Running-a-Journal-Club课件.ppt

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1、Running a Journal ClubZiba NadimiOutreach Library Service ManagerSeptember 2010Objectives nDefinitionnHistorynGoalsnJournal club typesnSuccess StructuringnUseful resourcesnConclusionDefinition“A group of individuals who meet regularly to critically discuss applicability of current articles found in

2、medical journals”Kleinpell,RM,Rediscovering the value of the journal club,Am J Crit Care,2002;11:412-4HistorynJournal club was first mentioned in London between 1835 1854 in the memoirs of Sir James Paget describing the situation in St Bartholomews Hospital as:“Some of the pupils,making themselves i

3、nto a sort of club,had a small room over the bakers shop near the Hospital Gate where we could sit and read the journals and where some,in the evening,played cards”(quoted by Linzer,1987)Source:Cave MT,Clandinin J.Revisiting the journal club,Med Teach 2007;29:365-370 Goals Cont.nFulfilling continuin

4、g professional educations requirements and fostering life-long learningnFulfilling a social role of having regular contacts with colleagues and have social interactionnBeing an important part of continuing medical educationTypes of Journal ClubsTraditionalnSelecting articles -Selecting random articl

5、es-may not be relevant to current clinical practice -Appraising them without using any tools to assess validity and applicability Types Cont.Problem and Evidence-basednIdentifying a current clinical problem -Clinical problem is then discussed with a senior staff or among trainees -The problem is the

6、n converted into focused and answerable question using PICO tool(for population,intervention,possible comparison and outcome)nSearching the literature to find the relevant articles using keywords and search filters -An information specialist can help in the whole processnCritically appraising the se

7、lected articles using a checklistnPresenting and discussing the findings Useful ResourcesCATmaker softwarenStores the research question and search strategiesnHelps frame the question itself and allows appraisalnCan carry out clinical calculations including confidence intervals,ratios,numbers needed

8、to treatnGenerates files which can be formatted,saved,sorted and printed using any word processing software ConclusionA journal club:nis an integral part of doctors continuing medical educationnis a step forward in evidence-based practicenneeds to use surveys to assess goals and monitor satisfaction