Thakkar Vishal J, Toups Marisa, Dela Cruz Adriane M
University of Texas Southwestern Medical Center, Dallas, TX, USA.
Singularity Psychiatry and Mental Health, Austin, TX, USA.
Acad Psychiatry. 2025 Apr;49(2):147-151. doi: 10.1007/s40596-024-02079-2. Epub 2024 Oct 24.
Journal clubs are a common element of many residency programs. However, there is little data showing that they improve residents' ability to interpret and use the scientific literature. The authors developed a structured journal club curriculum intended to improve scientific literacy skills among residents and increase acceptability and participation in meaningful discussion of high-quality articles among both residents and facilitators. This study examined the impact of the curriculum on objective skills, subjective skills, and engagement.
Psychiatry residents from three academic medical centers completed 10-12 virtual journal clubs during academic year 2022-2023. At the start and end of that year, residents completed a knowledge assessment and a self-rating of scientific literacy skills; at the end of the year, residents self-rated participation in, preparation for, and attitudes towards journal club sessions and assessment of scientific literacy skills.
Twenty-seven residents completed self-reports at both time points. Performance on the objective skills assessment did not improve over the course of the year. Subjectively, residents reported increased understanding of common statistical techniques, ability to determine if techniques used in an article are appropriate, and the extent to which information learned from articles informs clinical practice. In the sample of 62 resident engagement surveys at follow-up, the journal club curriculum was well-received.
Use of a structured journal club curriculum was associated with improvements in self-rated scientific literacy skills among residents and had high acceptability. More work is needed to understand the impact of teaching methodology on journal club success.
文献研讨小组是许多住院医师培训项目的常见组成部分。然而，几乎没有数据表明它们能提高住院医师解读和使用科学文献的能力。作者开发了一种结构化的文献研讨小组课程，旨在提高住院医师的科学素养技能，并提高住院医师和指导教师对高质量文章进行有意义讨论的接受度和参与度。本研究考察了该课程对客观技能、主观技能和参与度的影响。
来自三个学术医疗中心的精神科住院医师在2022 - 2023学年完成了10 - 12次虚拟文献研讨小组活动。在该学年开始和结束时，住院医师完成了知识评估和科学素养技能自评；在该学年结束时，住院医师对参与文献研讨小组活动的情况、准备情况以及对活动的态度进行了自评，并对科学素养技能进行了评估。
27名住院医师在两个时间点都完成了自我报告。客观技能评估的表现在这一年中没有提高。主观上，住院医师报告称对常见统计技术的理解有所增加，判断文章中使用的技术是否合适的能力有所提高，以及从文章中学到的信息对临床实践的指导程度有所提高。在62份住院医师参与度后续调查样本中，文献研讨小组课程受到了好评。
使用结构化的文献研讨小组课程与住院医师自评科学素养技能的提高相关，且接受度较高。需要更多工作来了解教学方法对文献研讨小组成效的影响。
