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The Essential Elements of Evidence Based Clinical Practice

July 18, 2014
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What are the essential elements of evidence based clinical practice? By now everyone has heard the definition of evidence based practice as the integration of current best evidence with clinician expertise and patient values. The actual quote is: “Evidence based medicine is the conscientious, explicit, and judicious use of current best evidence in making...
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Publication Bias

July 14, 2014
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I’ve just read a fascinating piece of hard-hitting investigative journalism, the book “Bad Pharma” by the medical provocateur Ben Goldacre (Goldacre B. Bad pharma: how drug companies mislead doctors and harm patients. New York, NY; Faber and Faber, 2013). You might know of him...
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An evidence-based diagnostic aid

July 7, 2014
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Clinical trials focused on treatment for patients with low back pain (LBP) typically classify patients into few diagnostic categories. Often, after LBP from pathological conditions is ruled out, patients are labeled only with “non-specific LBP.” The generic diagnosis is a repetition of the symptom,...
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Back to Basics: Horses and Hooves

July 3, 2014
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I know it’s a cliché, but writing a case report is “just like telling a story.” That is not entirely true, but in that spirit, I would like to...
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McMaster University EBCP Workshop

June 27, 2014
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What an exhilarating, enlightening and absolutely exhausting experience. I have just finished my role as a first time tutor at the McMaster Evidence Based Clinical Practice workshop in Hamilton,...
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Chronic Pain: another component

June 23, 2014
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There is growing evidence showing that brain structure can predispose a person to chronic back pain following an injury. In a series of studies, researchers in Chicago IL identified...
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