Journal Club Guidelines 08-09 by mmm3


									                             Pediatric EBM Journal Club 2008-2009 Guidelines

        •To answer important clinical questions using the available medical literature
        •To learn and apply basic critical appraisal skills
        •To validate or change your clinical practice or institute new practices based on critical appraisal of the
        medical literature
        •To further practice these skills in real time during rounds, on-call at night, during conferences, in the
        outpatient setting, etc. and to teach them to your junior (and sometimes senior!) colleagues

     •Journal club will be held every other Monday at noon in the beginning September 22. Supplementary
     EBM seminars will be scheduled throughout the year. A schedule will be sent out to all senior
     residents and will be posted in the library and on the door of the Chief’s office.

        •Each final-year resident will be assigned a faculty preceptor to assist them with preparing their
        journal club. Each resident should meet with their preceptor as often as needed (typically 2-3 times),
        with the first meeting at least 2 weeks before the scheduled presentation date.

        •Each journal club should start with a clinical question based on a patient or group of patients. Most
        questions will be able to be categorized as a question about therapy, harm, prognosis, or diagnosis.

        •A lit search should be performed with the goal of identifying a key article that addresses your clinical
        question (consider consultation with a medical librarians at the reference desk in the medical library).

        •A copy of the key article that you will be discussing should be provided to the chief residents at least
        ONE WEEK prior to your scheduled journal club, for distribution to the residents and pediatric faculty

        •With the help of your preceptor, use the “User’s Guide to the Medical Literature” series articles or a
        similar tool to assess the validity, importance, and applicability of the results depending on the type of
        study you are appraising using a critical appraisal worksheet. Critical appraisal worksheets are
        available for therapy, diagnosis, and prognosis articles on the Yale Pediatric Resident’s Website under
        Pediatric Journal Club 2008-2009, and worksheets for other types of articles are available through
        many of the links available through this site. The resource links include several valuable toolkits,
        including interactive calculators and additional worksheets, as well as a highly recommended
        interactive tutorial (from the Duke Medical Library).

        •With the help of your preceptor, please complete the Critically Appraised Topic form that is attached
        here and available on our website. A copy of this form should be distributed to the audience during the
        talk and given to the chiefs to post on the website.

      •Your Power Point Presentation should include the following:
             -Your clinical question and the clinical situation from which it arose
             -Your search strategy (may include what worked well, what didn’t)
             -The critical appraisal, including discussion of the validity of the study, the results, with an
             emphasis on the magnitude of the result (i.e. number needed to treat, likelihood ratio, etc.), and
             the applicability of the results back to the clinical situation.
      •The presentation should be kept to about 30 minutes to allow time for questions and discussion.
      Sample presentations are available on the website.

      •Your journal club preparation and presentation will be evaluated by your faculty preceptor through
      E-value and will be available to you via the E-value site. A copy of the evaluation form is attached
      and is available on the website.

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