scholarly journals P018: Journal club functions as a community of practice that safeguards quality assurance in the era of free open access medical education: a qualitative study

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S70-S71
Author(s):  
D. Ting ◽  
B. Bailey ◽  
F. Scheuermeyer ◽  
T. Chan ◽  
D. Harris
Keyword(s):  
Medical Education ◽  
Quality Assurance ◽  
Open Access ◽  
Community Of Practice ◽  
Medical Literature ◽  
Practical Wisdom ◽  
Journal Club ◽  
Research Question ◽  
Structured Interview ◽  
New Literature

Introduction: The ways in which Emergency Medicine (EM) physicians interact with the medical literature has been transformed with the rise of Free Open Access Medical Education (FOAM). Although nearly all residents use FOAM resources, some criticize the lack of universal quality assurance. This problem is a particular risk for trainees who have many time constraints and incompletely developed critical appraisal skills. One potential safeguard is journal club, which is used by virtually all EM residency programs in North America to review new literature. However, EM resident perspectives have not been studied. Our research objective was to describe how residents perceive journal club to influence how they translate the medical literature into their clinical practice. Our research question was whether FOAM has influenced residents’ goals and perceived value of journal club. Methods: We developed a semi-structured interview script in conjunction with a methods expert and refined it via pilot testing. Following constructivist grounded theory, and using both purposive and theoretical sampling, we conducted a focus group (n = 7) and 18 individual interviews with EM residents at the 4 training sites of the University of British Columbia. In total, we analyzed 920 minutes of recorded audio. Two authors independently coded each transcript, with discrepancies reconciled by discussion and consensus. Constant comparative analysis was performed. We conducted return of findings through public presentations. Results: We found evidence that journal club works as a community of practice with a progression of roles from junior to senior residents. Participants described journal club as a safe venue to compare practice patterns and to gain insight into the practical wisdom of their peers and mentors. The social and academic activities present at journal club interacted positively to foster this environment. In asking residents about ways that journal club accelerates knowledge translation, we actually found that residents cite journal club as a quality check to prevent premature adoption of new research findings. Residents are hesitant to adopt new literature into their practice without positive validation, which can occur during journal club. Conclusion: Journal club functions as a community of practice that is valued by residents. Journal club is a primary way that new evidence can be validated before being put into practice, and may act as quality assurance in the era of FOAM.

scholarly journals P150: Emergency medicine resident perspectives on journal club as a community of practice and its impact on clinical medicine

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S110-S110
Author(s):  
D. K. Ting ◽  
B. Bailey ◽  
F. Scheuermeyer ◽  
T. M. Chan ◽  
D. R. Harris
Keyword(s):  
Emergency Medicine ◽  
Medical Education ◽  
Focus Group ◽  
Community Of Practice ◽  
Journal Club ◽  
Clinical Care ◽  
Pilot Testing ◽  
Emergency Medicine Resident ◽  
Medicine Resident ◽  
Select Group

Introduction: Despite revolutionary changes in the medical education landscape, journal club (JC) continues to be a ubiquitous pedagogical tool and is a primary way that residency programs review new evidence and teach evidence-based medicine. JC is a community of practice among physicians, which may help translate research findings into practice. Program representatives state that JC should have a goal of translating novel research into changes in clinical care, but there has been minimal evaluation of the success of JC in achieving this goal. Specifically, emergency medicine resident perspectives on the utility of JC remain unknown. Methods: We designed a multi-centre qualitative study for three distinct academic environments at the University of British Columbia (Vancouver, Victoria and Kelowna). Pilot testing was performed to generate preliminary themes and to finalize the interview script. An exploratory, semi-structured focus group was performed, followed by multiple one-on-one interviews using snowball sampling. Iterative thematic analysis directed data collection until thematic sufficiency was achieved. Analysis was conducted using a constructivist Grounded Theory method with communities of practice as a theoretical lens. Themes were compared to the existing literature to corroborate or challenge existing educational theory. Results: Pilot testing has revealed the following primary themes: (1) Only select residents are able to increase their participation in JC over the course of residency and navigate the transition from peripheral participant to core member; (2) These residents use their increased clinical experience to perceive relevance in JC topics, and; (3) Residents who remain peripheral participants identify a lack time to prepare for journal club and a lack of staff physician attendance as barriers to resident engagement. We will further develop these themes during the focus group and interview phases of our study. Conclusion: JC is a potentially valuable educational resource for residents. JC works as a community of practice only for a select group of residents, and many remain peripheral participants for the duration of their residency. Incorporation of Free Open-Access Medical Education resources may also decrease preparation time for residents and staff physicians and increase buy-in. To augment clinical impact, the JC community of practice may need to expand beyond emergency medicine and include other specialties.

