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JOURNAL CLUB in medicine preparation and presentation

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JOURNAL CLUB in medicine preparation and presentation

  1. 1. JOURNAL CLUB in medicine preparation and presentation Dr.T.V.Rao MD 24-05-2016 Dr.T.V.Rao MD 1
  2. 2. Definition •A journal club is a group of individuals who meet regularly to critically evaluate recent articles in the academic literature, generally of some branch of science as Medicine or philosophy. Journal clubs are usually organized around a defined subject in basic or applied research. 24-05-2016 Dr.T.V.Rao MD 2
  3. 3. Topics should preferably of evidence based Medicine •For example, the application of evidence-based medicine to some area of medical practice can be facilitated by a journal club (Wikipedia ) 24-05-2016 Dr.T.V.Rao MD 3
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  5. 5. Purpose and Goal of Journal Club •The goal of Journal Club is to introduce medical Students, resident doctors, or even senior faculty to the principles of clinical topics, scientific topics in relation to health care required to critically appraise published clinical research literature. 24-05-2016 Dr.T.V.Rao MD 5
  6. 6. Journal Clubs are old phenomena to empower the Profession 24-05-2016 Dr.T.V.Rao MD 6
  7. 7. Valuable part of Journal Club • The value of a journal club is that it can promote a better understanding of the research process and an improved ability to critically appraise research. Reading and critiquing research is most beneficial for critical care doctors and nurses, as it facilitates the evaluation of research for use in clinical practice. 24-05-2016 Dr.T.V.Rao MD 7
  8. 8. Purpose of the presentation •The general purpose of a journal club is to facilitate the review of a specific research study and to discuss implications of the study for clinical practice. 24-05-2016 Dr.T.V.Rao MD 8
  9. 9. Updating the people on Information • A journal club has been defined as an educational meeting in which a group of individuals discuss current articles, providing a forum for a collective effort to keep up with the literature 24-05-2016 Dr.T.V.Rao MD 9
  10. 10. Please inform the participants on the Matters you are presenting • Post and distribute copies of the research article and the journal club discussion questions to interested persons 24-05-2016 Dr.T.V.Rao MD 10
  11. 11. Mentor's Role •Help residents identify appropriate article that fits pre-specified design of the month. Meet with residents 1-2 weeks before Journal Club to discuss paper and prepare. Lead a 30- 40 min. discussion of the paper and related topics in critical appraisal following the residents' presentation at Journal Club. 24-05-2016 Dr.T.V.Rao MD 11
  12. 12. Residents Role • Residents and Post graduates select a recent article and clear it with assigned Journal Club mentor. ( Can be HOD or Senior Faculty ) They read the article and arrange a meeting with the mentor at least one week before Journal Club to discuss strengths and weaknesses, identify teaching points, and outline approach to presentation.24-05-2016 Dr.T.V.Rao MD 12
  13. 13. Presentation not more than 15 minutes •Must be limited to 15 minutes to allow plenty of time for teaching and discussion 24-05-2016 Dr.T.V.Rao MD 13
  14. 14. Select an article • Consider articles on topics of interest to you that will generate conversation. Also consider topics discussed at the Journal Club meetings earlier in the year…variety is a good thing 24-05-2016 Dr.T.V.Rao MD 14
  15. 15. Present the article with Scientific Basis • Based on what you are currently learning and what you already know, read the article with a critical eye. Consider hypothesis, study design, bias, methods of analyses used, etc. How can readers make sense of the numbers in the tables? Are the results reproducible? 24-05-2016 Dr.T.V.Rao MD 15
  16. 16. Favoured by JAMA and Annals of Internal Medicine •Presenters should be able to summarize each heading in one or two lines so as to fit on a single slide. 24-05-2016 Dr.T.V.Rao MD 16
