Misra Usha Kant, Kalita Jayantee, Nair P P
Department of Neurology, Sanjay Gandhi PGIMS, Lucknow.
J Assoc Physicians India. 2007 May;55:343-6.
To evaluate the pattern, motivation and facilities for choosing journal club topics by residents in two medical institutions in India.
A self-appraisal questionnaire was used to compare motivation for choice of topics, availability of infrastructure, sites and type of articles accessed and formal training in computer based literature search in two medical institutions- a postgraduate institute (PGI) and medical college (MC) which provided mainly specialty and superspecialty training respectively.
One hundred and fifty five out of two hundred and fifty five residents responded to the questionnaire. Super-specialty training was pursued by 58 and specialty training by 97 residents. The residents in PGI more frequently selected journal articles which they considered good and in MC, faculty guidance determined the choice of journal club topics. The super-specialty residents, however, more frequently selected patient management related topics compared to specialty residents. MEDLINE and MD Consult were more frequently accessed by PGI residents where infrastructure and training in literature search were superior to MC.
In both the institutions surveyed, journal clubs were of traditional type. Better infrastructure and training at PGI were not reflected in quality of journal club. Successful journal club should focus on current, real patient's problem of most interest to the group.
评估印度两家医疗机构住院医师选择期刊俱乐部主题的模式、动机及设施情况。
采用一份自我评价问卷，比较两家医疗机构（一家研究生学院[PGI]和一家医学院[MC]，分别主要提供专科和超专科培训）在主题选择动机、基础设施可用性、所查阅文章的来源和类型以及基于计算机的文献检索方面的正规培训情况。
255名住院医师中有155人回复了问卷。58名住院医师接受超专科培训，97名接受专科培训。PGI的住院医师更频繁地选择他们认为优秀的期刊文章，而在MC，教员指导决定期刊俱乐部主题的选择。然而，与专科住院医师相比，超专科住院医师更频繁地选择与患者管理相关的主题。PGI住院医师更频繁地访问医学文献数据库（MEDLINE）和医学咨询（MD Consult），其在文献检索方面的基础设施和培训优于MC。
在两家被调查的机构中，期刊俱乐部都是传统类型。PGI更好的基础设施和培训并未体现在期刊俱乐部的质量上。成功的期刊俱乐部应关注当前该群体最感兴趣的真实患者问题。
