how to give a journal club presentation

Journal Club: How to Prepare Effectively and Smash Your Presentation

Journal club. It’s so much more than orally dictating a paper to your peers.

It’s an opportunity to get a bunch of intelligent people in one place to share ideas. It’s a means to expand the scientific vocabulary of you and the audience. It’s a way to stimulate inventive research design.

But there are so many ways it can go wrong.

Poorly explained papers dictated blandly to an unengaged audience. Confusing heaps of data shoehorned into long presentations. Everybody stood awkwardly outside a meeting room you thought would be free.

Whether you are unsure what journal club is, are thinking of starting one, or simply want to up your presentation game—you’ve landed on the ultimate journal club guide.

The whats, the whys, and the hows, all in one place.

What Is a Journal Club in Science?

A journal club is a series of meetings in which somebody is elected to present a research paper, its methods, and findings to a group of colleagues.

The broad goal is to stimulate discussion and ideas that the attendees may apply to their own work. Alternatively, someone may choose a paper because it’s particularly impactful or ingenious.

Usually, the presenter alternates per a rota, and attendance may be optional or compulsory.

The presenter is expected to choose, analyze, and present the paper to the attendees with accompanying slides.

The presentation is then followed by a discussion of the paper by the attendees. This is usually in the form of a series of questions and answers directed toward the presenter. Ergo , the presenter is expected to know and understand the paper and subject area to a moderate extent.

Why Have a Journal Club?

I get it. You’re a busy person. There’s a difficult research problem standing between you and your next tenure.

Why bother spending the time and energy participating in a series of meetings that don’t get you closer to achieving your scientific goals?

The answer: journal club does get you closer to achieving your scientific goals!

But it does this in indirect ways that subtly make you a better scientist. For example:

• It probably takes you out of your comfort zone.
• It makes you a better communicator.
• It makes you better at analyzing data.
• It improves your ability to critique research.
• It makes you survey relevant literature.
• It exposes you and your audience to new concepts.
• It exposes your audience to relevant literature.
• It improves the reading habits of you and your audience.
• It gets clever people talking to each other.
• It gives people a break from practical science.

It also provides a platform for people to share ideas based on their collective scientific experience. And every participant has a unique set of skills. So every participant has the potential to provide valuable insight.

This is what a good journal club should illicit.

Think of journal club as reading a book. It’s going to enrich you and add beneficially to the sum of your mental furniture, but you won’t know how until you’ve read it.

Need empirical evidence to convince you? Okay!

In 1988 a group of medical interns was split into two groups. One received journal club teaching and the other received a series of seminars. Approximately 86% of the journal club group reported improved reading habits. This compares to 0% in the group who received seminar-based teaching. [1]

Journal Club Template Structure

So now you know what journal club is, you might wonder, “how is it organized and structured?”

That’s what the rest of this article delves into. If you’re in a rush and need to head back to the lab, here’s a graphical summary (Figure 1).

Nobody likes meetings that flounder around and run over time. And while I have no data to prove it, I reckon people take less away from such meetings. Here’s a basic journal club template that assumes you are the presenter.

Introduce the Paper, Topic, Journal, and Authors

Let your audience know what you will be talking about before diving right in. Remember that repetition (of the important bits) can be a good thing.

Introducing the journal in which the paper is published will give your audience a rough idea of the prestige of the work.

And introducing the authors and their respective institutes gives your audience the option of stowing this information away and following it up with further reading in their own time.

Provide a Reason Why You Chose the Paper

Have the authors managed to circumvent sacrificing animals to achieve a goal that traditionally necessitated animal harm? Have the authors repurposed a method and applied it to a problem it’s not traditionally associated with? Is it simply a monumental feat of work and success?

People are probably more likely to listen and engage with you if they know why, in all politeness, you have chosen to use their time to talk about a given paper.

It also helps them focus on the relevant bits of your presentation and form cogent questions.

Orally Present Key Findings and Methods of the Paper

Simple. Read the paper. Understand it. Make some slides. Present.

Okay, there are a lot of ways you can get this wrong and make a hash of it. We’ll tell you how to avoid these pitfalls later on.

But for now, acknowledge that a journal club meeting starts with a presentation that sets up the main bit of it—the discussion.

Invite Your Audience to Participate in a Discussion

The discussion is the primary and arguably most beneficial component of journal club since it gives the audience a platform to share ideas. Ideas formulated by their previous experience.

And I’ve said already that these contributions are unique and have the potential to be valuable to your work.

That’s why the discussion element is important.

Their questions might concur and elaborate on the contents of the paper and your presentation of it.

Alternatively, they might disagree with the methods and/or conclusions. They might even disagree with your presentation of technical topics.

Try not to be daunted, however, as all of this ultimately adds to your knowledge, and it should all be conducted in a constructive spirit.

Summarize the Meeting and Thank Your Audience for Attending

There’s no particularly enlightening reason as to why to do these things. Summarizing helps people come away from the meeting feeling like it was a positive and rewarding thing to attend.

And thanking people for their time is a simple courtesy.

How Do You Organize It?

Basic steps if you are the organizer.

Okay, we’ve just learned what goes into speaking at the journal club. But presenter or not, the responsibility of organizing it might fall to you.

So, logistically , how do you prepare a journal club? Simply follow these 5 steps:

• Distribute copies of the research article to potential participants.
• Arrange a meeting time and location.
• Organize a speaker.
• Hold the journal club.
• Seek feedback on the quality of the meeting.

Apart from point 5, these are fairly self-explanatory. Regarding point 5, feedback is essential to growing as a scientist and presenter. The easiest way to seek feedback is simply to ask.

Alternatively, you could create a form for all the meetings in the series and ask the audience to complete and return it to you.

Basic Steps If You Are the Speaker

If somebody has done all the logistics for you, great! Don’t get complacent, however.

Why not use the time to elevate your presentation to make your journal club contribution memorable and beneficial?

Don’t worry about the “hows” because we’re going to elaborate on these points, but here are 5 things you can do to ace your presentation:

• Don’t leave it to the last minute.
• Know your audience.
• Keep your presentation slides simple.
• Keep your audience engaged.
• Be open to questions and critiques.

