too much evidence?what about how we reason?

[mattsutt]

I think it is vital this topic is debated as it is critical to the expansion of our profession. The concept of EBP should be understood by all clinicians. EBP is not, for example, simply reading an article on the effect of mobilisations on LBP and either applying or not applying this intervention based on the outcomes of the study. Any treatment must apply three critical components to be effective EBP:
1. Available research
2. Clinical expertise and experience
3. Patient preferences

Experienced clinicians know what works for their patients. Studies have many characteristics that will mean their applicability to your practice is reduceed. Randomised controlled trials by definition remove a significant amount of clinical reasonoing by applying an intervention to an entire population of people with LBP for example. Rarely do we apply a single intervention on a given occasion of service, as is the case for most studies.

Clinicians must keep abreast with current clinical research, or risk being left behind.
However, it is only part of the process to practice EBP.

http://pkuebm.bjmu.cn/files/EBM%20wh...20is%20not.pdf

[jjose_01]

I think it is vital this topic is debated as it is critical to the expansion of our profession. The concept of EBP should be understood by all clinicians. EBP is not, for example, simply reading an article on the effect of mobilisations on LBP and either applying or not applying this intervention based on the outcomes of the study. Any treatment must apply three critical components to be effective EBP:
1. Available research
2. Clinical expertise and experience
3. Patient preferences

Experienced clinicians know what works for their patients. Studies have many characteristics that will mean their applicability to your practice is reduceed. Randomised controlled trials by definition remove a significant amount of clinical reasonoing by applying an intervention to an entire population of people with LBP for example. Rarely do we apply a single intervention on a given occasion of service, as is the case for most studies.

Clinicians must keep abreast with current clinical research, or risk being left behind.
However, it is only part of the process to practice EBP.

http://pkuebm.bjmu.cn/files/EBM%20wh...20is%20not.pdf

good point...EBP is moving away from "experimentation"...

it just integrates the ideal practice shown by available evidence, and our own clinical expertise and experience (our own reasoning) for the best care of our patients.

[linbin]

hi friends
in this era of evidence based practise,we should be careful about the authencity of the researches published.since there is an increase urge to make more publications people may put up fake researches.what i am mean is a person with good statistical knowledge and reading related articles can come up with a research result-"cooked up study".
i personally know physios who does so and even got such a study published in an indexed journal.