Exam Two - Intro EBP Flashcards
definition of EBP
conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients
what is the goal of EBP
educated decisions and transparency in patient care
open and thoughtful clinical decision making integrates:
- best available evidence
- clinical judgement
- patient values
- clinical circumstances
What is evidence informed practice?
(Willson’s likes this word better)
- without clinical expertise, practice risks becoming evidence tyrannized
- ex: a treatment with no evidence may be desirable like using a parachute when jumping out of planes
EBP in NOT
- replacement for individual clinical expertise
- “cook book” therapy
- a “cost cutting” measure
- ONLY RCTs
replacement for individual clinical expertise
- You decide whether the evidence applies to each patient!
- best treatment for one patient may not be the same as the average
- use clinical findings AND available evidence to educate the patient and be as transparent as possible
“cook book” therapy
EBP does not require patients to go through a “treatment tunnel”
(assumes same management is appropriate and the same outcomes are important to each patient)
a “cost cutting” measure
- may raise or lower the cost of care
- derive the most effective interventions which will maximize patient function and quality of life
(Willson’s example was sometimes you have to advocate for your patient to get more sessions approved using evidence)
ONLY RCT
- high quality RCTs have not been conducted for many research questions
- some questions are best answered using different designs
t or f: the 2009 oxford levels of evidence had systematic and review as the top level of evidence based entirely on design
true - problematic because thats not always the best study design to answer a question
How is the 2011 oxford level of evidence chart organized?
vertical column you pick what type of question you’re trying to answer with your study and horizontally has the levels of evidence
T or F: the 2011 oxford evidence chart has mostly systematic reviews under level one evidence
true
Where are RCTs in the 2011 oxford evidence chart?
level two
T or F: you don’t need clinical expertise AND best available external evidence
false, you MUST have both. Without evidence, practice risks becoming rapidly out of date (and can be detrimental to patient care)
What is the Dunning-Kruger effect?
you have extremely high confidence when you know nothing, lowest confidence once you gain experience in your field, and confidence rises (but not to level of stupid confidence) when you’re an expert
BEWARE of:
the overly confident clinician
T or F: you will need more knowledge related to patient management weekly
false, DAILY!
T or F, you will learn everything you ever need to know while in PT school
lol false, you WILL need more training
