Resources and Strategies

The Evidence-Informed Chiropractor

 

Keeping Current:   No Excuses


We all make excuses when we perceive more work, change, and no obvious reward. There are no excuses though, when it comes to our patients.

(The following is not intended to represent the chiropractic practitioner only, but all health-care practitioners)


Why I Can't change

  • I'm too busy as a practitioner to keep up with what's new
  • It doesn't really matter; I know what I know and it has served me well; I am successful
  • I won't get paid more if I know more
  • I don't know statistics (and I have trouble pronouncing it)
What do patients expect (and deserve)?

You know they expect and assume that you keep current because you are a professional and because you are there for one reason; their well-being.

First Steps

So how hard can this be? Far less difficult than it used to be. In the past papers were published with the expectation that those who were interested would read them, that the quality was high, and that the reader was scientifically literate.

Then with an explosion of research, the internet and other technologies, everything changed. Although information is growing exponentially, our attention and time to evaluate it are not. Low cost production allows for huge amounts of information infusion with no real quality-controls and high-quality information can easily be hidden or out-sensationalized.

At first it was believed that if you could teach readers how to read and assess the literature they would simply do so. Now it is clear, that "push" technology is needed.

Make It Come To You!

Push technology is used on your computer and on your cell phone. You are either solicited for what you are interested in or your interests are made obvious by what you consume as a customer. The literature is no different.

Let the Experts Do the Work

Easiest step? Subscribe to specific alerts offered by most major periodicals such as the New England Journal of Medicine, Journal of the American Medical Association, British Medical Journal, etc. (notice no chiropractic push technology yet).

Is this enough of a filter. No. You will receive usually more than you can digest.

Here is why: (from the McMaster PLUS Project)
  • Over 60,000 articles are published in over 120 journals per year.
  • Only 3,500 articles per year meet the standards of critical appraisal
  • Only about 25 articles per year are relevant to clinicians and only 5-50 articles are relevant to those who publish evidence-based topic reviews
Why so few articles? Because very few are "ready for application" clinically. They may be interesting; they may point to a new avenue of approach; they may indicate something that works on animals or in a laboratory setting but not in your office.

Want to learn how to begin? The 12-Week Plan to an Evidence-Informed Practice
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