1. Chris baumert, MD Montana Family Medicine Residency 2/25/15
PURLs Journal Club
Chris baumert, MD
Montana Family Medicine Residency
2/25/15

2. 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

3. 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

4. Forming a clinical question
P = Patient/Population
I = Intervention
C = Comparison/Control
O = Outcome

5. Relevance & Validity Relevance Validity 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?

6. Data Synthesis Statistical significance Clinical significance
Size of treatment effect
Precision of treatment effect
Clinical significance
CIs, NNT (or enough numbers to calculate)?
Outcome meaningful?

7. Application to Practice
Will the results change your practice?

8. 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