Regarding point 1, giving yourself sufficient time to thoroughly read the article you have chosen to present ensures you are familiar with the material in it. This is essential because you will be asked questions about it. A confident reply is the foundation of an enlightening discussion.

Regarding point 3, we’re going to tell you exactly how to prepare effective slides in its own section later. But if you are in a rush, minimize the use of excessive text. And if you provide background information, stick to diagrams that give an overview of results from previous work. Remember: a picture speaks louder than a thousand words.

Regarding point 4, engagement is critical. So carry out a practice run to make sure you are happy with the flow of your presentation and to give you an idea of your timing. It is important to stick to the time that is allotted for you.

This provides good practice for more formal conference settings where you will be stopped if you run over time. It’s also good manners and shows consideration for the attendees.

And regarding point 5, as the presenter, questions are likely to be directed toward you. So anticipate questions from the outset and prepare for the obvious ones to the best of your ability.

There’s a limit to everyone’s knowledge, but being unable to provide any sort of response will be embarrassing and make you seem unprepared.

Anticipate that people might also disagree with any definitions you make and even with your presentation of other people’s data. Whether or not you agree is a different matter, but present your reasons in a calm and professional manner.

If someone is rude, don’t rise to it and respond calmly and courteously. This shouldn’t happen too often, but we all have “those people” around us.

How Do You Choose a Journal Club Paper?

Consider the quality of the journal.

Just to be clear, I don’t mean the paper itself but the journal it’s published in.

An obscure journal is more likely to contain science that’s either boring, sloppy, wrong, or all three.

And people are giving up their time and hope to be stimulated. So oblige them!

Journal impact factor and rejection rate (the ratio of accepted to rejected articles) can help you decide whether a paper is worth discussing.

Consider the Impact and Scope of the Paper

Similar to the above, but remember, dross gets published in high-impact journals too. Hopefully, you’ve read the paper you want to present. But ask yourself what makes this particular paper stand out from the millions of others to be worth presenting.

Keep It Relevant and Keep It Interesting

When choosing a paper to present, keep your audience in mind. Choose something that is relevant to the particular group you are presenting to. If only you and a few other people understand the topic, it can come off as elitist.

How Do You Break Down and Present the Paper?

Know and provide the background material.

Before you dive into the data, spend a few minutes talking about the context of the paper. What did the authors know before they started this work? How did they formulate their hypothesis? Why did they choose to address it in this way?

You may want to reference an earlier paper from the same group if the paper represents a continuation of it, but keep it brief.

Try to explain how this paper tackles an unanswered question in the field.

Understand the Hypothesis and Methods of the Paper

Make a point of stating the  hypothesis  or  main question  of the paper, so everyone understands the goal of the study and has a foundation for the presentation and discussion.

Everyone needs to start on the same foot and remain on the same page as the meeting progresses.

Turn the Paper into a Progression of Scientific Questions

Present the data as a logical series of questions and answers. A well-written paper will already have done the hard work for you. It will be organized carefully so that each figure answers a specific question, and each new question builds on the answer from the previous figure.

If you’re having trouble grasping the flow of the paper, try writing up a brief outline of the main points. Try putting the experiments and conclusions in your own words, too.

Feel free to leave out parts of the figures that you think are unnecessary, or pull extra data from the supplemental figures if it will help you explain the paper better.

Ask Yourself Questions about the Paper Before You Present

We’ve touched on this already. This is to prepare you for any questions that are likely to be asked of you. When you read the paper, what bits didn’t you understand?

Simplify Unfamiliar and Difficult Concepts

Not everyone will be familiar with the same concepts. For example, most biologists will not have a rigorous definition of entropy committed to memory or know its units. The concept of entropy might crop up in a biophysics paper, however.

Put yourself in the audience’s shoes and anticipate what they might not fully understand given their respective backgrounds.

If you are unsure, ask them if they need a definition or include a short definition in your slides.

Sum Up Important Conclusions

After you’ve finished explaining the nitty-gritty details of the paper, conclude your presentation of the data with a list of significant findings.

Every conclusion will tie in directly to proving the major conclusion of the paper. It should be clear at this point how the data answers the main question.

How Do You Present a Journal Club Powerpoint?

Okay, so we’ve just gone through the steps required to break down a paper to present it effectively at journal club. But this needs to be paired with a PowerPoint presentation, and the two bridged orally by your talk. How do you ace this?

Provide Broad Context to the Research

We are all bogged down by minutia and reagents out of necessity.

Being bogged down is research. But it helps to come up for air. Ultimately, how will the research you are about to discuss benefit the Earth and its inhabitants when said research is translated into actual products?

Science can be for its own sake, but funded science rarely is. Reminding the journal club audience of the widest aims of the nominated field provides a clear starting point for the discussion and shows that you understand the efficacy of the research at its most basic level.

The Golden Rule: A Slide per Minute

Remember during lectures when the lecturer would open PowerPoint, and you would see, with dismay, that their slides went up to 90 or something daft? Then the last 20 get rushed through, but that’s what the exam question ends up being based on.

Don’t be that person!

A 10-15 minute talk should be accompanied by? 10-15 slides! Less is more.

Be Judicious about the Information You Choose to Present

If you are present everything in the paper, people might as well just read it in their own time, and we can call journal club off.

Try to abstract only the key findings. Sometimes technical data is necessary for what you are speaking about because their value affects the efficacy of the data and validity of the conclusions.

Most of the time, however, the exact experimental conditions can be left out and given on request. It’s good practice to put all the technical data that you anticipate being asked for in a few slides at the end of your talk.

Use your judgment.

Keep the Amount of Information per Slide Low for Clarity

Your audience is already listening to you and looking at the slides, so they have a limited capacity for what they can absorb. Overwhelming them with visual queues and talking to them will disengage them.

Have only a few clearly related images that apply directly to what you speaking about at the time. Annotate them with the only key facts from your talk and develop the bigger picture verbally.

This will be hard at first because you must be on the ball and confident with your subject area and speaking to an audience.

And definitely use circles, boxes, and arrows to highlight important parts of figures, and add a flowchart or diagram to explain an unfamiliar method.

