Michael Haneline, DC, MPH firstname.lastname@example.org http://w3.palmer.edu/michael.haneline PowerPoint slides of the lectures are downloadable at the course website . Evidence-Based Chiropractic 1. How to print PP slides. Course Objectives.
IEBC* assignment 5 points
Literature searching/reviewing 5 points
Write an answerable question 5 points
Midterm Exam 40 points
Final Exam 50 points
TOTAL 100 points
*Institute for Evidence-Based Chiropractic
Hubka MJ, Phelan SP, Delaney PM, Robertson VL. Rotary manipulation for cervical radiculopathy: observations on the importance of the direction of the thrust. J Manipulative Physiol Ther 1997;20(9):622-7.
Do I really have to change the procedures I use?
Practitioners don’t like changing practices, and tend toignore guidelines.
They want research more to prove chiropractic than to improve clinical interventions.
“… the conscientious use of current best evidence in making decisions about the care of individual patients…”
1. Create an answerable question (hypothesis) about the healthcare problem confronting you
2. Find the best evidence to answer the particular question
3. Critically appraise the evidence for quality
4. Integrate critical appraisal with clinical expertise, patient’s needs & circumstances, and apply the integration to the case
5. Evaluate the effectiveness of your decision and look for ways to improve
Each question type may require different kinds
of information for evidence and, possibly,
different types of resources