Sue...thanks for the discussion...Having been an OT for 20 years I have to say 
that EBP has not always been the focus and I tended to do what I was taught in 
school and field work and what has worked for me in the past but I have started 
progressing to more review of articles and seeing what is out there to confirm 
what I am doing...I am really enjoying this!  I am now in school for my MS in 
gerotology and I have learned more about research and how to really do 
it...having a BS in OT, research was not a component in my learning....I think 
it is really exciting to focus on EBP....I have also consulted with a 
PT coworker/manager of mine regarding modalities. I know a controversial topic 
probably, but he is getting a phD in PT and he has done much research on 
electrical modalities and the evidence does not show that it "works".....( if I 
understand him correctly).  I plan to do more research on this and have chosen 
to continue with manual type therapy
 of course with function and not modalities in my practice.  I do not plan to 
progress towards certification as I had planned to do....I love hands on 
therapy.....
 
By the way, I do tend to write ST goals for prerequisite skills with function 
of course reflected in the same goal...I do plan to relook this.....I don't do 
cookbook evals so my evals are never the same...the goals always are specific 
to my patient so I can't say I do it all the time....thanks for the reminder of 
what we really need to focus on....
 
Ron...I appreciate and gain alot from this OT list...thank you!
 
Lisa Sloan, OTR/L


--- On Mon, 9/8/08, Sue O <[EMAIL PROTECTED]> wrote:

From: Sue O <[EMAIL PROTECTED]>
Subject: Re: [OTlist] expertise
To: [email protected]
Date: Monday, September 8, 2008, 7:32 PM

Just did a huge lit review on this topic for my dissertation - the
literature documents a very interesting phenomenon, where all kinds of
health professionals (MDs, nurses, OT, PT, SLP, and numerous others), when
asked, typically express a positive attitude towards research and
evidence-based practice (think it's necessary, think it will advance their
profession, improve client care, etc), but other than in certain pockets,
the vast majority do not use evidence based practice, even when there is
evidence available. In the literature, EBP is described as including things
like searching for evidence, reading and appraising the literature,
applying research findings to practice, conducting any kind of research on
one's own practice, and/or being involved in clinical studies. This is not
only consistent across the health professions, it is consistent across
time, going back from the 1980s to the present.

Hopefully as more contemporary students, who are being taught more EBP
skills, enter the work force, this may change, but there is also some
intriguing evidence that suggests that health professionals say what they
think they are supposed to say about EBP, but really don't think that using
and/or creating research evidence is important, or an integral part of
their role...

Ron, at least you are being honest about it! What do others think?

Sue Ordinetz

*********** REPLY SEPARATOR  ***********

On 9/7/2008 at 7:14 PM Ron Carson wrote:
>
>At  this point, I must confess a small secret. I do not like research;
>I  don't  like  doing it or reading it. I KNOW it's important but I
am
>just  NOT  a  research  man.  As  such,  I  tend to never focus on the
>research question(s) that you mention, but maybe I should.



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