Effectiveness of structured review instrument in journal club meeting during orthopaedic residency: A prospective interventional study

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-04-01 DOI:10.1016/j.jcot.2025.102997

Raghuraman Tarunprasad , Ilavarasan Dhamu , Adhithyan Anbu Selvam , Zara Keyi , Munis Ashraf , Navin Balasubramanian

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引用次数: 0

Abstract

Background

Journal Club (JC) meetings are a traditional and effective method of teaching evidence-based medicine in many orthopaedic residency programs. The key objectives are to develop critical appraisal skills, facilitate the application of evidence in clinical practice, and foster a lifelong habit of staying updated with current literature. A structured checklist may help ensure these objectives are met consistently. This study aimed to evaluate the effectiveness of using a Structured Review Instrument (SRI) during JC meetings.

Methodology

We conducted a prospective interventional study from June 2023 to June 2024 at a 1000-bedded tertiary care medical college hospital. Junior orthopaedic residents who attended the monthly JC meetings were included. Outcomes were assessed using a resident feedback questionnaire scored on a Likert scale, and the results were compared using an unpaired t-test.

Results

Residents using the SRI demonstrated significantly higher mean Likert scores in several domains: the ability to draw conclusions from the article (3.7 ± 0.27, p = 0.0002), identify various components of the article (3.8 ± 0.29, p = 0.0013), apply take-home messages to clinical practice (3.7 ± 0.21, p = 0.0151), and understand research methodology (3.5 ± 0.28, p = 0.0094). In terms of personal qualities, the SRI group showed significantly higher satisfaction with JC meetings (4.1 ± 0.31, p = 0.001), enthusiasm (3.9 ± 0.34, p = 0.0019), and peer discussion (3.8 ± 0.24, p = 0.0017). The overall mean score across all questionnaire domains was also significantly higher in the SRI group (3.68 ± 0.22, p = 0.0009).

Conclusion

A successful JC meeting should provide educational value to all participants while being efficient for faculty. This study demonstrates that incorporating a Structured Review Instrument enhances the quality, engagement, and effectiveness of Journal Club sessions.

查看原文本刊更多论文

结构化回顾工具在骨科住院医师期刊俱乐部会议中的有效性：一项前瞻性介入研究

期刊俱乐部（JC）会议是许多骨科住院医师项目中传统而有效的循证医学教学方法。主要目标是培养关键的评估技能，促进证据在临床实践中的应用，并培养终身保持最新文献的习惯。一个结构化的清单可以帮助确保这些目标得到一致的满足。本研究旨在评估在JC会议期间使用结构化审查工具（SRI）的有效性。方法于2023年6月至2024年6月在一所拥有1000个床位的三级专科医院进行前瞻性介入研究。参加每月JC会议的初级骨科住院医师也包括在内。使用李克特量表评分的居民反馈问卷评估结果，并使用非配对t检验比较结果。结果使用SRI的住院医生在以下几个方面的平均李克特得分显著提高：从文章中得出结论的能力（3.7±0.27,p = 0.0002），识别文章的各个组成部分的能力（3.8±0.29,p = 0.0013），将带回家的信息应用于临床实践的能力（3.7±0.21,p = 0.0151），以及理解研究方法的能力（3.5±0.28,p = 0.0094）。在个人素质方面，SRI组在JC会议（4.1±0.31,p = 0.001）、热情（3.9±0.34,p = 0.0019）和同伴讨论（3.8±0.24,p = 0.0017）方面表现出显著更高的满意度。SRI组在所有问卷域的总体平均得分也显著高于SRI组（3.68±0.22,p = 0.0009）。结论一个成功的JC会议应该对所有与会者都有教育价值，同时对全体教职员工都有效率。本研究表明，采用结构化评审工具可以提高期刊俱乐部会议的质量、参与度和有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.