The journal club in postgraduate medical education: a systematic review
The journal club in postgraduate medical education: a systematic review
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研究生医学教育期刊俱乐部：系统评价
DOI：
10.1080/01421590120075670
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发表时间：
2001
期刊：
影响因子：
4.7
通讯作者：
H. Schultz
中科院分区：
文献类型：
--
作者：
J. Ebbert;V. Montori;H. Schultz
进行了一项调查，以确定是否有研究发现，为正在接受培训的医生开设的期刊俱乐部对改善患者状况是有效的。这些措施包括提供医疗护理、教授批判性评估技能、改善阅读习惯、增加临床流行病学和生物统计学知识，以及在临床实践中更多地使用医学文献。使用10个数据库和检索系统进行文献搜索，并手工搜索期刊、会议记录和个人档案。符合纳入标准的研究的严谨性使用基于Cochrane协作建立的方法的协议进行分析。一项随机对照试验发现，在临床流行病学和生物统计学知识、阅读习惯以及在实践中使用医学文献方面有所改善，但在批判性评估技能方面没有改善。六项在方法上不那么严格的研究发现，批判性评估技能可能有所改善。结论是，期刊俱乐部可以提高临床流行病学和生物统计学知识，提高阅读习惯，并在实践中使用医学文献。需要对期刊俱乐部进行一项多中心的随机对照试验，以评估期刊俱乐部是否提高了关键的评估技能。
An investigation was made as to whether studies have found journal clubs for physicians in training to be effective for improving patient. care, teaching critical appraisal skills, improving reading habits, increasing knowledge of clinical epidemiology and biostatistics, and increasing the use of medical literature in clinical practice. A literature search was undertaken using 10 databases and retrieval systems and hand searches of journals, conference proceedings and personal files. The rigor of studies meeting the inclusion criteria was analyzed using a protocol based on methods established by the Cochrane Collaboration. One randomized controlled trial found an improvement in knowledge of clinical epidemiology and biostaristics, reading habits, and the use of medical literature in practice, but no improvement in critical appraisal skills. Six less methodologically rigorous studies found possible improvement in critical appraisal skills. It is concluded that journal clubs may improve knowledge of clinical epidemiology and biostatistics, reading habits, and the use of medical literature in practice. A multi-center, randomized controlled trial of journal clubs is needed to assess whether journal clubs improve critical appraisal skills.