J Educ Eval Health Prof.  2020;17:9. 10.3352/jeehp.2020.17.9.

Journal clubs in Australian medical schools: prevalence, application, and educators’ opinions

• Ianno DJ
• Mirowska-Allen K
• Kunz SA
• O’Brien R

• KMID: 2502195
• DOI: http://doi.org/10.3352/jeehp.2020.17.9

Abstract

Purpose
Medically-focused journal clubs have been used as an educational tool for over 100 years, with research indicating that they improve knowledge, reading behaviour, and critical appraisal skills. However, it is unknown how widespread they are in Australian medical schools, nor the opinions of medical education leaders as to their value.
Methods
A nationwide cross-sectional study was performed among academic leaders from every Australian medical school. Individuals were asked to complete a survey detailing their attitudes towards journal clubs using single- or multiple-answer questions, Likert scales, and ranked data. They were asked whether students at their institutions were able to partake in journal clubs, and if so, provided details on their implementation.
Results
At least 1 response was collected from 18 of 19 Australian medical schools. The response rate was 40.8% (60 of 147), and 36 responses (60.0%) were from heads of clinical schools. Respondents from 15 of 18 institutions (83.3%) stated that their institution had a journal club. Of these, 23 (65.7%) were metropolitan institutions and 12 (34.3%) were rural institutions. Eighteen (51.4%) journal clubs were clinician-led, 13 (37.1%) were run through specific hospital departments, and 23 (65.7%) occurred during clinical years. Most respondents (20 [57.1%]) stated that the primary aim of the journal club was to develop critical appraisal skills.
Conclusion
Journal clubs are a highly regarded educational tool in the armoury of medical school educators, with significant heterogeneity in their structure, geographic prevalence, and intended purpose. Further studies of their efficacy in teaching evidence-based medicine is warranted.

Keyword

Australia; Continuing medical education; Curriculum; Evidence-based medicine; Journal club

Reference

References

1. Geffen L. A brief history of medical education and training in Australia. Med J Aust. 2014; 201(1 Suppl):S19–S22. https://doi.org/10.5694/mja14.00118.

2. Samarakoon L, Fernando T, Rodrigo C. Learning styles and approaches to learning among medical undergraduates and postgraduates. BMC Med Educ. 2013; 13:42. https://doi.org/10.1186/1472-6920-13-42.

3. Bornmann L, Mutz R. Growth rates of modern science: a bibliometric analysis based on the number of publications and cited references. J Assoc Inf Sci Technol. 2015; 66:2215–2222. https://doi.org/10.1002/asi.23329.

4. ESHRE Capri Workshop Group. Protect us from poor-quality medical research. Hum Reprod. 2018; 33:770–776. https://doi.org/10.1093/humrep/dey056.

5. Australian Bureau of Statistics. The Australian statistical geography standard (ASGS) remoteness structure [Internet]. Canberra: Australian Bureau of Statistics;2018. [cited 2019 Apr 16]. Available from: https://www.abs.gov.au/websitedbs/D3310114.nsf/home/remoteness+structure.

6. Sidorov J. How are internal medicine residency journal clubs organized, and what makes them successful? Arch Intern Med. 1995; 155:1193–1197. https://doi.org/10.1001/archinte.155.11.1193.

7. Moberg-Wolff EA, Kosasih JB. Journal clubs: orevalence, format, and efficacy in PM&R. Am J Phys Med Rehabil. 1995; 74:224–229. https://doi.org/10.1097/00002060-199505000-00008.

8. Brodribb W, Zadoroznyj M, Martin B. How do rural placements affect urban-based Australian junior doctors’ perceptions of working in a rural area? Aust Health Rev. 2016; 40:655–660. https://doi.org/10.1071/AH15127.

9. Harris J, Kearley K, Heneghan C, Meats E, Roberts N, Perera R, Kearley-Shiers K. Are journal clubs effective in supporting evidence-based decision making?: a systematic review: BEME guide no. 16. Med Teach. 2011; 33:9–23. https://doi.org/10.3109/0142159X.2011.530321.

10. Shulruf B, Velan G, Forster L, O’Sullivan A, Harris P, Taylor S. Insights into student assessment outcomes in rural clinical campuses. BMC Med Educ. 2019; 19:380. https://doi.org/10.1186/s12909-019-1828-z.

11. Linzer M, Brown JT, Frazier LM, DeLong ER, Siegel WC. Impact of a medical journal club on house-staff reading habits, knowledge, and critical appraisal skills: a randomized control trial. JAMA. 1988; 260:2537–2541. https://doi.org/10.1001/jama.260.17.2537.

12. Gottlieb M, King A, Byyny R, Parsons M, Bailitz J. Journal club in residency education: an evidence-based guide to best practices from the council of emergency medicine residency directors. West J Emerg Med. 2018; 19:746–755. https://doi.org/10.5811/westjem.2018.4.37507.

13. Sanchez-Mendiola M, Kieffer-Escobar LF, Marin-Beltran S, Downing SM, Schwartz A. Teaching of evidence-based medicine to medical students in Mexico: a randomized controlled trial. BMC Med Educ. 2012; 12:107. https://doi.org/10.1186/1472-6920-12-107.

14. Albarqouni L, Hoffmann T, Straus S, Olsen NR, Young T, Ilic D, Shaneyfelt T, Haynes RB, Guyatt G, Glasziou P. Core competencies in evidence-based practice for health professionals: consensus statement based on a systematic review and Delphi survey. JAMA Netw Open. 2018; 1:e180281. https://doi.org/10.1001/jamanetworkopen.2018.0281.

15. Ilic D, Tepper K, Misso M. Teaching evidence-based medicine literature searching skills to medical students during the clinical years: a randomized controlled trial. J Med Libr Assoc. 2012; 100:190–196. https://doi.org/10.3163/1536-5050.100.3.009.

16. Yu TC, Wilson NC, Singh PP, Lemanu DP, Hawken SJ, Hill AG. Medical students-as-teachers: a systematic review of peer-assisted teaching during medical school. Adv Med Educ Pract. 2011; 2:157–172. https://doi.org/10.2147/AMEP.S14383.

17. Burgess A, McGregor D. Peer teacher training for health professional students: a systematic review of formal programs. BMC Med Educ. 2018; 18:263. https://doi.org/10.1186/s12909-018-1356-2.

18. Deenadayalan Y, Grimmer-Somers K, Prior M, Kumar S. How to run an effective journal club: a systematic review. J Eval Clin Pract. 2008; 14:898–911. https://doi.org/10.1111/j.1365-2753.2008.01050.x.

19. Cunningham CT, Quan H, Hemmelgarn B, Noseworthy T, Beck CA, Dixon E, Samuel S, Ghali WA, Sykes LL, Jette N. Exploring physician specialist response rates to web-based surveys. BMC Med Res Methodol. 2015; 15:32. https://doi.org/10.1186/s12874-015-0016-z.