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Clinical Skills

BioMed Central

One of the great challenges facing practitioners is the ability not just to locate good information but to then obtain it. While we are accustomed to going to google and locating information quite easily, in the scientific realm this can be a bit more challenging as the information we may want hides behind online...
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The t-test

When you read research reports, you will often see the t-test used to report results. But this is sometimes difficult for the non-statistical (which is most clinical practitioners) to understand. What, exactly, is the t-test and what does it do? All the t-test really does is determines whether the means of two groups are statistically...
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Meta-Analysis

A meta-analysis is a form of systematic review in which the quantitative data from a set of studies is combined and re-analyzed. The idea is that any single given clinical trial will give only a partial depiction of reality, of what the true effect is of a given intervention. This is because studies cost...
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Slice of PIE

Something rather historic happened just recently on the Palmer, Davenport campus. A 3 day training program took place in evidence-based clinical practice (EBCP) for educators who teach at institutions traditionally designated as CAM (Complementary and Alternative Medicine). Educators in Acupuncture, Ayurvedic Medicine, Chiropractic, , Massage Therapy, Midwifery, Naturopathy, Rolf Structural Integration and Traditional Chinese...
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Evidence-Based Practice on youtube

There is a wealth of good information clips about various aspects of evidence-based practice on youtube. Herewith are just a few for your viewing pleasure. Evidence-Based Medicine in Practice #1: https://www.youtube.com/watch?v=DadRleW_pE4 This clip has professor Paul Glasziou provide an introduction to EBCP. Dr. David Sackett: Medical Pioneer: https://www.youtube.com/watch?v=Nbd–s2dFY0 This is bittersweet, given Dr. Sackett’s...
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How well do we see our patients?

A recent study revealed several themes or “ingredients” that patients described as valuable with regard to their own healthcare . The themes shouldn’t be too surprising. However, the fact that patients continue to desire better interactions with providers means that many still don’t experience their ideal. It appears that collectively, those of us involved...
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An Overview (Again) about Evidence-Based Practice

Evidence-based practice is a combination of three elements: the best research evidence (from the literature), clinical expertise and patient values. These have become almost iconic in the field. But let’s briefly look at them. Best research evidence: new research is published every day, and much of this research has the potential to change practice....
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Pubmed Mobile

At Palmer College we are on summer break, so we have not posted to this site in a couple of weeks. We will soon return to work, and to writing. But I wanted to just offer this short entry on a new development at Pubmed. Pubmed, as you likely know, is the interface between...
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Hazard Ratios

In the evidence-based world, there are tools one can use that can give you insight into questions that you may not know can be answered. For example, let’s look at the concept of the hazard ratio. Now, understand, the term “hazard” here does not mean danger or a bad thing happening (unless that is...
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Ideal physician characteristics

Several years ago I read an article describing a study that surveyed patients, asking what they considered their ideal physician characteristics or behaviors . This article reminds me of what patient’s value in their providers, and therefore, what should be valued by me. Respondents identified 7 behaviors that existed in their ideal physician. The...
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