A Prospective Review of a Novel Electronic Journal Club Format in an Orthopedic Residency Unit
Journal clubs are useful for teaching critical appraisal skills and maintaining contemporary knowledge in orthopedics. The didactic format is most common; however, work commitments can pose difficulty in full attendance. Also with the current legislative working time restrictions for residents in Eu...
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Published in | Journal of surgical education Vol. 77; no. 1; pp. 115 - 123 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Inc
01.01.2020
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Abstract | Journal clubs are useful for teaching critical appraisal skills and maintaining contemporary knowledge in orthopedics. The didactic format is most common; however, work commitments can pose difficulty in full attendance. Also with the current legislative working time restrictions for residents in Europe and North America, work and training time require separation with times that may not suit all attendees. Online forums such as “Twitter” have recently been used to accommodate various journal clubs. We aimed to establish a journal club using smartphone messaging application “WhatsApp” to discuss key orthopedic papers and teach critical appraisal skills to residents.
A prospective cohort study including all residents and attendings in the department. A research practice questionnaire, the “Evidence-based Practice Questionnaire” and a 28-question MCQ on research methods from the American Academy of Orthopedic Surgeons resident question database was completed by all participants prior to the study. A paper was uploaded each Friday, and discussed the following Tuesday through Friday for 6 consecutive weeks. The original questionnaire and MCQs were again completed after the 6-week study period.
A Trauma & Orthopedic residency unit.
All orthopedic residents, from PGY1-4 and attendings.
An average of 22 questions were asked (min 13, max 28), and 55 responses per week (min 30, max 88). In the EBPQ questionnaire, an example question of “how often you critically appraised a paper you have discovered” improved from an average score of 2.45 to 5.4. Self-rating of research skills improved from a score of 3.27 to 5.9. MCQ scores improved from an average of 48.2% among the group to 69%.
Residents’ critical appraisal skills were improved while providing adequate time and flexibility to reflect on questions. Subspecialty topic discussions led by attendings, stimulated discussion of clinical pearls of interest to all participants. The simplicity of this method, and its widespread availability potentiates the implementation by any specialty looking to educate its residents. |
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AbstractList | Journal clubs are useful for teaching critical appraisal skills and maintaining contemporary knowledge in orthopedics. The didactic format is most common; however, work commitments can pose difficulty in full attendance. Also with the current legislative working time restrictions for residents in Europe and North America, work and training time require separation with times that may not suit all attendees. Online forums such as "Twitter" have recently been used to accommodate various journal clubs. We aimed to establish a journal club using smartphone messaging application "WhatsApp" to discuss key orthopedic papers and teach critical appraisal skills to residents.
A prospective cohort study including all residents and attendings in the department. A research practice questionnaire, the "Evidence-based Practice Questionnaire" and a 28-question MCQ on research methods from the American Academy of Orthopedic Surgeons resident question database was completed by all participants prior to the study. A paper was uploaded each Friday, and discussed the following Tuesday through Friday for 6 consecutive weeks. The original questionnaire and MCQs were again completed after the 6-week study period.
A Trauma & Orthopedic residency unit.
All orthopedic residents, from PGY1-4 and attendings.
An average of 22 questions were asked (min 13, max 28), and 55 responses per week (min 30, max 88). In the EBPQ questionnaire, an example question of "how often you critically appraised a paper you have discovered" improved from an average score of 2.45 to 5.4. Self-rating of research skills improved from a score of 3.27 to 5.9. MCQ scores improved from an average of 48.2% among the group to 69%.