scholarly journals Journal club and post-graduate medical education

2017 ◽  
Vol 50 (03) ◽  
pp. 302-305 ◽  
Author(s):  
Surajit Bhattacharya
Keyword(s):  
Medical Literature ◽  
Journal Club ◽  
Research Question ◽  
Reading Habits ◽  
Journal Clubs ◽  
Research Findings ◽  
Club Meeting ◽  
Randomized Control ◽  
Market Driven

ABSTRACTA journal club is an educational meeting in which a group of individuals discuss published articles, to keep themselves abreast of new knowledge, promoting in them the awareness of current research findings, teaching them to critique and appraise research, and encourage them to utilize research in evidence based practice of the speciality. With so much of market driven research in journals the role of journal club becomes even more vital to differentiate a genuine recent advance from a clever but outright harmful rediscovery of the wheel which has been long discarded. Journal clubs can be department initiated or journal initiated and there are randomized control trials to prove that they improve reading habits, knowledge of epidemiology and statistics, and use of medical literature in practice. Choosing the journal club articles, assessing them and presenting them in the journal club meeting are all of vital importance and as a trainee advances in his training he/she is expected to imbibe the best from his seniors and peers in the club. I a journal club one is simply expected to summarize the research question, the methods, the results and the conclusions and not slavishly read through the article. It is the presenter's interpretation that is more important than actually rehashing the contents of the article.

The journal club in postgraduate medical education: a systematic review

2001 ◽  
Vol 23 (5) ◽  
pp. 455-461 ◽  
Author(s):  
Jon O. Ebbert ◽  
Victor M. Montori ◽  
Henry J. Schultz
Keyword(s):  
Systematic Review ◽  
Medical Education ◽  
Journal Club ◽  
Postgraduate Medical Education

Biostatistics in Pediatrics

PEDIATRICS ◽  
1984 ◽  
Vol 73 (1) ◽  
pp. 117-118
Author(s):  
KENNETH W. KLESH
Keyword(s):  
Medical Education ◽  
England Journal ◽  
New England ◽  
Continuing Medical Education ◽  
Recent Article ◽  
Medical Literature ◽  
Education Effort

To the Editor.— I read with great interest the recent article by Hayden1 concerning the expanding use (and misuse) of biostatistics. in the medical literature. Having little background in statistics, I indeed have found it increasingly difficult to critically evaluate research presentations—the "auto-cerebrectomy" of which Feinstein2 spoke is both familiar and personally troubling. While a series of instructional articles on statistical topics as has appeared in the New England Journal of Medicine, is most welcome, I suspect that an approach more intimately associated with a well-established continuing medical education effort would reach the greatest number of practicing pediatricians and could be more directly tailored to their needs.

