So Eric, Hyer Christopher F, Richardson Marcus P, Thomas Randall C
Resident Physician, Grant Medical Center, Columbus, OH.
Program Director, Grant Medical Center, Columbus, OH.
J Foot Ankle Surg. 2017 Sep-Oct;56(5):1009-1018. doi: 10.1053/j.jfas.2017.04.028.
The journal club (JC) is a traditional part of postgraduate medical education, although little has been written on its current role in podiatric surgical training programs. The goal of the present study was to determine how JCs are conducted and the factors associated with their success. Anonymous electronic surveys were distributed to all podiatric foot and ankle surgical training program directors in the United States with a valid e-mail address. A total of 202 surveys were initially e-mailed to training program directors, with a second and third round sent to those who did not respond. The eventual response rate was 47.5%. The variables associated with success included high faculty attendance, dissemination of articles in advance, and regularly scheduled meetings. Of the residency programs that responded, 39.0% provided some type of handout or supplemental session and 39.8% provided supplemental session or handouts regarding the process of critical review, epidemiology, or biostatistics. A structured review instrument or checklist was used to guide critical appraisal in 21.5% of the JCs, and 11.8% of the programs provided feedback to residents. The JC was perceived by residency directors to be valuable and worthy of maintaining. Residency directors perceived the following factors to be associated with a successful JC: faculty participation, a designated leader, mandatory attendance, dissemination of materials in advance, and regularly scheduled meetings. Areas cited for improvement included implementation of a structured review instrument, delineation of clear goals, and periodic evaluation. We believe these findings could aid residency directors interested in maximizing the educational benefits of their JC.
期刊俱乐部（JC）是研究生医学教育的传统组成部分，尽管关于其在足病外科培训项目中的当前作用的著述甚少。本研究的目的是确定期刊俱乐部是如何开展的以及与它们成功相关的因素。向美国所有拥有有效电子邮件地址的足病足踝外科培训项目主任分发了匿名电子调查问卷。最初共向培训项目主任发送了202份调查问卷，并向未回复的人员发送了第二轮和第三轮问卷。最终回复率为47.5%。与成功相关的变量包括教师高出席率、提前分发文章以及定期安排会议。在回复的住院医师培训项目中，39.0%提供了某种类型的讲义或补充课程，39.8%提供了关于批判性评价过程、流行病学或生物统计学的补充课程或讲义。21.5%的期刊俱乐部使用结构化评审工具或清单来指导批判性评估，11.8%的项目向住院医师提供反馈。住院医师培训主任认为期刊俱乐部很有价值且值得保留。住院医师培训主任认为以下因素与成功的期刊俱乐部相关：教师参与、指定负责人、强制出席、提前分发材料以及定期安排会议。被提及需要改进的方面包括实施结构化评审工具、明确目标以及定期评估。我们相信这些发现有助于那些希望最大化期刊俱乐部教育效益的住院医师培训主任。