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  18. 18. Never Forget to Incorporate the following matters •It should outline "Hypothesis/Goal;“ "Study Design;" "Setting;“ "Participants;" "Data Collection;“ "Main Outcome;“ "Analytic Method." 24-05-2016 Dr.T.V.Rao MD 18
  19. 19. Cut and Paste is presentation of complex tables • Typically, cut and paste tables and figures. Since you'll have already distributed hardcopies of the article, don't worry too much about reformatting tables for readability on the screen Just point to the sections of interest and let the audience flip through their hardcopies to read the data directly. 24-05-2016 Dr.T.V.Rao MD 19
  20. 20. Must come to some conclusions at the end of presentation Conclude by Managing Presentation •Conclusions/ Implications (1 slide) • Strengths (1 slide) • Weaknesses (1 slide) • Discussion Points (1 slide) 24-05-2016 Dr.T.V.Rao MD 20
  21. 21. Our success will increase 24-05-2016 Dr.T.V.Rao MD 21
  22. 22. Encourage more people view your presentation •eg, encourage more attendance, hold more than one session, programs can be uploaded in internet the session for those unable to attend.24-05-2016 Dr.T.V.Rao MD 22
  23. 23. Encourage people for participation •Several factors are key in promoting a successful journal club, including promoting interest, attendance, and involvement. Having a session leader to start and facilitate discussion can help to ensure that the journal club meetings are productive. 24-05-2016 Dr.T.V.Rao MD 23
  24. 24. Trouble Shooting A number of tricks seemed to help. Answering individuals’ own questions is central to both education and motivation. 24-05-2016 Dr.T.V.Rao MD 24
  25. 25. Too many Ideas and suggestion cause confusion and Dangerous • But make sure in your early sessions that you have a “planted” scenario or question in your group • Make the matters simple • Make matters interesting • Too many suggestions the participants will be confused . 24-05-2016 Dr.T.V.Rao MD 25
  26. 26. Encourage greater participation from many experts • Early on, people seem keen to come up with questions focused on the rare, unusual, and wonderful diagnoses they have bumped into rather than questions about their everyday practice 24-05-2016 Dr.T.V.Rao MD 26
  27. 27. Make your Program Interesting • Rule of thumb Oral 10% Visual 35% Oral & 65% Visual Source: Najjar, LJ (1998) Principles of educational multimedia user interface design • Use combinations of text and images which are memorable.” 24-05-2016 Dr.T.V.Rao MD 27
  28. 28. Conclude the Session with •Finally, it’s useful to end by asking everyone for their clinical “bottom line.” You might even want to follow this up with group decisions on actions needed to implement the evidence (eg, put up a flowchart or buy the needed equipment) and possible monitoring items 24-05-2016 Dr.T.V.Rao MD 28
  29. 29. A successful Presentation fulfils •Does the discussion accurately interpret results, specifically in the context of existing knowledge?24-05-2016 Dr.T.V.Rao MD 29
  30. 30. MOST IMPORTANT QUESTION IS THE TIME WORTH ATTENING JOURNAL CLUB • Finally, did you and the group, learn some information and/or skills from the time spent on reviewing the article? That is, of course, the most important measure of learning: getting the most out of your time and efforts! 24-05-2016 Dr.T.V.Rao MD 30
  31. 31. Feed back is essential to know what the people except from us• Evaluate the journal club (eg, at the end of the session, gather feedback from participants). Determine how the next journal club meeting could be made more beneficial, 24-05-2016 Dr.T.V.Rao MD 31
  32. 32. Never Forget Your Feed Back is Important for the Development of Academics 24-05-2016 Dr.T.V.Rao MD 32
  33. 33. References • Quick Guide to Clinical Epidemiology and Critical Appraisal Osler Journal Club • Web resources on Changing trends in Medical Education 24-05-2016 Dr.T.V.Rao MD 33
  34. 34. Our Presentations should Ignite many Younger Minds My Presentation is just to look further Knowledge 24-05-2016 Dr.T.V.Rao MD 34
  35. 35. • Program File Created by Dr.T.V.Rao MD for Medical Professionals globally to make the matters interesting in presentation of Journal Club Articles • Email • doctortvrao@gmail.com 24-05-2016 Dr.T.V.Rao MD 35
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