The role of the journal club in neurosurgical training
ABSTRACT The journal club (JC) plays a traditional role in resident education. However, little has been written on its current role in neurosurgical training programs. Our goal was to determine resident perception of JCs, factors that make JCs successful, and identifying variables for improving JCs.
We electronically surveyed all resident members of the Congress of Neurological Surgeons to determine the format, prevalence, content, and efficacy of neurosurgical JCs.
Eighty-five percent of the respondents stated that their residency programs have a JC. The perceived primary goal of JCs is for keeping current with the literature and the dissemination of information. Most JCs meet for 1 hour during the week on a monthly basis and review one to three articles. Residents generally present the articles, which are typically original research articles selected by either the faculty or the residents. Most residents consider JCs of good educational value with positive effects on reading habits. Resident and faculty attendance are important variables to a successful JC. Although the majority of residents have minimal background training in epidemiology, biostatistics, or research, fewer than one-third of the training programs provide any type of supplemental sessions or handouts regarding such methods.
JCs have a high perceived value by neurosurgical residents and should be maintained at all neurosurgical residency training programs. Key factors to a successful JC include faculty and resident attendance. Additional studies are needed to assess optimal JC formats and the possible utilization of supplemental educational tools.
[Show abstract] [Hide abstract]
- "The meeting time was usually in the morning; most journal clubs were reported to last between 1 and 2 h, reviewed one to three articles, and were attended by more than 60% of residents routinely. Several articles have explored the format of journal clubs in surgery. However, it is interesting to note there is no consensus on the ideal format. "
ABSTRACT: Background: Critical appraisal skills allow surgeons to evaluate the literature in an objective and structured manner, with emphasis on the validity of the evidence. The development of skills in critical acquisition and appraisal of the literature is crucial to delivering quality surgical care. It is also widely accepted that journal clubs are a time-honored educational paradigm for teaching and development of critical appraisal skills. The aim of this study is to determine the perceived role of journal clubs in teaching critical appraisal skills amongst the surgical trainees in Nigeria. Materials and Methods: The West African College of Surgeons and the National Postgraduate College of Nigeria have mandated that all residency programs teach and assess the ability to develop critical appraisal skills when reviewing the scientific literature. Residents at the revision course of the West African College of Surgeons in September 2012 evaluated the role of journal clubs in teaching critical appraisal skills using a 17-item questionnaire. The questionnaire addressed four areas: Format, teaching and development of critical appraisal s kills, and evaluation. Results: Most of the journal clubs meet weekly [39 (59%)] or monthly [25 (38%)]. Thirty-nine residents (59%) perceived the teaching model employed in the development of critical appraisal skills in their institutions was best characterized by “iscussion/summary by consultants” and “emphasis on formal suggestion for improvement in research.” Rating the importance of development of critical appraisal skills to the objectives of the residency program and practice of evidence-based medicine, majority of the residents [65 (98%)] felt it was “very important.” The commonest form of feedback was verbal from the consultants and residents [50 (76%)]. Conclusion: The perceived importance of journal clubs to the development of critical appraisal skills was rated as very important by the residents. However, residents indicated a need for a formal evaluation of the journal clubs. It is our hope that the results of this survey will encourage postgraduate coordinators to evaluate the quality of their journal clubs in the development of skills in critical appraisal of the literature.07/2014; 20(2):64-8. DOI:10.4103/1117-6806.137292
Conference Paper: Support of IP QoS over wireless LANs[Show abstract] [Hide abstract]
ABSTRACT: This paper addresses the potential issues that emerge when using WLANs as access systems to an IP core and focuses on defining a consistent mechanism that supports IP QoS and resource reservation over an IEEE 802.11e WLAN. The proposed approach assumes that RSVP is used for negotiating IP QoS parameters and reserving end-to-end resources. For interworking between IP QoS and WLAN QoS we propose a mapping between RSVP and 802.11e QoS parameters. In addition, we present how RSVP signaling is integrated with 802.11e signaling for WLAN resource reservation. Finally, we introduce a new scheduling approach for the 802.11e HC that can provide enhanced features.Vehicular Technology Conference, 2004. VTC 2004-Spring. 2004 IEEE 59th; 06/2004
- [Show abstract] [Hide abstract]
ABSTRACT: Purpose: The purpose of this integrative review was to determine whether a journal club (JC) is a successful medium to bridge the research-to-practice gap and more specifically to answer the question: Do JCs increase research knowledge, dissemination of the knowledge, and implementation of evidence into practice? Background: Although substantial advancements have been made to increase awareness and utilization of evidence-based practice (EBP), the implementation of evidence into practice has its limitations. Theoretical Framework: The Promoting Action on Research Implementation in Health Service framework was used as the theoretical base for this review. Review Methods: An integrative review, as described by Ganong, was conducted. The search generated 28 articles, 10 of which met the inclusion criteria. Data were interpreted and evaluated using a data summary sheet influenced by the Ganong approach. The findings were summarized into 4 categories: understanding, circulation, implementation, and facilitation. Data sources: CINAHL, MEDLINE, Cochrane, Athens, Google Scholar, and Academia Premiere. Outcome: Journal clubs improved research-critiquing skills and increased the dissemination of research findings, but lacked the ability to integrate the evidence into practice. Facilitators of a successful JC were leaders in reviewing, developing, and implementing EBP. Conclusion: The 3 elements of the Promoting Action on Research Implementation in Health Service framework, context, evidence, and facilitation were supported by the findings. Implications: A JC promotes change, stimulates professionalism, and provides the opportunity to improve practice through understanding, utilization, and implementation of EBP.Clinical Nurse Specialist 06/2009; 23(4):192-199. DOI:10.1097/NUR.0b013e3181a8ca63 · 0.99 Impact Factor