Table 4 Determinants of ECG interpretation competency among medical interns participated in ECG competency assessment in Ethiopia, 2024.

From: Assessment of electrocardiography interpretation competency of Ethiopian medical interns: a multi-site study

Determinants of ECG interpretation

Competency

COR (95% CI)

AOR (95%CI)

P-value

Yes(0.80%)

No(< 80%)

Separated ED rotation during clinical years

Yes

92.9%

67.4%

6.28(1.864–6.231)

3.87(1.086–4.331)

0.003

No (Ref.)

7.1%

32.6%

1

1

 

Separated ED rotation during clinical years

Yes

81.0%

57.3%

3.17(1.387–7.229)

4.07(1.679–9.552)

0.006

No (Ref.)

19.0%

42.7%

1

1

 

Confidence in ability to interpret basic ECG components

Very confident

9.5%

3.9%

19.43(1.876–2.175)

8.20(1.633–11.266)

0.001

Somewhat confident

71.4%

35.4%

6.04(1.413–3.818)

3.04(1.012–5.815)

0.023

Somewhat unconfident

16.7%

41.6%

1.20(0.326–4.417)

2.70(0.465–4.464)

0.002

Not at all confident (Ref.)

2.4%

19.2%

1

1

 

Confidence in ability to interpret emergency ECG abnormalities

Very confident

9.5%

3.9%

9.20(1.77–15.66)

9.10(1.221–12.667)

0.000

Somewhat confident

66.7%

30.9%

4(0.991–1.152)

3.8(1.01–4.22)

0.033

Somewhat unconfident

23.8%

39.3%

1.12(0.307–4.160)

1.55(0.7-2.213)

0.001

Not at all confident (Ref.)

0.0%

25.8%

1

1

 

Satisfaction with the level of feedback and guidance from supervisors and senior colleagues

Very satisfied

0.0%

2.25

1.037(0.158–6.823)

1.002(0.448–4.357)

0.038

Satisfied

7.1%

15.7%

0.669(0.456–0.993)

0.429(0.731–1.316)

0.043

Neutral

26.2%

38.8%

0.697(0.142–2.34)

0.396(0.137–1.66)

0.044

Dissatisfied

61.9%

33.1%

0.252(0.054–1.16)

0.244(0.164–1.09)

0.049

Very dissatisfied (Ref.)

4.8%

10.1%

1

1

 
  1. COR, Crude Odds Ratio; AOR, Adjusted Odds Ratio; CI, Confidence Interval; ED, Emergency Department; Ref., Reference category.
  2. Statistically significant variable (p < 0.05)