MEMBER FEEDBACK

HOW WE USE PRESENT COURSEWARE AS PART OF OUR JOURNAL CLUB AT BOTSFORD GENERAL HOSPITAL

Marshall G. Solomon, DPM, FACFAS, FACFAOM
Director of Podiatric Residency Education
Botsford General Hospital

One of the didactic resources at Botsford General Hospital Podiatric Residency Training program is a weekly Journal Club. What makes our journal club a bit more dynamic is the addition of the Present Courseware basic, fundamental or advanced medical and surgical online topics. As a Podiatric Residency Director, I am always looking for ways to enhance my Residents didactic knowledge. Certainly reviewing our current Podiatric and Orthopedic journals is one way of staying current in our specialty. But we were looking for a bit more.

For years we have had journal clubs weekly to review the latest and the greatest foot and ankle topics. They were informative but after a while it became routine and lifeless. Then along came Present Courseware, with their multitude and variety of medical, surgical, basic science, fundamental lectures, and advanced topic online lectures. As a training program that has utilized the Present Courseware curriculum, I felt that having an online presentation of the Journal Club subject matter would provide my residents with a good basic understanding of the selected material to be reviewed at our scheduled journal club.

This is how we utilize the Present Courseware resource. We select the topic from the Present Courseware lectures. This is done in advance, so all Residents have plenty of time to review the online topic for the week. One Resident is responsible to select a journal article on the subject that will be viewed prior to the journal club date. We ask the Resident to find a current article that can be reviewed discussed and evaluated utilizing evidence based medicine (EBM).

This has created a more meaningful Journal Club for my Residents and I. It gives me time to go online and watch the weekly Present Courseware topic and make some notes for the Journal Club. I have my Resident fax or hand me the article for review that week and I carefully read the article for content and appropriate subject matter. I then have one of my colleagues, who is very knowledgeable in EBM, also review the article and join us for the Journal Club.

We start by reviewing the Present Courseware online presentation related to the Journal Club article. We critique the PCW presentation and answer any questions about the general presentation. We review the selected article and relate similarities and differences for the PCW online presentation and the current journal article. After following this protocol, I notice that the Residents have a better appreciation of the didactic topic and can really verbalize their thoughts and ask very specific questions about the significance of the studies in the article. We use our EBM tools to evaluate the article and surmise the true value of the journal club article.

I feel that the use of the Present Courseware (PCW) has significantly improved the didactic and clinical knowledge of my Podiatric Residents at Botsford General Hospital.

Jennifer Mullendore, DPM
kookwoman@hotmail.com
Resident
Crozer - Keystone - Springfield Division
Subject: Question regarding Berndt-Hardy classification in
               the last round of the Residency Rumble

This question is regarding the last set of questions for the final round.  I was curious about the Berndt Hardy classification question.  According to the picture, we classified the lesion as a stage 3 for being completely detached but not displaced.  I would just like to know why it was classified as a stage 4.  Thanks for your time.

 RESPONSE FROM PRESENT:

You're in good company, Jennifer.  You may not be aware of it, but a lot of programs that were eliminated from the Residency Challenge continued to play on just for the fun of it.  Most answered as you did.  The illustration and radiograph came from Mark Dolce's lecture on Ankle Arthroscopy.  Check it out.  You can see the distinction between a stage 3 and a stage 4 in his images.  If you follow the cortical margin you will see that there is discontinuity and displacement. (Yes, it's a little hard to see in these small images)

Berndt-Hardy 3	Berndt-Hardy 3
Berndt-Hardy 4	Berndt-Hardy 4

Classifying osteochondral lesions of the talar dome can be challenging.

 Thank you for participating with such vim and vigor.