Keep It Short Overall

The exact length of your meeting is up to you or the organizer. A 15-minute talk followed by a 30-minute discussion is about the right length, Add in tea and coffee and hellos, and you get to an hour.

We tend to speak at 125-150 words per minute. All these words should not be on your slides, however. So, commit a rough script to memory and rehearse it.

You’ll find that the main points you need to mention start to stand out and fall into place naturally. Plus, your slides will serve as visual queue cards.

How Do You Ask a Question in Journal Club?

A well-organized journal club will have clear expectations of whether or not questions should be asked only during the discussion, or whether interruptions during the presentation are allowed.

And I don’t mean literally how do you soliloquize, but rather how do you get an effective discussion going.

Presenters: Ask Questions to the Audience

We all know how it goes. “Any questions?” Silence.

Scientists, by their very nature, are usually introverted. Any ideas they might want to contribute to a discussion are typically outweighed by the fear of looking silly in front of their peers. Or they think everyone already knows the item they wish to contribute. Or don’t want to be publicly disproven. And so on.

Prepare some questions to ask the audience in advance. As soon as a few people speak, everyone tends to loosen up. Take advantage of this.

Audience: Think About Topics to Praise or Critique

Aside from seeking clarification on any unclear topics, you could ask questions on:

• Does the data support the conclusions?
• Are the conclusions relevant?
• Are the methods valid?
• What are the drawbacks and limitations of the conclusions?
• Are there better methods to test the hypothesis?
• How will the research be translated into real-world benefits?
• Are there obvious follow-up experiments?
• How well is the burden of proof met?
• Is the data physiologically relevant?
• Do you agree with the conclusions?

How to Keep It Fun

Make it interactive.

Quizzes and polls are a great way to do this! And QR codes make it really easy to do on-the-fly. Remember, scientists, are shy. So why not seek their participation in an anonymized form?

You could poll your audience on the quality of the work. You could make a fun quiz based on the material you’ve covered. You could do a live “what happened next?” You could even get your feedback this way. Here’s what to do:

• Create your quiz or poll using Google forms .
• Make a shareable link.
• Paste the link into a free QR code generator .
• Put the QR code in the appropriate bit of your talk.

Use Multimedia

Talking to your audience without anything to break it up is a guaranteed way of sending them all to sleep.

Consider embedding demonstration videos and animations in your talk. Or even just pausing to interject with your own anecdotes will keep everyone concentrated on you.

Keep It Informal

At the end of the day, we’re all scientists. Perhaps at different stages of our careers, but we’ve all had similar-ish trajectories. So there’s no need for haughtiness.

And research institutes are usually aggressively casual in terms of dress code, coffee breaks, and impromptu chats. Asking everyone to don a suit won’t add any value to a journal club.

Your Journal Club Toolkit in Summary

Anyone can read a paper, but the value lies in understanding it and applying it to your own research and thought process.

Remember, journal club is about extracting wisdom from your colleagues in the form of a discussion while disseminating wisdom to them in a digestible format.

Need some inspiration for your journal club? Check out the online repositories hosted by PNAS and NASPAG to get your juices flowing.

We’ve covered a lot of information, from parsing papers to organizational logistics, and effective presentation. So why not bookmark this page so you can come back to it all when it’s your turn to present?

While you’re here, why not ensure you’re always prepared for your next journal club and download bitesize bio’s free journal club checklist ?

And if you present at journal club and realize we’ve left something obvious out. Get in touch and let us know. We’ll add it to the article!

• Linzer M et al . (1988) Impact of a medical journal club on house-staff reading habits, knowledge, and critical appraisal skills . JAMA 260 :2537–41

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How to Prepare an Outstanding Journal Club Presentation

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Rishi Sawhney; How to Prepare an Outstanding Journal Club Presentation. The Hematologist 2006; 3 (1): No Pagination Specified. doi: https://doi.org/10.1182/hem.V3.1.1308

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Dr. Sawhney is a member of the ASH Trainee Council and a Fellow at the Medical University of South Carolina.

Journal club presentations provide a forum through which hematology trainees keep abreast of new developments in hematology and engage in informal discussion and interaction. Furthermore, honing presentation skills and mastering the ability to critically appraise the evidence add to our armamentarium as clinicians. Outlined here is a systematic approach to preparing a journal club presentation, with emphasis on key elements of the talk and references for electronic resources. Use of these tools and techniques will contribute to the success of your presentation.

I. ARTICLE SELECTION:

The foundation of an outstanding journal club presentation rests on the choice of an interesting and well-written paper for discussion. Several resources are available to help you select important and timely research, including the American College of Physicians (ACP) Journal Club and the Diffusion section of The Hematologist . McMaster University has created the McMaster Online Rating of Evidence (MORE) system to identify the highest-quality published research. In fact, the ACP Journal Club uses the MORE system to select their articles 1 . Specific inclusion criteria have been delineated in order to distinguish papers with the highest scientific merit 2 . Articles that have passed this screening are then rated by clinicians on their clinical relevance and newsworthiness, using a graded scale 3 . With the help of your mentors and colleagues, you can use these criteria and the rating scale as informal guidelines to ensure that your chosen article merits presentation.

II. ARTICLE PRESENTATION:

Study Background: This section provides your audience with the necessary information and context for a thoughtful and critical evaluation of the article's significance. The goals are 1) to describe the rationale for and clinical relevance of the study question, and 2) to highlight the preclinical and clinical research that led to the current trial. Review the papers referenced in the study's "Background" section as well as previous work by the study's authors. It also may be helpful to discuss data supporting the current standard of care against which the study intervention is being measured.

Study Methodology and Results: Clearly describe the study population, including inclusion/exclusion criteria. A diagrammatic schema is easy to construct using PowerPoint software and will help to clearly illustrate treatment arms in complex trials. Explain the statistical methods, obtaining assistance from a statistician if needed. Take this opportunity to verbally and graphically highlight key results from the study, with plans to expand on their significance later in your presentation.

Author's Discussion: Present the authors' conclusions and their perspective on the study results, including explanations of inconsistent or unexpected results. Consider whether the conclusions drawn are supported by the data presented.

