1. JOURNAL CLUB REDESIGNED R ICHARD B OUNDS, MD S TEPHEN B OONE, MD J ENNA F REDETTE, MD C HRISTIANA C ARE H EALTH S YSTEM JOURNAL CLUB REDESIGNED R ICHARD B OUNDS, MD S TEPHEN B OONE, MD J ENNA F REDETTE, MD C HRISTIANA C ARE H EALTH S YSTEM

2. Presenting to a large audience Difficult to design a format that engages learners of all levels of training  Often, residents are assigned to present an in-depth analysis of the articles.  They anxiously present their interpretations to a large audience.  Yield for the presenters is high, while most others are passive listeners. Variable quality of article selection Residents must learn to search the literature to answer specific clinical questions. They should also be familiar with a core selection of important EM articles.  Articles chosen sometimes flawed, and discussions focus on negatives.  Residents may grow overly skeptical of evidence-based medicine. “But I don’t read articles... there are plenty of podcasts on that topic!” The explosion of free open access medical education (FOAMed) demands that educators guide residents in their incorporation of these resources with primary literature and clinical practice.

3. PREPARATION  Each journal club is focused on exploring a specific clinical question.  A “landmark article” is selected, along with a background/supporting article and a relevant podcast or blog post, and sent out prior.  Residents are pre-assigned to small groups, each with a mix of training levels. FORMAT  In their small groups, all PGY-1 residents are expected to summarize and lead discussion on the background article.  The PGY-2 residents present their analysis of the landmark article, and how it applies to their practice.  The PGY-3 residents critique the podcast or blog, discussing bias, generalizability, and interpretation of findings in relation to the articles reviewed. WRAP-UP  Following the small group discussions, the large group reconvenes to discuss and debate key points from each group.  Organizing residents compile and email key discussion points to all residents and faculty.

4. This redesigned journal club structure focuses on a key clinical question while incorporating a landmark article and social media interpretation. The interactive small-group format engages ALL residents, holds learners accountable, and encourages greater dialogue regarding differing interpretations of important emergency medicine research. This format models realistic life-long learning methods that are more in line with modern resources and practices of our current graduates. S MALL G ROUPS L ANDMARK A RTICLES S OCIAL M EDIA S MALL G ROUPS L ANDMARK A RTICLES S OCIAL M EDIA

5. JOURNAL CLUB REDESIGNED R ICHARD B OUNDS, MD, S TEPHEN B OONE, MD, J ENNA F REDETTE, MD C HRISTIANA C ARE H EALTH S YSTEM JOURNAL CLUB REDESIGNED R ICHARD B OUNDS, MD, S TEPHEN B OONE, MD, J ENNA F REDETTE, MD C HRISTIANA C ARE H EALTH S YSTEM PREPARATION  Each journal club is focused on exploring a specific clinical question.  A “landmark article” is selected, along with a background/supporting article and a relevant podcast or blog post, and sent out prior.  Residents are pre-assigned to small groups, each with a mix of training levels. FORMAT  In their small groups, all PGY-1 residents are expected to summarize and lead discussion on the background article.  The PGY-2 residents present their analysis of the landmark article, and how it applies to their practice.  The PGY-3 residents critique the podcast or blog, discussing bias, generalizability, and interpretation of findings in relation to the articles reviewed. WRAP-UP  Following the small group discussions, the large group reconvenes to discuss and debate key points from each group.  Organizing residents compile and email key discussion points to all residents and faculty. Presenting to a large audience Difficult to design a format that engages learners of all levels of training  Often, residents are assigned to present an in-depth analysis of the articles.  They anxiously present an interpretation to a large audience.  Yield for the presenters is high, while most others are passive listeners. Variable quality of article selection Residents must learn to search the literature to answer specific clinical questions. They should also be familiar with a core selection of important EM articles.  Articles chosen sometimes flawed, and discussions focus on negatives.  Residents may grow overly skeptical of evidence-based medicine. “But I don’t read articles... there are plenty of podcasts on that topic!” The explosion of free open access medical education (FOAMed) demands that educators guide residents in their incorporation of these resources with primary literature and clinical practice. This redesigned journal club structure focuses on a key clinical question while incorporating a landmark article and social media interpretation. The interactive small-group format engages ALL residents, holds learners accountable, and encourages greater dialogue regarding differing interpretations of important emergency medicine research. This format models realistic life-long learning methods that are more in line with modern resources and practices of our current graduates. S MALL G ROUPS L ANDMARK A RTICLES S OCIAL M EDIA S MALL G ROUPS L ANDMARK A RTICLES S OCIAL M EDIA