Journal Club

THE SPARROW/MSU JOURNAL CLUB

Our Journal Club is held approximately bi-monthly. It represents a remarkable opportunity for residents to engage in round table-top discussions on recent articles from the medical literature. Residents are given the opportunity to review and present articles, and are provided with guidance to meet the following specific learning objectives:

  1. To be able to critically appraise the literature
  2. To develop an approach to the analysis of the various types of articles (harm, diagnosis, prognosis, etc)
  3. To understand the basis of hypothesis testing (Type I and II errors, p values, 95% confidence intervals, sample size)
  4. To understand the basis of diagnostic testing (prevalence, sensitivity, specificity, positive and negative predictive values, likelihood ratios)
  5. To become familiar with sources of bias
  6. To understand how results of study can be used in clinical practice

The ACGME Core Competencies addressed at Journal Club include:

Problem Based Learning and Improvement

  • To systematically appraise and assimilate scientific evidence from journal articles. The structured list provided to the residents allows the resident to systemically evaluate the article in an evidence-based approach
  • To critically read a journal article and draw conclusions applicable to clinical practice regarding specific clinical problems by using a systematic and standardized checklist
  • To apply knowledge of study designs and statistical methods to the appraisal of clinical studies and other information on diagnostic and therapeutic effectiveness by referencing the results of the journal club review and to cite the specific article in a future grand rounds presentation or at morning rounds or in the chart of a patient in whom the care was relevant to the reviewed article
  • To provide a written record that forms part of the resident learner portfolio of a systematic review and critique by the resident of specific articles in the medical literature with high clinical importance and with direct impact on patient care and patient outcomes
  • To facilitate learning of other residents and staff members

Medical Knowledge

  • To increase the audience knowledge regarding the advances in biomedical, clinical and subspecialty areas
  • Apply relevant clinical and basic sciences. Utilizing the information obtained from the journal articles, the resident will demonstrate an analytical and investigative approach to patient care

Communication Skills

  • The resident will verbalize ideas; formulate hypotheses, and present solutions to problems
  • To act as a facilitator and encourage all members of the group to participate, even those who have difficulty speaking out
  • To concisely and effectively report the major review criteria including problem statement, reference to literature and appropriate documentation, relevance and research design, data analysis, instrumentation, data collection, quality control, and conclusions

Professionalism

  • The resident will be expected to demonstrate a commitment to educational process exhibiting enthusiasm and courtesy during the discussions
  • The resident will be responsible and accountable for the thoroughness and completeness of the written report and the ensuing discussion