Intro_EBCII - Evidence-based Chiropractic II Morgan Young,...

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Evidence-based 1 © 2006 Evidence-based Chiropractic II Morgan Young, DC morgan.young@palmer.edu http://w3.palmer.edu/young PP presentations Articles and checklists for class workshops Sample test questions Syllabus, etc.
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Evidence-based 2 © 2006 Evidence-based Chiropractic II Required text: Evidence-based Chiropractic Practice . Haneline M. Jones & Bartlett Publishers Read chapters before pertinent class sessions Exam questions from the text and class
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Evidence-based 3 © 2006 Course Goals Critical thinking in practice Develop skills to find, acquire, read, critically appraise, understand and apply information published in scholarly periodicals (5 steps) Relation ship of clinical practice to scholarship and vice versa
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Evidence-based 4 © 2006 Projects Critical Appraisals of: Case Report Literature Review Reliability of Outcome Measures Randomized Clinical Trial Critical Appraisal EBC 5-step project (due before end of quarter)
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© 2006 Evidence-based Chiropractic Practice The best available research evidence, combined with clinical expertise and patient values.
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Evidence-based 6 © 2006 What is Evidence-based Chiropractic (EBC)? Started by a group of medical educators at McMaster’s University during the 1980s Bridge practice and clinical research gap Clinicians, best practices, best patient outcomes
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Evidence-based 7 © 2006 What is EBC? (cont.) Originally known as evidence-based medicine (EBM) The concept has been embraced by the chiropractic profession (and others) Also called EBP, EIP, etc
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Evidence-based 8 © 2006 EBC is unique in several ways 1. Chiropractic interventions (manipulation) are difficult to investigate by experimental methods designing an effective placebo blinding both doctors and patients As a result, there are fewer chiropractic articles that use a placebo control group than other disciplines
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Evidence-based 9 © 2006 EBC is unique (cont.) 1. Chiropractors commonly utilize multiple treatment modalities A variety of manipulations, exercises, ergonomic advice, physiotherapy, etc. In contrast, clinical trials often utilize only one modality In order to isolate it and compare it with a placebo or an alternative therapy
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Evidence-based 10 © 2006 EBC is unique (cont.) 1. Finances were very limited for chiropractic research in the past which hampered progress High-quality research is very expensive Things have changed in recent years Federal funds are increasingly becoming available Numerous elegant chiropractic studies have resulted
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Evidence-based 11 © 2006 Evidence-based practice (EBP) is “. . . the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.” David Sackett, MD
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Evidence-based 12 © 2006 EBP incorporates the skills of the doctor The practitioner’s clinical expertise is integrated with the best available external
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Intro_EBCII - Evidence-based Chiropractic II Morgan Young,...

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