Al Mousa Ali M, Alhubail Fatimah M, Almulhim Mohannad, AlBeladi Baneen A, Almulhim Nasser A, Almulhim Abdullah A, Algouf Ibtisam A, Khan Abdul Sattar
Internal Medicine Department, College of Medicine, King Faisal University, Alahsa, SAU.
Clinical Pharmacy Department, College of Clinical Pharmacy, King Faisal University, Alahsa, SAU.
Cureus. 2023 Apr 14;15(4):e37557. doi: 10.7759/cureus.37557. eCollection 2023 Apr.
Objective To determine the competence of medical interns in Saudi Arabia in interpreting common ECG abnormalities, explore limitations, and facilitate solutions to the development of ECG interpretation skills in Saudi Arabia. Methods This cross-sectional study was conducted from 11 June 2022 to 3 November 2022 using the convenience stratified sampling technique among 373 medical interns (54.4% male and 45.6% female) in 15 medical colleges within Saudi Arabia. Results Almost all (91.7%) of the participants recognized the basic ECG elements, as they correctly identified normal ECG patterns. The most well-understood ECG pathologies were ventricular fibrillation, atrial fibrillation, and acute myocardial infarction, which were accurately interpreted by 69.2%, 67.8%, and 61.9% of the participants, respectively. The least understood ECG result was a pathological Q wave, which only 20.9% recognized. Most (63.5%) participants attributed their challenges in ECG interpretation to their inadequate training in college, and 57.4% of them stated that practical case-based training could best facilitate the improvement of their skills in ECG interpretation. Conclusion Most of the participants showed unsatisfactory performance in ECG interpretation. Despite their completion of advanced cardiac life support courses, their overall performance did not improve significantly. Most of them believed that their colleges did not adequately train them to read ECGs. Thus, a majority think case-based training is a key strategy for improving their ECG interpretation skills.
目的 确定沙特阿拉伯医学实习生解读常见心电图异常的能力，探索局限性，并推动解决沙特阿拉伯心电图解读技能发展的问题。方法 本横断面研究于2022年6月11日至2022年11月3日进行，采用便利分层抽样技术，对沙特阿拉伯15所医学院的373名医学实习生（男性占54.4%，女性占45.6%）进行研究。结果 几乎所有（91.7%）参与者都能识别基本的心电图元素，因为他们能正确识别正常心电图模式。最被理解的心电图病变是心室颤动、心房颤动和急性心肌梗死，分别有69.2%､67.8%和61.9%的参与者能准确解读。最不被理解的心电图结果是病理性Q波，只有20.9%的人能识别。大多数（63.5%）参与者将他们在心电图解读方面的挑战归因于在大学期间培训不足，其中57.4%的人表示基于实际病例的培训最能促进他们心电图解读技能的提高。结论 大多数参与者在心电图解读方面表现不佳。尽管他们完成了高级心脏生命支持课程，但其总体表现并未显著改善。他们中的大多数人认为他们的学院没有对他们进行充分的心电图解读培训。因此，大多数人认为基于病例的培训是提高他们心电图解读技能的关键策略。
