CLINICAL AUDITS As part of the evidence-based cycle, clinicians should evaluate their own performance (35). Clinical audit is one of the main vehicles for implementing protocols into everyday practice (36), monitoring the results of effects to changes in practice (9) and to ‘benchmark’ standards in practice (7). Clinicians employed within the NHS are generally routinely monitored, audited, and critically appraised. However, clinicians working in private practice are often left to their own devices, thus, can potentially become more vulnerable to stagnation and loss in clinical performance.
CONCLUSION Evidence-based practice is here to stay; therefore clinicians need to understand the concept of EBP. Thereafter, they can begin to appreciate the clinical and economical benefits on offer, also, while realising the potential consequences associated with failure to apply it. Consideration must be given to the ever-expanding scholarly databases of research information and the continual changes in technology and protocols, not to mention the emphasis on more stringent legislation, civil cases of malpractice, and patients’ increasing demands and expectations. For the more vulnerable clinicians in private practice, a concerted and ongoing effort is needed to avoid becoming insular within a confined private clinic environment stagnated by lack of change. Finally, all clinicians must be proactive towards EBP, particularly CPD. In the future, simply complying with minimum standards may not be sufficient.
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THE AUTHOR
Nick originally trained as a sports masseur and later qualified as an osteopath before completing a BSc (Hons) in sports therapy, gaining a first class degree. Over the years Nick has
worked as team masseur to the GB and England cycling teams, covering both domestic and overseas events. Nick has been a keen athlete, competing in running and cycling events at all levels, culminating in winning the national cyclo-cross series. Nick is a part-time tutor at the Northern Institute of Massage (NIM). Specialist workshops include: i) Electrotherapy, ii) Lower limb biomechanics and orthotic prescription. Nick is a visiting lecturer at Teesside University and has carried out consultancy work for the University of Central Lancashire.
sportEX dynamics 2008;17(Jul):8-10
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