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点燃探究:一项新的急诊住院医师期刊俱乐部课程的开发与实施。

Igniting Inquiry: Development and Implementation of a Novel Journal Club Curriculum in an Emergency Medicine Residency.

机构信息

Geisinger Commonwealth School of Medicine, Department of Emergency Medicine, Geisinger Medical Center, Danville, Pennsylvania.

Geisinger Commonwealth School of Medicine, Department of Emergency Medicine, Geisinger Medical Center, Danville, Pennsylvania.

出版信息

J Emerg Med. 2021 Nov;61(5):596-601. doi: 10.1016/j.jemermed.2021.07.036. Epub 2021 Sep 2.

Abstract

BACKGROUND

The journal club is a long-standing pillar of medical education and medical practice, although its components and format are quite variable. In addition, selecting literature for discussion must strike a delicate balance between reviewing seminal and durable articles with that of emerging evidence, all while complementing a residency curriculum. Although the critical appraisal of literature is a fundamental skill of the practicing physician, a universal curriculum has not yet been optimized to facilitate journal club.

OBJECTIVE

We sought to design and implement a comprehensive, complementary, and evidence-based journal club curriculum that was modular in design, reproducible, and effective at generating participation.

METHODS

Our novel curricular design incorporates many evidence-based components, including optimizing the learning environment, providing ease of access to resources, and using educational methodology that immerses learners in the experience in a structured manner. In addition, the curriculum complements, but does not duplicate, the core residency curriculum. In 2020, we analyzed our data, using descriptive and comparative statistical methods.

RESULTS

We demonstrated significant improvement in common metrics used to analyze the efficacy of the journal club, including attendance and participation. Significant improvements were seen in both resident and attending participation.

CONCLUSIONS

Our design methods used resources easily available to our residency program and commonly available to others, with minimal time and resource cost. Further study is required to measure long-term educational outcomes.

摘要

背景

尽管期刊俱乐部的组成和形式多种多样,但它是医学教育和医学实践的一个长期支柱。此外,为讨论选择文献必须在审查具有开创性和持久性的文章与新兴证据之间取得微妙的平衡,同时还要补充住院医师课程。尽管对文献进行批判性评估是执业医师的一项基本技能,但尚未优化通用课程以促进期刊俱乐部的发展。

目的

我们旨在设计和实施一种全面、互补且基于证据的期刊俱乐部课程,该课程设计具有模块性、可复制性,并能有效地提高参与度。

方法

我们新颖的课程设计结合了许多基于证据的组成部分,包括优化学习环境、方便获取资源以及使用教育方法,以结构化的方式让学习者沉浸在体验中。此外,该课程补充而不重复住院医师课程的核心内容。2020 年,我们使用描述性和比较统计方法分析了我们的数据。

结果

我们证明了用于分析期刊俱乐部效果的常用指标(包括出勤率和参与率)有了显著提高。住院医师和主治医生的参与度都有了显著提高。

结论

我们的设计方法利用了我们住院医师项目中容易获得的资源,以及其他人通常可以获得的资源,只需很少的时间和资源成本。需要进一步研究来衡量长期的教育成果。

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