Brzezinski Marek, Sawatzki Ricarda, Tran H Nicole, Price Kathryn, Gregersen Maren, Wong Celeste, Feng Chun-Miao, Kimatian Stephen, Mizuguchi K Annette, Kukreja Jasleen, Mitchell John D, Schlecht Kathy D
J Educ Perioper Med. 2020 Oct 1;22(4):E648. doi: 10.46374/volxxii-issue4-brzezinski. eCollection 2020 Oct-Dec.
No studies have examined how journal clubs (JCs) are implemented in anesthesiology residency training programs. The goal of the study was to close this gap by (1) examining the format, content, and goals of JCs; (2) identifying features associated with higher resident attendance and JC success; and (3) examining program directors' perspectives on JCs.
A 41-question survey was sent to anesthesiology program directors. Answers were analyzed using multivariable logistic regression, multivariable linear regression, and exploratory factor analysis.
Out of 117 surveys sent across the United States, 80 program directors responded (68.4% response rate). Of the 80 programs, 77 (96.3%) programs have a JC, with 93.2% of them existing for more than 2 years. Most JCs (62.5%) neither formally appraised articles before meetings, nor formally evaluated their JC (59.7%). Faculty alone organized 44.4% and moderated 69.9% of the JCs. The role of residents was primarily limited to presenting selected articles with faculty guidance (83.3%). The average resident attendance was 49.7%. A multivariable linear regression analysis identified mandatory resident attendance, faculty turnout of >5 members, and longer intervals between JC meetings as features associated with higher resident attendance. Only 49.3% of JCs were successful as defined a priori by resident attendance >50% and longevity of ≥2 years. Features associated with JC success based on multivariable logistic regression included mandatory resident attendance and complimentary food.
This largest survey of JCs in anesthesiology found that while JCs are widely established, half of them could be improved.
尚无研究探讨麻醉学住院医师培训项目中期刊俱乐部（JC）的实施情况。本研究的目的是通过以下方式填补这一空白：（1）研究期刊俱乐部的形式、内容和目标；（2）确定与住院医师高参与率和期刊俱乐部成功相关的特征；（3）探讨项目主任对期刊俱乐部的看法。
向麻醉学项目主任发送了一份包含41个问题的调查问卷。使用多变量逻辑回归、多变量线性回归和探索性因子分析对答案进行分析。
在美国发送的117份调查问卷中，80名项目主任回复（回复率为68.4%）。在这80个项目中，77个（96.3%）设有期刊俱乐部，其中93.2%的俱乐部已存在两年以上。大多数期刊俱乐部（62.5%）在会议前既没有对文章进行正式评估，也没有对其期刊俱乐部进行正式评估（59.7%）。仅由教员组织了44.4%的期刊俱乐部，教员主持了69.9%的期刊俱乐部。住院医师的角色主要限于在教员指导下展示选定的文章（83.3%）。住院医师的平均参与率为49.7%。多变量线性回归分析确定，住院医师强制参与、教员出席人数超过5人以及期刊俱乐部会议之间的间隔时间较长是与住院医师高参与率相关的特征。按照住院医师参与率>50%且持续时间≥2年的先验定义，只有49.3%的期刊俱乐部是成功的。基于多变量逻辑回归，与期刊俱乐部成功相关的特征包括住院医师强制参与和提供免费食物。
这项对麻醉学期刊俱乐部的最大规模调查发现，虽然期刊俱乐部已广泛设立，但其中一半可以改进。
