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    ECG Interpretation Skills of Family Physicians: A Comparison with Internists and Untrained Physicians
    (Medi+World Int, 2005) Dagdeviren, N.; Kturk, Z.; Set, T.; Ozer, C.; Mistik, S.; Durmus, B.; Unluoglu, I
    Objective: To compare the ECG reading skills of a sample of family physicians with those of untrained physicians and internists. Design: A prospective analytic survey conducted between March and June 2002. Setting: Turkish Association of Family Physicians, faculty from two different university hospitals, and untrained general practitioners in Edirne. Subjects: Fifty-nine family physicians (37 senior clerks, 22 residents), 30 untrained general practitioners, and 51 internists (20 senior clerks, 31 residents) have joined the study. Main outcome measures: ECG reading skills of the participants were evaluated with a set of ten different ECGs. Each ECG could be normal or with up to three abnormalities, with overall 16 abnormalities. Correct and false diagnosis scores, and non-response rates were calculated. Results: Of the total participants, 94 (67.1%) could correctly identify two correct ECGs, and 119 (85.0%) could identify acute myocardial infarction. The correct and false diagnosis scores of senior family physicians, family physician residents, untrained general practitioners, senior internists, and resident internists were 7.05 +/- 2.30 vs. 2.54 +/- 1.63, 6.59 +/- 2.46 vs. 2.73 +/- 1.98, 4.73 +/- 1.84 vs. 2.40 +/- 1.54, 9.85 +/- 2.06 vs. 1.20 +/- 1.15, and 8.16 +/- 2.19 vs. 1.71 +/- 1.07 respectively. There was a significant difference with regard to correct (F=18.983, p=0.000) and false (F=4.284, p=0.003) diagnosis scores between the groups. The normal ECG had the lowest non-response rate whereas the ECG with left bundle branch block had the highest non-response rate. Conclusion: Although some groups achieved better in ECG interpretation, and family physicians are in an intermediate place of the spectrum, average scores of all groups are below acceptable levels. There is a need to improve the ECG interpretation skills of medical undergraduates.