The Mandate Project: Institutionalizing a System of Patient Care Quality Assurance

PEDIATRICS ◽  
1976 ◽  
Vol 57 (5) ◽  
pp. 775-782
Author(s):  
Daniel S. Fleisher ◽  
Clement R. Brown ◽  
Carter Zeleznik ◽  
Gerald H. Escovitz ◽  
Charles Omdal
Keyword(s):  
Medical Education ◽  
Quality Assurance ◽  
Patient Care ◽  
Psychosocial Factors ◽  
Continuing Medical Education ◽  
Care Quality ◽  
Quality Assurance Program ◽  
Patient Care Quality

In 1970, prior to present-day requirements for quality assurance programs, a project was undertaken to institute such a program voluntarily in ten hospitals. Five hospitals succeeded in fully implementing the program which was based on the "Bi-Cycle Process" and each documented improvements in desired patient care behaviors. Two hospitals partially implemented the process and demonstrated no significant changes in desired patient care behaviors. Two hospitals failed to provide the data upon which assessments could be made and one hospital never got beyond preliminary efforts at instituting the process. The project demonstrates that a voluntary quality assurance program is feasible and has important implications for PSROs and continuing medical education. It also provides evidence that attention to psychosocial factors is essential in the institutionalization of programs designed to produce desired changes in patient care behaviors.

LABOR TURNOVER: A Monstrous Development in a Mono-Cultural Capitalist Economy

2012 ◽  
Vol 02 (02) ◽  
pp. 39-47
Author(s):  
Omah Ishmael ◽  
Osamor I .P ◽  
Ojo Agbodu Ayodele Abraham
Keyword(s):  
Data Collection ◽  
Third World ◽  
Practical Wisdom ◽  
Structured Interview ◽  
Cultural Economy ◽  
Labor Turnover ◽  
Labor Laws ◽  
Alternative Source ◽  
The Government ◽  
Survival Of The Fittest

Labor turnover in an illusionary capitalist economies of the 3rd world nations has been on the verge of eroding momentum in the last decade. Hence, the objective of this study is centered on the determination of adverse trend in the mono-cultural society.To determine the rate of influx of labor turnover using “TENDON SCALE” methodology, that will aid in establishing the evils of unemployment generated by it.To examine the advantages of labor turnover, if any, to the organization, as well as the general society, and to recommend a lasting solution that will curb the effects of LT, re-strengthen the labor relation laws of the advantage to the masses. The data collection is mostly based on primary sources as well as historical review of related literature was embarked upon to obtain a wider scope of coverage. Factual discussion was applied on time schedule on selected industries. A structured interview questionnaire was prepared consisting of (50) fifty in number tailored towards allowing individual respondents to expatiate his/her view on the rate of LT in his/her working place. The structured questionnaire was prepared in such away as to segmentize the labor structure/work force on functional basis in order to determine most affected segment of labor force of the organization. The analysis revealed that labor turnover is a hybrid of mono-cultural economy which begets the evils of unemployment ravaging the third world nations. A mono-cultural economy is one without alternative source of revenue, handicapped by vested interest of maraudours governance. A mono-cultural economy is characterized by ambiguity of approach due inconsistency in government policy and ideology, which has nothing to offer (survival of the fittest). When an economy is heavily dependent on one source of mainstay is described as mono-cultural society. Putting financial constraint apart, the study has been characterized by poor responses due to limited knowledge of the term labor turnover to the average worker.Labor laws in most third world nations are tailored to favor the employers rather than the employees, hence the actual cause/causes of LT cannot be ascertained based on responses from the employers and employees.Reasons for job satisfaction/unsatisfaction cannot be established due to the nature of labor laws that permits individual employer to determine the fate of the employees in his organization in mono-cultural economy. Data collection was handicapped by poor responses from the lower segment of the workforce that were restricted from having open interaction with outside visitor. Labor turnover should be a concern of the government for the benefit of its citizenship in all practical wisdom, but this is not the case in mono-cultural economy. It is a case of survival of the fittest, where a citizen is subjected to death penalty by labor laws which should have been in favor of the workforce. Mono-cultural governments are “banana” governments viable only to the survival of the fittest.

