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. 2017 Dec 26;7(12):e018811.
doi: 10.1136/bmjopen-2017-018811.

Is computer-assisted instruction more effective than other educational methods in achieving ECG competence among medical students and residents? Protocol for a systematic review and meta-analysis

Charle André Viljoen  1 , Rob Scott Millar  1 , Mark E Engel  2 , Mary Shelton  3 , Vanessa Burch  2
Affiliations

Is computer-assisted instruction more effective than other educational methods in achieving ECG competence among medical students and residents? Protocol for a systematic review and meta-analysis

Charle André Viljoen et al. BMJ Open. .

Abstract

Introduction: Although ECG interpretation is an essential skill in clinical medicine, medical students and residents often lack ECG competence. Novel teaching methods are increasingly being implemented and investigated to improve ECG training. Computer-assisted instruction is one such method under investigation; however, its efficacy in achieving better ECG competence among medical students and residents remains uncertain.

Methods and analysis: This article describes the protocol for a systematic review and meta-analysis that will compare the effectiveness of computer-assisted instruction with other teaching methods used for the ECG training of medical students and residents. Only studies with a comparative research design will be considered. Articles will be searched for in electronic databases (PubMed, Scopus, Web of Science, Academic Search Premier, CINAHL, PsycINFO, Education Resources Information Center, Africa-Wide Information and Teacher Reference Center). In addition, we will review citation indexes and conduct a grey literature search. Data extraction will be done on articles that met the predefined eligibility criteria. A descriptive analysis of the different teaching modalities will be provided and their educational impact will be assessed in terms of effect size and the modified version of Kirkpatrick framework for the evaluation of educational interventions. This systematic review aims to provide evidence as to whether computer-assisted instruction is an effective teaching modality for ECG training. It is hoped that the information garnered from this systematic review will assist in future curricular development and improve ECG training.

Ethics and dissemination: As this research is a systematic review of published literature, ethical approval is not required. The results will be reported according to the Preferred Reporting Items for Systematic Review and Meta-Analysis statement and will be submitted to a peer-reviewed journal. The protocol and systematic review will be included in a PhD dissertation.

Prospero registration number: CRD42017067054; Pre-results.

Keywords: computer-assisted instruction; electrocardiogram (ecg); medical student(s); resident(s); web-based learning.

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Conflict of interest statement

Competing interests: RSM is a lecturer and host of the AO Memorial Advanced ECG and Arrhythmia Course, and receives an honorarium from Medtronic Africa.

References

    1. Okreglicki A, Scott Millar R. ECG: PQRST morphology – clues and tips. A guide to practical pattern recognition. SA Heart Journal 2006;3:27–36.
    1. Auseon AJ, Schaal SF, Kolibash AJ, et al. . Methods of teaching and evaluating electrocardiogram interpretation skills among cardiology fellowship programs in the United States. J Electrocardiol 2009;42:339–44. 10.1016/j.jelectrocard.2009.01.004 - DOI - PubMed
    1. Jablonover RS, Stagnaro-Green A. ECG as an entrustable professional activity: CDIM survey results, ECG teaching and assessment in the third year. Am J Med 2016;129:226–30. 10.1016/j.amjmed.2015.10.034 - DOI - PubMed
    1. Bogun F, Anh D, Kalahasty G, et al. . Misdiagnosis of atrial fibrillation and its clinical consequences. Am J Med 2004;117:636–42. 10.1016/j.amjmed.2004.06.024 - DOI - PubMed
    1. Masoudi FA, Magid DJ, Vinson DR, et al. . Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study. Circulation 2006;114:1565–71. 10.1161/CIRCULATIONAHA.106.623652 - DOI - PubMed