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    Electrocardiography interpretation training in emergency medicine: methods, resources, competency assessment, and national standardization
    (Pharmamed Mado Ltd, 2015) Ozel, Betul Akbuga; Demircan, Ahmet; Keles, Ayfer; Bildik, Fikret; Ozel, Deniz; Ergin, Mehmet; Gunaydin, Gul Pamukcu
    Objective(s). The aim of this study was to evaluate the status of electrocardiography (ECG) training in emergency medicine residency programs in Turkey, and the attitude of the program representatives towards standardization of such training. Methods. This investigation was planned as a cross-sectional study. An 18-item questionnaire was distributed to directors of residency programs. Responses were evaluated using SPSS (v.16.0), and analyzed using the chi-square test. Results. Thirty-nine program directors (out of 42) responded to the questionnaire. Twenty-eight of them stated they did not have a formal ECG training curriculum. The most preferred ECG education method was clinical education in the Emergency Department; the most common education resource was ECG textbooks; and the most common evaluation method was case scenarios. Only thirteen of the programs had an obligation to prove competency. The most common competency-assessment method was obtaining a passing grade based on an instructor's observation. The majority of program directors are of the opinion that there should be a formal ECG teaching curriculum, and that a national ECG training program and national ECG database should be formed. Conclusions. The majority of programs do not have a formal ECG interpretation curriculum, which is an obligation to prove competency. As a result, their training methods, resources, and assessment tools were determined to be subjective.
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    Evaluation of Patients' Families' Attitudes to Witnessing Invasive Procedures in the Emergency Department
    (Aves, 2013) Kurtoglu Celik, Gulhan; Keles, Ayfer; Demircan, Ahmet; Bildik, Fikret; Ilhan, Mustafa; Gunaydin, Gul Pamukcu; Ergin, Mehmet
    Objective: The aim of this study was to evaluate patients' family members' attitudes to witnessing medical care and emergency procedures in an adult emergency department. Material and Methods: A prospective study was performed at a university emergency department (ED) in Turkey. A survey form with the face-to-face method was used. The relationship between the patients' family members' answers and their sociodemographic status was evaluated. Chi square test was used and p<0.05 was considered as statistically significant. Results: A total of 454 patients' family members were included in the study. Some 66.5% of them stated that their presence during invasive procedures could prevent physicians from providing optimal care and 13.4% of participants stated that being present by the patient's side improved the physician's performance. The question 'Is it the patient's right to have someone by his/her side?' drew positive answers from 87.9% of them. A statistically significant difference was found between the level of education and the desire to witness resuscitation (p=0.002). Conclusion: In this study we did in the emergency department, increasing number of family members request to witness invasive procedures on their patients. Family members also think witnessing procedures is a right of both patients and family members.