Case Study: Electrocardiogram EKG Technician Training measuring the hearts electrical activity

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[. . .] Many employers offer continuing professional development in an attempt to improve their employees’ skills and knowledge. Professional development is particularly critical in the healthcare environment. With dynamics such as technological advancements, medical innovations, demographic shifts, and regulatory changes, the healthcare environment is changing (Jasper, Rosser & Mooney, 2013). As a result, healthcare practitioners must remain abreast with new processes and procedures in the healthcare field. Ongoing professional development is integral to achieving this. Professional development is not just about expanding skills and knowledge in one’s professional practice – it also entails stretching one’s scope of practice. Today, for instance, nurses are increasingly serving physician roles and in a wider array of settings. In this case, training internists and family practitioners on EKG can be seen as a professional development initiative aimed at expanding their scope of practice.

Many hospitals offer free or discounted certification courses. Rather than hiring EKG technicians from outside, the hospital can sponsor internists and family practitioners to undertaken EKG training. Compared to training already employed staff members, recruiting fresh EKG technicians can be costly. Most importantly, internal training would give internists and family practitioners an expanded scope of practice, ultimately enabling cardiologists to focus more on their physician roles, hence reducing their work burden. For the initiative to be effective, it would be important to involve cardiologists, internists, and family practitioners, and other key stakeholders in the formulation of the EKG training plan. Stakeholder involvement would be important for obtaining the perspectives of the affected stakeholders regarding the initiative. For instance, undertaking EKG classes involves a significant amount of time. Accordingly, there should be extensive consultation between the management and cardiologists, internists, and family practitioners to determine the most appropriate time for attending classes. Additionally, EKG certification means adjustments in one’s roles and responsibilities. Selected participants should be well aware of how the training will affect their everyday duties.

Following consultations, the hospital should set a timeline within which EKG certification should be achieved. For the hospital, getting EKG certification is a priority. Internists and family practitioners ought to start practising EKG as soon as possible. This means that the management of the hospital should roll out the initiative as soon as practical. Also, the hospital should set out to complete the initiative within the shortest time possible. This is important for avoiding a vacuum immediately the performance of EKG procedures is shifted to internists and family practitioners.

Overall, as part of its quality improvement plan, Make-M-Well Hospital should implement an EKG training initiative for board certified internists and cardiologists. The current policy requiring EKGs to be read only by board certified cardiologists does not sit well with internists and family practitioners. Whereas involving internists and family practitioners in EKG processes is a good thing, the involvement should be preceded by EKG training. Internists and family practitioners must have a comprehensive understanding of EKG procedures. This is crucial for ensuring quality, safe, and accurate diagnostic and treatment processes for cardiovascular complications. EKG certification may involve a significant amount of time and costs. This means that internists and family practitioners must be prepared to spare time for training. On its part, the hospital must be ready to avail the required resources to cover the cost of training. Though the process is fairly costly and time-consuming, the long term benefits to the hospital justify the time and costs involved.


Jasper, M., Rosser, M., & Mooney, G. (2013). Professional development, reflection and decision-making in nursing and healthcare. 2nd ed. Hoboken: John Wiley & Sons.

Manhattan Institute. (2017). EKG technician. Retrieved from

McLaughlin, C., & Kaluzny, A. (2006). Continuous quality improvement in health care: Theory, implementations, and applications. 3rd ed. Boston: Jones and Bartlett Publishers.

National Heart, Lung, and Blood Institute. (2016). Electrocardiogram. Retrieved from [END OF PREVIEW]

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Electrocardiogram EKG Technician Training measuring the hearts electrical activity.  (2017, September 17).  Retrieved October 23, 2019, from

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"Electrocardiogram EKG Technician Training measuring the hearts electrical activity."  17 September 2017.  Web.  23 October 2019. <>.

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"Electrocardiogram EKG Technician Training measuring the hearts electrical activity."  September 17, 2017.  Accessed October 23, 2019.