一个为实习医生获取和应用经典文献而设立的结构化、辩论式心胸外科期刊俱乐部。
A Structured, Debate-Style Cardiothoracic Surgery Journal Club for Trainee Acquisition and Application of Seminal Literature.
作者信息
Antonoff Mara B, Nguyen Tom C, Luc Jessica G Y, Fowler Clara S, Aultman Becker April, Eisenberg Steven B, Wolf Randall K, Estrera Anthony L, Vaporciyan Ara A
机构信息
Thoracic Surgeon, University of Texas MD Anderson Cancer Center.
Cardiovascular Surgeon, University of Texas Health Sciences Center at Houston.
出版信息
MedEdPORTAL. 2016 Dec 23;12:10521. doi: 10.15766/mep_2374-8265.10521.
INTRODUCTION
The acquisition of specialty-specific seminal literature and its application to daily, clinical patient-care decisions are critical components of clinical training. This structured, debate-style cardiothoracic surgery journal club module engages trainees in discussion of realistic patient scenarios, incorporating an extensive body of literature identified as the best evidence for the practice of cardiothoracic surgery.
METHODS
We designed the structured, debate-style cardiothoracic surgery journal club and delivered it to University of Texas MD Anderson Cancer Center cardiothoracic surgery trainees. Overall assessment of knowledge acquisition consisted of both direct judging of debates by faculty facilitators and a year-end written test of trainee knowledge. Associated materials include guidelines and resources for faculty facilitators and trainees to prepare them for the journal club debate. Also included are cardiothoracic surgery patient cases, PowerPoint presentation slides, a debate score sheet, and multiple-choice knowledge tests with answer keys.
RESULTS
Our structured, debate-style cardiothoracic surgery journal club is an effective educational intervention for cardiothoracic surgical trainees to gain practice in applying specialty-specific, literature-based evidence to particular patient problems.
DISCUSSION
This resource may be used by course directors for surgery, for independent study by individuals planning to matriculate into surgical residencies, or as a review for those already in surgical training. Moreover, this curriculum can be delivered at other clinical training programs.
引言
获取特定专业的重要文献并将其应用于日常临床患者护理决策是临床培训的关键组成部分。这个结构化的、辩论式的心胸外科期刊俱乐部模块让学员参与讨论现实中的患者案例，纳入了大量被认定为心胸外科实践最佳证据的文献。
方法
我们设计了结构化的、辩论式的心胸外科期刊俱乐部，并将其提供给德克萨斯大学MD安德森癌症中心的心胸外科实习生。知识获取的总体评估包括教员主持人对辩论的直接评判以及学员知识的年终书面测试。相关材料包括供教员主持人和学员为期刊俱乐部辩论做准备的指南和资源。还包括心胸外科患者病例、PowerPoint演示幻灯片、辩论评分表以及带有答案的多项选择题知识测试。
结果
我们结构化的、辩论式的心胸外科期刊俱乐部是一种有效的教育干预措施，可让心胸外科实习生在将特定专业的、基于文献的证据应用于特定患者问题方面获得实践经验。
讨论
本资源可供外科课程主任使用，供计划进入外科住院医师培训的个人自主学习，或供已接受外科培训的人员复习。此外，可以在其他临床培训项目中提供此课程。
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