Lee Andrew G, Boldt H Culver, Golnik Karl C, Arnold Anthony C, Oetting Thomas A, Beaver Hilary A, Olson Richard J, Zimmerman M Bridget, Carter Keith
Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.
Ophthalmology. 2006 Mar;113(3):497-500. doi: 10.1016/j.ophtha.2005.12.010. Epub 2006 Feb 3.
To describe the use of the journal club as a tool to teach and assess competency in practice-based learning (PBL) and improvement among residents in ophthalmology.
Interventional case series.
Ophthalmology residents.
Three academic ophthalmology residency programs in the United States.
A survey was performed of self-assessed skills in PBL among residents in ophthalmology training before and after the implementation of a structured review checklist during a traditional resident journal club. The survey had 5 domains, including (A) appraise and assimilate evidence, (B) read a journal article critically, (C) use a systematic and standardized checklist, (D) apply knowledge of study designs and statistical methods, and (E) maintain a self-documented written record of compliance. The respondents scored their ability (range, 1-5).
The use of a structured journal club tool was associated with a statistically significant improvement in self-assessed ability in all 5 domains.
Although validity, reliability, and long-term efficacy studies are necessary, the structured journal club is one method of teaching and assessing resident competency in PBL and improvement.
描述将期刊俱乐部作为一种工具，用于教授和评估眼科住院医师基于实践的学习（PBL）能力及改进情况。
干预性病例系列研究。
眼科住院医师。
美国的三个学术性眼科住院医师培训项目。
在传统的住院医师期刊俱乐部中实施结构化评审清单前后，对眼科培训住院医师进行PBL自我评估技能调查。该调查有5个领域，包括（A）评估和吸收证据，（B）批判性阅读期刊文章，（C）使用系统和标准化清单，（D）应用研究设计和统计方法知识，以及（E）保持自我记录的合规书面记录。受访者对自己的能力进行评分（范围为1 - 5）。
使用结构化期刊俱乐部工具与所有5个领域的自我评估能力在统计学上有显著提高相关。
尽管有效性、可靠性和长期疗效研究是必要的，但结构化期刊俱乐部是教授和评估住院医师PBL能力及改进情况的一种方法。
