title: Chinese Obstetrics & Gynecology journal club: a randomised controlled trial.
abstract: To assess whether a journal club model could improve comprehension and written and spoken medical English in a population of Chinese medical professionals.
  
  
  
  The study population consisted of 52 medical professionals who were residents or postgraduate master or PhD students in the Department of Obstetrics and Gynecology, Heilongjiang University of Chinese Medicine, China.
  
  
  
  After a three-part baseline examination to assess medical English comprehension, participants were randomised to either (1) an intensive journal club treatment arm or (2) a self-study group. At the conclusion of the 8-week intervention participants (n=52) were re-tested with new questions.
  
  
  
  The primary outcome was the change in score on a multiple choice examination. Secondary outcomes included change in scores on written and oral examinations which were modelled on the Test of English as a Foreign Language (TOEFL).
  
  
  
  Both groups had improved scores on the multiple choice examination without a statistically significant difference between them (90% power). However, there was a statistically significant difference between the groups in mean improvement in scores for both written (95% CI 1.1 to 5.0; p=0.003) and spoken English (95% CI 0.06 to 3.7; p=0.04) favouring the journal club intervention.
  
  
  
  Interacting with colleagues and an English-speaking facilitator in a journal club improved both written and spoken medical English in Chinese medical professionals. Journal clubs may be suitable for use as a self-sustainable teaching model to improve fluency in medical English in foreign medical professionals.
  
  
  
  NCT01844609.
authors.affiliation: Department of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, Pennsylvania, USA Department of Obstetrics and Gynecology, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, China.
authors.forename: Ilene K
authors.initials: IK
authors.lastname: Tsui
authors.affiliation: Department of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, Pennsylvania, USA.
authors.forename: William C
authors.initials: WC
authors.lastname: Dodson
authors.affiliation: Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania, USA.
authors.forename: Allen R
authors.initials: AR
authors.lastname: Kunselman
authors.affiliation: Department of Obstetrics and Gynecology, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, China.
authors.forename: Hongying
authors.initials: H
authors.lastname: Kuang
authors.affiliation: Department of Obstetrics and Gynecology, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, China.
authors.forename: Feng-Juan
authors.initials: FJ
authors.lastname: Han
authors.affiliation: Department of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, Pennsylvania, USA.
authors.forename: Richard S
authors.initials: RS
authors.lastname: Legro
authors.affiliation: Department of Obstetrics and Gynecology, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, China.
authors.forename: Xiao-Ke
authors.initials: XK
authors.lastname: Wu
mesh_terms: D000328:Adult; D002681:China; D032882:Comprehension; D004503:Education, Medical, Graduate; D004521:Educational Measurement / Q000379:methods; D005260:Female; D006176:Gynecology / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D007802:Language; D008297:Male; D015588:Observer Variation; D009774:Obstetrics / Q000193:education*; D010506:Periodicals as Topic; D013663:Teaching / Q000379:methods; D014956:Writing
keywords: GYNAECOLOGY; MEDICAL EDUCATION & TRAINING; OBSTETRICS; REPRODUCTIVE MEDICINE
references.citation: Obstet Gynecol. 2009 May;113(5):1027-37
references.pmid: 19384117
references.citation: Obstet Gynecol. 2009 Apr;113(4):775-82
references.pmid: 19305319
references.citation: Obstet Gynecol. 2009 Oct;114(4):777-85
references.pmid: 19888035
references.citation: Obstet Gynecol. 2009 Dec;114(6):1197-204
references.pmid: 19935019
references.citation: Obstet Gynecol. 2010 Feb;115(2 Pt 1):243-8
references.pmid: 20093895
references.citation: Obstet Gynecol. 2010 Apr;115(4):795-803
references.pmid: 20308841
references.citation: Obstet Gynecol. 2010 Jul;116(1):160-7
references.pmid: 20567183
references.citation: Obstet Gynecol. 2010 Sep;116(3):625-32
references.pmid: 20733445
references.citation: Obstet Gynecol. 2010 Oct;116(4):819-26
references.pmid: 20859144
references.citation: Obstet Gynecol. 2011 Jan;117(1):33-40
references.pmid: 21213475
references.citation: Lancet. 2011 Jan 8;377(9760):124-5
references.pmid: 21215881
references.citation: Obstet Gynecol. 2011 Jul;118(1):21-8
references.pmid: 21691159
references.citation: Obstet Gynecol. 2011 Aug;118(2 Pt 1):273-9
references.pmid: 21775842
references.citation: Obstet Gynecol. 2011 Nov;118(5):1005-13
references.pmid: 21979458
references.citation: Obstet Gynecol. 2011 Dec;118(6):1271-9
references.pmid: 22067716
references.citation: Obstet Gynecol. 2012 Mar;119(3):519-26
references.pmid: 22314873
references.citation: Obstet Gynecol. 2012 Jun;119(6):1143-50
references.pmid: 22617578
references.citation: Obstet Gynecol. 2012 May;119(5):902-8
references.pmid: 22525900
references.citation: Obstet Gynecol. 2012 Apr;119(4):700-8
references.pmid: 22395145
references.citation: Obstet Gynecol. 2012 Jul;120(1):113-22
references.pmid: 22914399
references.citation: Obstet Gynecol. 2012 Jul;120(1):152-9
references.pmid: 22914404
references.citation: Obstet Gynecol. 2012 Oct;120(4):852-63
references.pmid: 22996103
references.citation: Obstet Gynecol. 2013 Jan;121(1):65-70
references.pmid: 23262929
references.citation: Obstet Gynecol. 2014 Jul;124(1):163
references.pmid: 24945447
references.citation: BMC Med Educ. 2001;1:6
references.pmid: 11710973
references.citation: Postgrad Med J. 2004 Aug;80(946):436-7
references.pmid: 15299150
references.citation: Surgery. 2004 Sep;136(3):641-6
references.pmid: 15349113
references.citation: JAMA. 1988 Nov 4;260(17):2537-41
references.pmid: 3050179
references.citation: BMC Med Educ. 2006;6:43
references.pmid: 16925800
references.citation: Obstet Gynecol. 2009 Jun;113(6):1268-71
references.pmid: 19461421