EBP
These are the three components of EBP.
What are best research evidence, clinician expertise, and patient values and expectations?
This is the highest level of research evidence in the typical hierarchy.
What are systematic reviews and meta-analyses?
What is Sensitivity?
This acronym stands for the smallest change in a score that patients perceive as beneficial and that could justify a change in management.
What is MCID (Minimal Clinically Important Difference)?
This term describes your ability to interpret findings, make good decisions, and manage patients effectively, built over time.
What is clinical expertise?
Electronic health records, injury-tracking systems, patient portals are examples of this.
What are Healthcare informatics?
This level of prevention focuses on stopping the problem before it starts and includes things like conditioning programs and proper tackling instruction.
What is primary prevention?
This is the first step of the 5 A’s of EBP and what you do in it.
What is Ask – form a clear, answerable clinical question.
This type of study randomly assigns subjects to groups.
What is a randomized controlled trial (RCT)?
When someone gets a positive result, you look at this value.
What is Specificity?
These outcomes are things like special test results, ROM, strength, and imaging that clinicians care about measuring.
What are clinician-Reported outcomes (CRO)?
One strategy for developing clinical expertise is to always ask this question when working through a case.
What is “What else could this be?”
This field is defined as the study of the distribution and determinants of health-related states or events in specified populations, and the application of this study to control health problems.
What is epidemiology?
This is the process in healthcare that uses a systematic, data-based approach to find problems in care processes and test changes to make care safer, more effective, and more efficient.
What is Quality Improvement (QI)?
This EBP step is where you critically evaluate study quality, strength, and relevance.
What is Appraise?
This term means the consistency of a measurement when repeated under the same conditions.
What is reliability?
This is the mnemonic that reminds you that high sensitivity helps you rule out a condition when the test is negative.
What is SnNout (Snout – SeNsitivity rules OUT)?
These outcomes are reported directly by patients and include pain scores, disability scales, and ability to perform ADLs or sport.
What are patient-reported outcomes (PRO) or patient-oriented evidence?
This type of network is a group of real-world clinicians and practices who work together, often with researchers, to study questions from everyday practice.
What is a Practice-Based Research Network (PBRN)?
This epidemiologic objective is illustrated by identifying that a cluster of food poisoning came from a specific dining hall.
What is identifying causes (etiology)?
Rehab after ACL reconstruction or chronic ankle instability to restore function and prevent recurrence is this level of prevention.
What is tertiary prevention?
PICO stands for this.
What is Patient, Intervention, Comparison, and Outcome?
This type of validity describes how well a new test correlates with or agrees with a gold standard.
What is criterion validity?
This is the mnemonic that reminds you that high specificity helps you rule in a condition when the test is positive.
What is SpPin (Spin – SPecificity rules IN)?
Lachman test grade, isokinetic quad strength is this type of outcome.
What is Clinician-Rated Outcomes?
Clinical Expertise should be used with these two other ideas to provide the best care for the patient.
What is best research evidence, and patient values and expectations?
Estimating the prevalence of ACL tears in a high school district over a season reflects this epidemiologic objective.
What is determining the extent of disease?
Concussion screenings and preseason physicals are examples of this level of prevention.
What is secondary prevention?
These are the 5 steps of Evidence-Based Practice.
What is Ask, Acquire, Appraise, Apply and Assess?
These are the three main types of reliability.
What is Intra-rater reliability, Inter-rater reliability, and Test-retest reliability?
The Empty Can test has Sn 89% and Sp 50%. This is what a negative result suggests about a supraspinatus strain, and why.
What is that a supraspinatus strain is unlikely because high sensitivity means a negative test helps rule it out (SnNout)?
LEFS (Lower Extremity Functional Scale) or patient’s rating of shoulder function in overhead activities are examples of this outcome.
What is Patient-rated outcome?
This is one specific behavior you can adopt after each clinical encounter to help build expertise.
What is reflecting on what went well and what to change?
These are the 5 objectives of epidemiology.
What is Etiology, Extent, History and Prognosis, Evaluation of Interventions, and Policy Development?
These are the four steps of the PDSA cycle, in order.
What are Plan, Do, Study, Act?