• Document: Journal Club Handbook
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Illingworth Library Supporting your Knowledge for Healthcare Journal Club Handbook Sarah Massey Dr Charlotte Elder 0 Contents 1. Introduction 2. What is Journal Club? 3. How is Journal Club organised? 4. Guidance for the presenter 4.1 Identify a knowledge gap and frame a clinical question 4.2 Literature search for best evidence to answer the question 4.3 Appraise the evidence 4.4 Email the paper to Sarah Massey 4.5 Prepare the presentation 4.6 Present the findings at Journal Club 4.7 Presentation follow-up 4.8 Frequently asked questions 5. Recommended reading 6. Glossary 7. Record sheet for clinical questions 8. Criteria for assessing journal club presenters This handbook is an amended version of the Journal Club Handbook from Birmingham Women’s NHS FT by kind permission of Ann Daly & Dr Amer Raza. Revised Aug 2016 1 1. Introduction Evidence-based medicine (EBM) integrates current best research evidence with clinical experience and thus aids decision-making in patient care. 2. What is Journal Club? Journal Club is an opportunity for clinicians to learn the principles of evidence-based practice through posing a clinical question, literature searching and critical appraisal. Additionally it offers the opportunity to hone presentation skills and receive feedback within an informal forum. The format of Journal Club is group, problem-based learning in which a presenter delivers a structured interactive presentation. The content of the presentation is the critical appraisal of a research paper with the option of using the CASP tool. (Critical Appraisal Skills Programme) The aim is to challenge current practice and determine whether the research evidence supports a change in practice. Appraisal is continued by the group discussion which follows and may conclude by determining whether or not current practice should be altered in light of the presenter's findings. 3. How is Journal Club organised? Journal Club will run twice monthly Thursday mornings from 8am to 8.55am and Wednesday evenings from 5.30pm to 6.30pm. (Check schedule on the back page.) A rota will be available with the dates members are presenting. A list of dates for presentation and an attendance sheet will be at each meeting. Presenters can choose whether or not to have others assess their presentation. A standardised assessment form is provided which can be uploaded onto their e-portfolio. 4. Guidance for the Presenter Ideally presenters should start to prepare approximately four weeks prior to Journal Club. There are five stages to follow: 1. Identify a knowledge gap and frame a clinical question 2. Literature search for best evidence to answer that question 3. Appraise the evidence and select a paper which comes closest to providing an answer to the clinical question. 4. Email the details of the paper to Sarah Massey for distribution to club members 5. Prepare the presentation and present the findings at Journal Club 6. Email a copy of your presentation to Sarah Massey to be uploaded on the website. 2 Journal Club Flowchart. 4.1 Identify a knowledge gap and frame a clinical question The first step in EBM is to define a structured clinical question. The question should arise from clinical practice. Using the PICO acronym will help you organize your query into a searchable question. In addition to the PICO elements of your clinical question, it’s important to know: –  what TYPE of question you are asking  what is the best STUDY DESIGN to search for in order to find evidence that answers your clinical question. 3 P.I.C.O. Model for Clinical Questions P Patient or Population How would I describe a group of patients similar to mine? I Intervention Which main intervention, prognostic factor, or exposure am I considering? C Comparison What is the main alternative to compare with the intervention? (if applicable) O Outcome What can I hope to accomplish measure, improve or affect? D Type of question and study Therapy/Treatment, Diagnosis, Prognosis, Harm / Aetiology. design What would be the best study design? It is sometimes difficult to identify the facets of a clinical query. The table below provides a number of examples. Structured PICO question Type of question & study

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