At SERVICE, Ali Savaş MİRAN, Vermi DEĞERLİ, Gökhan ELÇİN, Yasin DEMİR, Erman YILDIRIM, Selda Özel COŞKUN, Neslihan SİLİV, İsmet PARLAK

ACİL TIP KLİNİKLERİNDE EĞİTİMİNE YENİ BAŞLAYAN UZMANLIK ÖĞRENCİLERİ İLE 2 YILINI BİTİRMİŞ OLANLARIN TEMEL VE İLERİ DÜZEY EKG BİLGİLERİNİN KARŞILAŞTIRILMASI

Acil serviste EKG’lerin değerlendirilmesi özellikle göğüs ağrısı nedeniyle başvuran hastaların tanı ve tedavilerinin belirlenmesinde ve hastaneden taburcu edilmesinde son derece önemlidir. Ülkemiz acil servislerinde asistanlığa yeni başlayan hekimlerin temel ve ileri düzey EKG bilgisini değerlendiren çalışma yoktur. Bu konuda yapılan çalışmalar ATU uzmanı ile kardiyoloji uzmanları arasında yapılmıştır. Bu anlamda uzmanlığa yeni başlayan ve çalışmaya başladığı kurumda herhangi bir EKG eğitimi almayan asistanlar ile asistanlığının 2 yılını doldurmuş en az bir formal EKG kurs veya standart eğitim müfredatına katılmış asistanlar karşılaştırılması amaçlanmıştır. Araştırma eylül-kasım 2012 tarihleri arasında İzmir ilinde çalışmakta olan, 0-3 ay ve 24- 48 ay arası eğitim süresine sahip acil tıp uzmanlık öğrencilerinin ATUÖ temel ve ileri düzey EKG bilgilerini değerlendirmek üzere 50 soruluk anket formu uygulanmıştır. Araştırma öncesinde gerekli izinler alınmıştır. 48 ayı geçmiş ATUÖ olanlar çalışma dışı bırakılmıştır. Araştırmanın niteliğine yönelik açıklama yapıldıktan ve onam alındıktan sonra araştırmaya katılmayı kabul eden ATUÖ anket uygulanmıştır. Anket doldurmayı kabul etmeyen ve anket sorularını eksik dolduran asistanlar araştırmaya alınmamıştır. Hazırlanan sorular 2 acil tıp uzmanı ve 1 kardiyoloji uzmanı tarafından tamamı doğru olarak yanıtlanmıştır. Verilerin değerlendirilmesi bilgisayarda SPSS For Windows 20,0 paket Statistical Package of Science programında gerçekleştirilmiştir. İstatistik analizinde ki- kare testi uygulanmış ve istatistik anlamlılık düzeyi “p

Anahtar Kelimeler:

Emergenc Medicine, EKG, Medical Education, Medical Training

COMPARING THE BASIC AND ADVANCED ECG KNOWLEDGE OF SPECIALTY STUDENTS WHO START THEIR EMERGENCY MEDICINE CLINIC TRAININGS AND THE ONES WHO HAVE FINISHED 2 YEARS AT SERVICE

Evaluating the ECGs in Emergency Services is extremely important in diagnosis and in determining the treatment methods and discharge of the patients applying with chest pain. There are no studies in our country that evaluate the basic and advanced ECG knowledge of the doctors who start their assistantship in Emergency Services. The studies on the topic were conducted among the ATU specialists and cardiology specialists. In this context, a comparison is aimed between the assistants who start their active duties as specialists and who do not receive any ECG training in their institutions, and the assistants who have received at least one formal ECG course or who have participated in a standard training curriculum and who have 2 years of professional experience as assistants. The study was conducted between September and November 2012 in the city of İzmir with a questionnaire consisting of 50 questions to evaluate the basic and advanced ECG knowledge of the Emergency Medicine Specialty Students EMSS with 0-3 months’, and 24-48 months’ work experience. The necessary consents and permissions were obtained before the study. The students who had experience over 48 months were excluded from the study. After the explanations on the purpose of the study were made and the necessary consents were obtained, the questionnaires were applied to the EMSS students who consented to participate in the study. The assistants who did not agree to fill in the questionnaire, and those who filled in the questionnaires with missing points were not included in the study. The questions prepared were answered by 2 Emergency Medicine Specialists and 1 Cardiology Specialist in full with 100% accuracy. In evaluating the data, the SPSS For Windows 20,0 Package Program Statistical Package of Science on computer was used. In the statistical analysis, the Chi-Square Test was used and the statistical meaningfulness level was accepted as “p

Keywords:

Emergency Medicine, ECG, Medical Education, Medical Training.,

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