Linzer M, Brown J T, Frazier L M, DeLong E R, Siegel W C
Department of Medicine, Duke University Medical Center, Durham, NC 27710.
JAMA. 1988 Nov 4;260(17):2537-41.
The journal club is an established teaching modality in many house-staff training programs. To determine if a journal club improves house-staff reading habits, knowledge of epidemiology and biostatistics, and critical appraisal skills, we randomized 44 medical interns to receive either a journal club or a control seminar series. A test instrument developed by the Delphi method was administered before and after the interventions (mean, five journal club sessions). By self-report, 86% of the house staff in the journal club group improved their reading habits vs 0% in the control group. Knowledge scores increased more in the journal club group than in the control group, and a trend was found toward more knowledge gained as more sessions were attended. Ability to appraise critically a test article increased slightly in each group, but there was no significant difference between the groups. We conclude that a journal club is a powerful motivator of critical house-staff reading behavior and can help teach epidemiology and biostatistics to physicians-in-training.
在许多住院医师培训项目中，期刊俱乐部是一种既定的教学模式。为了确定期刊俱乐部是否能改善住院医师的阅读习惯、流行病学和生物统计学知识以及批判性评估技能，我们将44名医学实习生随机分为两组，一组参加期刊俱乐部，另一组参加对照研讨班系列。在干预前后（平均进行五次期刊俱乐部会议），使用通过德尔菲法开发的测试工具进行评估。自我报告显示，期刊俱乐部组中86%的住院医师改善了阅读习惯，而对照组这一比例为0%。期刊俱乐部组的知识得分比对照组增加得更多，并且发现参加的会议越多，获得的知识越多。两组对测试文章进行批判性评估的能力均略有提高，但两组之间没有显著差异。我们得出结论，期刊俱乐部是住院医师批判性阅读行为的有力推动者，并且可以帮助向实习医生传授流行病学和生物统计学知识。
