OK folks

A number of you have looked at this post but no one has yet posted a response. So how about responding to this first point:


Quote Originally Posted by gcoe View Post
1. The Significance of Evidence-Based Medicine (EBM) in Neurorehabilitation

EBM involves the explicit, judicious and conscientious use of the best available evidence from published scientific research, which is necessary for the diagnosis and treatment of patients.

Issues:

In current practice do we do this? In some areas there is so much evidence coming available that is almost impossible to keep up-to-date. In other areas there is so little. In ten years time half of what we know will be shown to be unhelpful. The trouble is that we don’t know which half So in neurological therapy how do we best do this?

If we aren’t using EBM to inform practice, then why not?
It seems to me as a community we are divided into two camps: those that do and those that don't use EBM to inform practice. Of course it is not as simple as that. Well here is my thought:

However limited EBM is it is the only tool we have for ensuring our patients get the best management available. And it is only through applying EBM to practice that we are going to truly develop as a profession. Otherwise we are locked into endless cycles of discovering a new treatment and applying it without understanding the consequences, rehashing old treatments and treating them as if they are new and being limited to current fashions and fads or believing something does or doesn't work based on anecdote.