The effect of cardiovascular training courses for clinical toxicology residents and other specialists in toxicology ward

Document Type : Research Paper


1 School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Toxicology Research Center, Faculty of Medicine, Mashhad University of medical sciences, Mashhad, Iran.

3 Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.

4 Cardiologist, Faculty of Medicine, Mashhad University of medical sciences, Mashhad, Iran


Introduction: Nowadays, patients referring to emergency department due to poisoning and its complications, make up most of the patients in emergency wards. One of the major complications of these poisonings is heart problems. With this in mind, we decided on training courses to repeat the topics and cardiovascular emergencies for toxicology assistants and other toxicology specialists.
Materials and Methods: For this study invited of clinical toxicology residents and toxicologists and forensic specialists and other specialists in toxicology ward to attend ECG training classes and cardiac emergencies. Ten people attended classes. Pre-test training with eight items was taken before the start of training. It was explained that individuals should score from 1(very poor) to 5(very strong) based on Likert. And after the end of the course, the post- test was done with the same condition.
Results: According to the results obtained from the table and questions, we came to the conclusion that the training courses have improved results in all items and courses are required at least once a year.
Conclusion: It seems that cardiovascular training is repeated annually for toxicology assistants and other toxicology specialists can be helpful in remembering previous material and better treating patients in toxicology emergency.


.   Cervero RM, Gaines JK .The impact of CME on physician performance and patient health outcomes: an updated synthesis of systematic reviews. J Contin Educ Health Prof. 2015 spring; 35(2):131-8. doi: 10.1002/chp.21290.
2.    Adrienne Boissy, Amy K. Windover, Dan Bokar, Matthew Karafa, Katie Neuendorf, Richard M. Frankel, James Merlino, Michael B. Rothberg. Communication Skills Training for Physicians Improves Patient Satisfaction. J Gen Intern Med. 2016. 31(7):755–61.
3.  Stein T, Frankel RM, Krupat E. Enhancing clinician communication skills in a large healthcare organization: a longitudinal case study. Patient Educ Couns. 2005; 58(1):4–12.
4.  Murugesan N, Shobana R, Snehalatha C, AnilKapur A, Ramachandran. Immediate impact of a diabetes training programed for primary care physicians-an endeavor for national capacity building for diabetes management in India. Diabetes research and clinical practice 83(2009) 140–4.
5. Bloom BS. Effects of continuing medical educational on improving physician clinical care and patient health: A review of systematic reviews. Int J Technol Assess Health Care. 2005 summer; 21(3):380-5.
6.    Davis D. Does CME work? An analysis of effects of educational activities on physician performance or health care outcomes. Int J Psychiatry Med. 1998; 28(1):21-39.
7.    Lorrene A. Buckley, Gary P. Carlson, Vanessa A. Fitsanakis , Sue M. Ford, May Beth Genter, Dori R. Germolec,Teresa L. Leavens ,Lois D. Lehman-McKeeman ,Stephen H. Safe, Courtney E. W. Sulentic , and Betty J. The Toxicology Education Summit: Building the Future of Toxicology, Through Education. Toxicological Sciences.2012: 127(2), 331–338.
8. Ulrich BT, Lavandero R ,Hart KA ,Woods D, Leggett J, Taylor D. Critical Care Nurses’ Work Environments: A Baseline Status Report. Crit Care Nurse .2006; 26 (5): 46-57.