Confronting Emotions about Evidence-Based Learning/Teaching AND Tidbits to Entice Participation

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Confronting Emotions about Evidence-Based
Learning/TeachingAND Tidbits to Entice
Participation

• Barbara A Mansholt DC
• Assistant Professor,
• Technique Department

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• It takes more courage to reveal insecurities
  than to hide them, more strength to relate to
  people than to dominate them, more 'manhood' to
  abide by thought-out principles rather than blind
  reflex. Toughness is in the soul and spirit, not
  in muscles and an immature mind. Alex Karras

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What is chiropractic? (or naturopathy,
osteopathy, or acupuncture, etc.?)
What is evidence based practice?
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Philosophy
Science
Art
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What is Science?

• Science is . . .
• The observation, identification, description,
  experimental investigation, and theoretical
  explanation of phenomena

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The scientific method The principles and
empirical processes of discovery and
demonstration considered characteristic of or
necessary for scientific investigation, generally
involving the observation of phenomena, the
formulation of a hypothesis concerning the
phenomena, experimentation to demonstrate the
truth or falseness of the hypothesis, and a
conclusion that validates or modifies the
hypothesis
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Philosophy definition

1. The love and pursuit of wisdom by intellectual
   means and moral self-discipline
2. Investigation of the nature, causes, or
   principles of reality, knowledge, or values,
   based on logical reasoning rather than empirical
   methods
3. The critical analysis of fundamental assumptions
   or beliefs
4. A set of ideas or beliefs relating to a
   particular field or activity an underlying
   theory
5. A system of values by which one lives.

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Philosophy and dogma

• A belief system taken to an extreme becomes
  dogma defined as
• An authoritative principle, belief, or statement
  of ideas or opinion, especially one considered to
  be absolutely true
• Dogmatic practitioners may be reluctant to
  acknowledge new information and change their
  practices in response

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EBC and philosophy are complementary

• There are no sacrosanct truths in chiropractic
  that should never be questioned
• Any conceivable chiropractic-related topic
  should be open for discussion

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Clinical experience
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Consider the following editorial for critics who
recognize shortfalls . . .
Jonas WB. The evidence house. How to build an
inclusive base for complementary medicine. West J
Med 200117579-80.
http//www.ncbi.nlm.nih.gov/pmc/articles/PMC107148
5/pdf/wjm17500079.pdf?toolpmcentrez
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PICO practice

• http//www.xtranormal.com/watch/7488667/

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Howie Diddot

• 30 year old male engineer
• L5-S1 pain, insidious onset
• No other health care treatment
• Uncomplicated

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ACQUIRE

• PubMed
• http//www.ncbi.nlm.nih.gov/pubmed
• DynaMed
• https//proxy.palmer.edu/login?qurlhttp3a2f2fs
  earch.ebscohost.com2flogin.aspx3fauthtype3dip2
  cuid26profile3ddynamed
• Subscription service
• Evidence Updates
• http//plus.mcmaster.ca/EvidenceUpdates/

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JTASS Assessment

• Simplistic approach prior to thorough critical
  appraisal/validity evaluation
• Journal
• Title
• Author
• Site
• Summary

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EQUATOR Network
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Equator is

• International initiate seeks to enhance
  reliability and value of health care research
  literature
• Raise awareness
• Recognized global centre
• Assist in development of guidelines
• Monitor quality research
• Conduct research

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History

• May June 2006
• 10 countries, 27 participants
• Official inauguration 2008
• Umbrella organization bring together
• Researchers
• Editors
• Peer reviewers
• Etc
• ALL AREAS OF HEALTH RESEARCH

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CORE GOAL

• Provide resources
• Monitor progress
• THEREFORE
• Checklists are available
• www.equator-network.org