III. ARTICLE CRITIQUE:

This component of your presentation will define the success of your journal club. A useful and widely accepted approach to this analysis has been published in JAMA's series "User's guide to the medical literature." The Centre for Health Evidence in Canada has made the complete full-text set of these user's guides available online 4 . This site offers review guidelines for a menu of article types, and it is an excellent, comprehensive resource to focus your study critique. A practical, user-friendly approach to literature evaluation that includes a worksheet is also available on the ASH Web site for your use 5 .

While a comprehensive discussion of scientific literature appraisal is beyond the scope of this discussion, several helpful tips warrant mention here. In assessing the validity of the study, it is important to assess for potential sources of bias, including the funding sources and authors' affiliations. It is also helpful to look for accompanying editorial commentary, which can provide a unique perspective on the article and highlight controversial issues. You should plan to discuss the trade-offs between potential benefits of the study intervention versus potential risks and the cost. By utilizing the concept of number needed to treat (NNT), one can assess the true impact of the study intervention on clinical practice. Furthermore, by incorporating the incidence rates of clinically significant toxicities with the financial costs into the NNT, you can generate a rather sophisticated analysis of the study's impact on practice.

IV. CONCLUSIONS, IMPLICATIONS, AND FUTURE DIRECTIONS:

Restate the authors' take-home message followed by your own interpretation of the study. Provide a personal perspective, detailing why you find this paper interesting or important. Then, look forward and use this opportunity to "think outside the box." Do you envision these study results changing the landscape of clinical practice or redirecting research in this field? If so, how? In articles about therapy, future directions may include moving the therapy up to first-line setting, assessing the drug in combination regimens or other disease states, or developing same-class novel compounds in the pipeline. Searching for related clinical trials on the NIH Web site 6  can prove helpful, as can consultation with an expert in this field.

Good journal club discussions are integral to the educational experience of hematology trainees. Following the above approach, while utilizing the resources available, will lay the groundwork for an outstanding presentation.

WEB BASED REFERENCES

www.acpjc.org

hiru.mcmaster.ca/more/InclusionCriteria.htm

hiru.mcmaster.ca/more/RatingFormSample.htm

www.cche.net/main.asp

www.hematology.org/Trainees

www.cancer.gov/clinicaltrials

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The Scientific Hypothesis

The Key to Understanding How Science Works

How to Give a Great Journal Club Presentation

A lot of advanced science education takes place in the more-or-less formal setting of a journal club where one member of a group presents a paper from the scientific literature to the whole group. giving a good presentation is a learned skill; here are some tips on how to do it well..

• Pick a good paper. (Don’t get all neurotic about this. If you find it interesting and significant, then it will almost certainly benefit your group. If you’re in doubt, ask a colleague or mentor.) Read it. Two or three times. Skimming quickly may be enough to tell you whether or not there is something to it, but getting down to the level of detail that you’ll want to have under control for the actual presentation can easily take more time and effort than you first think it will. Is it clearly written and understandable? If you find it too difficult, or poorly written to get the message, chances are that others will struggle too. You might want to pick a different paper.
• Ask yourself why the authors did the research.  What did they hope to learn?  The abstract and conclusion of a paper generally express the essence of the work.  Read them carefully even before going over the rest of the paper in depth. It often helps you to figure out the big picture, especially when the authors seem to take it for granted that all readers will see what it is. Authors often start off by saying that some subject, X, “is not well-understood.”  Well, of course it’s not!  That’s why they got a paper out of studying X.  The statement usually just gives you a general idea of what the about and is only rarely the level of information that you want.  
• Find the hypothesis in the paper; most have one, but a great many papers that are based on hypotheses don’t say so explicitly (BTW, some authors say they’re testing a “model;” occasionally they are referring to an “animal model” such as a mouse, but usually a model that’s being tested is the same as a hypothesis). 
• The most important thing for your audience is to trace the logical flow of the paper. How do the experiments in the paper test the hypothesis? Is each result truly relevant to the hypothesis: that is, does it support or contradict it, or is it irrelevant to the truth of the hypothesis (this is more common than you might think)? 
• With practice you can make a smooth and informative narrative out of any average paper.  When transitioning from one figure to the next, avoid the trite and deadly-boring phrase “… and then they wanted to look at…” The authors certainly had a reason for “wanting to look at” whatever they looked at. Tell the audience what it was!  Why did they do what the authors did and why that experiment followed at that point.  What did they learn by doing it? 
• Be able to go over the important figures, tables or other displayed items in enough detail to make the main point(s) clear.
• You should understand the methods used by the authors well enough to explain them generally to a group, and say why the authors chose them. You are not expected to become a technical expert in the field represented by the paper, however. Be aware of notable advantages and limitations of the methods in case questions about them arise.
• Try to anticipate the kinds of questions that may come up, but if you can’t answer one, it is perfectly ok to say, “I don’t know.” We’ve all been there.  Maybe someone else in the group does know, in any case an honest statement of ignorance is preferable than trying to fake it. 
• You must be scrupulously fair to the authors, but you are not their advocate; your job is to discuss their paper in a critical and insightful way.  After presenting their reasoning and results as the authors would want them to be presented, feel free to point out shortcomings if you disagree with them or think that they have made a mistake in reasoning, execution, etc..  But be a bit cautious:  if you think that the authors made a bone-headed error, try extra hard to understand what they were doing.  It is possible that they did err somehow, but it is possible that you’ve missed something.  Hopefully, your audience will be engaged and following right along and they will raise critical questions as well. It is important to keep in mind that an attack on the paper is not an attack on you!  Your reputation is not on the line here, the authors’ reputations are.  Of course, if you wind up completely trashing the paper, it may appear that you didn’t follow rule number 1.
• Be aware that you may be the only person in the room who has actually read the paper.  You are the authority on it.  A common mistake is to assume that everyone else already knows full well what you just spent a week learning; after all, they showed up expecting to be enlightened.  There might be one or two experts in the audience, but you should assume that most people aren’t experts. And even experts are rarely offended by hearing a concise review of the basics: they know full well that the audience needs it. So don’t assume too much and do give enough detail. Your main task is to educate your colleagues about a piece of work that you think is interesting and valuable.  
• Plan to finalize your talk at least a day or so in advance. Practice going through the slides out loud (ideally with a couple of friends), indicating the major points of each one, but do not try to memorize or read your talk! It’s nice to know your transition to the next slide, but if you forget it, don’t panic – just advance the slide and pick up from there. (Some people like to have a card with a few notes on it as a security blanket in case of a public brain freeze.  Ordinarily, having a card handy is enough to guarantee that they won’t need it.)
• On the day of the talk show up early, get into the room, get your presentation loaded. and flip through the slides in advance.  Every experienced presenter has nightmare stories of last minute computer crashes, software incompatibilities, missing pointers, unfamiliar set-ups. These problems are not fun, and not what you want to have to cope with after you’ve been introduced. If you find a glitch during your run-through, you’ll have time to fix it.

