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CORE TRAINING How to prepare for and present at a journal club Introduction Presenting a paper at a journal lub can be a daunting prospect for a trainee and one for which undergraduate medical education ‘may leave the tainee feeling under-pre- pared. However, the ability wo citcally appraise and present an academic paper is @ ‘competency required ofthe trainee doctor. ‘This article discusses the benefits of attending a journal club and considers the charactetisties common to successful jour- nal clubs. It reviews the impact of new technology on the format of journal cubs and suggests a framework for preparing presentations Historical background The first mention of a journal club is found in the 1835-54 memoirs of British surgeon Sir James Paget. He reported that “selfclect ofthe pupils, making themselves into a kind of club, had a small room over a baker’ shop near the Hospital-gate where wwe could sit and read the journals, Sir William Osler is widely credited as estab- lishing the fist organized journal club at McGill Univesity in 1875 (Linzer, 1987). In 1966, Professor Mattingly of Exeter University wrote one of the first articles about journal clubs as an: ‘introduction to the systematic use of medica literature for junior staff, and ‘a convenient method of surveying the medical literature’ for senior staff (Mattingly, 1966). Since then journal clubs ave been widely used to keep abreast of the currene literature, In the 1990s the concept of evidence- based medicine was introduced, defined as ‘athe conscientious, explicit, and judi- cious use of current best evidence in mak- ing decisions about the care of individual Dr PFD Bowles is Core Surgical Tiaiee, Mr K Marenah is Special Reis in Onhapaedie Surgery, Me DM Ricketts i Consultant Onhopacdic Surgeon and Mr BA Rogers i Conzulsant Orthopaedic “Surgeon ithe Department of Troma and Orthopaedics, Brighton and Susex University Hospital, Brighton BN2 SBE Cornspondence to: Dr PED Bowles (philippe bowernbsnet) patients’ (Sackett etal, 1996). The skill of critical appraisal and the ability to use the ‘eurtent evidence base in medical practice has evolved, with journal clubs being inte- gral co his process. Why attend journal clubs? Journal clubs link research co clinieal prac~ tice by encouraging extical review of the current medica literature and act as a vehi- cle for the application of evidence-based ‘medicine through continuing medical edu cation (Ess, 2007; Leung eval, 2013). Journal clubs aso allow academic debace and networking between colleagues of varying seniority (Esisi, 2007), Regular reetings to discuss and appraise the medli- cal literature help cainees to develop their cticical appraisal skils. These skills are increasingly seen a a requirement for spe- dialise hospital doctors and che ability co demonserate them is assessed at specialty ‘taining (ST3) interviews (Picard et al, 2010; Leung etal, 2013). By honing critical appraisal skills, com: petenceis developed and publications may follow in the form of ‘leters to the editor ot papers developing research ideas stimu- lated by the articles reviewed (Table ). Charare istics of successful journal clubs Successful journal clubs have generally mec for more than 2years with good participa- tion (Sidoroy, 1995). There are many difer- CCRC cs cd itl apo skis ae developed Portcpants heep abreast of cent me s i fendral ‘and evidence-based proce are The ows of comining oll ten met Infervew skilae developed ‘Academic debate is stmt ae rig ik oe cent ways that meetings are structured but common characteristics are_as_ follows (Sidorov, 1995; Aluire, 1998; Deenadayalan val, 2008; Millichap and Goldstein, 2011): 1. They ate held a¢ regular intervals (eg. monthly) 2. They are held at a set time convenient for the members 3. Attendance is compulsory and an attendance register is held 4, The attending clinicians share common

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