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Journal Club What's it all about?

Iain Moppett September 2007. Journal Club What's it all about?. Journal Club: what's it all about. Why do we have journal club? Getting the most out of presenting Getting the most out of listening. Why do we have journal club?. Free lunch Painless CPD Scintillating repartee with the rep

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Journal Club What's it all about?

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  1. Iain Moppett September 2007 Journal ClubWhat's it all about?

  2. Journal Club: what's it all about • Why do we have journal club? • Getting the most out of presenting • Getting the most out of listening

  3. Why do we have journal club? • Free lunch • Painless CPD • Scintillating repartee with the rep • Learn something • Requirement for trainees • Academic sparring

  4. Why do we have journal club? • Learning opportunities: presenter • Trainee presentation skills • Hostile / indifferent / friendly audience • Paper critique • Problems with research • Learning opportunities: audience • Review of unread papers • Learn about new fields • Constructive criticism of paper and presenter

  5. Getting the most out of presenting • What are your aims? • Understand the paper • Present the salient points • Critique the paper • Get the audience hooked

  6. Getting the most out of presenting • Understand the paper • Read it! • Read around the subject • Use the references • Editorials? • Read it again • Discuss it with supervising consultant

  7. Getting the most out of presenting • Presenting the salient points • Background • Methods • Results • Authors interpretation of results

  8. Getting the most out of presenting • Presenting the salient points ... things to avoid • Long quotes from the paper • Straight reproduction of big tables • 'I don't understand the statistics but this is what they used...'

  9. Getting the most out of presenting • Critique the paper • Plenty of advice / guidance available • Most authoritative probably CONSORT • www.consort-statement.org • Critique does not mean • Dishing the paper • Unqualified support of the paper

  10. Getting the most out of presenting • Critique the paper • (Abstract and title)‏ • Do they accurately reflect the paper contents? • Background • Does it reflect current understanding? • Is the study worth doing in the first place?

  11. Getting the most out of presenting • Critique the paper • Methods • Randomization and blinding • Right intervention • Right subjects • Right time • Right dose • Right data

  12. Getting the most out of presenting • Critique the paper • Statistics • Not expected to be a statistician • But: 'I don't really understand...' not good enough • Think about what they were trying to do • Look up the tests (internet, books) • Ask your supervisor • Seek advice from people who may know more • Nathanson, Norris, Research Fellows, Aitkenhead, Hardman, Moppett

  13. Getting the most out of presenting • Critique the paper • Results • Have they reported the results appropriately • Papers inevitably leave stuff out • Do the text and tables match up

  14. Getting the most out of presenting • Critique the paper • Discussion • Are the conclusions supported by the results? • Have the authors highlighted limitations of the study? • How does the study fit into the wider literature • Remember • No study is perfect • Most authors are honest • You didn't do the study

  15. Getting the most out of presenting • Critique the paper • How would you take the research forward? • Be practical • What conclusions would you draw from the paper • 'It's a load of rubbish' – not good • 'I've told Dr Reid to buy the kit straightaway' – not good

  16. Getting the most out of presenting • Getting the audience hooked • Treat them with respect • 'Presence' • Highlight the relevance early on • Question plant • Take your questions to the audience • 'Dr Luxton, how does this relate to your clinical experience?' • 'Dr Bennett, should trainees change their practice?'

  17. Getting the most out of listening • Best sandwiches snaffled by those with short lists • Treat the presenter with respect • Listen • Stay for the whole session • Read / skim the paper

  18. Getting the most out of listening • Avoid the temptation to just dish the paper • Ask sensible questions • CONSORT approach • Be prepared to challenge • Academics may be wrong or deliberately provocative • Including professors

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