Improving journal club presentations, or, I can present that paper in under 10 minutes. So this is especially important if you're on a rotation that's in managed care or population health or ambulatory care or something like that. Betty completed her PGY1 residency at St. Elizabeth Healthcare. So you definitely don't need to be an expert statistician, but you should know if they were comparing two groups versus three groups, or if that test accounted for confounders, things like that. Whereas, in hypothesis testing, study results lead the reader to reject or accept a null, By clicking accept or continuing to use the site, you agree to the terms outlined in our. When relevant, how the success of blinding was evaluated. For this year, we have The Great Christmas Gift Guide 2022 - your one-stop-shop for carefully curated collections of Christmas treats for every special person in your life. No slide presentations are allowed. I thank Jerome R. Hoffman, MD, for his invaluable input and guidance on this article. Eligibility criteria for participants and the settings and locations where the data were collected. For example, if the study is on vancomycin, is the institution doing AUC monitoring or are they doing trough monitoring? Betty, how do you approach interpreting the statistics? <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Most journal clubs review no more than 2 to 3 articles. You will be asked to authenticate in order to access the article. Supported by a faculty member, the resident presenting Journal Club for that month seeks to answer/understand a clinical question by reviewing the standard of care, supporting research publications, and critiquing/challenging thought to this question through journal articles. In general, there are 2 major goals of journal club: the primary goal is to learn how to critically read a scientific article, and the secondary goal is to keep abreast of current medical literature on a specific topic. Another mistake Dr. Petrovich highlights is the misinterpretation of statistics. Neurology Journal Club is a new subsection of the Resident & Fellow Section for the publication of structured evaluations of research articles that recently appeared in Neurology.The aim is to enhance the training of residents and fellows by instruction in the critical appraisal of medical literature. 2006. And I agree that the background information is so important to really set stage for your journal club. 1. You also want to consider the quality of the journal and journal article. At last, the results. Unable to load your collection due to an error, Unable to load your delegates due to an error. You should also be sure to look for data that's hidden in the supplemental material. 1. ion at various levels. 1997 Feb;73(856):81-5. doi: 10.1136/pgmj.73.856.81. Criteria specific to a randomized controlled trial: The CONSORT checklist. Find more information on the ASHP podcast: Describes where to look for an article. Unless one reviews scientific papers frequently, often one can recall only a few of the nuances that constitute good research, such as a large n and randomization of subjects. The Zoological Journal Club of Michigan , for example, regularly reported its activities in the journal Science (see figure 1). Will, you've definitely provided some key pearls on how to present background information that we can all consider when preparing a journal club. At the end of J. Now that we've discussed number needed to treat and number needed to harm a little bit, I want to touch on statistical significance versus clinical significance. So when I was first starting out, a lot of times what I would do is I would look at the commentary underneath the article to see if other people mentioned anything noteworthy. Interpreting statistics can definitely be overwhelming and intimidating. Whether or not participants, those administering the interventions, and those assessing the outcomes were blinded to group assignment. So what is the meaning of power and why do we care? And what I'm talking about specifically here is really looking closely at their graphs and the Y axes, as well as the X axes to make sure that they actually make sense. Will Hammond: A confounding variable does not invalidate the study if the problem is recognized and taken into account in the analysis. She recommends providing enough background information on the topic. Some like to present the bottom-line result right away in their presentation titles, similar to the format of ACP Journal Club. Making sure that you provide adequate background really helps orient the audience to the specific topic that you're doing or the treatment that you're going to be discussing. 1-3 Initially, the journal clubs served as a method "for the purchase and distribution of . journal clubs help the post-graduates in keeping abreast of new knowledge, promoting awareness of current research findings, learning to critique and appraise research and encouraging utilisation of research in practice. And some institutions may really prefer handouts and conversation-style journal clubs. This podcast invites members to share their stories about their professional path, lessons learned, and how their experience has shaped, who and where they are today. I think that the first key for having a successful journal club presentation is truly to set your expectations early. Have they changed the values to be so close together that your graph looks very different from the intervention versus the control group? (5:38) Dr. Ross asks Dr. Will Hammond to talk about presenting background information. Failing to connect the article to your pharmacy practice and or institution or specialty or area is another common mistake that I see. Will Hammond: Study objective/purpose 1. After reviewing the criteria specific to the study design (. Schwartz, M., Dowell, D., Aperi, J., & Kalet, A. Journal clubs have many functions, including the provision of a forum for developing skills in critical appraisal, an essential part of being a competent clinician. Gilbert and Jaime Hernandez are now recognized as two of the greatest cartoonists in the history of the medium award-winning, world-renowned . Introduction A. It is best to choose an article that is within the last 6-12 months so that it will be relevant for current patients. With me today are , Dr. Betty Petrovich, Clinical Pharmacist at Saint Elizabeth Healthcare, Dr. Will Hammond, PGY1 Health-System Pharmacy Administration and Leadership Resident at The Ohio