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It's not the evidence, it's the way you use it: is clinical practice being tyrannised by evidence? My experience with the PBAC and evidence-based practice
- Article from:
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Australian Health Review
- Article date:
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May 1, 2008
- Author:
- Stiller, Kathy
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Copyright informationCopyright Australian Healthcare and Hospitals Association May 2008. Provided by ProQuest LLC. (Hide copyright information)
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"Good doctors use both individual clinical expertise and the best available external evidence, and neither alone is enough. Without clinical expertise, practice risks becoming tyrannised by evidence, for even excellent external evidence may be inapplicable to or inappropriate for an individual patient."1 (p. 72)
I am a senior physiotherapist and clinical researcher and in the comparatively early stages of a sero-negative spondyloarthropathy that may well develop into full blown ankylosing spondylitis (AS). The severity of my symptoms was such that in 2005 I had to relinquish the full-time position I had held for 21 years and reduce my working hours to 12 hours per week in a nonclinical ...