Evidence map›Paper›PMID 37544624›Full record

ReviewCurrent problems in cardiology2023

Predictors of ECG Interpretation Proficiency in Healthcare Professionals.

Anthony H Kashou, Peter A Noseworthy, Thomas J Beckman, Nandan S Anavekar, Michael W Cullen, Christopher L Boswell, Kurt B Angstman, Benjamin J Sandefur, Brian P Shapiro, Brandon W Wiley and 11 more

Abstract readReview
In one paragraph

Review in Current problems in cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Navigating inhabited institutionalism: A framework for electrocardiogram workshops in teaching hospitals.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. [Arrhythmias education-current considerations with a focus on ECG teaching].Herzschrittmachertherapie & Elektrophysiologie · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Anthony H KashouMayo Clinic, Rochester, MN. Electronic address: kashou.anthony@mayo.edu.
Peter A NoseworthyMayo Clinic, Rochester, MN.
Thomas J BeckmanMayo Clinic, Rochester, MN.
Nandan S AnavekarMayo Clinic, Rochester, MN.
Michael W CullenMayo Clinic, Rochester, MN.
Christopher L BoswellMayo Clinic, Rochester, MN.
Kurt B AngstmanMayo Clinic, Rochester, MN.
Benjamin J SandefurMayo Clinic, Rochester, MN.
Brian P ShapiroMayo Clinic, Jacksonville, FL.
Brandon W WileyKeck School of Medicine, University of Southern California, Los Angeles CA.
Andrew M KatesWashington University School of Medicine in St. Louis, St. Louis, MO.
David HuneycuttHCA Healthcare, Nashville, TN.
Andrew BraistedHCA Healthcare, Nashville, TN.
Scott KerwinGE HealthCare, Wauwatosa, WI.
Brian YoungGE HealthCare, Wauwatosa, WI.
Ian RowlandsonGE HealthCare, Wauwatosa, WI.
John W BeardGE HealthCare, Wauwatosa, WI.
Adrian BaranchukQueen's University, Kingston, Ontario, Canada.
Kevin O'BrienUniversity of South Florida, Tampa, FL.
Stephen J KnohlSUNY Upstate Medical University, Syracuse, NY.
Adam M MayWashington University School of Medicine in St. Louis, St. Louis, MO.

Funding

CARDIOVASOLOGYT32HL007111 · NHLBI · MAYO CLINIC ROCHESTER · PI Barry A. Borlaug · 1985 to 2026
$8.7M
NHLBI NIH HHS T32 HL007111
6 · The paper itself

Abstract

Accurate ECG interpretation is vital, but variations in skills exist among healthcare professionals. This study aims to identify factors contributing to ECG interpretation proficiency. Survey data and ECG interpretation test scores from participants in the EDUCATE Trial were analyzed to identify predictors of performance for 30 sequential 12-lead ECGs. Nonmodifiable factors (being a physician, clinical experience, patient care impact) and modifiable factors (weekly interpretation volume, training hours, expert supervision frequency) were analyzed. Bivariate and multivariate analyses were used to generate a Comprehensive Model (incorporating all factors) and Actionable Model (incorporating modifiable factors only). Among 1206 participants analyzed, there were 72 (6.0%) primary care physicians, 146 (12.1%) cardiology fellows-in-training, 353 (29.3%) resident physicians, 182 (15.1%) medical students, 84 (7.0%) advanced practice providers, 120 (9.9%) nurses, and 249 (20.7%) allied health professionals. Among them, 571 (47.3%) were physicians and 453 (37.6%) were nonphysicians. The average test score was 56.4% ± 17.2%. Bivariate analysis demonstrated significant associations between test scores and >10 weekly ECG interpretations, being a physician, >5 training hours, patient care impact, and expert supervision but not clinical experience. In the Comprehensive Model, independent associations were found with weekly interpretation volume (9.9 score increase; 95% CI, 7.9-11.8; P < 0.001), being a physician (9.0 score increase; 95% CI, 7.2-10.8; P < 0.001), and training hours (5.7 score increase; 95% CI, 3.7-7.6; P < 0.001). In the Actionable Model, scores were independently associated with weekly interpretation volume (12.0 score increase; 95% CI, 10.0-14.0; P < 0.001) and training hours (4.7 score increase; 95% CI, 2.6-6.7; P < 0.001). The Comprehensive and Actionable Models explained 18.7% and 12.3% of the variance in test scores, respectively. Predictors of ECG interpretation proficiency include nonmodifiable factors like physician status and modifiable factors such as training hours and weekly ECG interpretation volume.

Indexed as

Clinical CompetenceElectrocardiographyDelivery of Health CareHumansSurveys and Questionnaires

Identifiers

PMID37544624
PMCPMC10838348

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.