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

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!

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?

10. Just the facts, er,
evidence…

11. Evidence is predicated on
clinical outcomes

14. So, evidence-based practice ROCKs!
Right…?

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

18. Not a problem of too little,
but too much

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…

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

24. OK,
So,
now
WHAT?

25. It’s about
tools…

27. Onset
Location
Duration
Character
Aggravating/Alleviating
Relieving factors
Timing & severity

28. Got an image?
Onset
Location
Duration
Character
Aggravating/Alleviating
Relieving factors
Timing & severity

29. • 75% hit rate for NEJM’s
weekly puzzler via
cut-and-paste
• 96% if fill in the fields

30. There are a number of resources
available

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%.

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.

39. I have been experimenting with a
number of online tools….

46. Tutorials on Information Mastery and EBPs

47. Evidence-based Medicine Resource Center

48. Group That Grade the Evidence For You

55. Curated Library

60. Please be in touch
Chris.Stout@ATIPT.com
and get these slides
(and more) via
DrChrisStout.com