Message from the Vice-Chancellor for Research and Health Policy

Dear Colleagues:

Christine Goertz, D.C., Ph.D. Portrait I want to thank you for your interest in Palmer's efforts related to the use of Evidence-Based Clinical Practice (EBCP), an important tool in delivering high-quality chiropractic care. The majority of chiropractic research studies look at what happens to patients "on average." These data may or may not be directly applicable to a specific patient walking into the chiropractic office and will never replace lessons learned during years of clinical practice. However, research may further our understanding of how chiropractic adjusting impacts body biomechanics, leading to innovations in treatment application. Studies can provide information about which patients might react best to specific chiropractic techniques. Measurement of patient-centered outcomes can tell us how chiropractic care compares to other modes of treatment for a variety of conditions. The translation of research into EBCP is necessarily a partnership between scientists, who are trained in statistics and study protocol development, and clinicians, who know how to ask the most patient-relevant questions and then deliver the best care possible based upon information gained from research, expert teachings and clinical experience. Together we have the opportunity to make a real difference in the lives of patients.

Christine Goertz, D.C., Ph.D.

EBCP Concepts

Intro to EBCP – Dana Lawrence, D.C., MMedEd, M.A.

Dr. Dana Lawrence portrait Evidence-based medicine developed out of a movement started by a group of medical educators at McMaster's University during the 1980s. These physicians observed that a gap had developed between what occurred in clinical practice and what was obtainable in reports of clinical research. Essentially, clinicians could not stay abreast with new research because it was being produced so fast; consequently they were not putting into practice the most current information. Evidence-based methods were designed to bridge this gap. This concept has been embraced by the chiropractic profession as well, leading to what we now call evidence-based chiropractic (EBC), or evidence-based clinical practice (EBCP).

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Evidence in Action

McMaster University EBCP Workshop

McMaster University EBCP Workshop Nine Palmer faculty members traveled to McMaster University in Hamilton, Ontario Canada to attend the 2011 How to Teach Evidence-Based Clinical Practice Workshop on June 5-10, 2011.

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Florida Campus EBCP Video

The Florida campus clinics production team completed a video tutorial on sensitivity, specificity and likelihood ratios. This video clip is part of a larger presentation titled "An Evidence-Based Approach to Medicare Compliance." The actors in the video are Dale Rossi and Steven Lint, both 11th quarter interns in the Florida campus clinics. Both interns are members of the Medicare compliance team.

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EBCP in Undergrad

Linda Carlson portrait I ask undergrad students in my "Health Issues and the Environment" class to do research for solid articles from reputable sources to enhance learning in each unit. For example, for the unit "Biodiversity and Health Issues" I start by presenting a PowerPoint presentation on the subject matter. In the next class session, each student has to present a summary of an article that connects biodiversity and a health issue. The article has to come from a reputable source and, if not, we dissect the article to see why it is not a relevant article or why the study that was performed is not reliable.

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Additional resources available:
Center for Teaching and Learning's Evidence-Based Practice Center.