住院医师主持的期刊俱乐部：基于成人学习理论的模式
Resident run journal club: a model based on the adult learning theory.
作者信息
Hartzell Joshua D, Veerappan Ganesh R, Posley Keith, Shumway Nathan M, Durning Steven J
机构信息
Department of Internal Medicine, Walter Reed Army Medical Center, Washington, DC 20307, USA.
出版信息
Med Teach. 2009 Apr;31(4):e156-61. doi: 10.1080/01421590802516723.
BACKGROUND
Multiple formats of journal club exist but data is lacking regarding which model is most effective. Many residents are dissatisfied with their current format, which was the case at our institution.
AIM
This article discusses a resident run model, residents' perceptions following its implementation, and recommendations for running a successful journal club. Practice points Journal club formats vary extensively without a clearly superior method. Defining goals is the first step to a successful journal club. Structured review instruments for articles enhance journal club. The presence of subspecialty staff may augment learning. Resident-run models of journal club can be successfully implemented.
METHODS
A resident run model of journal club was developed based on Adult Learning Theory. A 30-question survey was created to assess residents' attitudes and satisfaction with the new model.
RESULTS
All respondents preferred the new model compared to the old model. Residents reported the new model increased their medical knowledge (88%) and they were able to apply the methods learned in journal club to actual patients (82%).
CONCLUSIONS
A resident run model of journal club may be a viable option for those attempting to start or improve their current club.
背景
存在多种形式的学术期刊俱乐部，但缺乏关于哪种模式最有效的数据。许多住院医师对他们目前的形式不满意，我们机构的情况就是如此。
目的
本文讨论了一种由住院医师主导的模式、实施后住院医师的看法以及成功举办学术期刊俱乐部的建议。实践要点：学术期刊俱乐部的形式差异很大，没有一种明显更优越的方法。确定目标是成功举办学术期刊俱乐部的第一步。文章的结构化评审工具可提升学术期刊俱乐部。专科工作人员的参与可能会增强学习效果。由住院医师主导的学术期刊俱乐部模式可以成功实施。
方法
基于成人学习理论开发了一种由住院医师主导的学术期刊俱乐部模式。创建了一份包含30个问题的调查问卷，以评估住院医师对新模式的态度和满意度。
结果
与旧模式相比，所有受访者都更喜欢新模式。住院医师报告说，新模式增加了他们的医学知识（88%），并且他们能够将在学术期刊俱乐部学到的方法应用于实际患者（82%）。
结论
对于那些试图创办或改进当前俱乐部的人来说，由住院医师主导的学术期刊俱乐部模式可能是一个可行的选择。
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