1. CHRIS BAUMERT, MD MONTANA FAMILY MEDICINE RESIDENCY 2/25/15 PURLs Journal Club

2. 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

3. Objectives of Journal Club  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

4. Forming a clinical question P = Patient/Population I = Intervention C = Comparison/Control O = Outcome

5. Relevance & Validity  Relevance  Clinically meaningful?  Could it affect care of a patient population of interest?  Validity  Appraise the Methods section Study types Identifies all important studies for this question? Reasonable to combine studies?

6. Data Synthesis  Statistical significance  Size of treatment effect  Precision of treatment effect  Clinical significance  CIs, NNT (or enough numbers to calculate)?  Outcome meaningful?

7. Application to Practice  Will the results change your practice?

8. 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  Longitudinal experience  PURLs summaries published monthly in Journal of FP