The ability to correctly analyse and interpret a 12-lead electrocardiogram (ECG) is crucial in a professional cardiac diagnostic role. Comprehensive ECG analysis and interpretation can provide vital information about the location and nature of heart disease.

Students are to analyse and interpret a series of 12-lead ECGs in accordance with the "Stepwise Method of ECG Interpretation" (available on the ECHO12006 Moodle). The Stepwise Method of ECG Interpretation requires analysis and interpretation of the following ECG components:

1. Calibration
2. Rhythm
3. Rate
4. P wave
5. P-R interval
6. Q wave
7. QRS complex
8. S-T segment
9. T wave
10. Q-T interval
11. Axis
12. Interpretation

Students will have 80 minutes to complete the quiz once it is started.

To successfully complete the ECG Online Quiz, students must:

• Access the ECG Online on the ECHO12006 Moodle at the assigned time;
• Attempt the ECG Quiz only once (once started, the ECG Online Quiz can not be paused);
• Submit responses to complete the ECG Online Quiz (Moodle will automatically close and submit responses once the allocated time has elapsed);
• Prepare personal notes and have a calculator when attempting the quiz;
• Undertake the ECG Online Quiz as an individual (questions are drawn from a question pool to allow a different quiz for each student; any incidences of academic misconduct will be met with action from the Deputy Dean of Learning and Teaching).
• Notify TASAC and relevant ECHO12006 staff if technical issues arise during the ECG Online Quiz (i.e. email TASAC with screenshot of the issue, and Cc ECHO12006 staff); TASAC is available for immediate assistance during AEST business hours.

It is the student's responsibility to commence the online quiz before 6:40 pm Friday 22nd April 2022 (AEST).

In the absence of an approved extension, the ECG Online Quiz cannot be completed at a later time.

A detailed Stepwise Method of ECG Interpretation will be available, with grading based on the student's ability to:

• Analyse calibration settings;
• Analyse cardiac rhythm, rate, and axis;
• Identify common arrhythmias; and
• Utilise correct terminology in interpreting ECG waveforms, segments, intervals, and associated anomalies.

Combining findings from multimodality cardiac testing is useful in the diagnostic pathway for many cardiac pathologies. Integrating information from cardiac catheterisation, 12-lead electrocardiogram (ECG), and echocardiographic studies provide useful clinical information that may be applied to the clinical scenario, such as generating test reports, formulating differential diagnoses, and planning patient management strategies.

Students are required to present a scholarly report of 1200 (+/- 10 %) words reviewing multi-modality findings on the topic:

Acute ST-Elevation Myocardial Infarction (STEMI).

The report requires each student to:

1. Research, analyse, and discuss the aetiology, epidemiology, pathophysiology, presenting clinical symptoms, clinical management, and prognosis of the cardiac pathology.
2. Research, analyse, and discuss at least two (2) alternatives for differential diagnoses, and describe relevant clinical information that would exclude alternative diagnoses.
3. Research, analyse, and discuss analysis methods, characteristic findings, and diagnostic criteria as observed from a standard 12-lead ECG. Include an example and description of a 12-lead ECG to demonstrate findings.
4. Research, analyse, and discuss indications, analysis methods, characteristic findings, and diagnostic criteria as observed from cardiac catheterisation. Include an example and description of a haemodynamic graph to demonstrate findings.
5. Research, analyse, and discuss M-mode and two-dimensional echocardiographic analysis methods, characteristic findings, and diagnostic criteria. Include an example and description of a two-dimensional and M-mode image to demonstrate findings. Spectral Doppler (colour Doppler, continuous wave or pulse wave) findings should not be included in the report.
6. Provide a reference list at the end of the report, using Vancouver referencing style. The reference is list not included in the word count
7. Present information in a scholarly manner, with accurate spelling and grammar, and within the word count. Content beyond the word limit will not be marked.
8. Provide a reflection on the strengths and areas for improvement of your report by responding to prompts on the task rubric, and include the rubric and your reflection at the front of your report upon submission.

Students are advised to review and utilise the "Written Task Template with Rubric" document (available on the ECHO12006 Moodle).

A detailed rubric will be available on the ECHO12006 Moodle, with grading based on the student's ability to:

• Analyse and discuss cardiovascular findings;
• Research and evaluate topics;
• Apply academic referencing protocols;
• Apply scholarly presentation standards; and
• Apply critical reflection to practice.

• 10 minutes to complete the professional component
• 60 minutes to complete the ECHO12006 2D and M-Mode imaging protocol.

PART B Measurement Performance

Objective:

Part B of the Echocardiography Skills Assessment requires students to apply best practice guidelines when performing routine measurements on 2D and M-mode echocardiographic images using Q-Station discipline specific software.

• Students are required to perform measurements within a reasonable set time to a ‘Novice level’ of competency.
• Students must transcribe these measurements onto a provided worksheet replicating clinical documentation.

The ARC tool details measurements that must be attempted and performance criteria cues.

Time limit:

Students have 35 minutes to complete the measurement assessment, to save images to a labelled folder and transcribe outcome onto worksheet provided.

The collection of images stored by the student represent the measurement examination performed. Only these measurements are assessed by the examiner for performance accuracy.

• To pass the Professional and Technical components, all criteria must be demonstrated.

Professional behaviour is a critical part of the medical imaging profession, and encompasses interactions with colleagues, patients, and equipment, within the clinical context and in the broader industry setting.

