I think Oliver is correct - guidelines definitely inhibit clinicians BUT EBP does not equal guidelines - in fact only ~ 10% of guideline recommendations are based on RCTs and almost none of them include the tools or evidence synopsis to allow clinicians to incorporate patient values and preferences.
My recent guideline video might provide some levity/toe-tapping to the discussion - https://youtu.be/DHDnqQ_mCBA
> On Jun 14, 2016, at 12:49 AM, Oliver Fisher <[log in to unmask]> wrote:
> I cannot speak to OT, but I personally do believe that there is a certain amount of “inhibition" of innovation by having to completely adhere to EBP guidelines and how quality data is generated to “prove that something works”. I think it’s also fair to say, that because of some of the “EBP success stories” or moreover “debunking of old (and new) myths” particularly institutional review boards and alike have become more rigorous (which is good) but sometimes less enthusiastic towards certain study proposals that could be highly innovative when they charter in to unknown territory. I think it’s important to note, that some of the greatest success stories of modern medicine (bone marrow and organ transplants, immunosuppression etc.) were achieved at a time, where “clinical trials” really meant the latter word. I believe overall the broader effect EBP/EBM has had has been great, but it has made the process very “bureaucratic” and sometimes I wonder if more time/money is being spent on trying to set up trials than actually conducting them…and that this may deter many people from actually getting involved and trying to push the envelope.
> Sorry - not so helpful for you to speak against the motion, but it may trigger some thoughts against what I’ve said :-)
>> On 14.06.2016, at 15:02, Clare Taylor <[log in to unmask]> wrote:
>> Dear all
>> I am soon to be taking part in a debate, the motion being that EBP stifles creativity and innovation in OT practice - I am speaking against the motion, and I would be very grateful for any thoughts from the group in this topic
>> Thanks in advance
>> Dr M Clare Taylor
>> Professional Lead for Occupational Therapy
>> Bournemouth University
>> [log in to unmask]
>> 07703 888 099
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