Ecg diagnostics as one of the main competences in the practice of a family doctor - ways of improvement

Vysochyna, I.L. and Yefimova, N.O. (2022) Ecg diagnostics as one of the main competences in the practice of a family doctor - ways of improvement. Modern engineering and innovative technologies, 21 (1). pp. 159-165. ISSN 2567-5273

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Abstract

Electrocardiography (ECG) is a common method of diagnosing heart function in a graphic image, which allows to quickly identify the problem in heart activity. The publication presents the experience of thematic improvement (TI) cycle "ECG in the practice of a family doctor" using a comprehensive analysis to identify gaps in knowledge of clinical ECG diagnostics with elements of a personalized approach to their correction. The article is devoted to the issues of optimization and improvement of postgraduate training of family doctors in ECG diagnostics. Possession of this method is one of the main competencies of primary care professionals, therefore, the ECG is the simplest and, at the same time, extremely informative method of examining the patient. Based on modern requirements for the training of qualified specialists, there is a need to improve the technology of teaching clinical ECG, which can be provided by the formation of a clear algorithm of sequential actions, which in everyday practice of a family doctor should ideally be used at the level of unconditional reflex. The aim of our work was to develop and improve the algorithm of actions in the analysis of clinical ECG in the practice of a family doctor, taking into account the personally identified gaps in the knowledge of outpatients. Participatory teaching methods were used in accordance with the objectives of the study. Proposed approaches for the formation and / or unification of the skill of actions algorithmization in the assessment of ECG in terms of comfortable psychological communication significantly increase the effectiveness of doctors training. Students of the cycle become participants in joint work, immerse themselves in the atmosphere of cooperation with teachers of the department, carefully conduct a general assessment of the ECG according to the algorithm, analyze variants of normal ECG, analyze schematic support, formulate diagnostic criteria. To generalize and practice ECG deciphering skills, cadets analyze clinical cases from real practice, individually or in a team determine the tactics of the family doctor, which allows to work out the algorithm and sequence of actions that can be used in their own professional activities. Particular attention is paid to those aspects of ECG interpretation that have gaps in students' knowledge, which allows to personify the improvement of skills in clinical ECG diagnostics. At the end of the cycle, family doctors are required to take a questionnaire, take a final exam and always have feedback on the satisfaction of expectations from the beginning of training and the results that occur after two weeks of communication and training in this cycle of TI. According to our data, due to mastering the proposed algorithm for decoding the ECG, the acquired level of ECG analysis skills and its effectiveness after the end of the cycle is much higher than it was at the beginning of the TI (within 84.3% - 92.1%). Thus, a comprehensive approach to teaching the cycle of ECG diagnostics with elements of a personalized approach in teaching and the use of participatory teaching methods is a methodologically sound and effective tool that can be recommended to solve the problem of improving the professional competencies of family physicians

Item Type:	Article
Additional Information:	DOI: 10.30890/2567-5273.2022-21-01-033
Uncontrolled Keywords:	thematic improvement, ECG-diagnostics, general practitioner-family doctor
Subjects:	Postgraduate education
Divisions:	Faculty of Postgraduate Education > Department of Family Medicine FPE
Depositing User:	Аліна Чеботарьова
Date Deposited:	30 May 2023 10:05
Last Modified:	30 May 2023 10:05
URI:	http://repo.dma.dp.ua/id/eprint/8391

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