We often hear the term evidence-based medicine as a standard for incorporating research into clinical practice. In this video, we want to introduce a new approach called evidence-informed practice. What do you think is the difference between evidence-based medicine or EBM and evidence-informed practice, EIP? In our minds, evidence-informed practice is broader and more useful in several ways. First, it incorporates other clinical practices besides medicines such as nursing, dentistry, chiropractic, and so on. Secondly, it includes a variety of forms of evidence. This includes the best scientific research and more. As we mentioned, evidence-based medicine focuses on medicine to the exclusion of other health care practitioners and other types of therapy. Furthermore, it relies on one type of evidence, published scientific research, that may or may not be applicable to that individual patient, paper not patients as you will see in this photo. Finally, it is not always practical. With the explosion of scientific knowledge being published, it was difficult for clinicians to stay current on best practices. In fact, for a primary care physician to stay up to date, they'd need to read 17 articles a day, 365 days a year. Evidence-informed practice means integrating the best available evidence from systematic research with both the clinicians expertise and the patient's needs and preferences. We emphasize systematic research because summary sources such as systematic reviews, meta-analysis, and importantly, clinical guidelines, provide good quality evidence, but take much less work for clinicians. Summary sources find the all the relevant research studies that address a particular question and assess the quality of each study including only well-done studies in the compiled results. By clinical expertise, we mean the proficiency and judgment that an individual clinicians acquire through clinical experience and clinical practice. It involves the experience of the individual clinician but also the collective experience of a profession. For example, acupuncture and oriental medicine, draw from collective experience of thousands practitioners gained over thousands of years. Patient presentation provides important information that can inform clinical decisions. While health history and physical presentation are obviously needed to support patient care. A patient's previous experience with other health care providers and settings as well as their own culture, values expectations and preferences can also have a profound effect on both their treatment choices and their outcomes. So like evidence-based medicine, evidence-informed practice is also informed by science and research but it is more person-centered. It incorporates the patient, the clinicians experience, and other health care professionals to determine optimal patient care. Evidence-informed practice applies to all health professions including integrated providers such as chiropractors. It uses summary sources of research evidence for greater efficacy and provides a more patient-centered approach. It is consistent with the use of integrative therapies.