Demonstrating professionalism through simulated clinical activities aims to prepare students for upcoming clinical placement requirements. Students are expected to attend laboratory sessions as they would attend a clinical role as an employee, thus building the competence required to enter clinical placement and employment with the skills to demonstrate professional behaviour and provide safe patient care. Evaluation encompasses student attendance and application throughout all laboratory activities, including laboratory assessments, and also includes student behaviour towards self/staff/peers in all relevant forums, including on-campus, online, tutorials, social media, phone calls, community, etc.

Task Requirements

Students are to demonstrate high standards of professionalism through completing required preparation documents, attending laboratory sessions, and adhering to workplace guidelines.

1. Laboratory Agreement Form (completed during first laboratory session)
2. Consent Form (completed during first laboratory session)
3. Professional Behaviour Rubric Form (completed and uploaded via Moodle by Thursday, Week 12)
4. Laboratory Attendance Form (completed and uploaded via Moodle by Thursday, Week 12)

• The "Laboratory Agreement Form" and "Consent Form", as well as the Mandatory Laboratory Induction, must be completed during the first laboratory to be able to participate in laboratory activities.
• The "Professional Behaviour Rubric Form" and "Laboratory Attendance Form" must be uploaded by Week 12 Thursday 8:00 pm AEST on the ECHO12006 Moodle.

Students can access these tasks on the ECHO12006 Moodle, and must complete and upload all documents to achieve a pass.

The "Professional Behaviour Rubric Form" incorporates lapses in professionalism (LiP). A LiP is issued when a student demonstrates substandard professional behaviour within any activities associated within the unit, as described in the "Expected Professional Behaviour and LiP Allocation" document (available on the ECHO12006 Moodle), as well as the "CQUniversity Student Charter" and "Australasian Sonographers Association Code of Conduct" (available online). If a student is issued a LiP, the student will receive an "Issue of a Lapse in Professionalism" document from the issuing tutor and will be required to submit the form with the "Professional Behaviour Rubric Form" by the due date. To achieve a pass in this assessment, students must obtain a minimum of 12/15 on the "Professional Behaviour Rubric Form".

Therefore, a student can obtain a maximum of three (3) LiPs. If four (4) or more LiPs are issued, the minimum of 12/15 on the "Professional Behaviour Rubric Form" would not be achieved, and the assessment will not be passed.

Laboratory sessions are mandatory for ECHO12006. There is no opportunity for rescheduling any missed laboratory sessions. In the case of non-attendance of a laboratory session, students must notify the Unit Coordinator and local campus staff before the start of their laboratory session with appropriate documentation, as per CQUniversity's "Assessment Policy and Procedure (Higher Education Coursework)". In the case of non-attendance of a laboratory session, and the student does not notify the Unit Coordinator and local campus staff before the start of their laboratory session, the student will be issued a LiP as outlined in the "Professional Behaviour Rubric Form".

Detailed rubrics will be available on the ECHO12006 Moodle, with grading based on the student's ability to:

• Demonstrate professional behaviour towards colleagues and staff;
• Demonstrate professional behaviour towards patients; and
• Demonstrate professional behaviour towards the professional setting and the equipment.

The ability to set goals, self-reflect, and take advantage of feedback, are important to aid the progress of knowledge and skill development. These abilities also address industry requirements, whereby professionals must perform continuing professional development (CPD) activities.

Students are to develop goal-setting, reflection, and feedback skills through weekly activities:

1. Formative Feedback Forms (one for each laboratory session; total of six forms). Each form must include: goal setting and self-reflection, tutor feedback, and tutor signature. The feedback form must be completed before leaving the associated laboratory session.
2. Mock Assessment Reflection Form. This form must include: reflection on areas of strength and areas for improvements in preparation for the Skills Assessment.

The "Formative Feedback Forms" and "Mock Assessment Reflection Form" are available on the ECHO12006 Moodle.

Students must complete and upload both complete documents by the due date to achieve a pass.

Detailed rubrics are available on the ECHO12006 Moodle, with grading based on the student's ability to:

• Develop self-reflection skills;
• Apply goal-setting strategies; and
• Implement feedback for performance improvement.

Students will be required to respond to a series of questions (drawn from lectures, readings, tutorials, and laboratory sessions) via an Online Test.

Students will have 120 minutes to complete the quiz once it is started.

To successfully complete the Online Test, students must:

• Access the Online Test on the ECHO12006 Moodle at the assigned time;
• Attempt the Online Test only once (once started, the Online Test can not be paused);
• Submit responses to complete the Online Test (Moodle will automatically close and submit responses once the allocated time has elapsed);
• Prepare personal notes and have a calculator when attempting the Online Test.
• Undertake the Online Test as an individual (questions are drawn from a question pool to allow a different Online Test for each student; any incidences of academic misconduct will lead to action from the Deputy Dean of Learning and Teaching)
• Notify TASAC and relevant ECHO12006 staff if technical issues arise during the Online Test (i.e. email TASAC with a screen shot of the issue, and Cc ECHO12006 staff); TASAC is available for immediate assistance during AEST business hours.

It is the student's responsibility to commence the online quiz before 6:00pm Tuesday 7th June 2022 (AEST).

The duration of the quiz is tailored to promote recall of fact, rather than research of answers unknown.

In the absence of an approved extension, the Online Test cannot be completed at a later time.

The Online Test will be marked according to a rubric, with grading based on the student's ability to:

• Evaluate cardiac imaging findings;
• Analyse clinical information;
• Discuss cardiac procedures; and
• Use discipline-specific terminology.