions.
Thirty-two residents participated in the training module. Residents scored higher on the posttest (77% ± 12%) than on the pretest (70% ± 12%), (31) = -4.3, < .001. Wilcoxon signed rank tests indicated PGY-3s performed better on the posttest ( = 0.86) than on the pretest ( = 0.72), = -2.19, = .031. PGY-2s also performed better on the posttest ( = 0.86) than on the pretest ( = 0.76), = -2.04, = .042. There was no difference between pretest ( = 0.66) and posttest ( = 0.71) scores for PGY-1s, = -1.50, = .142. The majority of residents reported that the telemetry curriculum boosted their self-confidence, helped prepare them to analyze telemetry on their patients, and should be a required component of the residency.
This module represents a new paradigm for teaching residents how to successfully and confidently interpret and use inpatient telemetry.
住院患者遥测监测是一种常用技术，旨在检测和监测危及生命的心律失常。然而，住院医师很少接受关于遥测监测正确使用和解读的培训。
我们开发了一个培训模块，其中包括一个教育视频、PowerPoint演示文稿以及与遥测专家进行的实践互动学习课程。该模块重点介绍了遥测监测的正确使用、遥测伪差的识别以及对遥测数据进行分析以识别具有临床意义的心律失常。学习者完成了课程前后基于知识的评估以及关于他们对该模块体验的课程后调查。该教育课程总共包括三个60分钟的课程。
32名住院医师参加了培训模块。住院医师在课后测试中的得分（77% ± 12%）高于课前测试（70% ± 12%），（31） = -4.3， <.001。Wilcoxon符号秩检验表明，PGY-3住院医师在课后测试中的表现（ = 0.86）优于课前测试（ = 0.72）， = -2.19， = .031。PGY-2住院医师在课后测试中的表现（ = 0.86）也优于课前测试（ = 0.76）， = -2.04， = .042。PGY-1住院医师课前测试（ = 0.66）和课后测试（ = 0.71）的得分没有差异， = -1.50， = .142。大多数住院医师报告说，遥测课程增强了他们的自信心，帮助他们为分析患者的遥测数据做好准备，并且应该成为住院医师培训的必修内容。
该模块代表了一种新的范例，用于教导住院医师如何成功且自信地解读和使用住院患者遥测数据。
