Department of Physiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Department of Physiology, All India Institute of Medical Sciences, New Delhi, India.
Adv Physiol Educ. 2020 Dec 1;44(4):592-601. doi: 10.1152/advan.00111.2019.
Journal club (JC) is an integral part of postgraduate medical education. Although several innovations have been attempted to improve its effectiveness, the influence of the number of sessions remains unexplored. The current study investigated the effect of the number of sessions (one vs. four) of conduction of journal club on critical appraisal skills of postgraduate students at two institutions. A quasi-experimental study was conducted comparing the effectiveness of JC in a one- versus four-session JC format using two objective tests: Critical Appraisal Skills Test (CAST) and Population, Intervention, Comparison, Outcome (PICO) score. The degree of changes (pre-JC vs. post-JC session) after each format exposure, association of prescores to postscores, and correlation between the CAST and PICO scores were discerned. CAST score was higher in the four-session format ( = 0.03), whereas PICO score increased in the single-session format of JC ( = 0.03). Also, the change in CAST score was higher in the four-session versus single-session JC format ( = 0.04). We conclude that a four-session format of JC is more effective in augmenting critical appraisal skills of postgraduate students, whereas a single session is sufficient for improving factual knowledge.
期刊俱乐部（JC）是研究生医学教育的重要组成部分。尽管已经尝试了几种创新方法来提高其效果，但会议数量的影响仍未得到探索。本研究调查了在两个机构中进行一次与四次期刊俱乐部会议对研究生批判性评估技能的影响。使用两个客观测试（批判性评估技能测试（CAST）和人群、干预、比较、结果（PICO）评分）进行了一项准实验研究，比较了一次和四次 JC 格式的 JC 效果。在每个格式暴露后，辨别了变化程度（预 JC 与后 JC 会议）、预评分与后评分的关联以及 CAST 和 PICO 评分之间的相关性。四届会议格式的 CAST 评分更高（=0.03），而 JC 的单次会议格式的 PICO 评分增加（=0.03）。此外，四届会议的 CAST 评分变化高于单届会议的 JC 格式（=0.04）。我们得出结论，四次会议格式的 JC 更有效地提高研究生的批判性评估技能，而单次会议足以提高事实知识。
