精神科住院医师培训项目中期刊俱乐部的现状:一项针对项目主任的全国性调查结果。

The Current State of Journal Clubs in Psychiatry Residency Programs: Results from a National Survey of Program Directors.

机构信息

Johns Hopkins School of Medicine, Baltimore, MD, USA.

出版信息

Acad Psychiatry. 2022 Oct;46(5):605-610. doi: 10.1007/s40596-022-01600-9. Epub 2022 Feb 23.

Abstract

OBJECTIVE

This study aimed to investigate journal club prevalence, implementation, and perceived effectiveness among psychiatry residency program directors in order to highlight best practices.

METHODS

The authors distributed a 44-item thoughtfully designed and peer-reviewed questionnaire electronically via Qualtrics to 235 accredited U.S. psychiatry residency program directors identified using the American Medical Association database.

RESULTS

Eighty-nine programs (38%) responded. Of these, 83 (93%) had a journal club. Journal clubs were mandatory in 80 programs (96%), met biweekly or monthly in 62 programs (75%), and lasted 46-60 min in 66 programs (80%). Twenty-three programs (28%) offered a list of articles to choose from, and 22 programs (27%) provided a critical appraisal tool. Only 7 programs (8%) measured learner outcomes from journal clubs. Respondents believed that promoting lifelong learning and practicing evidence-based psychiatry were the most relevant educational goals of journal club (2.57 and 2.51 on a Likert scale of 0 to 3). Journal club's effectiveness in achieving those goals was believed to be lower (2.16 and 2.09).

CONCLUSIONS

Journal clubs are common in U.S. psychiatry residency programs and tend to follow a traditional format. In order to boost journal club's effectiveness in achieving the desired educational goals, more programs might elect to infuse elements known to augment learning.

摘要

目的

本研究旨在调查精神病学住院医师培训项目主任中期刊俱乐部的流行程度、实施情况和感知效果,以突出最佳实践。

方法

作者通过 Qualtrics 电子方式向 235 名经美国医学协会数据库确认的美国精神病学住院医师培训项目主任分发了一份精心设计并经过同行评审的 44 项问卷。

结果

89 个项目(38%)做出了回应。其中,83 个(93%)有期刊俱乐部。80 个项目(96%)的期刊俱乐部是强制性的,62 个项目(75%)每两周或每月举行一次,66 个项目(80%)持续 46-60 分钟。23 个项目(28%)提供了一份可供选择的文章清单,22 个项目(27%)提供了一个批判性评估工具。只有 7 个项目(8%)从期刊俱乐部衡量学习者的成果。受访者认为,促进终身学习和实践循证精神病学是期刊俱乐部最相关的教育目标(在 0 到 3 的李克特量表上分别为 2.57 和 2.51)。期刊俱乐部在实现这些目标方面的有效性被认为较低(分别为 2.16 和 2.09)。

结论

期刊俱乐部在美国精神病学住院医师培训项目中很常见,并且倾向于采用传统模式。为了提高期刊俱乐部在实现预期教育目标方面的有效性,更多的项目可能会选择注入已知可以增强学习的元素。

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