Dr David Sackett is a big name in Evidence Based Practice (EBP).
What is EBP? Firstly, it is really important! It's what all medical practice should be based on. It's what all medical professionals should base their work on. All medical people have to be accountable for what they do and they can be by explaining what evidence they are basing their work on.
If a podiatrist decided that all patients referred with an ingrowing toe nail should routinely have their toe amputated, colleagues would rightly ask, 'Where did you get this idea from?' i.e. what is the evidence you are basing your treatment on. The podiatrist might say, 'It's my own idea and I think it's best. I have many years of experience and this is what I believe.'
SACKETT SAYS THAT CLINICAL EXPERIENCE IS ONE PART OF EBP.
The podiatrist's colleagues would ask, 'What do your patients think about this? Some patients might bow to experience (one would hope not); others may run (or hobble) away in horror.
SACKETT SAYS THAT PATIENT VALUES AND PREFERENCES ARE ONE PART OF EBP.
The podiatrist's colleagues may ask, 'What research has proven this to be a good treatment for ingrowing toenails?' And there would - I hope - be none.
SACKETT SAYS THAT BEST RESEARCH EVIDENCE IS ONE PART OF EPB.
In the SACKETT model these three parts make Evidence Based Practice; they must all be present for a strong, sound evidence base. Take one away and it weakens the evidence; the base starts to wobble.
Sackett's diagram shows his model very clearly:
What is EBP? Firstly, it is really important! It's what all medical practice should be based on. It's what all medical professionals should base their work on. All medical people have to be accountable for what they do and they can be by explaining what evidence they are basing their work on.
If a podiatrist decided that all patients referred with an ingrowing toe nail should routinely have their toe amputated, colleagues would rightly ask, 'Where did you get this idea from?' i.e. what is the evidence you are basing your treatment on. The podiatrist might say, 'It's my own idea and I think it's best. I have many years of experience and this is what I believe.'
SACKETT SAYS THAT CLINICAL EXPERIENCE IS ONE PART OF EBP.
The podiatrist's colleagues would ask, 'What do your patients think about this? Some patients might bow to experience (one would hope not); others may run (or hobble) away in horror.
SACKETT SAYS THAT PATIENT VALUES AND PREFERENCES ARE ONE PART OF EBP.
The podiatrist's colleagues may ask, 'What research has proven this to be a good treatment for ingrowing toenails?' And there would - I hope - be none.
SACKETT SAYS THAT BEST RESEARCH EVIDENCE IS ONE PART OF EPB.
In the SACKETT model these three parts make Evidence Based Practice; they must all be present for a strong, sound evidence base. Take one away and it weakens the evidence; the base starts to wobble.
Sackett's diagram shows his model very clearly:
So, how does our podiatrist fare with this diagram to guide us:
His expertise and experience could be questioned, but he is confident he is right.
Some very hardy and trusting patients may be okay with it.
But it lacks any research backing. No research has been done to prove it is a routine treatment for ingrowing toe nails.
So this is not sound evidence based practice and hopefully patients and colleagues would question it and stop it before it started.
(Please note I am not a podiatrist and I am assuming that amputation of the toe is not the routine treatment for ingrowing toenails - comments below please if I am mistaken.)
I'm interested to look at the evidence base for today's treatment of MECFS using Sackett's well and widely respected model of EBP.
Have a look at this model and see what you think. I'll be putting my take on it in my next blog.
I've been quoting a lot of what ... Simon says ... in my blogs. Now I'd like to see what SACKETT says!
His expertise and experience could be questioned, but he is confident he is right.
Some very hardy and trusting patients may be okay with it.
But it lacks any research backing. No research has been done to prove it is a routine treatment for ingrowing toe nails.
So this is not sound evidence based practice and hopefully patients and colleagues would question it and stop it before it started.
(Please note I am not a podiatrist and I am assuming that amputation of the toe is not the routine treatment for ingrowing toenails - comments below please if I am mistaken.)
I'm interested to look at the evidence base for today's treatment of MECFS using Sackett's well and widely respected model of EBP.
Have a look at this model and see what you think. I'll be putting my take on it in my next blog.
I've been quoting a lot of what ... Simon says ... in my blogs. Now I'd like to see what SACKETT says!
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