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Novel Debate-Style Cardiothoracic Surgery Journal Club: Results of a Pilot Curriculum.
Luc, Jessica G Y; Nguyen, Tom C; Fowler, Clara S; Eisenberg, Steven B; Wolf, Randall K; Estrera, Anthony L; Vaporciyan, Ara A; Antonoff, Mara B.
Afiliación
  • Luc JGY; University of Alberta, Edmonton, Alberta, Canada.
  • Nguyen TC; University of Texas Health Science Center at Houston, Houston.
  • Fowler CS; University of Texas MD Anderson Cancer Center, Houston, Texas.
  • Eisenberg SB; University of Texas Health Science Center at Houston, Houston.
  • Wolf RK; University of Texas Health Science Center at Houston, Houston.
  • Estrera AL; University of Texas Health Science Center at Houston, Houston.
  • Vaporciyan AA; University of Texas MD Anderson Cancer Center, Houston, Texas.
  • Antonoff MB; University of Texas MD Anderson Cancer Center, Houston, Texas. Electronic address: mbantonoff@mdanderson.org.
Ann Thorac Surg ; 104(4): 1410-1416, 2017 Oct.
Article en En | MEDLINE | ID: mdl-28847538
BACKGROUND: Traditional journal clubs addressing single articles are limited by the lack of a standardized process for conduct and evaluation. We developed a novel, debate-style journal club for trainees to use best available evidence to address controversial topics in cardiothoracic surgery through discussion of realistic patient scenarios. METHODS: After implementation of our new curriculum, trainee knowledge acquisition and retention were assessed by a summative test of published literature and standardized debate scoring. Feedback was additionally obtained by trainee and faculty surveys. RESULTS: Cardiothoracic surgery trainees (n = 4) participated in five debates each over 10 monthly sessions. Written examination results after debate revealed a nonsignificant improvement in scores on topics that were debated compared with topics that were not (+9.8% versus -4.2%, p = 0.105). Trainee ability to sway the debate position supported by the attendee strongly correlated with trainee use of supporting literature (r = 0.853), moderately correlated with persuasiveness (r = 0.465), and overall effect of the debate (r = 0.625). Surveys completed by trainees and faculty unanimously favored the debate-style journal club as compared to the traditional journal club in gaining familiarity and applying published literature to questions encountered clinically. CONCLUSIONS: Our novel debate-style cardiothoracic surgery journal club is an effective educational intervention for cardiothoracic surgery trainees to acquire, retain, and gain practice in applying specialty-specific literature-based evidence to controversial case-based issues. Evaluation by multi-institutional expansion is needed to validate our preliminary findings in this initial trainee cohort.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía Torácica / Curriculum / Internado y Residencia País/Región como asunto: America do norte Idioma: En Revista: Ann Thorac Surg Año: 2017 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía Torácica / Curriculum / Internado y Residencia País/Región como asunto: America do norte Idioma: En Revista: Ann Thorac Surg Año: 2017 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Países Bajos