Melchior J A, Meals R A
Department of Orthopaedics, Kaiser Permanente, Baldwin Park Medical Center, Los Angeles, CA, USA.
J Hand Surg Am. 1998 Nov;23(6):972-6. doi: 10.1016/S0363-5023(98)80002-6.
Journal clubs are a time-honored method of teaching literature appraisal skills in many residency programs. A questionnaire was completed by 57 hand surgery fellowship directors and 91 hand fellows to define the role of the journal club in hand fellowship training. We sought to identify definitive characteristics of hand surgery journal clubs and assess their strengths and weaknesses. One hundred forty-eight of 164 (90%) directors and fellows responded, yielding information on 57 of 58 accredited hand fellowships. Forty-nine of 57 (86%) responding fellowships have a journal club. The majority of clubs meet monthly for 1 to 2 hours, usually within the hospital. The primary purpose is to familiarize both fellows and attendings with the current literature. Most often, fellows choose the articles, which are most commonly original research and review articles. Usually, faculty presides, and residents and fellows present. Increased faculty participation was the most frequently suggested improvement. The great majority of those surveyed felt that their journal club was successful and was an important part of the fellowship training. We conclude that journal clubs have a high perceived value by participants, and recommend the journal club to all hand surgery communities, with or without fellowship involvement.
在许多住院医师培训项目中，学术期刊俱乐部是一种历史悠久的教授文献评估技能的方法。57名手外科专科培训主任和91名手外科专科住院医师填写了一份问卷，以确定学术期刊俱乐部在手外科专科培训中的作用。我们试图确定手外科期刊俱乐部的明确特征，并评估其优缺点。164名主任和住院医师中有148名（90%）做出了回应，提供了关于58个经认可的手外科专科培训项目中57个项目的信息。57个做出回应的培训项目中有49个（86%）设有学术期刊俱乐部。大多数俱乐部每月开会1至2小时，通常在医院内。主要目的是让住院医师和主治医师熟悉当前的文献。通常，文章由住院医师选择，最常见的是原创研究和综述文章。通常由教员主持，住院医师和专科住院医师进行展示。增加教员的参与是最常被建议的改进措施。绝大多数受访者认为他们的学术期刊俱乐部很成功，是专科培训的重要组成部分。我们得出结论，学术期刊俱乐部在参与者中具有很高的认知价值，并建议所有手外科领域，无论是否有专科培训参与，都设立学术期刊俱乐部。
