Lots of reading, ok, I'm nowhere near being able to diagnose what part of the heart an MI has affected or anything, but i can identify the parts of the wave, what part is what part of the heart DOING what.  I can identify STEMI, Bradys, Blocks, I know what the different leads look like. 
I have to work on this more knowing what the "normal" ranges are for depressions, elevations, durations, abnormalities etc.
The Med Lieutenant and Tech on C shift are helping me....
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