Residents' critical appraisal skills were improved while providing adequate time and flexibility to reflect on questions. Subspecialty topic discussions led by attendings, stimulated discussion of clinical pearls of interest to all participants. The simplicity of this method, and its widespread availability potentiates the implementation by any specialty looking to educate its residents. INTRODUCTIONJournal clubs are useful for teaching critical appraisal skills and maintaining contemporary knowledge in orthopedics. The didactic format is most common; however, work commitments can pose difficulty in full attendance. Also with the current legislative working time restrictions for residents in Europe and North America, work and training time require separation with times that may not suit all attendees. Online forums such as "Twitter" have recently been used to accommodate various journal clubs. We aimed to establish a journal club using smartphone messaging application "WhatsApp" to discuss key orthopedic papers and teach critical appraisal skills to residents. DESIGNA prospective cohort study including all residents and attendings in the department. A research practice questionnaire, the "Evidence-based Practice Questionnaire" and a 28-question MCQ on research methods from the American Academy of Orthopedic Surgeons resident question database was completed by all participants prior to the study. A paper was uploaded each Friday, and discussed the following Tuesday through Friday for 6 consecutive weeks. The original questionnaire and MCQs were again completed after the 6-week study period. SETTINGA Trauma & Orthopedic residency unit. PARTICIPANTSAll orthopedic residents, from PGY1-4 and attendings. RESULTSAn average of 22 questions were asked (min 13, max 28), and 55 responses per week (min 30, max 88). In the EBPQ questionnaire, an example question of "how often you critically appraised a paper you have discovered" improved from an average score of 2.45 to 5.4. Self-rating of research skills improved from a score of 3.27 to 5.9. MCQ scores improved from an average of 48.2% among the group to 69%. CONCLUSIONSResidents' critical appraisal skills were improved while providing adequate time and flexibility to reflect on questions. Subspecialty topic discussions led by attendings, stimulated discussion of clinical pearls of interest to all participants. The simplicity of this method, and its widespread availability potentiates the implementation by any specialty looking to educate its residents. |
Author | Sheehan, Eoin Clesham, Kevin Piggott, Robert P. |
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Cites_doi | 10.1371/journal.pone.0160475 10.1080/07380577.2016.1278296 10.1097/00003086-200004000-00037 10.1136/bmjinnov-2016-000116 10.1016/j.jclinepi.2009.08.016 10.1016/j.jsurg.2011.07.004 10.1016/j.surg.2004.02.003 10.1111/j.1365-2753.2008.01050.x 10.1136/ebmed-2017-110860 10.1016/j.jsurg.2017.07.026 10.3928/00220124-20141120-01 10.1016/j.jcjo.2016.04.003 10.1097/01.blo.0000081203.51121.25 10.1111/j.1365-2648.2006.03739.x 10.1016/j.jamcollsurg.2010.08.016 10.1016/j.eururo.2014.01.034 10.1001/archsurg.139.5.490 |
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A survey of orthopaedic residents and faculty publication-title: J Surg Educ doi: 10.1016/j.jsurg.2017.07.026 contributor: fullname: Campbell – volume: 45 start-page: 559 year: 2014 ident: 10.1016/j.jsurg.2019.08.018_bib0002 article-title: Nursing journal clubs: a literature review on the effective teaching strategy for continuing education and evidence-based practice publication-title: J Contin Educ Nurs doi: 10.3928/00220124-20141120-01 contributor: fullname: Lachance – volume: 51 start-page: 226 year: 2016 ident: 10.1016/j.jsurg.2019.08.018_bib0004 article-title: Role of journal club in Canadian ophthalmology residency training: a national survey of program directors publication-title: Can J Ophthalmol doi: 10.1016/j.jcjo.2016.04.003 contributor: fullname: Mullen – start-page: 146 issue: 413 year: 2003 ident: 10.1016/j.jsurg.2019.08.018_bib0015 article-title: Designing, conducting, and evaluating journal clubs in orthopaedic surgery publication-title: Clin Orthop Relat Res doi: 10.1097/01.blo.0000081203.51121.25 contributor: fullname: Dirschl – volume: 53 start-page: 454 year: 2006 ident: 10.1016/j.jsurg.2019.08.018_bib0012 article-title: Development of an evidence-based practice questionnaire for nurses publication-title: J Adv Nurs doi: 10.1111/j.1365-2648.2006.03739.x contributor: fullname: Upton – volume: 211 start-page: 769 year: 2010 ident: 10.1016/j.jsurg.2019.08.018_bib0009 article-title: Evidence based reviews in surgery steering C. A moderated journal club is more effective than an internet journal club in teaching critical appraisal skills: results of a multicenter randomized controlled trial publication-title: J Am Coll Surg doi: 10.1016/j.jamcollsurg.2010.08.016 contributor: fullname: McLeod – volume: 66 start-page: 112 year: 2014 ident: 10.1016/j.jsurg.2019.08.018_bib0007 article-title: International urology journal club via twitter: 12-month experience publication-title: Eur Urol doi: 10.1016/j.eururo.2014.01.034 contributor: fullname: Thangasamy – volume: 139 start-page: 490 year: 2004 ident: 10.1016/j.jsurg.2019.08.018_bib0018 article-title: Resident work hours: what they are really doing publication-title: Arch Surg doi: 10.1001/archsurg.139.5.490 contributor: fullname: Brasel |
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Title | A Prospective Review of a Novel Electronic Journal Club Format in an Orthopedic Residency Unit |
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