1 thought on “ How to Give a Great Journal Club Presentation ”

I have encouraged students to study Brad’s tips on giving a great journal club presentation for 20 years. I plan to continue doing so!

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Expert Consult

Journal Club: How to Build One and Why

By Michelle Sharp, MD; Hunter Young, MD, MHS

Published April 6, 2022

Journal clubs are a longstanding tradition in residency training, dating back to William Osler in 1875. The original goal of the journal club in Osler’s day was to share expensive texts and to review literature as a group. Over time, the goals of journal clubs have evolved to include discussion and review of current literature and development of skills for evaluating medical literature. The ultimate goal of a journal club is to improve patient care by incorporating evidence into practice.

Why are journal clubs important?

In 2004, Alper et al . reported that it would take more than 600 hours per month to stay current with the medical literature. That leaves residents with less than 5 hours a day to eat, sleep, and care for patients if they want to stay current, and it’s simply impossible. Journal clubs offer the opportunity for residents to review the literature and stay current. Furthermore, Lee et al . showed that journal clubs improve residents’ critical appraisal of the literature.

How do you get started?

The first step to starting a journal club is to decide on the initial goal. A good initial goal is to lay the foundation for critical thinking skills using literature that is interesting to residents. An introductory lecture series or primer on study design is a valuable way to start the journal club experience. The goal of the primer is not for each resident to become a statistician, but rather to lay the foundation for understanding basic study designs and the strengths and weaknesses of each design.

The next step is to decide on the time, frequency, and duration of the journal club. This depends on the size of your residency program and leadership support. Our journal club at Johns Hopkins is scheduled monthly during the lunch hour instead of a noon conference lecture. It is essential to pick a time when most residents in your program will be available to attend and a frequency that is sustainable.

How do you get residents to come?

Generally, if you feed them, they will come. In a cross-sectional analysis of journal clubs in U.S. internal medicine residencies, Sidorov found that providing food was associated with long-lasting journal clubs. Factors associated with higher resident attendance were fewer house staff, mandatory attendance, formal teaching, and an independent journal club (separate from faculty journal clubs).

The design or format of your journal club is also a key factor for attendance. Not all residents will have time during each rotation to read the assigned article, but you want to encourage these residents to attend nonetheless. One way to engage all residents is to assign one or two residents to lead each journal club, with the goal of assigning every resident at least one journal club during the year. If possible, pick residents who are on lighter rotations, so they have more time outside of clinical duties to dissect the article. To enhance engagement, allow the assigned residents to pick an article on a topic that they find interesting.

Faculty leadership should collaborate with residents on article selection and dissection and preparation of the presentation. Start each journal club with a 10- to 20-minute presentation by the assigned residents to describe the article (as detailed below) to help residents who did not have time to read the article to participate.

What are the nuts and bolts of a journal club?

To prepare a successful journal club presentation, it helps for the structure of the presentation to mirror the structure of the article as follows:

Background: Start by briefly describing the background of the study, prior literature, and the question the paper was intended to address.

Methods: Review the paper’s methods, emphasizing the study design, analysis, and other key points that address the validity and generalizability of the results (e.g., participant selection, treatment of potential confounders, and other issues that are specific to each study design).

Results: Discuss the results, focusing on the paper’s tables and figures.

Discussion: Restate the research question, summarize the key findings, and focus on factors that can affect the validity of the findings. What are potential biases, confounders, and other issues that affect the validity or generalizability of the findings to clinical practice? The study results should also be discussed in the context of prior literature and current clinical practice. Addressing the questions that remain unanswered and potential next steps can also be useful.

Faculty participation: At our institution, the faculty sponsor meets with the assigned residents to address their questions about the paper and guide the development of the presentation, ensuring that the key points are addressed. Faculty sponsors also attend the journal club to answer questions, emphasize key elements of the paper, and facilitate the open discussion after the resident’s presentation.

How do you measure impact?

One way to evaluate your journal club is to assess the evidence-based practice skills of the residents before and after the implementation of the journal club with a tool such as the Berlin questionnaire — a validated 15-question survey that assesses evidence-based practice skills. You can also conduct a resident satisfaction survey to evaluate the residents’ perception of the implementation of the journal club and areas for improvement. Finally, you can develop a rubric for evaluation of the resident presenters in each journal club session, and allow faculty to provide feedback on critical assessment of the literature and presentation skills.

Journal clubs are a great tradition in medical training and continue to be a valued educational resource. Set your goal. Consider starting with a primer on study design. Engage and empower residents to be part of the journal club. Enlist faculty involvement for guidance and mentorship. Measure the impact.

5 Tips for Journal Club First-Timers

By Lucy Bauer

Monday, March 30, 2015

Research communities often uphold the ideal of scientific collaboration. But what does “collaboration” really mean? The picture that comes to mind can be people sitting, talking, and exchanging ideas that push toward the goal of creating better health. How can this exchange practically happen? One way is through a journal club. Recently, I had the privilege of presenting a journal article to my lab group’s journal club in the PAIN (Pain And Integrative Neuroscience) lab for  Dr. Catherine Bushnell . One goal of our lab is to look at the relationship and differences between itch and pain.

Me explaining part of the spinal neuron pathway in itch

So, what is the purpose of a journal club?

A journal club is a regular gathering of scientists to discuss a scientific paper found in a research journal. One or two members of the club present a summary of the chosen paper that the whole group has read. Then, the discussion begins. Attendees ask clarifying questions, inquire about different aspects of the experimental design, critique the methods, and bring a healthy amount of skepticism (or praise) to the results.

