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Evidence Based Practice (EBP)

Summary

The most common definition of Evidence Based Practice (EBP) is taken from Dr. David Sackett, a pioneer in evidence based practice. EBP is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research." EBP is the integration of clinical expertise, patient values, and the best research evidence into the decision making process for patient care.

As outlined in the Fall 2012 AP Update, a new EBP category requires all ATs to complete a minimum number of BOC Approved EBP events each certification maintenance period. All continuing education programs wishing to use the label EBP Category: Enhanced Continuing Education Program must be pre-approved through an application process. This application process requires the applicant to demonstrate that the proposal meets specific content and quality requirements. These requirements are intended to facilitate the type of presentation that is best able to contribute to clinical practice in an evidence based way. Demonstration of these requirements is necessary for a successful application and subsequent approval for EBP Category CEUs.

To be eligible for approval as an EBP event, the program must adhere to at least one of the following formats: 1) Clinical EBP and/or 2) Foundations of EBP. There are three applications, one for each format and one for an integrated format that includes both clinical and foundations of EBP. Diversity among topics is encouraged in order to provide appropriate content for all clinicians relative to their level of expertise with EBP. The BOC will post all BOC Approved EBP courses on our website as a resource for ATs to complete the requirement.

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FAQs

Clinical EBP programs are organized around a clinically oriented topic. Examples: Glenohumeral assessment, ACL rehabilitation, sport-related concussion. Foundations of EBP programs promote EBP within the profession by enhancing a clinicians’ ability to find and evaluate evidence and apply it to their clinical practice; by defining EBP and how to use it; and by suggesting methods of integrating EBP into practice or teaching.
Providers will be notified of the initial application outcome within 10-16 weeks, depending on the length of the program and/or number of applications pending review.
Clinical EBP courses expire after two years. Foundations of EBP courses expire after five years. Course expiration date is always December 31.
The term “contemporary” is not defined by dates. Qualified speakers must demonstrate current or recent examples of expertise.
As long as the evaluation activities demonstrate measurement of all learning outcomes of the course, the assessment can be varied and administered in an assortment of formats. For example:
  • An exam using multiple choice questions and or other question formats. Questions would be based upon learning outcomes/content of the course.
  • An EBP case study where students are asked to answer various questions based upon the case. Questions are related to course learning outcomes. These questions could be in a multiple choice or open ended format.
  • An assignment such as the following: The purpose of this assignment is three fold: 1) to demonstrate the ability to develop a clinical question using the PICO format, 2) to demonstrate the ability to search the CSR and other databases to find literature related to the clinical question, and 3) to analyze, synthesize and create an outline of findings that answer the clinical question based upon the literature.
  • Cochran Systematic Review/other databases: Participants will each develop a clinical question on a topic and research it using the Cochran library system and other databases. Students will develop an outline of their findings based upon the evidence.