Skip to main content Accessibility help
×
Home

Contents:

Information:

  • Access
  • Open access
  • Cited by 1

Actions:

      • Send article to Kindle

        To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

        Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

        Find out more about the Kindle Personal Document Service.

        Evidence-based journal clubs and the Critical Review Paper
        Available formats
        ×

        Send article to Dropbox

        To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

        Evidence-based journal clubs and the Critical Review Paper
        Available formats
        ×

        Send article to Google Drive

        To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

        Evidence-based journal clubs and the Critical Review Paper
        Available formats
        ×
Export citation

Sir: Dhar and O'Brien (Psychiatric Bulletin, February 2001, 25, 67-68) present a trainees'-eye view of the Critical Review Paper of the Membership examination. They advise setting up evidence-based journal clubs (EBJC) to teach critical appraisal skills, but what is an EBJC?

The practice of evidence-based medicine (EBM) involves conscientious, explicit and judicious use of current best evidence in making decisions about individual patients' care (Sackett et al, 1996). This requires formal assessment of the quality and implications of available evidence to maximise the quality of clinical decision-making. It is unlikely that an EBJC can truly emulate EBM without considerable work (Walker et al, 1998). How then do trainees prepare for the Critical Review Paper?

In Inverclyde, we hold a weekly journal club attended by all grades of medical staff, which alternates between an EBJC and a ‘critical appraisal journal club’ (CAJC) format. In EBJCs, presenters address a clinical question with reference to the wider literature. Summaries of relevant papers lead to an overall awareness of the current evidence base and a ‘clinical bottom line’ is established. The CAJC aims to teach the skills examined in the Critical Review Paper. A single article is chosen and introduced with reference to critical questions such as those proposed by Greenhalgh (1997). The audience participates in the appraisal process. The strengths and limitations of the research inform result interpretation, and the participants derive conclusions on that basis.

Trainees find the CAJC format beneficial in their preparation for the Membership examination. We commend this format to training schemes throughout the British Isles.

Greenhalgh, T. (1997) How to Read a Paper, Basics of Evidence-Based Medicine. London: BMJ Publishing Group.
Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M. et al (1996) Evidence based medicine, what it is and what it isn't. British Medical Journal, 312, 7172.
Walker, N. P., McConville, P. & Dewar, I. G. (1998) The practice of evidence-based journal clubs. Psychiatric Bulletin, 22, 640641.