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Observation as one key to success

July 11, 2016
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Very early in my career, I realized I needed to develop my ability to relate to patients. Specifically, I needed to learn much more about how individual patients value care. For example, pain reduction isn’t the only, or even the main, factor in how some patients measure success. But discovering how each patient measures...
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Skillful observation: a key to successful communication

June 9, 2016
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During the past decade, several areas of research have illuminated our understanding of the importance of effectively building rapport, demonstrating empathy and successfully delivering cognitive reassurance (explaining a condition in understandable terms) in doctor-patient interactions.(1) Research has also shown that assuming the role of coach rather than primarily as provider can sometimes be a...
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Video Clips about Evidence-Based Clinical Practice

June 6, 2016
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Herewith are some good clips about the world of evidence-based practice. This is just a start…  General Introduction to Evidence-Based Medicine: https://www.youtube.com/watch?v=XCfZB5ZZyso Introduction to Evidence-Based Medicine (EBM) Definition and 5 As of Evidence-Based Medicine: https://www.youtube.com/watch?v=cu_HHmZ5oPY Introduction to PICO for Evidence-Based Medicine: https://www.youtube.com/watch?v=OK9H2P_Cpi0 Evidence-Based Practice: Improving Practice, Improving Outcomes: https://www.youtube.com/watch?v=OvenUa3Ww8o  Literature Searching EBM- Asking an...
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Random Thoughts about Living in an Evidence-Based World

May 16, 2016
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  When I first began teaching evidence-based practice, one of the comments I sometimes heard was that all we needed was evidence of subluxation or joint dysfunction. This created a great teaching moment, because if you think about it, identifying the presence of subluxation is actually like diagnosis- that is, you are determining that...
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Therapeutic Illusion

May 13, 2016
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There was an interesting commentary in the March 31st issue of the New England journal of Medicine called “The Science of Choosing Wisely-Overcoming Therapeutic Illusion.” The article pointed out the propensity of human beings to overestimate the effects of their actions. This is an offshoot of a well-defined reasoning fallacy referred to as “faulty...
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Vertebral artery blood flow

May 5, 2016
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For the past several decades, one consistent question that is yet to be completely answered could be stated as; what is the potential risk of vertebral artery damage during upper cervical manipulation? Here is some of what we know: • Vertebral artery damage can lead to cerebrovascular accidents.(1) • The portion of the vertebral...
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