For my first journal club at the NIH, we considered a paper that looks at how itch is mediated in the spinal cord from the skin up to the brain. The authors show that mice lacking a gene for a specific type of spinal neuron constantly scratch specific areas of their bodies corresponding to the missing spinal interneuron. When these mice receive a stem cell implant, a normal reaction to itch is restored. This paper generated much discussion about neuronal development, ethical considerations, and how the results relate to our research within the National Center for Complementary and Integrative Health (NCCIH).

The ideas found and discussed at the journal club can help expand and balance each scientist’s scope of what is happening in the world of research while informing experimental plans and research directions. Here are five things I learned from my experience leading a journal club that can help you prepare to get the most out of your discussions:

1. Know the background material.

Prepare beforehand for your journal club presentation by knowing the research that has preceded and is related to the paper you will be presenting. This will make your discussion more informed and effective. Of course, it is likely impossible to know everything that would relate to your journal club presentation, but even a little bit of background information is helpful.

2. Make your presentation concise.

Every paper has many details about methods, results, discussion, future directions, etc. It is very helpful to give your audience the general flow of the entire paper and research before adding in all the details.

3. Simplify unfamiliar concepts.

Journal clubs often have members of varying backgrounds. Hence, not all concepts will be familiar to everyone in the group. It can be helpful to give a short summary of techniques and results. Detailed explanations can be provided later on, because the primary focus of presenting the paper should be giving an overview of the research.

4. Ask yourself questions about the paper before you present.

As the presenter, you may be the semi-“expert” on the paper, but as you get to know the research, you may discover some questions you have about the methods. Share with the group the questions you came across yourself and any answers you may have found to address them.

5. Ask specific questions to the members of the journal club.

When entering into discussion time, ask the group for their thoughts on specific topics found in the paper to create a starting point for conversation about the paper. Questions can be about methods, results, general ideas, and much more!

Journal clubs are great forums for the exchange of thoughts and ideas. Clubs held at the NIH are just one way through which necessary scientific discussion and collaboration can take place. Be sure to look into journal clubs happening near you!

If you’re at the NIH, the Office of Intramural Training and Education (OITE) hosts  Summer Journal Clubs  that are ideal for trainees just getting their feet wet. And for our colleagues around the world, the NIH National Library of Medicine (NLM) provides an online platform to discuss journal articles in our connected world via the  PubMed Commons Journal Clubs .

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• Development of AMSTAR: A Measurement Tool to Assess the Methodological Quality of Systematic Reviews BMC Medical Research Methodology article
• How to Review a Meta-analysis Article Russo MW. How to review a meta-analysis. Gastroenterol Hepatol (N Y). 2007;3(8):637-42.

• Jadad Score Berger VW, Alperson SY. A general framework for the evaluation of clinical trial quality. Rev Recent Clin Trials. 2009;4(2):79-88. doi:10.2174/157488709788186021
• Limitations of Meta-analysis: Overview Improving Medical Statistics and the Interpretation of Clinical Trials
• Living Systematic Reviews: Towards Real-time Evidence for Health-care Decision-making BMJ Blog By Chris Mavergames and Julian Elliott
• Meta-Analysis: Principles and Procedures article Egger M. Meta-analysis: principles and procedures. BMJ 1997;315:1533.

• The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-analyses GA Wells, B Shea, D O'Connell, J Peterson, V Welch, M Losos, P Tugwell. Department of Epidemiology and Commuunity Medicine, University of Ottawa
• Overview of Meta-Analysis and Methods greatdoctorstv YouTube video of Gordon Guyatt, M.D., M.Sc.

• Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement Annals of Internal Medicine article
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• Tips for Learners of Evidence-Based Medicine: 4. Assessing Heterogeneity of Primary Studies in Systematic Reviews and Whether to Combine their Results Hatala R, Keitz S, Wyer P, Guyatt G. Tips for learners of evidence-based medicine: 4. Assessing heterogeneity of primary studies in systematic reviews and whether to combine their results. CMAJ. 2005;172(5):661-5.
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• Meta-analyses: Heterogeneity and Subgroup Analysis Sedgwick P. Meta-analyses: heterogeneity and subgroup analysis. BMJ. 2013;346:f4040.
• Meta-analyses: How to Read a Funnel Plot Sedgwick P. Meta-analyses: how to read a funnel plot. BMJ. 2013;346:f1342.
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Establishing and sustaining an effective journal club

1 Health Education England North West, Manchester, UK

2 Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK

3 Lancaster Medical School, Lancaster, UK

A journal club is a group that meets regularly to review and critique scientific literature. It is thought that Sir William Osler set up the first discussion-based healthcare journal club at McGill University in 1875, after which he encouraged attendees to apply their updated knowledge in practice. 1

There is debate over whether the main goal of a journal club should be for attendees to keep abreast of the literature, or to develop critical appraisal skills. 2 , 3 Both are essential in clinical medicine, and a journal club may incorporate both or vary its aims over time. Goals may also include the acquisition of other transferrable skills such as presentation and debating skills.

Features associated with a successful journal club (i.e. one that is well attended and sustained over time) include a high degree of interest from participants and the ability to acquire critical appraisal skills. Other important considerations are to ensure that selected articles are relevant and interesting, thereby encouraging discussion of complex and controversial issues. 4 In this article, we suggest how to establish and run an effective journal club, both in-person and virtual, and direct readers to critical appraisal tools that may be used to maximise the educational benefits.

There is no ‘gold standard’ for how to conduct a journal club. 5 , 6 , 7 We therefore draw on published evidence in combination our own experience of running journal clubs, particularly the Self-Isolating Virtual Education (SAVEd) Virtual Journal Club. This was established in the North West School of Anaesthesia during the COVID-19 pandemic to allow trainee anaesthetists, including those who were unable to attend the clinical workplace because they were ‘shielding’ or self-isolating, to continue to participate in a journal club. 8

It is useful to define leadership and administrative roles at the outset and distribute responsibilities between colleagues. A typical model comprises a trainee lead supported by a senior colleague who should support the presenters and trainee lead, and who may offer specialist expertise (e.g. in research methods or areas of clinical practice). Tasks include promotion and publicising, scheduling, arranging rooms, selecting and sharing papers, allocating presenters and facilitating discussion.

