I am increasingly focused on improving my communication skills. This is what I said discussing the place of intuition, anecdote, and experience in Evidence Based Practice: If you want to look at the EBP pillars I think we can all probably agree these things exist in the clinical expertise section. I think people get in trouble and arguments start when they start confusing experience for research. Experience and intuition are very low level evidence. So if we take a high quality systematic review paper published in a reputable journal and weigh it against my personal experience its much more likely that the paper is right and something else happened with my experience. So as not to pick on any one thing, lets assume I love to use XYZ. I get great results with XYZ and Im sure it happens because of ABC. The research shows that XYZ doesnt work very well and ABC is impossible. That doesnt mean that good things didnt happen when I used XYZ. It just means that there was something else happening thats worth investigating. Maybe it was EFG or LMN or some combination of things I never considered. If its one of those things, I want to know so I can do things that maximize the benefits and minimize risks. I might have to abandon XYZ at some point, and thats fine, but in many gray areas like our field there are opportunities to modify my understanding and application of XYZ so it looks more like WXY and I get better results or at very least Im moving away from something thats demonstrably false. In my mind, intuition and experience help in applying understanding of higher level evidence and in your client interactions. Theyre the very important final step before taking action, but theyre never the starting point. The message seemed to completely miss its mark. I have many clever and/or infuriating friends here who are strong communicators. I welcome your critiques on my understanding and/or communication. Matthew Danziger
Posted on: Mon, 31 Mar 2014 14:03:25 +0000
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