Evidence-Based Practice or Practice-Based Evidence: What’s in a Name?

A New Year, a New Set of Guidelines for Making Clinical Contributions to the Available Sources of Evidence

“…s discussed in previous editorials, [1][2][3][4][5][6] a great deal of work was needed to improve the legitimacy and evidence that could be generated and disseminated through clinical communications, in particular, the case study. Through collaboration between the Journal of Athletic Training and the International Journal of Athletic Therapy & Training, an endeavor to revitalize clinical case studies was undertaken.…”

Patient Evidence (AKA, Boy, Patients Complicate Our Clinical Practice)

“…We tended to look shamefully upon the foundation of our EBP pyramid (undocumented clinical experience) and praise the glory of the randomized controlled trial. 1,2,4,5 This is not a completely inappropriate way of thinking, but it certainly was too limited. Even though we would repeatedly state, "the three elements of EBP-the best-available research, clinician expertise, and patient values-are all weighted equally", we tended to believe that "evidence-based" really meant "research evidence-based".…”

“…The major tenet of our mission is to help clinicians find balance between the best available research evidence and their own clinical expertise when making clinical decisions. Over the past 3 years, we have developed a series of editorials to highlight the delicate balance between control and generalizability in clinical research, 1 the importance of the integration of external evidence (best available research) and internal evidence (clinical expertise) when making clinical decisions, 2 and the necessity of outcomes in legitimizing our professional knowledge and ability. 3 However, we have not yet provided framework for patient values and preferences, the often forgotten component of evidence-based practice and practice-based evidence.…”

Outcomes Assessment: Demonstrating Our Predictive Ability as a Healthcare Profession

“…By understanding when we have enough information already (internal evidence) or when we need to consult the external sources of evidence to guide linking is a hallmark of evidence-based practice. 1 While the knowledge generated through the evaluation process is important for developing diagnoses, it is even more important for identifying the major problems for the patient. It is essential that we are vigilant about the information we gather and record because of how useful it can be for identifying a problems list.…”

“…[1][2][3][4][5][6] The Clinical CASE Reports offer the opportunity to share insights derived from confirming the evidence-based practices we use (Validation Clinical CASE Reports) and for generating new clinical research directions from practice-based evidence (Exploration Clinical CASE Reports). The major goal of this new paradigm is to reinvigorate the case study as a means of (1) securing our professional body of knowledge and (2) demonstrating our effectiveness as clinicians by improving how outcomes are reported.…”