Are journal clubs useful in teaching psychiatry?

Abstract

SummaryJournal clubs are a mandatory aspect of psychiatric training in the UK, yet are not always seen as a stimulating experience. Clarifying the aim of the club and tailoring it to the needs and wishes of the audience is an essential step. Teaching skills in critical appraisal is often seen as the main purpose of journal clubs. Depending on the audience, being able to formulate questions from clinical dilemmas, search the literature, and integrate research evidence, clinical expertise and the patient's needs and wishes may be as important. Linking these tasks in the journal club with routine clinical practice increases the chances of changing attitudes and behaviour and thus influencing care. New approaches to using social media and online formats mean that journal clubs are no longer restricted to a particular place or time, although the social aspect of meeting colleagues continues to be important for many.

Running a journal club in 2020: reflections and challenges

“…Doctors assembling to review current literature has been recorded as far back as 1875 (3). However, recent difficulties in engaging doctors in journal clubs have been discussed (2). In 2009, Agell wrote of a 'Journal Club Syndrome' in which he reported an observed correlation between reported 'mishaps' by trainees and the timing of their scheduled presentations, leading to them being unable to engage in the learning process (4).…”

“…The transition to online journal clubs now requires a new set of organiser and administrator skills, which is a challenge in some departments. Even before 2020, journal clubs were struggling with participant engagement (2,6). It might be embraced by those with research or education focus; but there is a high risk that others could feel excluded.…”

“…The Royal College of Psychiatrist's curriculum for core trainees requires the development of critical appraisal knowledge, skills and habits for practising evidence-based medicine (EBM) (1). Since 1999, critical appraisal skills have been assessed within MRCPsych written examinations (2). It is accepted that attending a journal club offers trainees a key opportunity to learn and practise critical appraisal skills.…”

“…1 Since 1999, critical appraisal skills have been assessed in MRCPsych written examinations. 2 It is accepted that attending a journal club offers trainees a key opportunity to learn and practise critical appraisal skills. Attending and presenting at a journal club are recommended for all trainees, being a workplace-based assessment (WPBA) for core trainees within their curriculum and required for annual review of competency progression (ARCP).…”

The MRCPsych post-2015: preparing trainees and improving courses

“…Ideally, it should be taught via small-group teaching or in a workshop format that provides trainees with additional opportunities to put their critical appraisal knowledge and skills into practice. Journal clubs are another important teaching arena (Swift 2016, this issue).…”