Murray Anne L, Walsh Brian H, Wiese Anél
Department of Neonatology, Cork University Maternity Hospital, Cork, Ireland.
Irish Centre for Maternal and Child Health Research, University College Cork, Cork, Ireland.
Clin Teach. 2025 Jun;22(3):e70087. doi: 10.1111/tct.70087.
Journal clubs are a core feature of postgraduate medical education. They are used to teach critical appraisal skills and evidence-based medicine to postgraduate trainees. Studies have been carried out examining the purpose and goals of journal club, but with minimal input from learners. Thus, the research question was devised, 'why do postgraduate trainees find journal clubs effective for their continuous professional development and what underlying processes facilitate their learning and engagement in these settings?'
A qualitative study was designed to capture the opinions of the learners when considering learning through journal club. Semi-structured interviews were felt to be most appropriate to allow participants to explore freely how they learn from journal club as well as the aspects of the club that support or hinder learning. Data were analysed using thematic analysis.
21 interviews were conducted within two departments in adjoining hospitals. There were 6 consultants, 9 registrars and 6 SHOs interviewed. The median (IQR) interview time was 23.5 (19.5-27.3) minutes. The themes identified were committed participation, with subthemes of habit formation and positive environment, and transformative participation, with subthemes of emerging leaders and shared experience.
DISCUSSION/CONCLUSION: The themes identified from our interviews align with principles of communities of practice and legitimate peripheral participation. Regular meetings in a positive learning environment are vital. Mutual engagement and role modelling contribute hugely to trainee learning from journal club, through the development of relationships between junior and senior members in the preparation, delivery and discussion of literature.
期刊俱乐部是研究生医学教育的核心组成部分。它们被用于向研究生学员传授批判性评价技能和循证医学。已经开展了一些研究来考察期刊俱乐部的目的和目标，但学习者的参与度很低。因此，提出了研究问题：“为什么研究生学员认为期刊俱乐部对他们的持续专业发展有效，以及哪些潜在过程促进了他们在这些环境中的学习和参与？”
设计了一项定性研究，以获取学习者在考虑通过期刊俱乐部学习时的意见。半结构化访谈被认为是最合适的，以便参与者能够自由探讨他们如何从期刊俱乐部学习以及俱乐部中支持或阻碍学习的方面。使用主题分析法对数据进行分析。
在相邻医院的两个科室进行了21次访谈。采访了6名顾问、9名住院医师和6名住院医生。访谈时间中位数（四分位间距）为23.5（19.5 - 27.3）分钟。确定的主题是投入性参与，其亚主题是习惯养成和积极环境，以及变革性参与，其亚主题是崭露头角的领导者和共同经历。
讨论/结论：我们访谈中确定的主题与实践共同体和合法的边缘参与原则一致。在积极的学习环境中定期开会至关重要。通过在文献准备、展示和讨论过程中初级和高级成员之间关系的发展，相互参与和榜样作用对学员从期刊俱乐部的学习有很大贡献。