State University, Wexner Medical Center, and Dr. Caitlin Prather, PGY2 Ambulatory Care Resident at Inova Health System. Atzema C. Presenting a Journal Club: A guide. % Todays host is Charnae Ross, PGY2 Health System Pharmacy Administration and Leadership Resident at VCU Health. The quality of the article and journal is important. So you could be asked, why do you think they chose to analyze this outcome with a Cox proportional hazards model? Highlights other mistakes that can happen like misinterpreting statistics. Or why was the study needed in the first place? This site needs JavaScript to work properly. ACP J Club. This online feature should be an adjunct to the traditional journal club and promote . Join us here every Thursday, we will be talking with ASHP members and content matter experts on a variety of clinical topics. This is actually something I struggled with when I first started doing journal clubs as a student, I had trouble applying the article to patient care because I didn't have the clinical experience yet. II. Teaching emergency medicine residents evidence-based critical appraisal skills: a controlled trial. If applicable, discuss current guideline recommendations for the disease state, or the drug being studied. Speaker 1: Thank you for listening to ASHP Official, the voice of pharmacists advancing healthcare. And that really helped me hone in on who we can apply the results to. A factor that distorts the true relationship of the variables of interest because it is related to the outcome but not to the study question and is unequally distributed between the groups being compared. 5, 2001). Dr. Thank you,Charnae . Another thing to ask would be how many people are in attendance. Next, offer your global opinion, based on the major strengths and weaknesses of the article, any unanswered questions that you have, and the presence of any fatal flaws. International Transplant Nurses Society. Will Hammond: She suggests looking in pharmacy-specific journals, general medical journals, or journals that focus on a specialty. Can a journal club bridge the gap between research and practice? Charnae Ross: We include the primary instruments of the adapted journal club, teaching tips, and guided implementation recommendations, including tools to pre-designate student roles to examine specific aspects of the article. Specifically, for each group report the numbers of participants randomly assigned, receiving intended treatment, completing the study protocol, and analyzed for the primary outcome. Here are some simple guidelines for presenting a clear, concise paper summary. Using the Timmer Scale to Standardize Pediatric Dentistry Residents' Scientific Appraisal Skills. Are there other medications at your institution that are in the same class on the institution's formulary? Thank you for joining us for ASHP's Practice Journey Podcast. That's also a good idea to know the general types of statistics used, depending on if the article is a superiority or a non-inferiority trial. The primary goal of a journal club is gaining knowledge on the advances in the medical field, together with improving presenting and communication skills for the residents and fellows. But also don't forget to do a quick PubMed search of the references and perform your own search. The ARR is the amount by which the therapy reduces the risk of a bad outcome. Would you like email updates of new search results? 2017 Nov;25(4):261-267. doi: 10.1177/2292550317731760. But for the purposes of time, we wanted to briefly touch on interpreting statistics since it's critical to analyzing the results of a study. So try to dig a little bit deeper to see how involved the pharmaceutical company is with the design and analysis of the trial. A critical review of the literature on the design and structure of journal clubs in residency education with a focus on preparation, topic selection, implementation, and integration of technology is provided. Participate in the discussions. Finally, I tell students/residents this: Their goal is to present the article in such a way that if an audience member did not read the article, they would still be able to enter into the discussion. . So if you're maybe on a diabetes-focused APPE rotation, then consider looking at The Lancet or Diabetes Care. Know the background material. Lastly, in the spirit of critical appraisal, one might ask if there is evidence for the effectiveness of journal club. And of course I would not let these commentaries or these letters to the editor bias my opinion, but it really would help shape my own conclusion regarding the article. Provide background. Another common statistic that you might come across or hear about is number needed to treat and a number needed to harm. Although residents in this study perceive journal club to at least somewhat improve their critical appraisal skills, evidence in the literature has been controversial and it cannot be assumed that residents are learning the skills they need by simply attending and reading the articles associated with journal club. (13:04) Dr. Ross asks Dr. Prather to speak on evaluating potential bias in an article. Morning Report: Approximately once per month at both Walter Reed Army Medical Center and National N . That's it. Will Hammond: You also want to make sure that your journal article is relevant to your audience. FOIA Decide whether the study is clinically significant. If these numbers are similar, it might indicate that the risk outweighs the benefit. So you should at least know the basics of those. This will really impress your preceptor, too. Teaching evidence based medicine to surgery residents-is journal club the best format? Presenting at journal club: A guide. Impact of a medical journal club on house-staff reading habits, knowledge, and critical appraisal skills. I think the biggest thing I struggle with as a student and even as a resident is interpreting the statistics. The worst thing ever would be if you prepare your whole presentation and then you find out your preceptor doesn't approve or another student did the same article just a month prior. The journal club and medical education: over one hundred years of unrecorded history. Journal Club is a mandatory event for all students in the MD/PhD program. She also recommends coming up with your own conclusion to the article and differentiating that from the authors conclusion. (15:20) Dr. Ross brings the conversation back to patient care.
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