Descriptive Analysis of Interpretive Ability of Supporting Examinations in Emergency Cases of Medical Professional Study Program Students

Luthfi Irma Fitria; Romadhoni Romadhoni; Andra Novitasari; Mega Pandu Arfiyanti; Nabil Hajar

doi:10.24198/mkk.v8i2.65664

Descriptive Analysis of Interpretive Ability of Supporting Examinations in Emergency Cases of Medical Professional Study Program Students

Luthfi Irma Fitria, Romadhoni Romadhoni, Andra Novitasari, Mega Pandu Arfiyanti, Nabil Hajar

Abstract

Medical competence is an important index to prepare students to enter the clinical stage in the education process. One of the competencies of doctors in Indonesia is 3B, which is the ability to deal with emergency cases. Patients who experience emergencies must receive immediate help and proper treatment. If the treatment is not appropriate, it can result in patient disability and even death. The purpose of the study was to analyze the ability of doctor study program to interpret supporting examinations in the form of ECG in emergency cases. This study is a quantitative study with a descriptive analytic method with cross sectional design. The samples of this study were all UNIMUS medical professional program students who participated in the UKMPPD OSCE tryout in May 2023 period which was taken through the total sampling technique. This study uses secondary data consisting of the results of ECG interpretation scores and the final results of the stase assessment given by the examining lecturer. The results of the study with 41 samples showed that the majority of students answered incorrectly on heart rate frequency (53.7%), P wave (65.9%) and PR interval (75.6%). While the majority of students answered correctly on rhythm (56.1%), axis (58.5%), transition zone (63.4%), QRS complex (58.5%), ST segment (51.2%) and conclusion (61%). Based on the Competency Test for Medical Professional Program Students OSCE try-out score, most of the sample did not pass (65.9%). The ability of medical professional study program students to interpret supporting examinations in the form of ECG in emergency cases in cardiovascular staging is categorized as low.

Keywords: EKG; emergency; OSCE; try out

Full Text:

PDF

References

Abdalrahman, B., Mohammed, A., Abd, A., Abusalab, A., & Camp, B. (2017). Enhancing Medical Students’ Competency in Emergency Medicine related Skills by Boot Camp Training in Low Resource Area. International Journal of Current Research, 9(7), 53576–53579. https://www.journalcra.com/article/enhancing-medical-students’-competency-emergency-medicine-related-skills-boot-camp-training

Alamrani, M. H., Alammar, K. A., Alqahtani, S. S., & Salem, O. A. (2018). Comparing the Effects of Simulation-Based and Traditional Teaching Methods on the Critical Thinking Abilities and Self-Confidence of Nursing Students. Journal of Nursing Research, 26(3), 152–157. https://doi.org/10.1097/jnr.0000000000000231

Barthelemy, F. X., Segard, J., Fradin, P., Hourdin, N., Batard, E., Pottier, P., Potel, G., & Montassier, E. (2017). ECG interpretation in Emergency Department residents: an update and e-learning as a resource to improve skills. Eur J Emerg Med., 24(2), 149–156. https://doi.org/10.1097/MEJ.0000000000000312. PMID: 26287803.

Dharma, S. (2015). Cara Mudah Membaca EKG.

Fairley, J. L., Ross, L., Quinlivan, A., Hansen, D., Paratz, E., Stevens, W., Kistler, P. M., McLellan, A., Gerche, A. La, & Nikpour, M. (2023). Sudden cardiac death, arrhythmias and abnormal electrocardiography in systemic sclerosis: A systematic review and meta-analysis. Semin Arthritis Rheum, Okt(62), 152229. https://doi.org/10.1016/j.semarthrit.2023.152229. Epub 2023 Jun 19. PMID: 37354723.

