• Using Journal Club to Upgrade Pediatric Residents' Understanding of Evidence-Based Practice

      Hendren, Stephanie; Kouame, Gail; Stuart, Ansley; Shipman, Peter; Ballance, Darra; Yang, Rebecca; Robert B. Greenblatt, M.D. Library (Augusta University, 2018-11-19)
      Objective: To demonstrate how a change from a traditional journal club to an evidence-based assignment in a pediatric hospital strengthened collaboration between hospital residents and medical librarians. Methods: The pediatric department at Augusta University Medical Center decided to revise their existing journal club model to better meet requirements for evidence-based practice content. They approached the Robert B. Greenblatt, M.D. Library to collaborate on a new approach to the assignment. Each third-year resident selected a patient they treated to develop a PICO question, research the literature, and present the findings. The librarians, on average, rounded twice and had an additional meeting with each resident in order to complete the assignment. Librarians worked with the residents in developing answerable research questions, searching the databases, and providing methods to analyze results. Results: The first cohort of 13 residents completed their assignments. At the end of each rotation, the resident presented the patient and findings to the other residents and attending physicians at a designated morning report. Residents also discussed how the literature did or did not apply to their particular patient scenario, and whether the standard hospital procedure was in line with the published evidence. A group discussion about the presented literature directly followed each presentation. Afterwards, a librarian evaluated each resident on specific EBM competencies. Conclusions: The evidence-based assignment offers a different way to engage residents with medical literature and librarians outside a journal club. Residents gained hands-on experience of searching the literature for a specific patient problem and had a platform to share their knowledge with their peers. Librarians utilized the one-on-one interactions to provide tailored literature search instruction based upon the resident’s research topic and results found. A second cohort began in July 2018 and will continue through June 2019.