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在期刊俱乐部中通过研究设计的视角进行批判性评价教学。

Teaching Critical Appraisal Through the Lens of Study Design in Journal Club.

作者信息

Hendrickson Chase D

机构信息

Division of Diabetes, Endocrinology, and Metabolism, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USA.

出版信息

J Endocr Soc. 2021 Apr 19;5(8):bvab072. doi: 10.1210/jendso/bvab072. eCollection 2021 Aug 1.

DOI:10.1210/jendso/bvab072
PMID:34258489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8271198/
Abstract

Training in endocrinology presents a major challenge: How to both develop a fellow's medical knowledge and teach that fellow to independently increase that fund of knowledge as a future endocrinologist. Journal clubs hold a traditional role in teaching the most recent modern advances in medicine but frequently struggle to provide trainees with the skills needed to assess the quality of current literature. Using journal clubs to instill the skills needed for critical appraisal overcomes this difficulty and substantially enhances the value of journal clubs to trainees. Here, our journal club is reviewed, in which we teach critical appraisal by focusing on understanding study design as the key to assessing an article's strengths and weaknesses. This journal club starts the year by reviewing study designs in a structured sequence, with sessions built to foster group participation and involvement of both fellows and faculty. Later, fellows put this learning into practice as they independently assess articles alongside their faculty. Generalizing this practice allows for implementation in other programs, including even those without faculty with a background in research methodology.

摘要

内分泌学培训面临着重大挑战

既要培养学员的医学知识,又要教导学员作为未来的内分泌学家如何独立增加知识储备。期刊俱乐部在教授医学最新进展方面发挥着传统作用,但往往难以向学员提供评估当前文献质量所需的技能。利用期刊俱乐部灌输批判性评估所需的技能克服了这一困难,并大大提高了期刊俱乐部对学员的价值。在此,我们对我们的期刊俱乐部进行了回顾,在这个俱乐部中,我们通过将理解研究设计作为评估文章优缺点的关键来教授批判性评估。这个期刊俱乐部在年初通过按结构化顺序回顾研究设计来展开,课程旨在促进小组参与以及学员和教员的参与。后来,学员们在与教员一起独立评估文章时将所学知识付诸实践。推广这种做法可以在其他项目中实施,甚至包括那些没有具有研究方法背景教员的项目。

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J Evid Based Med. 2020 Feb;13(1):42-56. doi: 10.1111/jebm.12370. Epub 2020 Jan 17.
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A Structured Review Instrument Improves the Quality of Orthopaedic Journal Club.结构化综述工具可提高矫形外科杂志俱乐部的质量。
J Surg Educ. 2019 Jan-Feb;76(1):294-300. doi: 10.1016/j.jsurg.2018.06.017. Epub 2018 Aug 7.
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How to run an effective journal club: a systematic review.如何开展高效的期刊俱乐部:一项系统综述
J Eval Clin Pract. 2008 Oct;14(5):898-911. doi: 10.1111/j.1365-2753.2008.01050.x.
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