Transcript PURL Journal Club - FPIN Family Physicians Inquiries Network

PURLs Journal Club
CHRIS BAUMERT, MD
MONTANA FAMILY MEDICINE RESIDENCY
2/25/15
RRC Requirements
Residents must gain practical experience in data
searching and grading, statistical methods, and
application to practice
 The training environment must be in compliance with
evidence based medicine practice
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Objectives of Journal Club
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By end of residency, able to perform basic components of
EBM critical appraisal of original research:
 Ask answerable questions
 Assess validity and relevance of the article
 Synthesize data
 Apply evidence to practice
Forming a clinical question
 P = Patient/Population
 I = Intervention
 C = Comparison/Control
 O = Outcome
Relevance & Validity

Relevance
Clinically meaningful?
 Could it affect care of a patient population of interest?
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Validity
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Appraise the Methods section
 Study types
 Identifies all important studies for this question?
 Reasonable to combine studies?
Data Synthesis

Statistical significance
Size of treatment effect
 Precision of treatment effect
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Clinical significance
CIs, NNT (or enough numbers to calculate)?
 Outcome meaningful?

Application to Practice

Will the results change your practice?
Components of Journal Club

Obtain/read original research article
Use worksheet to aid in critical appraisal
Discussion guided by faculty (with Speaker Notes)
Decide if you agree with the PURLs summary article
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Longitudinal experience
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PURLs summaries published monthly in Journal of FP