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Absence of evidence is not evidence of absence a much favoured quote from Bland and Altman (relating to statistical analysis) but equally applicable to much we do.....because we have not yet PROVEN that things we do do work does not mean that they do not. Equally they have not been proven not to work. This applies to all health care practitioners, absolutely including the medical profession. Yes, we need to publish more about outcomes (positive and negative) so we know what to pursue and what to leave behind - indeed I'm sitting here writing a research funding bid at the moment - but I wonder Stewart who is it that thinks that what you do is not worthwhile? If it's yourself, then maybe you do need to think about a change - but if the pressure to prove it is coming from elsewhere then maybe you could try asking them how much of their practice is based on sound evidence. In the mean time if you think it's worth investing the time I'd suggest that you should read some good literature so that you may again feel that PT's are at least trying to get on the right track..... In message <[log in to unmask]>, [log in to unmask] writes >After 5 years as a physio I have hit a wall! It appears that little, if any, >of what we practise is proven to work. It feels that I am selling something >which I no longer believe in. Before I embark on an alternative career does >anyone have any words of comfort [with references please :o) ] > >Stewart Harrison >Physiotherapist >UK -- Maggie Campbell [log in to unmask] +44 (0)114 268 6963 Sheffield UK %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%