Show Notes
Welcome to another episode of The Words Matter Podcast.
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I’m taking a break from the
Outsider episodes to explore the area of clinical reasoning, and to kick off the series I’m speaking with Dr Roger Kerry, whom I chatted with on the podcast last year in
episode 35 where we discussed causation in relation to evidence based practice (EBP) as part of the
CauseHealth Series.Roger is an Associate Professor in the Division of Physiotherapy and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, University of Nottingham. He specialises on risks and adverse events of manual therapy, neck pain and headache as well as clinical reasoning (see his research
here). He holds a PhD in Philosophy with the doctoral dissertation Causation and Evidence-Based Medicine (see
here).
So on this episode we talk about:
- How EBP offers a backdrop to our clinical reasoning. The framework is now omnipresent across healthcare and Roger talks about how it should or could shape clinicians’ thinking, reasoning and interaction with patients.
- Some of the main developments, issues and questions resolved and those un-resolved around EBP.
- What it means to clinically reasoning within a EBP.
- How EBP makes us sensitive to the different sorts (and weighting) of knowledge and evidence and we discuss the implication of this with our clinical reasoning and the potential conflicts.
- Whether clinicians think like scientists and whether clinical reasoning is sciency?
- The similarities and differences between the scientific method and diagnostic reasoning such as data collection, hypotheses formulation, testing and inductive and deductive reasoning.
It’s always an absolute pleasure speaking with Roger; his laid-back style defies the intense consideration he has given to the deep philosophical problems of EBP which while as clinicians we may never fully appreciate (nor necessarily are required to) they help keep us on our toes and be aware and alive to how complex clinical practice is which should motivate us to ensure that our thinking and reasoning remains sharp and purposeful.
Find Roger on Twitter
@RogerKerry1Support the show and contribute via Patreon here If you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise - ideal for all MSK therapists. Follow Words Matter on:
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What is The Words Matter Podcast with Oliver Thomson?
The Words Matter Podcast brings you insights, reflections and conversations focused on the latest evidence, theory, philosophy and practice of communication-focused healthcare.
Find out about the more tacit, 'softer' and personal side of clinical practice such as the role of philosophy, beliefs, behaviours, developing therapeutic relationships or the purposeful use of language with people experiencing pain from expert academics, clinicians and researchers from across the world and spanning the musculoskeletal disciplines. This podcast will help you reflect on your own current practice and inform and stimulate you to consider new ways of approaching your practice and patients, to create a better clinical experience and outcomes in people with musculoskeletal pain.
Hosted by Dr Oliver Thomson PhD, an osteopath and Associate Professor who is passionate about researching and educating clinicians on a revised narrative, communication and biopsychosocial approach to musculoskeletal therapy. If you like the podcast, subscribe and check out the online learning and resources at www.wordsmatter-education.com.
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