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IG significantly correlated with the amount of time spent using the app (Spearman's rho=0.741, p=0.004). Conclusion When compared to conventional teaching, an app-based blended-learning approach leads to improvement in test scores, possibly as a result of more intensive preparation for and review of the clinical examination course material.Purpose The analysis of difficulties in understanding the information content of an electrocardiogram revealed indications that these are also caused by misconceptions about cardiac excitation phenomen

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