Schedule the journal club to maximise participation and minimise exclusion. Although specifying a regular day and time integrates the journal club into departmental routine, it can prevent colleagues from attending if they have commitments at fixed times. Likewise, fit the journal club around essential clinical duties, and release participants from clinical work to attend if possible. Relatively short meetings on alternating days appear to be effective, and attendance can be maximised by online scheduling tools.

Register participants' attendance and make the details available for attendees' records. Try to ensure that attendees have shared interests where you can. Multidisciplinary sessions can offer richer and more valuable discussions, and the shared educational experience allows for common understandings that improve relationships and collaborations at the bedside. For example, colleagues from anaesthesia, geriatric medicine, orthopaedic surgery, nursing and physiotherapy could attend a journal club on a paper concerning the timing of hip fracture surgery.

Journal club conduct

Make expectations and responsibilities clear. We have found it effective to assign a ‘presenter’ for each journal club, who should read, critique and prepare a short presentation on a paper, supported by the senior or trainee journal club lead who may offer advice such as suggestions for critique and explanation of research methods. This is followed by a discussion facilitated by the journal club lead. If you expect attendees to read the paper in advance, make them aware of this, and share the manuscript beforehand, where copyright rules permit.

Either the presenter or the journal club lead can select the articles for discussion. Although any paper may have an educational component, we advise the selection of primary research or systematic reviews that have been published recently, are relevant to clinical practice and have clear potential for discussion amongst colleagues, for example relating to study design or clinical implications.

Format the discussion based on the principles of adult learning. These include promoting interest by relating the discussion to immediate work and personal goals, by focusing on patient or situation-based problems, using multiple teaching formats (i.e. individual reading, presentation, discussion), and by facilitating active participation and feedback. 9

A journal club can help individuals to develop their critical appraisal skills. Several critical appraisal tools and reporting guidelines are available as checklists ( Table 1 ). These provide a useful guide; they can be used to structure presentations and also provide prompts for key questions such as ‘will the results help locally?’ Structured appraisal tools can increase attendees' satisfaction and the perceived value of a journal club. 10

Table 1

Free-to-access checklists to guide critical appraisal of the scientific literature.

Ensure that you evaluate the journal club through written and quantitative feedback from attendees. Feedback can focus on both the journal club in general, and individual presentations in particular. The former should be used to optimise the conduct and format of the journal club, and the latter can be used to focus participants' reflections (e.g. on how they will apply their learning in practice), and summarised for use by the presenter, for example in their annual appraisals.

Online journal clubs

Face-to-face journal clubs have a long history. 1 However, online journal clubs have increased as a consequence of the restrictions imposed by the COVID-19 pandemic. This approach permits attendance from work or home (thereby potentially increasing attendance), ensures social distancing and allows recording of the sessions. Recording the sessions allows participation via asynchronous online discussion and access for colleagues who are unable to attend ‘live’. 11 , 12

You can operate an online journal club in a similar fashion to in-person events. However, there are some particular considerations related to the use of information technology (IT):

• • Assign a chairperson and a facilitator, to avoid one person having to manage the IT aspects (screen sharing, recording etc.) at the same time as presenting.
• • Set a time when attendees can access a computer. Evenings may be most suitable, depending on hospital IT infrastructure.
• • Promotion (e.g. via social media) is important to encourage attendance at online journal clubs.
• • Use a videoconferencing system that is easy to use, free for attendees to access and allows the ability to record. Make log-in details clear.
• • Explain videoconferencing etiquette at beginning of each session. For example ensure that attendees mute their microphones during the presentation and keep their cameras on. Effective chairing of the discussion is more important than in the face-to-face setting. 12
• • If recording the session, specify when the recording will start and finish, so that attendees can turn off their cameras, if preferred.
• • Make time after the recording has finished for informal or social discussion.
• • Use an online survey platform for feedback; quick response (QR) code links allow rapid access via mobile phone.
• • Be prepared to change the format in response to feedback from attendees and facilitators. 13

Conclusions

Journal clubs provide the opportunity for attendees to maintain their knowledge of current literature and develop skills in evidence-based medicine. The successful running of a journal club involves a learner-centred approach to organisation, scheduling and delivery, and appropriate paper selection and support in undertaking critical appraisal; checklists are a useful resource for this purpose. Virtual journal clubs offer a flexible approach, but warrant consideration of the specific challenges and benefits of online technologies.

Declaration of interests

The authors declare that they have no conflicts of interest.

Biographies

Danielle Eusuf BSc (hons) MRCP FRCA is a specialty registrar in the North West School of Anaesthesia. She is the founder and joint lead of the Self-isolAting Virtual Education (SAVEd) project, which was set up to continue education for trainee anaesthetists during the COVID-19 pandemic via prerecorded and live virtual tutorials. Together with Dr Shelton, she established the SAVEd virtual journal club.

Cliff Shelton MSc PhD FRCA is a consultant anaesthetist at Wythenshawe Hospital and senior clinical lecturer in anaesthesia at Lancaster Medical School. He completed the NIHR integrated academic training pathway and is interested in supporting academic training in anaesthesia and critical care medicine.

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Some departments have journal clubs where everyone takes turns to give a short presentation on a relevant topic or paper. There are numerous books on how to give a presentation, but little advice available on how to choose a good topic or paper. Here are some suggestions.

Consider what you want to achieve with your presentation: do you want to teach, amuse, provoke, or just impress your colleagues? Choose a paper accordingly.

Picking a subject outside your specialty will broaden horizons. Ask colleagues and friends in departments that your specialty is cooperating with about their “hot papers.”

If you have done research, why not boost your image and present the paper? Tell people something other than what they can just read in it, like how you got involved in the particular project, and then briefly outline methods and results. Please constrain yourself—a common mistake is giving too many details and talking for too long.

Try to cross the species-barrier. Veterinarians have developed some unique solutions in all fields of medicine to treat their diverse group of patients. Be inspired.

All doctors have been taught physiology or anatomy but it might be a while back. Updates on basic science subjects are always relevant.

For perspective on daily life routines, try finding a paper on the history of your specialty.

