CHRIS BAUMERT, MDMONTANA 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/PopulationI = InterventionC = Comparison/ControlO = 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