Chinese Obstetrics & Gynecology journal club: a randomised controlled trial

Ilene K Tsui, William C Dodson, Allen R Kunselman, Hongying Kuang, Feng-Juan Han, Richard S Legro, Xiao-Ke Wu, Ilene K Tsui, William C Dodson, Allen R Kunselman, Hongying Kuang, Feng-Juan Han, Richard S Legro, Xiao-Ke Wu

Abstract

Objectives: To assess whether a journal club model could improve comprehension and written and spoken medical English in a population of Chinese medical professionals.

Setting and participants: The study population consisted of 52 medical professionals who were residents or postgraduate master or PhD students in the Department of Obstetrics and Gynecology, Heilongjiang University of Chinese Medicine, China.

Intervention: After a three-part baseline examination to assess medical English comprehension, participants were randomised to either (1) an intensive journal club treatment arm or (2) a self-study group. At the conclusion of the 8-week intervention participants (n=52) were re-tested with new questions.

Outcome measures: The primary outcome was the change in score on a multiple choice examination. Secondary outcomes included change in scores on written and oral examinations which were modelled on the Test of English as a Foreign Language (TOEFL).

Results: Both groups had improved scores on the multiple choice examination without a statistically significant difference between them (90% power). However, there was a statistically significant difference between the groups in mean improvement in scores for both written (95% CI 1.1 to 5.0; p=0.003) and spoken English (95% CI 0.06 to 3.7; p=0.04) favouring the journal club intervention.

Conclusions: Interacting with colleagues and an English-speaking facilitator in a journal club improved both written and spoken medical English in Chinese medical professionals. Journal clubs may be suitable for use as a self-sustainable teaching model to improve fluency in medical English in foreign medical professionals.

Trial registration number: NCT01844609.

Keywords: GYNAECOLOGY; MEDICAL EDUCATION & TRAINING; OBSTETRICS; REPRODUCTIVE MEDICINE.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Figures

Figure 1
Figure 1
Study flow chart.

