CHRIS BAUMERT, MD MONTANA FAMILY MEDICINE RESIDENCY 2/25/15 PURLs Journal Club
RRC Requirements Residents must gain practical experience in data searching and grading, statistical methods, and application to practice The training environment must be in compliance with evidence based medicine practice
Objectives of Journal Club By end of residency, able to perform basic components of EBM critical appraisal of original research: Ask answerable questions Assess validity and relevance of the article Synthesize data Apply evidence to practice
Forming a clinical question P = Patient/Population I = Intervention C = Comparison/Control O = Outcome
Relevance & Validity Relevance Clinically meaningful? Could it affect care of a patient population of interest? Validity Appraise the Methods section Study types Identifies all important studies for this question? Reasonable to combine studies?
Data Synthesis Statistical significance Size of treatment effect Precision of treatment effect Clinical significance CIs, NNT (or enough numbers to calculate)? Outcome meaningful?
Application to Practice Will the results change your practice?
Components of Journal Club Obtain/read original research article Use worksheet to aid in critical appraisal Discussion guided by faculty (with Speaker Notes) Decide if you agree with the PURLs summary article Longitudinal experience PURLs summaries published monthly in Journal of FP