Been thinking about this a lot lately.
We talk a big game about being an evidencebased profession, and DPT programs hammer home clinical research literacy like it's the foundation of everything we do. But then you get into the clinic and watch experienced clinicians use the same techniques they learned 15 years ago, sometimes techniques that newer research has pretty clearly undermined.
I'm not trying to throw anyone under the bus. Some of those clinicians get great outcomes. And honestly patients sometimes respond to things the research says shouldn't work, which raises its own questions about mechanism versus outcome.
But it makes me wonder how much of our daily practice is actually driven by current evidence versus habit, patient expectation, what equipment the clinic has, or just what our CI taught us and we never questioned.
There also seems to be a lag between research publication and actual clinical uptake that nobody really talks about openly. Implementation science is a whole field for a reason.
Curious how others navigate this. Do you actively update your practice when new evidence drops, or do you find yourself defaulting to what works in your hands even if the research is moving on? And how do you handle it when a patient specifically requests something you're not sure holds up anymore?