References

    1. Hu Y, Huang Y, Ding J et al. . Status of clinical research in China. Lancet 2011;377:124–5. 10.1016/S0140-6736(11)60017-2
    1. Flowerdew J. Problems in writing for scholarly publication: the case of Hong Kong. J Sec Lang Writ 1999;8:243–64. 10.1016/S1060-3743(99)80116-7
    1. Li Y, Flowerdew J. Shaping Chinese novice scientists’ manuscripts for publication. J Sec Lang Writ 2007;16:100–17. 10.1016/j.jslw.2007.05.001
    1. Flowerdew J. Some thoughts on English for Research Publication Purposes (ERPP) and related issues. Language Teaching 2015;48:250–62.
    1. Cargill M, O'Connor P, Li Y. Educating Chinese scientists to write for international journals: addressing the divide between science and technology education and English language teaching. English for Specific Purposes 2012;31:60–9. 10.1016/j.esp.2011.05.003
    1. Lillis T, Curry MJ. Academic writing in a global context: the politics and practices of publishing in English London: Routledge, 2010.
    1. Association of Professors of Gynecology and Obstetrics. Medical Student Educational Objectives 9th edn. Crofton, MD: Association of Professors of Gynecology and Obstetrics, 2009.
    1. Hansen M, Kurinczuk JJ, de Klerk N et al. . Assisted reproductive technology and major birth defects in Western Australia. Obstet Gynecol 2012;120:852–63.
    1. Twijnstra AR, Blikkendaal MD, van Zwet EW et al. . Predictors of successful surgical outcome in laparoscopic hysterectomy. Obstet Gynecol 2012;119:700–8.
    1. Edwards DR, Aldridge T, Baird DD et al. . Periconceptional over-the-counter nonsteroidal anti-inflammatory drug exposure and risk for spontaneous abortion. Obstet Gynecol 2012;120:113–22.
    1. Moorman PG, Myers ER, Schildkraut JM et al. . Effect of hysterectomy with ovarian preservation on ovarian function. Obstet Gynecol 2011;118:1271–9.
    1. Grimm C, Polterauer S, Natter C et al. . Treatment of cervical intraepithelial neoplasia with topical imiquimod: a randomized controlled trial. Obstet Gynecol 2012;120:152–9.
    1. Gariepy AM, Creinin MD, Schwarz EB et al. . Reliability of laparoscopic compared with hysteroscopic sterilization at 1 year: a decision analysis. Obstet Gynecol 2011;118:273–9.
    1. Dmitrovic R, Kunselman AR, Legro RS. Continuous compared with cyclic oral contraceptives for the treatment of primary dysmenorrhea: a randomized controlled trial. Obstet Gynecol 2012;119:1143–50.
    1. Kaunitz AM, Bissonnette F, Monteiro I et al. . Levonorgestrel-releasing intrauterine system or medroxyprogesterone for heavy menstrual bleeding: a randomized controlled trial. Obstet Gynecol 2010;116:625–32.
    1. Diamond MP, Kruger M, Santoro N et al. . Endometrial shedding effect on conception and live birth in women with polycystic ovary syndrome. Obstet Gynecol 2012;119:902–8.
    1. Timmermans A, Opmeer BC, Khan KS et al. . Endometrial thickness measurement for detecting endometrial cancer in women with postmenopausal bleeding: a systematic review and meta-analysis. Obstet Gynecol 2010;116:160–7.
    1. Tanmahasamut P, Rattanachaiyanont M, Angsuwathana S et al. . Postoperative levonorgestrel-releasing intrauterine system for pelvic endometriosis-related pain: a randomized controlled trial. Obstet Gynecol 2012;119:519–26.
    1. Badalian SS, Rosenbaum PF. Vitamin D and pelvic floor disorders in women: results from the National Health and Nutrition Examination Survey. Obstet Gynecol 2010;115:795–803.
    1. Paraiso MF, Jelovsek JE, Frick A et al. . Laparoscopic compared with robotic sacrocolpopexy for vaginal prolapse: a randomized controlled trial. Obstet Gynecol 2011;118:1005–13.
    1. Castle PE, Fetterman B, Poitras N et al. . Relationship of atypical glandular cell cytology, age, and human papillomavirus detection to cervical and endometrial cancer risks. Obstet Gynecol 2010;115:243–8.
    1. Semere LG, Ko E, Johnson NR et al. . Endometrial intraepithelial neoplasia: clinical correlates and outcomes. Obstet Gynecol 2011;118:21–8.
    1. Jaakkola S, Lyytinen H, Pukkala E et al. . Endometrial cancer in postmenopausal women using estradiol-progestin therapy. Obstet Gynecol 2009;114:1197–204.
    1. Dinger J, Minh TD, Buttmann N et al. . Effectiveness of oral contraceptive pills in a large U.S. cohort comparing progestogen and regimen. Obstet Gynecol 2011;117:33–40.
    1. Tuomikoski P, Ebert P, Groop PH et al. . Effect of hot flushes on vascular function: a randomized controlled trial. Obstet Gynecol 2009;114:777–85.
    1. Penninx JP, Mol BW, Engels R et al. . Bipolar radiofrequency endometrial ablation compared with hydrothermablation for dysfunctional uterine bleeding: a randomized controlled trial. Obstet Gynecol 2010;116:819–26.
    1. Danhof N, Kamphuis E, Mol B. Loop electrosurgical excision procedure and risk of preterm birth. Obstet Gynecol 2014;124:163.
    1. Parker WH, Broder MS, Chang E et al. . Ovarian conservation at the time of hysterectomy and long-term health outcomes in the nurses' health study. Obstet Gynecol 2009;113:1027–37.
    1. Hefler L, Lemach A, Seebacher V et al. . The intraoperative complication rate of nonobstetric dilation and curettage. Obstet Gynecol 2009;113:1268–71.
    1. Partridge E, Kreimer AR, Greenlee RT et al. . Results from four rounds of ovarian cancer screening in a randomized trial. Obstet Gynecol 2009;113:775–82.
    1. Connolly A, Ryan DH, Stuebe AM et al. . Reevaluation of discriminatory and threshold levels for serum β-hCG in early pregnancy. Obstet Gynecol 2013;121:65–70.
    1. Campbell C, Parboosingh J, Gondocz T et al. . Study of the factors influencing the stimulus to learning recorded by physicians keeping a learning portfolio. J Contin Educ Health Prof 1999;19:16–24. 10.1002/chp.1340190103
    1. Macrae HM, Regehr G, McKenzie M et al. . Teaching practicing surgeons critical appraisal skills with an Internet-based journal club: a randomized, controlled trial. Surgery 2004;136:641–6. 10.1016/j.surg.2004.02.003
    1. Cramer JS, Mahoney MC. Introducing evidence based medicine to the journal club, using a structured pre and posttest: a cohort study. BMC Med Educ 2001;1:6 10.1186/1472-6920-1-6
    1. Horneff JG, Baldwin K, Ahn J. The value of journal clubs in orthopaedic resident education. Univ Penn Ortho J 2010;20:154–9.
    1. Akhund S, Kadir MM. Do community medicine residency trainees learn through journal club? An experience from a developing country. BMC Med Educ 2006;6:43 10.1186/1472-6920-6-43
    1. Linzer M, Brown JT, Frazier LM et al. . Impact of a medical journal club on house-staff reading habits, knowledge, and critical appraisal skills. A randomized control trial. JAMA 1988;260:2537–41.
    1. Tucker J, Gao X, Wang S et al. . Organising an English journal club in the developing world. Postgrad Med J 2004;80:436–7. 10.1136/pgmj.2004.022657
    1. TOEFL iBT Research. Reliability and Comparability of TOEFL iBT Scores. Series 1, Volume 3 Princeton, NJ: Educational Testing Services, 2011.
    1. Ramineni C, Trapani CS, Williamson DM et al. . Evaluation of the e-rater® Scoring Engine for the TOEFL Independent and Integrated Prompts Princeton, NJ: Educational Testing Services, 2012.

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