This document discusses the benefits of evidence-based medicine and tools that can help incorporate evidence into practice more efficiently. It notes that outcomes in workers' compensation are clearly quantified but the full patient story may be missing. While evidence is important, keeping up with all new evidence is challenging given how much is published. Tools like EvidenceUpdates can help filter large amounts of information down to the most important pieces. The document promotes online resources and tutorials that provide curated evidence and help implement evidence-based practices.
1. Evidence Based Medicine:
Wouldn’t It Be Nice…?
Chris E. Stout, PsyD
Department of Research, ATI
College of Medicine, University of Illinois,
Chicago
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3.
4.
5. It’s nice to work with workers’ comp
outcomes because…
Outcomes are VERY Quantified
– RTW at the same job description and PDL
or not?
– How many days passed before RTW?
– Nice, clean, and tidy!
6.
7. Surgeon’s Perspective on a
Good Outcome
• No anesthesia issues
• No surprises during or after
• No complications
• Good wound healing
• No post-op infection
8. But how does the story end?
Is the patient back at work?
Quickly?
At the same PDL as prior to injury?
With the same job classification?
16. Half of what you are taught in medical school
will be wrong in 10 years’ time,
the problem is you don’t know which half.
- Sydney Burwell, MD, former Dean,
Harvard Medical School
17. It took an
average of 17
years for new
knowledge
generated by
RCTs to be
incorporated
into practice.
–IOM
19. • 3600 statistical articles are published
on average each year
• Do you know how long it would
take you to keep up…?
Just for Coronary Heart Disease…
20.
21.
22. If you read 1 article/15 minutes
You would have to read >10
articles
7 days/week
Forever…
23. In addition, too often there is a
disconnect between actual practice
and the evidence
33. EvidenceUpdates
• A joint collaboration of
BMJ Group and the
Health Information
Research Unit at
McMaster University
• Best new evidence
tailored to your interests.
• 2-step process shrinks
~50,000 articles/year
(from >140 clinical
journals) down to the
most important 1 - 2
articles per month
= "noise reduction" of
over 99.9%.
34.
35. And, wouldn’t it be cool if you could have
your latest post-op protocol available
to your rehab-referrals?
You already do, and for free.
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39. I have been experimenting with a
number of online tools….