Bhat Pookala Shivaram, Chail Amit, Srivastava Kalpana
Department of Psychiatry, AFMC, Pune, Maharashtra, India.
Ind Psychiatry J. 2021 Jan-Jun;30(1):153-156. doi: 10.4103/ipj.ipj_135_20. Epub 2021 Jun 24.
A gap exists from evidence-based medicine (EBM) to clinical practice and there is a felt need to bridge this. Critical appraisal of scientific articles during Journal club by postgraduate (PG) residents will help them to understand and apply the scientific evidence into best clinical practice. Hence, a new module of critical appraisal of journal articles was used for Psychiatry Residents in a Medical College and its impact was assessed.
Nine psychiatry PG residents from three academic batches participated in the study after informed consent and Institutional ethical committee clearance. They were trained in the Colorado Psychiatry EBM Examination Test module. Subsequently, three consecutive journal article presentations of them were assessed under seven Subtests of the module.
There was gradual increase in the assessment scores of all PG residents with each journal article presentation. They also expressed satisfaction of the assessment method and felt confident of applying the principles of critical appraisal in their clinical practice in future.
This study evaluated the impact of a new module of critical appraisal of journal article by psychiatry PG residents. It was found to be acceptable by residents and improved their competency to apply literature-based EBM into their clinical practice. It is recommended for further multicentric evaluation on a larger sample.
循证医学（EBM）与临床实践之间存在差距，人们感到有必要弥合这一差距。研究生住院医师在期刊俱乐部期间对科学文章进行批判性评价，将有助于他们理解科学证据并将其应用于最佳临床实践。因此，一个新的期刊文章批判性评价模块被应用于一所医学院的精神科住院医师，并对其影响进行了评估。
来自三个学术批次的九名精神科研究生住院医师在获得知情同意和机构伦理委员会批准后参与了该研究。他们接受了科罗拉多精神科循证医学考试测试模块的培训。随后，根据该模块的七个子测试对他们连续三次期刊文章展示进行评估。
随着每次期刊文章展示，所有研究生住院医师的评估分数都逐渐提高。他们也对评估方法表示满意，并对未来在临床实践中应用批判性评价原则充满信心。
本研究评估了精神科研究生住院医师对期刊文章进行批判性评价新模块的影响。发现该模块为住院医师所接受，并提高了他们将基于文献的循证医学应用于临床实践的能力。建议在更大样本上进行进一步的多中心评估。