scholarly journals PROTOCOLOS DE REABILITAÇÃO VESTIBULAR PARA PACIENTES DIAGNOSTICADOS COM HIPOFUNÇÃO VESTIBULAR UNILATERAL E BILATERAL: REVISÃO DE LITERATURA

2020 ◽  
pp. 1-9
Keyword(s):  
Open Access ◽  
World Wide ◽  
Retrieval System ◽  
Medical Literature ◽  
Literature Analysis ◽  
Electronic Library ◽  
Open Access Journals

Objetivo: Realizar uma análise crítica dos protocolos de reabilitação vestibular voltados para indivíduos diagnosticados com hipofunção vestibular, com base em artigos científicos. Métodos: Trata-se de uma revisão de literatura sobre os protocolos de reabilitação para indivíduos que possuem hipofunção vestibular, utilizando para a pesquisa as bases de dados eletrônicas SCIELO (Scientific Electronic Library Online), MEDLINE (Medical Literature Analysis and Retrieval System Online), Directory of Open Access Journals, World Wide Science, ScienceDirect e PUBMED (Public Medline or Publisher Medline) em um corte temporal de 2007 a 2019. Foram selecionados estudos na língua portuguesa, utilizando como descritores: Reabilitação; Qualidade de Vida; Doenças Vestibulares; Equilíbrio Postural; Canais Semicirculares e seus correspondentes na língua inglesa e espanhola. Resultados: Durante a busca, a triagem foi composta por 45 artigos, porém a amostra remanescente foi de 18 artigos. Observou-se que a idade média foi de 56,94 e o número médio de sessões/ tempo realizadas para melhora satisfatória destes pacientes foi de 13,42/ 8 semanas, bem como os protocolos de reabilitação vestibular variavam entre o tratamento convencional e não convencional incluindo realidade virtual, posturografia e dispositivo portátil de capacete com frequência semanal média de atendimento de quatro vezes. Conclusão: Os estudos realizados apontam diferentes tipos de protocolos de reabilitação vestibular, os quais são realizados de maneira convencional e não convencional e que possuem resultados positivos diante das desordens relatadas pelos sujeitos. Dessa forma, a fisioterapia representa uma importante ferramenta para o tratamento das vestibulopatias. Ademais, a escassez de estudos voltados para a temática abordada neste trabalho evidencia a necessidade de mais pesquisas sobre a atuação da fisioterapia na hipofunção vestibular.

scholarly journals How Service Learning Can Impact Medical Students’ Perceptions of Social Responsibility

2021 ◽  
Vol 8 (2) ◽  
pp. p1
Author(s):  
Sherry A. McDonald ◽  
Chris Cale Cale ◽  
Sunddip Panesar-Aguilar ◽  
Michelle McCraney
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Service Learning ◽  
Social Responsibility ◽  
Community Integration ◽  
Research Question ◽  
Educational Method ◽  
Liaison Committee ◽  
Practice Of Medicine ◽  
Eye Opening

As criticism intensifies regarding healthcare disparities, the Liaison Committee for Medical Education has added accrediting standards mandating Service Learning (SL) in their curriculum. SL is a viable educational method to enhance social responsibility and other elements of professional identity. The problem of implementing highly effective SL projects in medical education was addressed in this study. Kiely’s model of transformational SL was used in this basic qualitative study to examine 10 medical students’ experiences during an SL project. The research question for the study was focused on the students’ descriptions of their experiences to understand how they perceived changes in themselves resulting from participation in SL. Findings from the data collected with semistructured interviews indicated that medical students described SL experiences as beneficial for community integration, educating others, and gratification. They expressed disappointment that they did not know the results of their projects. They related SL experiences that were eye-opening for them and stated that SL influenced their development of compassion as well as their intent to serve their community in their future practice of medicine. The resulting research study consisted of a curriculum plan for a required, credit-bearing SL project. The research contributes to positive social change by the intentional design of a transformative SL curriculum to foster social responsibility development.

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