title: Improving journal clubs through the use of positive deviance: A mixed-methods study.
abstract: BACKGROUND
  Plastic surgery journal clubs are often unsatisfactory for both surgeons and residents, leading to frustration and poor surgeon attendance.
  
  
  OBJECTIVE
  To assess and modify journal clubs using the principles of positive deviance.
  
  
  METHODS
  Surgeons and residents were surveyed across five domains before and after journal club modification. These included perception of the quality of articles chosen, the quality of the presentations, postpresentation discussions, educational benefit and overall satisfaction.
  
  
  RESULTS
  Using the principles of positive deviance, the authors were able to identify points of concern with journal clubs and make suggestions for improvement. Postintervention surveys demonstrated a statistically significant improvement in journal clubs across all five domains assessed.
  
  
  CONCLUSIONS
  Using the principles of positive deviance, journal club satisfaction was improved. The interventions presented could be used to improve journal clubs at other institutions. In addition, the principles of positive deviance can be used to address a variety of administrative and educational challenges faced by plastic surgery programs.
authors.affiliation: Division of Plastic Surgery, Department of Surgery, University of British Columbia Island Medical Program, Victoria, British Columbia;
authors.forename: Alexander
authors.initials: A
authors.lastname: Anzarut
authors.forename: Benjamin
authors.initials: B
authors.lastname: Martens
authors.forename: Edward
authors.initials: E
authors.lastname: Tredget