Kelli Cristina do Prado Côrrea, Maria Aparecida Miranda de Paula Machado, Simone Rocha de Vasconcellos Hage
Skills for the literacy process
CoDAS
electrocardiogram ecg primary diagnostic tool cardiovascular diseases hence interpretation core competency medicine obvious deficiencies reported among learners aim study introduce fundamentals ecg knowledge interpretation early clinical exposure ece based sixstep approach preclinical students n 110 study influence knowledge interpretation skills thereafter first step employed blended learning format using didactic lectures normal pathological ecgs preceded preinstructional videos second step focused psychomotor skills utilized laboratory exercises ecg recording interpretation third step focused vertical integration clinical relevance procedure established integrated lectures fourth step used moodle platform opportunities peer interactions clarifications clinical faculty made available fifth step incorporated clinical diagnostic reasoning cardiology ward visits interpretation patient ecgs sixth step designed critical thinking problem solving casebased discussions peers faculty students assessed multiplechoice questions objective structured practical examination learner perceptions approach evaluated feedback questionnaire focus group discussion statistical analysis showed ece sixstep approach significantly enhanced knowledge interpretation ecg evidenced pre posttest scores analysis focus group data revealed learner engagement skills critical thinking enhanced along diagnostic clinical reasoning