For amusement try the Annals of Improbable Research ( www.improbable.com ) or the Christmas editions of the BMJ .

If you are nervous about giving presentations, choosing an unconventional topic or paper for your talk could actually help you—people will notice what you are saying more than how you are saying it.

Avoid presenting papers on the tautologies and well established routines of your specialty. Only go there if you can present a new paper that contradicts old truths.

Don't think of presenting a paper as just something you have to do. It's your chance to address colleagues without interruption—how often does that happen? ■

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Paducah Propeller Club Hears WIMOs Presentation

Since its foundation in 2017 as an organization designed to educate, engage and elevate women working in maritime fields, Women In Maritime Operations (WIMOs) has grown to more than 1,000 members representing more than 250 companies.

Whitney Cruse, president of the WIMOS West Kentucky chapter, headquartered in Paducah, Ky., gave a presentation on the organization during the March 13 meeting of the Port of Paducah Propeller Club.

Cruse spoke about WIMOs’ accomplishments, both at the national and local levels.

Nationally, WIMOs has 12 chapters and seed chapters and seven areas of interest, and hosted 83 member events in 2023. It now has members in the United States, Canada and Nigeria.

The western Kentucky chapter, founded two years later, has more than 150 members representing 24 companies. It hosts monthly events, with 90 percent focusing on educating or elevating its members and the remaining 10 percent focusing on engaging them.

“I think because of those three things, you’re really seeing women taking their career to the next level,” she said.

Cruse pointed out that traditionally women have been more involved in the river industry through administrative roles, meaning they have not had as many opportunities to see work going on outside of an office setting. That is why WIMOs has offered opportunities to members to see from other perspectives. WIMOS West Kentucky members have visited a farm, grain elevator and deckhand training facility, toured locks and dams, a propeller repair shop, boat simulator and dredging operation and watched rigging be tested.

“Once we learn more, we do better at our jobs,” she said. “We can ask more questions.”

Women may not be as likely to ask questions in front of male team members, either because they feel intimidated or don’t know what questions to ask, Cruse said.

“Sometimes they are a little more apt to ask questions when there are only females in the room,” she said.

Women also want opportunities to learn from each other, she said. WIMOS West Kentucky members have prepared meals together for those in need, collected pantry items, packed boxes for Seamen’s Church Institute’s Christmas on the River ministry, collected items for a Paducah domestic violence shelter and hosted appreciation tents at golf tournaments in Paducah and Nashville, Tenn.

Finally, Cruse said, WIMOs wants to help women achieve goals outside of their immediate job descriptions. Events designed to help women elevate themselves have included an Investing 101 course with Paducah Bank, a leadership course with Alysan Ban Hooser, making personal vision boards with B Dynamic and the EmpowerHER course from the Paducah Area Chamber of Commerce.

Cruse said the company she works for, Marquette Transportation, has noticed women who are a part of WIMOs have increased their knowledge as well as their confidence level.

“We’re seeing that, and I hope other companies are as well,” she said.

WIMOs is also poised to continue to grow its services, actively working with maritime academies and universities and colleges that have maritime departments or offer degrees in a maritime-related program. Additionally, she said, the WIMOs mentorship program is pairing mentors and protégés to help pass on knowledge.

Such programs are not only beneficial to women, Cruse said, but also will help the industry as a whole, whether that is through increasing the pool from which the industry recruits or helping retain and promote employees as they continue to increase their job skills.

Caption for photo: Whitney Cruse, president of Women in Maritime Operations’ West Kentucky chapter, addresses the Port of Paducah Propeller Club on March 13 at Walker Hall in Paducah, Ky. (Photo by Shelley Byrne)

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Sherman Drama Club To Perform ‘Purrfect Crime’

Sherman Central School Drama Club presents “The Purrfect Crime” on Friday and Saturday.

Sherman Central School Drama Club’s presentation of “The Purrfect Crime” is guaranteed to be the Cat’s Meow for those who come to see it at 7 p.m. on Friday or Saturday.

Not to let the cat out of the bag, but the play, which has a rather young, very enthusiastic cast, is, according to co-director, Lennart Liffner, “a pun-filled tale of feline fortune that all ages will love!”

Liffner said the cast is composed of five eighth-graders, two ninth-graders and three seniors, as well as four students who are responsible for lights, sound effects, microphones, and backstage necessities.

“It is a relatively young cast so there have been growing pains as they learned the ropes of acting,” he said. “The cast and crew are excited to show all the hard work that they have put in since the beginning of January.”

However, Liffner said, the three seniors who are participating in the play, Taryn Palmatier as Cecilia, Sophie Lindsey as Bubbles and Ivy Yokom as Madame Zamboni, are wonderful actresses who have appeared in other Drama Club productions. He said they will be greatly missed.

“Taryn Palmatier has been a wonderful actress in a number of Drama Club productions, and Ivy Yokom has provided hilarious comedic relief countless times in our shows,” Liffner said. “We have also been lucky to have the talented Sophie Lindsey join us for a couple of plays as well. It will take a lot to fill the void left by our group of seniors.”

Liffner said the play was selected to be a good fit for the Drama Club members. “I look for a play that will be fun and entertaining to an audience and will fit the size and experience of the cast of students in Drama Club each year,” he said. “We have had a wonderful time the past few months preparing the show.”

Liffner noted that although the play is called “The Purrfect Crime,” only one student, Arcana Osterhoudt, plays the role of a cat, since the only kitty in the production is Wiggles, a very fortunate feline who inherits $36 million.

According to Liffner, when a wealthy, old rancher, called Big Bob Little, passes away, his three children inherit nothing, because Big Bob’s entire fortune has been left to his cat. Two prominent pet psychics enter the picture with ‘an elaborate ruse’ to steal the kitty’s fortune.

Schemes to get Wiggle’s money create “a claw-some blend of hiss-terical humor and cat-scratching action,” Liffner said.

The play will be presented in the John Butler Auditorium at Sherman Central School, 127 Park Street. Tickets are $5 for general admission.

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Early voting for this year’s Presidential primary races begins Saturday. Registered Democratic voters will be ...

Village Elections Include New Trustee In South Dayton

A new trustee has been elected in South Dayton. Tuesday was election day in New York state for villages that have ...

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