Introduction

 

The quotation from Craig Payne in the top tight-hand corner of the banner pretty much says it all: While research evidence is crucial, it is often impossible for clinicians to base therapeutic interventions soley on published reasearch because the research is weak, ambiguous, obviously flawed, or simply does not exist.

 

So how should we proceed?

 

The introductory podcasts based on the accompanying articles below discuss the genesis of Evidence Based Medicine (EBM) and its evolution into Evidence-Informed Medical Practice (EIMP), both in the context of podiatry and medicine in general. The podcasts emphasize "clinical expertise"-- with a specific definition that encompasses clinical experience, patient preferences, and current best research evidence-- as an accepted and important aspect of EIMP.  Those who critisize clinicians who base their interventions on clinical experience, employing treatments that lack a solid research base may discover they have an outdated appreciation of EIMP.

 

Furthermore, the presentations below warn against the prima facie reliance on research, inlcuding randomised controlled trials (RCTs), highlighting the many limitations of even peer-reviewed papers; that classical statistics is not a language that can establish causality. Finally, the podcasts explore the crisis of lack of scientific replication, the potential for bias in research methods, findings and conclusions, and the need for caution in interpreting p-values without also considering effect size.

​

​Welcome to Voodoo Biomechanics presented by NOTEBOOK LM, where research meets the reality of clinical practice.

​

​

​

​