Evaluation Form SSECG Master Class

Six Second ECG® Master Class Evaluation Form

Please take a moment to offer us your feedback on your ECG experience.

Course Date *

In consideration of the central goal of your Six Second ECG Master Class course – to quickly and effectively identify and interpret ECG rhythms as well as understand potential clinical implications – HOW ABLE ARE YOU to put what you’ve learned into practice?

1. I’m not at all able to put the concepts into practice. Nope. Nada.

2. I have general awareness of the core principles of ECG rhythm interpretation, but I will need more training/practice/guidance/experience to successfully master this skill.

3. I believe in my ability to interpret ECG rhythms, but I’ll need more hands-on experience.

4. I have mastered identification and interpretation of ECG rhythms at full competency.

5. I have mastered identification and interpretation of ECG rhythms at an expert level. I believe I can contribute new insights and/or practice innovations in this field.

Would you like to offer additional feedback? We appreciate when you do.

	Six Second ECG Intensive	Six Second ECG Mastery	12 Lead ECG & ACS	12 Lead Advanced
Prerequisite	None	None	Any Six Second ECG Course	12 Lead ECG & ACS
Time Frame	8 hours (1-day Course or 2 evenings)	20 hours 3-day Course	8 hours 1-day Course	8 hours 1-day Course
Tuition	$275	$675	$275	$275
Completion Card	•	•	•	•
Exam and Certification		•
SkillStat 2U-able	•	•	•	•
Reference materials included	•	•	•	•
Dynamic ECG rhythm interpretation	•	•	○	○
Static ECG rhythm interpretation	•	•	○	○
Clinical Impact Mapping	•	•	•	○
Acute Coronary Syndromes Overview		•	•	○
Acute Coronary Syndromes In-Depth			•	○
ST Segment & T Wave Differential			•	○
Identify Bundle Branch Blocks			•	○
15 \| 18 Lead View Mapping			•	•
Electrical Axis			•	•
R Wave Progression				•
Left Bundle Branch Blocks with ACS				•
Atypical Findings				•
Acute Non-Ischemic Disease Conditions				•
Special Cases				•
•-included; ○-reviewed

Six Second ECG Intensive

Six Second ECG Mastery

12 Lead ECG & ACS

12 Lead Advanced

Prerequisite

None

Any Six Second ECG Course

12 Lead ECG & ACS

Time Frame

8 hours (1-day Course or 2 evenings)

20 hours 3-day Course

8 hours 1-day Course

Tuition

$275

$675

$275

Completion Card

•

Exam and Certification

•

SkillStat 2U-able

•

Reference materials included

•

Dynamic ECG rhythm interpretation

•

○

Static ECG rhythm interpretation

•

○

Clinical Impact Mapping

•

○

Acute Coronary Syndromes Overview

•

○

Acute Coronary Syndromes In-Depth

•

○

ST Segment & T Wave Differential

•

○

Identify Bundle Branch Blocks

•

○

15 | 18 Lead View Mapping

•

Electrical Axis

•

R Wave Progression

•

Left Bundle Branch Blocks with ACS

•

Atypical Findings

•

Acute Non-Ischemic Disease Conditions

•

Special Cases

•

•-included; ○-reviewed

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Six Second ECG® Master Class Evaluation Form

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