Click the play button (found below each slide) to listen to the audio clip for each slide in turn. At the bottom of the page, click to move on to the next section.
Evidence-based Medicine to Evidence-informed Practice
General approach to EBM in clinical settings:
Select specific clinical questions from the patient's problem(s)
Search the literature or databases for relevant clinical information
Appraise the evidence for validity against the hierarchy of evidence and usefulness to the patient and practice
Implement useful findings in everyday clinical practice
Gets us part of the way but EIP requires more!
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Evidence-based Medicine to Evidence-informed Practice
"No RCT can inform, in a specific way, the appropriate clinical roadmap for assessment and planning for therapeutic interventions in this complex environment. Clinicians must use science; it is a powerful tool. But they should be in charge of how and when to use it, not dominated and intimidated by it"
Combining research evidence with clinical practice and the patient's story can help to achieve optimal outcomes
Mandatory Reading (10 minutes)
Optimal outcomes:
Jones, D., Hofman, L. and Quinn, S., 2009. 21st Century Medicine: A New Model for Medical Education and Practice. Gig Harbor, WA: Institute for Functional Medicine, pp.50-52. PDF available here
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Evidence-based Medicine to Evidence-informed Practice
Evidence-based Medicine to Evidence-informed Practice
Mandatory Activity
Module Discussion Forum Debate:
How do we transition from an EBM, guideline-driven, prescriptive clinical approach, to an evidence-informed,
personalised, patient-centered practice that captures both the science and the art of medicine and is safe, ethical and effective?
How do we balance the element of 'prescription' with the elements of ‘personalised’ and ‘patient-centred’ in our work with clients?
What are some of the key practical challenges in using evidence to inform clinical practice? As busy practitioners, how can we overcome these?
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Core Tenets of Functional Medicine
Optional Activity
Watch the following AV resources as reminders of the main tenets of FM:
Jones, D.S. and Quinn, S., 2017. Introduction to Functional Medicine. Gig Harbor, WA: Institute for Functional Medicine. Available at: <https://sa1s3.patientpop.com/assets/docs/23325.pdf> [Accessed 30 May 2018]
Biochemical individuality based on genetic and environmental uniqueness
Patient-centered vs. disease-centered approach
Networks of causation
Dynamic balance between external and internal factors
Web-like interconnections of physiological factors
Health as positive vitality
Enhancement of organ reserve
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Importance of the Patient's Story
Three main angles:
Where do the symptoms come from? (Antecedents and Triggers)
What keeps them going? (Mediators and processes of mediation of the symptom)
What can change the diseased allostatic balance point for the patient? (Underlying Points of Leverage where intervention can be most effective)
Optional Reading (20 minutes)
Jones, D., Hofman, L. and Quinn, S., 2009. 21st Century Medicine: A New Model for Medical Education and Practice. Gig Harbor, WA: Institute for Functional Medicine, pp.61-79. PDF available here
