launch of journal club

Launch of Journal Club

Internal Medicine DepartmentSultan Bin Abdul Aziz Humanitarian City

Dr Omer KhanMedical Resident

Journal Club

A journal club is a group of individuals who meet regularly to critically evaluate recent articles in the academic literature, generally of some branch of science or philosophy. Journal clubs are usually organized around a defined subject in basic or applied research. For example, Application of evidence-based medicine to some area of medical practice can be facilitated by a journal club

Journal Club

“The ability to actually appraise and present an academic paper is a competency required of any post graduate or trainee doctor”

Presentaion Overview

Benefits of attending a

journal club

Characteristics common

to successful journal clubs

Framework for preparing presentation

s for a journal club

Outline of proposals for journal club

at SBAHC

Why Attend Journal Clubs?

Recipe for a Successful Journal Club

Meetings are held at regular intervals (e.g.

monthly)

They are held at a set time

convenient to the members

Attendance is compulsory

and an attendance

register is held

The Attending clinicians

share common clinical

interests


There is a nominated chairman who possesses

research experience and is widely respected

Role is to chair meetings as well as guide club members

in their choice of journal articles

The club has a clear purpose which is agreed by the members and is

periodically reviewed


The articles selected for discussion are aligned with

the agreed 'overall aim' of the club and of clinical relevance

to the member

The paper are read in good time before the meeting

Circulating the subject matter by email or the internet

(social media)


Food is available at the meetings: the provision of food at meetings is widely reported to improve attendance.

Benefits of a Journal Club

Critical appraisal skills are developed

Participants keep abreast of current medical literature

Research literacy and evidence-based

practice are developed


The needs of continuing medical education are met

Interview skills are developed

Academic debate is stimulated


Interdepartmental social and professional

networking takes place

Publications ore generated (e g. letters to the editor,.

further research)

Framework for presenting at the Journal Club

• Physical meeting• Powerpoint slides• Pojecter• Simple handouts• House rules for timing, contents, duration• Rehearsing the presentation• Engaging and interactive environment• May decide on a less formal discussion format• Group Participation

• Aim is to convey essential information in a concise manner using a standardized structure

Critically appraising an article….

Introduction

• What clinical question prompted you to consult the literature and what drew you to the articles?

Author details

• Who wrote the paper?• Affiliated institutions• Name of journal• Impact factor of the journal• Circulation of the journal

The Hypothesis

• P• I • C• O

Appraise the evidence base

• Key references• Current known literature on the subject• Is the hupothesis correct?• Is the question relevant and important in the

context of the existing literature?

Study design

• Type• Population• Randomisation• Bias• Inclusion and exclusion criteria

Method

• Is the method thorough?• Intelligent and appropriate?• Were the processes consistent?• Follow up was done?• Outcomes were appropriate?• Statistical tools were suitable?• P value?

Results

• Clearly stated?• Is the result statistically significant?

Discussion and Interpretation

• Strengths and weakness of the study• Is the statistical significance of clinical

relevance?• discussion before the conclusion• Conflict of interests

Clinical context

• Does the paper change your clinical practice?• Back to the clinical question that made you

interested in the article

Output

• Letter to the editors• Further research

Journal Club at SBAHC

GOALS

1. Continuing professional development2. Keeping up-to-date with the literature3. Disseminating information on and build up debate

about good medical practice4. Ensuring that professional practice is evidence-

based5. Learning and practicing critical appraisal skills6. Providing an enjoyable educational and social

occasion7. Improving the academic environment at SBAHC

PROPOSALS• ð The journal club can meet once in a fortnight• ð All the clinical staff can be invited for observation but

membership and participation will be limited• ð Roles and responsibilities will be clearly defined as advised

by the mentor• ð Meetings will have the mentor or his nominee as a chair or

facilitator• ð Any consultant, with his vast experience in similar clubs and

good clinical knowledge can be co-ordinating the meetings• ð All members will be encouraged to contribute their views• ð Each member will commit to reading the articles beforehand• ð Training needs assessment for the members can be carried

out if deemed necessary by the coordiator

PROPOSALS• ð The format for the meetings can be decided in

response to the needs of the members• ð Training should be provided as needed (critical

appraisal, presentation skills etc) by the ESSD if needed• ð We will ensure to have an environment of shared

learning• ð Strict adherence to punctuality, clear start and finish

times, timetable for the year all made clear well in advance

• ð Refreshments can be provided by the Dietetics department or arranged among ourselves

PROPOSALS• ð Format can be open at times, It can be topic based , or we can

look at an articles of interest relevant to our clinical area. We can also present an interesting case that we see in the units and do an open ended discussion about the medical condition

• ð One person can present and discuss a paper or topic, or we can discuss all the articles as a group. If one person is presenting, we can use this as an opportunity to practice and give feedback on presentation skills

• ð We can also choose an article on a topic of interest/recently published and do a critical appraisal

• ð We can start with a real clinical question, search the literature, ask the Library staff to help us and select and read the most relevant paper (before the next meeting)

RESPONSIBLE PERSONS

• Mentors: Dr. Mohammed Si Larbi• Coordinator: Internal medicine

chairman/consultant• Members : IM and allied specialties

consultants and specialists, medical residents, Clinical pharmacists, ICU staff, CRNs

ROLESMentor / Coordinator RoleHelps members identify appropriate article that fits pre-specified design of

the month. Meet with residents/physicians 1-2 days before Journal Club to discuss paper and prepare. Lead a 30-40 min. discussion of the paper and related topics in critical appraisal following the residents' presentation at Journal Club

Resident’s / Members RoleResidents or specialist physicians select a recent article(s)/ interesting case

and clear it with assigned Journal Club mentor. They read the article and arrange a meeting with the mentor at least once in a fortnight before Journal Club to discuss strengths and weaknesses, identify teaching points, and outline approach to presentation. They email a link to the article to all residents the day before Journal Club. Finally, they give a 10-15 minute PowerPoint presentation of the article to begin the Journal Club discussion

Guidelines for Powerpoint PresentationMust be limited to 15 minutes to allow plenty of time for teaching and discussion.Background/Introduction/Context (1 or 2 slides)

Brief outline of the case/ article to be discussedStudy Outline (1 slide)

This follows the structured abstract template favored by popular journals like JAMA or Annals of Internal Medicine. Presenters should be able to summarize each heading in one or two lines so as to fit on a single slide. This is a good slide to review with your assigned mentor at the pre-Journal Club meeting. It should outline "Hypothesis/Goal;" "Study Design;" "Setting;" "Participants;" "Data Collection;" "Main Outcome;" "Analytic Method."

Additional Methods (1 or 2 slides)Results (3-6 slides)

Typically, cut and pasted tables and figures.Conclusions/ Implications (1 slide)Strengths (1 slide)Weaknesses (1 slide)Discussion Points (1 slide)

RESOURCES

• Library• Education department (ESSD)• Medical Affairs office

FIRST MEETING – January 05, 2017

Thank you

launch of journal club

Documents