title: Structured journal club as a tool to teach and assess resident competence in practice-based learning and improvement.
abstract: OBJECTIVE
  To describe the use of the journal club as a tool to teach and assess competency in practice-based learning (PBL) and improvement among residents in ophthalmology.
  
  
  METHODS
  Interventional case series.
  
  
  METHODS
  Ophthalmology residents.
  
  
  METHODS
  Three academic ophthalmology residency programs in the United States.
  
  
  METHODS
  A survey was performed of self-assessed skills in PBL among residents in ophthalmology training before and after the implementation of a structured review checklist during a traditional resident journal club. The survey had 5 domains, including (A) appraise and assimilate evidence, (B) read a journal article critically, (C) use a systematic and standardized checklist, (D) apply knowledge of study designs and statistical methods, and (E) maintain a self-documented written record of compliance. The respondents scored their ability (range, 1-5).
  
  
  RESULTS
  The use of a structured journal club tool was associated with a statistically significant improvement in self-assessed ability in all 5 domains.
  
  
  CONCLUSIONS
  Although validity, reliability, and long-term efficacy studies are necessary, the structured journal club is one method of teaching and assessing resident competency in PBL and improvement.
authors.affiliation: Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA. andrew-lee@uiowa.edu
authors.forename: Andrew G
authors.initials: AG
authors.lastname: Lee
authors.forename: H Culver
authors.initials: HC
authors.lastname: Boldt
authors.forename: Karl C
authors.initials: KC
authors.lastname: Golnik
authors.forename: Anthony C
authors.initials: AC
authors.lastname: Arnold
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Oetting
authors.forename: Hilary A
authors.initials: HA
authors.lastname: Beaver
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Olson
authors.forename: M Bridget
authors.initials: MB
authors.lastname: Zimmerman
authors.forename: Keith
authors.initials: K
authors.lastname: Carter
mesh_terms: D002983:Clinical Competence; D004502:Education, Medical, Continuing; D019317:Evidence-Based Medicine / Q000193:education*; D006126:Group Processes; D006801:Humans; D007396:Internship and Residency; D010506:Periodicals as Topic; D015203:Reproducibility of Results