Display options
Share it on

J Evid Based Med. 2020 Feb;13(1):42-56. doi: 10.1111/jebm.12370. Epub 2020 Jan 17.

The use of journal clubs to teach evidence-based medicine to health professionals: A systematic review and meta-analysis.

Journal of evidence-based medicine

Dragan Ilic, Annelies de Voogt, John Oldroyd

Affiliations

  1. School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia.

PMID: 31951092 DOI: 10.1111/jebm.12370

Abstract

BACKGROUND: Journal clubs are an educational activity in which individuals meet to critique and discuss research articles. They are an established part of the medical education system and are considered to be a practical way to improve the content knowledge of health professionals.

AIMS: To determine the effectiveness of journal clubs for increasing health professionals' competency in EBM.

METHODS: A systematic review of randomized controlled trials (RCTs) was performed. Electronic searches were conducted in October 2019 across MEDLINE, ERIC and Scopus databases. Two authors independently reviewed articles, and extracted data. A risk-of-bias tool, based on the Cochrane Collaboration's tool for assessing risk of bias in RCTs, was used to assess internal validity.

RESULTS: A total of 151 citations were returned, from which five studies (n = 378 individuals) were included in the final review. No overall statistical difference in knowledge scores was observed between health professionals participating in journal clubs compared to other professional education modes (SMD 0.15, 95% CI -0.09, 0.39). Similarly, no significant difference in attitudes or implementation of evidence-based medicine practices was observed across studies.

CONCLUSIONS: There is insufficient evidence to support the effectiveness of journal clubs in improving the knowledge, attitudes, and implementation of evidence-based skills by health professionals in clinical practice. Further research is needed to test the effectiveness of other interventions to increase uptake of EBM in real world settings. Such interventions may include interactive components with auditing and feedback to facilitate more effective learning.

© 2020 Chinese Cochrane Center, West China Hospital of Sichuan University and John Wiley & Sons Australia, Ltd.

Keywords: evidence-based medicine; journal club; medical education; systematic review

References

  1. Sackett D, Rosenberg W. On the need for evidence-based medicine. J Public Health Med. 1995;17:330-334. - PubMed
  2. Straus S, Glasziou P, Richardson W, Haynes B. Evidence-Based Medicine: How to Practice and Teach It. Edinburgh: Churchill Livingstone: Elsevier; 2011. - PubMed
  3. Dawes M, Summerskill W, Glasziou P, et al. Sicily statement on evidence-based practice. BMC Med Educ. 2005;5:1. - PubMed
  4. Tilson J, Kaplan S, Harris J, et al. Sicily statement on classification and development of evidence-based practice learning assessment tools. BMC Med Educ. 2011;11:78. - PubMed
  5. Ilic D, Maloney S. Methods of teaching medical trainees Evidence Based Medicine: a systematic review. Med Educ. 2014;48:124-135. - PubMed
  6. Khan K, Coomarasamy A. A hierarchy of effective teaching and learning to acquire competence in evidenced-based medicine. BMC Med Educ. 2006;6(59). https://doi.org/10.1186/1472-6920-1186-1159. - PubMed
  7. Coomarasamy A, Khan K. What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review. BMJ. 2004;329:1017. - PubMed
  8. Davis D, O'Brien M, Freemantle N, Wolf F, Mazmanian P, Taylor-Vaisey A. Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes. JAMA. 1999;282:867-874. - PubMed
  9. Thepwongsa I, Kirby C, Schattner P, Piterman L. Online continuing medical education (CME) for GPs: does it work? A systematic review. Austr Fam Phys. 2014;43:717-721. - PubMed
  10. Jensen T, Skårdalsmo E, Fjermestad K. Development of mental health problems-a follow-up study of unaccompanied refugee minors. Child Adolesc Psychiatr Mental Health. 2014;8:29-29. - PubMed
  11. Honey C, Baker J. Exploring the impact of journal clubs: a systematic review. Nurse Educ Today. 2011;31:825-831. - PubMed
  12. Bhatnagar N, Kaur R, Patro B. Journal club: a club for medical education. J Postgrad Med, Educ Res. 2015;49:251-253. - PubMed
  13. 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. - PubMed
  14. Milbrandt E, Vincent J. Evidence-based medicine journal club. Crit Care. 2004;8:401. - PubMed
  15. Alguire P. A review of journal clubs in postgraduate medical education. J Gen Inter Med. 1998;13:347-353. - PubMed
  16. Harris J, Kearley K, Heneghan C, et al. Are journal clubs effective in supporting evidence-based decision making? A systematic review. BEME Guide No. 16. Med Teach. 2011;33:9-23. - PubMed
  17. PRISMA. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. http://www.prisma-statement.org/, Accessed 3/4/2018. - PubMed
  18. Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane Handbook for Systematic Reviews of Interventions. 2nd Edition. Chichester (UK): John Wiley & Sons, 2019. - PubMed
  19. Review Manager (RevMan) [computer program]. Copenhagen: The Nordic Cochrane Centre 2011. - PubMed
  20. Mukohara K, Schwartz M. Electronic delivery of research summaries for academic generalist doctors: a randomised trial of an educational intervention. Med Educ. 2005;39:402-409. - PubMed
  21. Tsui I, Dodson W, Kunselman A, et al. Chinese Obstetrics & Gynecology Journal club: a randomised controlled trial. BMJ Open. 2016;6:e010178. - PubMed
  22. Wenke R, Thomas R, Hughes I, Mickan S. The effectiveness and feasibility of TREAT (Tailoring research evidence and theory) journal clubs in allied health: a randomised controlled trial. BMC Med Educ. 2018;18:104. - PubMed
  23. Williams A, Mann B. Improved knowledge gain and retention for third-year medical students during surgical journal club using basic science review: a pilot study. Am J Surg. 2017;213:238-243. - PubMed
  24. Linzer M, Brown T, Frazier L, DeLong E, Seigel W. Impact of a medical journal club on house staff reading habits, knowledge and critical appraisal skills. JAMA. 1988;260:2537-2541. - PubMed

MeSH terms

Publication Types