Getachew, M., Beyene, T., & Kebede, S. (2020). Electrocardiography Interpretation Competency of Medical Interns: Experience from Two Ethiopian Medical Schools. Emergency Medicine International, 2020, 1–6. https://doi.org/10.1155/2020/7695638

Han, H., Williams, R., Hingle, S., Klamen, D. L., Rull, G. M., Clark, T., & Daniels, J. (2020). Medical Students’ Progress in Detecting and Interpreting Visual and Auditory Clinical Findings. Teaching and Learning in Medicine, 32(4), 380–388. https://doi.org/https://doi.org/10.1080/10401334.2020.1749636

Huo, B., MacNevin, W., Smyth, M., & Miller, S. G. (2020). Medical Student Comfort With Procedural Skills Performance Based on Elective Experience and Career Interest. Cureus, 12(12). https://doi.org/10.7759/cureus.12374

Jablonover, R. S., Lundberg, E., Zhang, Y., & Stagnaro-Green, A. (2014). Competency in Electrocardiogram Interpretation Among Graduating Medical Students. Teaching and Learning in Medicine, 26(3), 279–284. https://doi.org/https://doi.org/10.1080/10401334.2014.918882

Kewcharoen, J., Charoenpoonsiri, N., Thangjui, S., Panthong, S., & Hongkan, W. (2020). A comparison between peer-assisted learning and self-study for electrocardiography interpretation in Thai medical students. Journal of Advances in Medical Education and Professionalism, 8(1), 18–24. https://doi.org/10.30476/jamp.2019.81458.1006

Kheir, A., Abdalrahman, I., Abdalrahman, I. B., Mohammed, A., Abdallah, O., Alkhalifa, M. M., & Info, A. (2017). Enhacing Medical Students Competency in Emergency Medicine Related Skills by Boot Camp Training in Low Resource Area. Article in International Journal of Current Research, July. http://www.journal

Konstantinidis, A. (2024). An integrative review of the literature on factors influencing student well-being in the learning environment. International Journal of Educational Research Open, 7(December 2023), 100384. https://doi.org/10.1016/j.ijedro.2024.100384

Kopeć, G., Magoń, W., Hołda, M., & Podolec, P. (2015). Competency in ECG interpretation among medical students. Medical Science Monitor, 21, 3386–3394. https://doi.org/10.12659/MSM.895129

Mahendra, D. A. Y., & Yuliani, E. D. (2022). Evolution of Electrocardiogram (ECG) in Inferior ST-Segment Elevation Myocardial Infarction (STEMI) with Total Atrioventricular Block Complications. Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta (Synapse), 131–139. https://proceedings.ums.ac.id/kedokteran/article/view/2103

Mustika, R., Pinasthika, A., & Greviana, N. (2024). The Importance of Learning with Patients: Post-Pandemic Takeaways on Learning Professionalism in Clinical Settings. Malaysian Journal of Medical Sciences, 31(1), 140–149. https://doi.org/10.21315/mjms2024.31.1.12

Obermeyer, Z., Abujaber, S., Makar, M., Stoll, S., Kayden, S. R., Wallis, L. A., & Reynolds, T. A. (2015). Emergency care in 59 low- and middle-income countries: a systematic review. Bull World Health Organ, 38(4), 495–512. https://doi.org/doi: http://dx.doi.org/10.2471/BLT.14.148338

Steinberg, A. W., Brainard, J., Rustici, M., & Grillo, E. (2021). Low Competency in Basic Life Support Skills of Graduating Medical Students. MedEdPublish, 10(1), 1–7. https://doi.org/10.15694/mep.2021.000114.1

Tjahjadinata, C., Puspadewi, N., & Rukmini, E. (2020). Preclinical Students’ Perception Towards Factors of Achieving Medical Competence. Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education, 9(3), 193. https://doi.org/10.22146/jpki.45370

Vishnevsky, G., Cohen, T., Elitzur, Y., & Reis, S. (2022). Competency and confidence in ECG interpretation among medical students. International journal of medical education, 13, 315–321. https://doi.org/10.5116/ijme.6372.2a55

Wheeler. (2015). Pre-hospital emergency skills for medical students. Emergency Medicine Journal, 32(12), 1001.2-1002. https://doi.org/10.1136/emermed-2015-205372.52

DOI: https://doi.org/10.24198/mkk.v8i2.65664